地域で生活する統合失調症者の身体活動量とリカバリーとの関連

Abstract

The purpose of this study was to determine the relationship between physical activity and recovery among individuals with schizophrenia living in the community.

A self-administered, anonymous questionnaire survey was administered to schizophrenics living in the community, and 88 were included in the analysis. The survey items included background items, the International Physical Activity Questionnaire (IPAQ), and the Japanese version of the 24-item Recovery Assessment Scale (RAS).

The total RAS score ± SD of the study subjects was 82.3 ± 15.1 points, and the mean (median) total physical activity was 1,125.5 (705.0) METs-min. The association with RAS was confirmed by Spearman's rank correlation coefficient and the Mann-Whitney U test. Multiple regression analyses (Stepwise method) were conducted with the total RAS score as the dependent variable and the amount of physical activity in each life situation as the explanatory variable. The results showed that the RAS total score and all subscales were related to the total amount of physical activity. In terms of the relationship between the RAS total score and the amount of physical activity in each life situation, [total physical activity during leisure time], [total physical activity at work], and [total physical activity related to household chores] were significantly influential on recovery. The freedom-adjusted R2 was 0.289.

The results suggest the need for interventions that incorporate approaches to increasing daily physical activity and moderate exercise to promote recovery in individuals with schizophrenia.