Mental health Flashcards

1
Q

mental illness

A

health conditions involving changes in emotion thinking or behaviour (distress or problems)

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2
Q

what is mental health

A

state of wellbeing in which they realise their abilities
cope with normal stresses
work productively
contribute to their community

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3
Q

5 steps to mental wellbeing

A

connect - changing ways we communicate (speak)
be active
take notice
learn new skills
give to others

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4
Q

difference between mental illness and health

A

the degree it effects our functioning

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5
Q

what’s PA associated with

A

health e
benefits and reduced mortality rates

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6
Q

% active in 2019-2020

A

44.9 children 63.3 adults

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7
Q

benefits of PA

A

reduce risk of anxiety and depression
improve mood
improve self esteem and confidence
improve sleep
increase energy and concentration
managing stress
increase connectedness

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8
Q

holistic definition of PA

A

affective
social
inherently situated
political

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9
Q

results of meta analysis of PA and mental illness

A

39 studies
20 used
large effects for depression and schizophrenia
small effects on aerobic capacity and quality of life

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10
Q

issue with the meta analysis of PA and illness

A

couldn’t determine dose eg time and intensity
didn’t stop meds so that could be impacting

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11
Q

covid and PA

A

reported number of minutes of PA
902 adults
neg association between MVPA and MH (more PA better MH)

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12
Q

issues with covid study

A

cross sectional so hard to look at changes over time
self reported MVPA (different for different people)
different PA levels
self selecting sample (most were active)
didn’t account shielding

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13
Q

Domains in PA

A

total or specific (leisure, work, commuting etc)

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14
Q

domain specific PA met analysis

A

leisure and transport more associated with positive
work negative outcome
household and PE no relationship

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15
Q

what did domain meta analysis show

A

domain in which we do it is ver important eg leisure is by choice work compulsory

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16
Q

psychological mechanisms

A

enhances self efficacy
social interaction hypothesis - lots of time alone but still get a benefit so not sole explanation
distraction hypothesis - short term

17
Q

physiological mechanisms

A

monoamine hypothesis
endorphin hypothesis

18
Q

time meaning sedentary behaviour

A

6-10 hrs sitting per day

19
Q

associations with sedentary behaviour

A

poorer mental health
increase risk of anxiety
sleep disorders
5-10%increased depressions but replacing 60mins of daily SB can reduce new cases by 12.5%

20
Q

meta analysis of SB and risk of depression

A

13 cross sectional and 11 longitudinal suggest different types of sedentary activities have different associations with mental health

21
Q

domain specific SB and MH in older adults

A

screen time and more leisure sedentary time. associated with lower psychological distress
more transport sedentary time higher distress

22
Q

mechanisms of SB and MH

A

may link with cardio metabolic risk factors
passive sed activities may encourage social isolation
inflammatory process with C reactive protein
displace time spent in more important activities causing stress
increased CNS involvement causing anxiety

23
Q

severe mental illness (SVM)

A

engage less PA than general population

24
Q

benefits of PA for serve mental health

A

improve BMI, quality of life, social functioning, reduced depression

25
barriers to exercise and SMI
low mood stress lack of support tiredness poor physical health low motivation
26
research for PA and mental illness
more research required in early phase of illness should focus on pragmatic ways to promote PA controlled for 'dose'
27
reasons for SMI to exercise
lose weight manage mood reduce stress improve physical health improve sleep
28
practical recommendations for PA and Mental illness
qualified exercise professionals to lead PA beneficial ax an adjunctive treatment to improve cognition used to improve physical health
29
when does PA become a problem for MH
compulsive (0.5%) or addictive behaviour issues with definitions, measurements and cultural differences
30
PA and eating disorders
thin ideal and problematic PA (PPA) PA actively discouraged eating disorders
31
exercise and bipolar
PA appropriate to reduce depressive symptoms but can exaggerate symptoms of mania type of activity is important
32
what WHO need to add for PA guidelines for MH
the risk of non communicable disease type and dose
33
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