ESTABLISHED WELLNESS PROGRAM RELATED TO QUALITY OF LIFE AMONG PSYCHIATRIC PATIENTS AND ITS ASSOCIATED FACTORS THAT CONTRIBUTED TO AN EFFECTIVE WELLNESS PROGRAM: A SCOPING REVIEW

Authors

  • GEOALLEN GEORGE Department of Dietetic and Food Service, Hospital Mesra Bukit Padang.
  • Tze Ping Pang Psychiatry Health Unit, Department of Public Health Medicine, Faculty of Medicine and Health Sciences, Universiti of Malaysia Sabah, Jalan UMS, Kota Kinabalu 88400, Malaysia.

DOI:

https://doi.org/10.37268/mjphm/vol.24/no.2/art.2320

Abstract

There are a growing number of studies focusing on lifestyle improvement among patients with psychotic illness. However, most of these studies have focused on outpatients. Studies on how to improve the lifestyle of inpatients with severe mental illness are still lacking. A review of the available literature on the establishment of wellness programs related to the quality of life of psychiatric patients was conducted using various databases including Google Scholar, Science Direct, and PubMed. Search strategies using keywords alongside inclusion and exclusion criteria were established. Inclusion criteria included English-language publications describing wellness programs in psychiatric patients related to quality of life and related characteristics published between 2013 and 2023. All eligible articles were reviewed to ensure that they met the selection criteria. Abstracts were screened to determine article eligibility. Full articles were then reviewed against the inclusion and exclusion criteria. Based on the review, 8086 articles were excluded because they did not specifically address the establishment of wellness programs related to the quality of life among psychiatric patients. 39 articles were finally selected for the scoping review. Most studies described elements such as nutrition, exercise, social activities, motivation level, and quality of life having significant associations with effective wellness programs among psychiatric patients. This study showed that certain elements are often incorporated in establishing effective wellness programs in patients with mental illness. Measures should be taken to determine other elements that might influence the effectiveness of wellness programs, especially pertaining to modifiable factors in patients.

References

Mental disorders (2022) World Health Organization. World Health Organization. Available at: https://www.who.int/news-room/fact-sheets/detail/mental-disorders (Accessed: December 3, 2022).

Remes, O., Mendes, J.F. and Templeton, P. (2021) “Biological, psychological, and social determinants of depression: A review of recent literature,” Brain Sciences, 11(12), p. 1633. Available at: https://doi.org/10.3390/brainsci11121633.

Sharpe, J., Stedman, T., Byrne, N. M., & Hills, A. P. 2010. Prediction of resting energy requirements in people taking weight-inducing antipsychotic medications. Nutrition & Dietetics, 67(3), 166-170.

Vancampfort, D. Wampers, M. Mitchell, A. Correll, C. Herdt, A. Probst, M (2013). A meta-analysis of cardio-metabolic abnormalities in drug naïve, first-episode and multi- episode patients with schizophrenia versus general population controls. World Psychiatry DOI: 10.1002/wps.20069

Ursuliak, Z., Milliken, H. and Morgan, N. (2015) “Wellness Program for People With Early Psychosis: Promoting Skills and Attitudes for Recovery,” in Psychiatric Services. 1st edn. Washington, DC,: American Psychiatric Association, pp. 105–105.

Young, A.S. (2010) “Evaluating a collaborative care model for the treatment of schizophrenia (equip),” PsycEXTRA Dataset [Preprint]. Available at: https://doi.org/10.1037/e657852010-001.

Hoffman, V.P. et al. (2008) “A wellness intervention program for patients with mental illness,” The Primary Care Companion to The Journal of Clinical Psychiatry, 10(04), pp. 329–331. Available at: https://doi.org/10.4088/pcc.v10n0411c.

Dauwan, M. Begemann, M. Heringa, S. Sommer, I (2016). Exercise Improves Clinical Symptoms, Quality of Life, Global Functioning, and Depression in Schizophrenia: A Systematic Review and Meta-analysis. Schizophr Bull 2016 May;42(3):588-99. doi: 10.1093/schbul/sbv164. Epub 2015 Nov 7.

Brown, A.H. et al. (2008) “Equip: Implementing chronic care principles and applying formative evaluation methods to improve care for schizophrenia: Queri Series,” Implementation Science, 3(1). Available at: https://doi.org/10.1186/1748-5908-3-9.

Raaj, S. et al. (2021) “Mental disorders in Malaysia: An increase in lifetime prevalence,” BJPsych International, 18(4), pp. 97–99. Available at: https://doi.org/10.1192/bji.2021.4.

WHO (2017) “Country Profile: Malaysia,” in WHO's Mental Health Atlas. Geneva, Switzerland: World Health Organization.

