title: [The physical activity and life healing in psychiatric patients: taijiguan as an example].
abstract: BACKGROUND
  Chronic psychiatric patients tend to have cognitive and functional impairments. Participation in physical activity has been shown to improve their health and independence. Regular practice of Taijiquan may help improve mood and life stresses, promoting physical and mental health.
  
  
  OBJECTIVE
  This research explores the effect of a 13-week Taijiquan learning program on the daily life experience of chronic psychiatric patients. The process and the essential meaning of the entire learning experiences are presented.
  
  
  METHODS
  Data were collected from a psychiatric daycare center at a Teaching Hospital in Taipei. The 6 patients who participated in this study included 3 with bipolar disorders and 3 with schizophrenia. Narrative inquiry and focus-group interviews were used for qualitative data collection and analysis.
  
  
  RESULTS
  The initial results of participant experiences were categorized into 3 themes: 1. Learning kung fu in the Taijiquan; 2. Releasing binding through the practice of Taijiquan; and 3. Pursuit of excellence through the learning of Taijiquan. The views of illness, body, and interpersonal interaction as well as the three stages of dilemma, transcendence / acclimation, and acquaintance for the psychiatric patients and their Taijiquan's learning world were described and the potential therapeutic effects on the body and daily life of these patients were explored.
  
  
  CONCLUSIONS
  Learning Taijiquan is highly challenging for the novice, especially those with chronic psychiatric illnesses. However, after familiarization with the postural actions and key concepts of this exercise, Taijiquan facilitated body relaxation, heightened perception, and postural balance. Consequently, this exercise stabilized the mood, disease status, and capacity for handling interpersonal relationships of participants and consequently may enhance their long-term life quality and disease recovery status. Results of this study recommend strongly that Taijiquan be included as a therapeutic activity for psychiatric patients to improve their health, healing, and recovery.
authors.affiliation: Department of Nursing, Taipei Veterans General Hospital, Taiwan, ROC.
authors.forename: Shuan-Sheng
authors.initials: SS
authors.lastname: Lin
authors.affiliation: School of Nursing, National Yang-Ming University, Taiwan, ROC. sj-sheu@hotmail.com.
authors.forename: Shuh-Jen
authors.initials: SJ
authors.lastname: Sheu
authors.affiliation: Department of Psychiatry, Taipei Veterans General Hospital, Taiwan, ROC.
authors.forename: Ying-Chiao
authors.initials: YC
authors.lastname: Lee
authors.affiliation: School of Nursing, National Yang-Ming University, Taiwan, ROC.
authors.forename: Hsien-Hsien
authors.initials: HH
authors.lastname: Chiang
mesh_terms: D015444:Exercise; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D011788:Quality of Life; D026302:Tai Ji; D016896:Treatment Outcome
keywords: Taijiquan; chronic psychiatric patients; focus group; narrative analysis