The Effects of Simultaneous Exercise and Psychotherapy on XXXX in Inpatient, Psychiatric Older Adults.

@entity1 @entity308 @entity204 @entity146
UNASSIGNED: Context     @entity308 is the leading cause of @entity204 , affecting 15% of Americans older than 65 y and costing  43 billion each year. The current mental health service system for seniors, particularly for the population hospitalized in acute inpatient @entity146 units, is fragmented because of poor funding and a shift to a transitory health care paradigm, leading to inadequate treatment modalities, questionable quality of care, and lack of research demonstrating the superiority of a particular treatment. These issues are likely to lead to a public health crisis in the coming years. Objective     To investigate the effectiveness of combining exercise and psychotherapy in improving acute @entity308 symptoms among older adults who were receiving treatment in an inpatient @entity146 unit. Design     Based on rolling admissions, inpatients were randomly assigned to 1 of 3 treatment groups. The study was blinded and controlled. Setting     This study took place in inpatient @entity146 units at the Loma Linda University's Behavioral Medicine Center (LLUBMC) in Redlands, California. @entity1     @entity1 were 78 inpatients, aged 50-89 y. Intervention     @entity1 in the simultaneous exercise and psychotherapy (STEP) group (n = 26) took part in exercise and received psychotherapy for 30 min per session, whereas those in the TALK group (n = 26) received individual psychotherapy for 30 min per session. @entity1 in the control group (n = 26) served as a comparison group, receiving standard therapy. Outcome Measures     The effects of the interventions were determined by assessing differences from baseline to postintervention in the symptomatology of all 3 groups. The research team also administered the Behavioral and Symptom Identification Scale (BASIS-32) and the Geriatric @entity308 Scale (GDS) pre- and postintervention. Results     At posttest, the STEP group (M = 4.24, SE = 0.62) had a better response than the TALK group (M = 11.34, SE = 0.62, P < .001), which in turn showed greater improvement than the control group (M = 14.84, SE = 0.62, P < .001). Overall, these results indicate that @entity1 ' posttreatment @entity308 scores were significantly lower in those receiving the STEP treatment compared with those receiving individual psychotherapy only or standard care. Conclusion     A short-term exercise program consisting of 30 min of walking in conjunction with individual psychotherapy was an effective intervention for @entity308 among older adults in inpatient @entity146 units.
