Evidence map›Paper›PMID 40481063›Full record

Trial reportScientific reports2025

Randomised active controlled trial examining effects of aerobic exercise, cognitive and music interventions on depression, balance and mobility in schizophrenia.

Razieh Khanmohammadi, Hasan Mirali, Hasan Mohammadzadeh, Safiye Ebrahimi, Ina Shaw, Brandon S Shaw

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Razieh KhanmohammadiDepartment of Motor Behavior and Sport Management, Faculty of Sports Sciences, Urmia University, Urmia City, West Azarbaijan Province, Iran.
Hasan MiraliDepartment of Motor Behavior and Sport Management, Faculty of Sports Sciences, Urmia University, Urmia City, West Azarbaijan Province, Iran.
Hasan MohammadzadehDepartment of Motor Behavior and Sport Management, Faculty of Sports Sciences, Urmia University, Urmia City, West Azarbaijan Province, Iran.
Safiye EbrahimiDepartment of Motor Behavior and Sport Management, Faculty of Sports Sciences, Urmia University, Urmia City, West Azarbaijan Province, Iran.
Ina ShawSchool of Sport, Rehabilitation and Exercise Sciences, University of Essex, Wivenhoe Park, Colchester, Essex, UK.
Brandon S ShawSchool of Sport, Rehabilitation and Exercise Sciences, University of Essex, Wivenhoe Park, Colchester, Essex, UK. b.shaw@essex.ac.uk.

Funding

Urmia University 2023-001/T/2023-D10/286
6 · The paper itself

Abstract

Schizophrenia significantly impairs daily functioning, requiring innovative, cost-effective treatments beyond standard antipsychotics, and cognitive interventions. This study examined the individual and combined effects of cognitive, music, and aerobic exercise interventions on depression, balance, and mobility in patients with schizophrenia and severe depression. Eighty-four male patients with schizophrenia and severe depression from an inpatient psychiatric centre participated in a 12-week, single-blind, randomised active-controlled trial. Participants were systematically assigned to one of seven equal groups (n = 12 each): aerobic exercise (AerG), cognitive rehabilitation/treatment-as-usual (CogG), music intervention (MusG), aerobic exercise + music intervention (A&MG), aerobic exercise + cognitive intervention (A&CG), cognitive intervention + music intervention (C&MG), and a comprehensive combination of all three modalities (ACMG). Each intervention was delivered over 60 min, three times weekly for 12 weeks. The study employed the Beck Depression Inventory Short Form, Stork Balance Test, and modified Timed Up and Go Test to assess improvements in depression, balance, and mobility. Statistical analyses were conducted using paired t-tests for within-group comparisons and ANCOVA with Bonferroni post hoc tests for between-group differences, with significance set at p ≤ 0.05. Results showed significant improvements in depression, balance, and mobility across all treatment groups. The CogG group outperformed both AerG and MusG in all outcomes, establishing it as the gold-standard comparator. A&CG yielded greater benefits than other single or dual-modality groups, while the multimodal ACMG group demonstrated the most substantial improvements across all measures. These findings highlight the practical value of incorporating multimodal interventions into standard care to improve both mental health and physical function, offering a scalable, cost-effective approach to addressing the diverse needs of this population of patients with schizophrenia and severe depression. Implementing such interventions in psychiatric care settings could lead to more comprehensive and effective treatment strategies for improving patient outcomes.

Indexed as

Cognitive Behavioral TherapyDepressionExerciseExercise TherapyMusic TherapyPostural BalanceSchizophreniaAdultCognitionHumansMaleMiddle AgedSingle-Blind MethodTreatment OutcomeCognitionComplementary therapyFunctional capacityNeuropsychiatric disordersPsychopathologySchizophrenia

Identifiers

PMID40481063
PMCPMC12144176

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.