Background Several studies show positive effects of exercise interventions on physical and mental health in patients with early psychosis. However, the patient’s perspective concerning the experienced effects on functioning often remains unmentioned due to the quantitative study designs.
Aim To summarize the experiences of patients with early psychosis regarding the psychological, physical and social functioning after participating in a lifestyle intervention to improve physical activity.
Method Systematized literature review in MEDLINE/PubMed, Embase and PsycINFO.
Results The search led to 101 publications, of which six qualitative studies were included describing the experiences of early psychosis patients after participating in an exercise intervention. The results show three main themes of recovery or improvement regarding the psychological, physical and social functioning. Obstacles to participation range from psychotic symptoms, anxiety and negative thoughts to insufficient financial resources.
Conclusion Exercise interventions on early psychotic patients seem to restore or improve: self-image, self-confidence and/or self-esteem; physical activity, energy level, vitality and fitness and to reduce social exclusion. However, conclusions should be interpreted with some caution due to the large heterogeneity and methodological limitations in the six studies.