Chua, S.N. (2020) “The economic cost of mental disorders in Malaysia,” The Lancet Psychiatry, 7(4). Available at: https://doi.org/10.1016/s2215-0366(20)30091-2.

Phang, C.K., Marhani, M. and Salina, A.A. (2011) “Help-seeking Pathways for In-patients with First-episode Psychosis in Hospital Kuala Lumpur,” Malaysian Journal of Medicine and Health Sciences, 7(2), pp. 37–44.

Levitt, G. Shinault, K. Patterson, J. Otaluka, O. Weight in Psychiatric Inpatients: Are interventions making a positive impact ?.2017. Prim Care Companion CNS Disord. 2017 Jul 13;19(4): 17m02111.doi: 10.4088/PCC.17m02111

Stanton, R. Happell, B. (2014). Exercise for mental illness: a systematic review of inpatient studies. Int J Ment Health Nurs. 2014 Jun;23(3):232-42.doi: 10.1111/inm.12045

Vancampfort, D. Stubbs, B. Ward, P. Teasdale, S. Rosenbaum, S. 2015. Integrating Physical Activity as medicine in the care of people with severe mental illness. Aust N Z J Psychiatry 2015 Aug;49(8):681-2. doi: 10.1177/0004867415590831

Berglund, I. Skarsater, I. Danielson, E. (2009). The meaning of care on a locked acute psychiatric ward: Patients' experiences. Nordic Journal of Psychiatry 63(6):501-7 DOI:10.3109/08039480903118208

Lilja, L. Hellzen, O. Former patient’s experience of psychiatric care: A qualitative investigation. International Journal of Mental Health Nursing. 17(4):279-86 DOI:10.1111/j.1447-0349.2008.00544.x

Lindgren, B. Oster, I. Graneheim, U. 2011. 'They don't understand…you cut yourself in order to live.' Interpretative repertoires jointly constructing interactions between adult women who self-harm and professional caregivers. Int J Qual Stud Health Well-being 2011;6(3).doi: 10.3402/qhw.v6i3.7254. Epub 2011 Sep 2.

Walsh, J. Boyle, J. (2009). Improving acute psychiatric hospital services according to inpatient experiences. A user-led piece of research as a means to empowerment. Issues Ment Health Nurs 2009 Jan;30(1):31-8. doi: 10.1080/01612840802500733.

Bowers, L, Jarrett, M. Clark, N. Kiyimba, F.Mcfarlane, L. (1999). Absconding : Why patients leave. J Psychiatr Ment Health Nurs 1999 Jun;6(3):199-205.doi: 10.1046/j.1365- 2850.1999.630199.x.

Tricco, A. Lillie, E. Zarin, W. O’Brien, K. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine. https://doi.org/10.7326/M18-0850

Durach, C. Kembro, J. Wieland, A. (2017). A New Paradigm for Systematic Literature Reviews in Supply Chain Management. Journal of supply chain management. https://doi.org/10.1111/jscm.12145

O’Malley, L. Arksey, H. (2005). Scoping studies: Towards a Methodological Framework. International Journal of Social Research Methodology: Theory & Practice, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616

Deenik, J. Kruisdijk, F. Tenback, D. Jansen, A. Taal, E. Rock. M. (2017). Physical activity and quality of life in long-term hospitalized patients with severe mental illness: a cross- sectional study. BMC Psychiatry (2017) 17:298 DOI 10.1186/s12888-017-1466-0

Newell. S. Harries, P. Ayers, S. (2011). Boredom proneness in a psychiatric inpatient population. Journal of International Medical Research. Volume 58, Issue 5. https://doi.org/10.1177/0020764011408655

Alderman, M. H. (2005). Quality of life in hypertensive patients: Does it matter and should we measure it? Journal of Hypertension, 23(9), 1635–1636. https://doi.org/10.1097/01.hjh.0000179509.92103.9e

Bize, R., Johnson, J. A., & Plotnikoff, R. C. (2007). Physical activity level and health- related quality of life in the general adult population: A systematic review. Preventive Medicine, 45(6), 401–415. https://doi.org/10.1016/j.ypmed.2007.07.017

Koehler, K., & Drenowatz, C. (2019). Integrated role of nutrition and physical activity for Lifelong Health. Nutrients, 11(7), 1437. https://doi.org/10.3390/nu11071437

Eldridge, D., Dawber, N. and Gray, R. (2011) “A well-being support program for patients with severe mental illness: A service evaluation,” BMC Psychiatry, 11(1). Available at: https://doi.org/10.1186/1471-244x-11-46.

