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To examine the exercise experiences of women with obsessive-compulsive disorder (OCD) in order to highlight the complex relationship between mental illness and physical activity, as it intersects with other identities and social locations (e.g., gender and sexuality) as well as other mental health conditions (e.g., eating disorders and exercise addiction).

Semi-structured interviews were conducted with 14 women who self-identify as having OCD. A thematic analysis was conducted to understand the role of physical activity in the participants’ lives.

The participants experience holistic benefits from being physically active. At the same time, however, their symptoms of OCD and related disorders (e.g., eating disorders) make it challenging to be physically active in meaningful and healthy ways.

Public health messages promoting exercise as a form of therapy must take into account the complex relationship between physical activity and mental illness. Additional research and programing is also needed in order to help women with mental health issues be physically active in safe and enjoyable ways.

Previous studies in the field have highlighted a bidirectional link between mental health and physical health. Students may be at a higher risk of both mental and physical health problems because of unhealthy lifestyle behaviours and the commencement of university occurring at the same mean age of onset for many psychiatric disorders. This study aims to examine how physical health variables influence changes in mental health symptoms, and vice versa, over time, in a sample of British undergraduate students.

A longitudinal design over a one-year time period. A national sample of 430 British undergraduate students completed measures of mental health and physical health online at up to four time-points across their first two years of university.

General physical health and energy and fatigue predicted more severe depression, anxiety, stress and poorer general mental health over time. Depression and stress predicted poorer physical functioning over time. Greater anxiety predicted poorer general health and more severe pain over time. General mental health was not predictive of general physical health. Overall, poor general physical health appears to exacerbate mental health symptoms in students to a greater extent than mental health problems lead to a deterioration in physical health.

This study adds a longitudinal design to a field that is usually cross-sectional, as well as a lack of consideration of how this relationship may differ within student samples. Early interventions should integrate physical and mental well-being rather than focus on any single health-related behaviour.

Physical health inequalities and mortality rates are higher amongst individuals with severe mental illness (SMI), including among forensic populations, than the general population. This paper aims to explore the experiences of individuals accessing primary health care following discharge from secure services, and the practitioners who support them.

Face-to-face qualitative interviews were conducted with service users (n = 4) and mental health practitioners (n = 4) within a forensic community mental health team in one NHS Trust in England in 2019. Data were analysed using the Interpretative Phenomenological Analysis.

Four super-ordinate themes emerged: perceived importance of physical health, agency, responsibility and relationships. Service users mostly saw themselves as passive recipients of health care and prioritised their mental health over their physical health. Close working relationships meant that mental health practitioners were often the first contact for service users with any health issue and thus felt a sense of responsibility for their physical health care. Service users who did access primary care reported that consistency of professional, feeling understood and listened to without judgement or stigma were important.

Interventions for service users that include practicalities and strategies to facilitate independence in physical health care, and collaborative working between primary care and forensic mental health services, are encouraged.

This study highlights some of the unique challenges in forensics around improving physical health outcomes for individuals with SMI.

This paper identifies seven points in favour of integrating mental health promotion and general health promotion strategies: mental, physical and social aspects of health are inextricably inter‐linked; mental health is all too easily overlooked in thought and deed; life circumstances affect mental, social and physical health; mental, social and physical health have intertwined and shared roots; we need concerted action on these intertwined and shared roots; even topic‐specific action needs to be co‐ordinated and the promotion of mental health is a foundation for the promotion of general health. Attention is then focused on how such integration can be achieved, with reference to the Ottawa Charter for Health Promotion and the ‘arenas’ approach to programmes. The paper concludes by widening out the notion of integration to that of health promotion as an integral part of our collective way of life, advocating the idea of ‘a healthy mind in a healthy body in a healthy society’.

Individuals suffering from serious mental illness (SMI) face many challenges of navigating a complex and often fragmented health care system and may die significantly earlier from co-morbid physical health conditions. Integrating mental and physical health care for individuals with SMI is an emerging trend addressing the often-neglected physical health care needs of this population to better coordinate care and improve health outcomes.

Population Health Management (PHM) provides a useful framework for designing integrated care programs for individuals with SMI.

This paper examines the structure and evolution of the integrated care program in Missouri in the context of PHM, highlighting particular elements of PHM that facilitate and support development of an integrated mental and physical health care program.