Van Elten, T., Van Poppel, Mireille., Gemke, R., Groen, H., Hoek, A., Mol, B., & Roseboom, T. (2018). Cardiometabolic Health in relation to lifestyle and body weight changes 3–8 years earlier. Nutrients, 10(12), 1953. https://doi.org/10.3390/nu10121953

Bigaard J, Frederiksen K, Tjønneland A, Thomsen BL, Overvad K, Heitmann BL, Sørensen TI: Body fat and fat-free mass and all-cause mortality. Obes Res 2004, 12:1042– 1049

Heishanen, T., Niskanen, L., Lyytikäinen, R., Saarinen, P. I., & Hintikka, J. 2003. Metabolic syndrome in patients with schizophrenia. Journal of Clinical Psychiatry, 64(5).

McHugh, R. (2019) “Alcohol use disorder and depressive disorders,” Alcohol Research: Current Reviews, 40(1). Available at: https://doi.org/10.35946/arcr.v40.1.01.

De Hert, M., Schreurs, V., Vancampfort, D., & Van Winkel, R. 2009. Metabolic syndrome in people with schizophrenia: a review. World Psychiatry, 8(1), 15-22.

Allison, D. B., Mackell, J. A., & McDonnell, D. D. 2003. The Impact of Weight Gain on Quality of Life Among Persons with Schizophrenia. Psychiatric Services, 54 (4), 565-567.

Weiden, P. J., Kozma, C., Grogg, A., & Locklear, J. 2003. Partial Compliance and Risk of Rehospitalization Among California Medicaid Patients with Schizophrenia. Psychiatric Services, 55(8), 886-891.

Chwastiak, L. A., Rosenheck, R. A., McEvoy, J. P., Stroup, T. S., Swartz, M. S., Davis, S. M., & Lieberman, J. A. 2009. The impact of obesity on health care costs among persons with schizophrenia. General Hospital Psychiatry, 31(1), 1-7.

Sugawara, N., Yasui-Furukori, N., Tsuchimine, S., Fujii, A., Sato, Y., Saito, M., Kaneko,

S. 2012. Body composition in patients with schizophrenia: Comparison with healthy controls. Annals of General Psychiatry, 11(1), 11.

Mello, M. Lemos, V. Antunes, H. Bittencourt, L. Silva, R. Tufik, S.(2013). Relationship between physical activity and depression and anxiety symptoms: a population study. J Affect Disord 2013 Jul;149(1-3):241-6. doi: 10.1016/j.jad.2013.01.035. Epub 2013 Mar 13.

Durstine, L. Gordon, B. Wang, Z. Lua, J. (2013) Chronic Disease and the link to physical activity. Journal of Sport and Health Science Volume 2, Issue 1, March 2013, Pages 3-11. doi.org/10.1016/j.jshs.2012.07.009

Gerber, M. Puhse, U. (2009). Review article: do exercise and fitness protect against stress- induced health complaints? A review of the literature. Scand J Public Health 2009 Nov;37(8):801-19.doi: 10.1177/1403494809350522.

Clegg, J. W. (2012). Teaching about mental health and illness through the history of the DSM . History of Psychology, 15(4), 364–370. https://doi.org/10.1037/a0027249

Stampfer, M. Oh, K. Hu, F. Manson, J. Willet, W. (2005). Dietary fat intake and risk of coronary heart disease in women: 20 years of follow-up of the nurses' health study. Am J Epidemiol 2005 Apr 1;161(7):672-9. doi: 10.1093/aje/kwi085.

Rehm, J. Baliunas, D. Borges, G. Graham, K. Irving, H. Kehoe, T. (2010). The relation between different dimensions of alcohol consumption and burden of disease: an overview.

Addiction 2010 May;105(5):817-43. doi: 10.1111/j.1360-0443.2010.02899.x. Epub 2010

Mar 15.

Nies, A. Groot, L. Staveren, W. (2003). Dietary quality, lifestyle factors and healthy ageing in Europe: the SENECA study. Age Ageing 2003 Jul;32(4):427-34. doi: 10.1093/ageing/32.4.427.

Ahmed, S. M. S. (1990). Psychometric Properties of the Boredom Proneness Scale. Perceptual and Motor Skills, 71, 963-966. https://doi.org/10.2466/pms.1990.71.3.963

Farmer, R., & Sundberg, N. D. (1986). Boredom proneness: The development and correlates of a new scale. Journal of Personality Assessment, 50(1), 4–17. https://doi.org/10.1207/s15327752jpa5001_2

Ferguson, T. (1973). A bayesian analysis of some nonparametric problems. Ann. Statist. 1(2): 209-230 (March, 1973). DOI: 10.1214/aos/1176342360

Mikulas, W. L., & Vodanovich, S. J. (1993). The essence of boredom. The Psychological Record, 43(1), 3–12.

Perkins, R. E., & Hill, A. B. (1985). Cognitive and affective aspects of boredom. British Journal of Psychology, 76(2), 221–234. https://doi.org/10.1111/j.2044- 8295.1985.tb01946.x

Seligman, M. E. P., & Csikszentmihalyi, M. (2000). Positive psychology: An introduction. American Psychologist, 55(1), 5–14. https://doi.org/10.1037/0003-066X.55.1.5

Leong, F. T., & Schneller, G. R. (1993). Boredom proneness: Temperamental and cognitive components. Personality and Individual Differences, 14(1), 233–239. https://doi.org/10.1016/0191-8869(93)90193-7

Stubbs, B. Chen, L. Chung, M. Ku, P. (2017). Physical activity ameliorates the association between sedentary behaviour and cardiometabolic risk among inpatients with schizophrenia: A comparison versus controls using accelerometery. Compr Psychiatry 2017 Apr; 74:144-150. doi: 10.1016/j.comppsych.2017.01.010. Epub 2017 Jan 20.

Firth, J. et al. (2016) “Motivating factors and barriers towards exercise in severe mental illness: A systematic review and meta-analysis,” Psychological Medicine, 46(14), pp. 2869–2881. Available at: https://doi.org/10.1017/s0033291716001732.

Every-Palmer, S. et al. (2018) “Long-term psychiatric inpatients’ perspectives on weight gain, body satisfaction, diet and physical activity: A mixed methods study,” BMC Psychiatry, 18(1). Available at: https://doi.org/10.1186/s12888-018-1878-5.

Bartels SJ, Pratt SI, Aschbrenner KA, et al. Clinically significant improved fitness and weight loss among overweight persons with serious mental illness. Psychiatr Serv. 2013;64(8):729–36.

Daumit GL, Dickerson FB, Wang N-Y, et al. A behavioural weight-loss intervention in persons with serious mental illness. N Engl J Med. 2013;368(17):1594–602

Attux C, Martini LC, Elkis H, et al. A 6-month randomized controlled trial to test the efficacy of a lifestyle intervention for weight gain management in schizophrenia. BMC Psych. 2013;13(1):60.

Goldberg RW, Reeves G, Tapscott S, et al. “MOVE!”: outcomes of a weight loss program modified for veterans with serious mental illness. Psychiatr Serv. 2013;64(8):737–44.

Ström M, Uckelstam C-J, Andersson G, Hassmén P, Umeford G, Carlbring P. Internet- delivered therapist-guided physical activity for mild to moderate depression: a randomized controlled trial. PeerJ. 2013;1:e178.

Green CA, Janof SL, Yarborough BJH, Yarborough MT. A 12-week weight reduction intervention for overweight individuals taking antipsychotic medications. Community Ment Health J. 2014;50(8):974–80.

Lee H, Kane I, Brar J, Sereika S. Telephone-delivered physical activity intervention for individuals with serious mental illness: a feasibility study. J Am Psych Nurses Assoc. 2014;20(6):389–97

Lovell K, Wearden A, Bradshaw T, et al. An exploratory randomized controlled study of a healthy living intervention in early intervention services for psychosis: the Intervention to encourage Activity, improve diet, and reduce weight gain (INTERACT) study. J Clin Psychiatry. 2014;75(5):498–505

Bartels SJ, Pratt SI, Aschbrenner KA, et al. Pragmatic replication trial of health promotion coaching for obesity in serious mental illness and maintenance of outcomes. Am J Psychiatr. 2015;172(4):344–52.

Daley AJ, Blamey RV, Jolly K, et al. A pragmatic randomized controlled trial to evaluate the effectiveness of a facilitated exercise intervention as a treatment for postnatal depression: the PAM-PeRS trial. Psychol Med. 2015;45(11):2413–25.

Daley AJ, Jolly K, Sharp DJ, et al. The effectiveness of exercise as a treatment for postnatal depression: study protocol. BMC Pregnancy Childbirth. 2012;12(1):1–8.

Forsyth A, Deane FP, Williams P. A lifestyle intervention for primary care patients with depression and anxiety: a randomised controlled trial. Psychiatry Res. 2015;230(2):537– 44.

Yarborough BJH, Stumbo SP, Yarborough MT, Young TJ, Green CA. Improving lifestyle interventions for people with serious mental illnesses: qualitative results from the STRIDE study. Psychiatric Rehabil J. 2016;39(1):33.

Downloads

Published

2024-08-28

How to Cite

GEORGE, G., & Tze Ping Pang. (2024). ESTABLISHED WELLNESS PROGRAM RELATED TO QUALITY OF LIFE AMONG PSYCHIATRIC PATIENTS AND ITS ASSOCIATED FACTORS THAT CONTRIBUTED TO AN EFFECTIVE WELLNESS PROGRAM: A SCOPING REVIEW. Malaysian Journal of Public Health Medicine, 24(2), 142–155. https://doi.org/10.37268/mjphm/vol.24/no.2/art.2320