As health care reform provides external motivation to provide integrated care, this study can be useful as other states attempt to address this important issue.

The physical health benefits of exercise are well established but there is also growing research evidence of links between physical activity and mental health benefits, including mood elevation, better cognitive functioning and improved self‐perception, self‐esteem and selfefficacy. Physical activity has also been shown to enhance the effectiveness of psychological therapies and to have a role in improving quality of life and symptom management for people with a wide range of mental health problems. Physical activity has a double benefit, since people with mental health problems are also at increased risk of a range of physical health problems, including cardiovascular disease, endocrine disorders and obesity. However referral to a physical activity specialist is rarely available in psychiatric settings. This paper gives two examples of how provision of physical activity facilities and programmes staffed by qualified specialists can contribute towards improving mental health and quality of life for people with mental health problems.

The case for physical activity has been established through its impact on reduction in the risk of physical ill‐health such as coronary heart disease. However, there is increasing interest in its potential for a) treating and preventing mental illness and also b) the promotion of mental well‐being in the general public. The topic is now widely studied with over 30 published narrative or meta‐analytic reviews of research into the effect of exercise on constructs such as clinical or subclinical depression or anxiety, self‐esteem, affect and mood, resilience to stress, cognitive function or sleep. This paper provides a summary and appraisal of the evidence for the effect of exercise on mental health and addresses key issues that face the use of exercise as a medium for health promotion.

Discrimination has been identified as a major stressor and influence on immigrant health. This study examined the role of perceived discrimination in relation to other factors, in particular, acculturation, in physical and mental health of immigrants and refugees. Data for US adults (18 +  years) were derived from the National Epidemiologic Survey on Alcohol and Related Conditions. Mental and physical health was assessed with SF-12. Acculturation and perceived discrimination were assessed with multidimensional measures. Structural equation models were used to estimate the effects of acculturation, stressful life effects, perceived discrimination, and social support on health among immigrants and refugees. Among first-generation immigrants, discrimination in health care had a negative association with physical health while discrimination in general had a negative association with mental health. Social support had positive associations with physical and mental health and mediated the association of discrimination to health. There were no significant associations between discrimination and health among refugees, but the direction and magnitude of associations were similar to those for first-generation immigrants. Efforts aiming at reducing discrimination and enhancing integration/social support for immigrants are likely to help with maintaining and protecting immigrants’ health and well-being. Further research using larger samples of refugees and testing moderating effects of key social/psychosocial variables on immigrant health outcomes is warranted. This study used multidimensional measures of health, perceived discrimination, and acculturation to examine the pathways between key social/psychosocial factors in health of immigrants and refugees at the national level. This study included possibly the largest national sample of refugees.

This paper provides a summary of the current state of knowledge on the use of physical activity as an adjunctive treatment in schizophrenia. There is a well documented relationship between physical activity and mental health, which is reflected in numerous health policy recommendations for practice, in both the promotion of mental health and in the treatment of mental health problems. In schizophrenia, this association is also recognised, and research has suggested that participation in physical activity regimes can have beneficial effects on positive and negative symptoms, psychological well‐being and anxiety and tension. However, a neglected area of research is in the potential for physical activity to remediate the cognitive deficits in schizophrenia. Physical activity has been shown to enhance cognitive function in a wide variety of clinical and non‐clinical populations, however this body of research has not yet extended to schizophrenia populations. The authors argue that this should be a future priority.

Studies have shown positive housing retention and quality of life outcomes in moving on initiatives (MOIs). However, less is known about how movers’ health service use changes post-move. This paper aims to explore physical and mental health service use over time for participants in New York City’s MOI program.

This paper uses data collected at baseline, 12-months post move and 24-months post move to explore patterns in mental and physical health service use and their association with mental and physical health status for participants (N = 41). Health status was measured with the Medical Outcomes Study Short Form Survey Instrument.

Three mental health service use patterns emerged: service use at all time points, inconsistent service use across time points and no service use at any time point. Significant group differences in mental health were found at baseline and 12 months. Two physical health service use patterns emerged: service use at all three time points and inconsistent service use across time points. Significant group differences were found in mental health at 12  and 24 months.

This study showed that physical and mental health service use varied slightly over time for participants, with the majority of service use being for outpatient/non-acute care. The findings also point to possible relationships between service use and mental health status. Positive and negative implications of these findings are framed within the broader context of PSH and MOI goals.