Activity monitoring using a mHealth device and correlations with psychopathology in patients with chronic schizophrenia.
There are few studies of mobile-Health (mHealth) device application with schizophrenic patients. We aimed to quantitatively assess patient's activity and the relationship between their physical activity and the severity of their psychopathologies. Then we attempted to identify the patients who required intervention and evaluated the feasibility of using the mHealth device. A total of 61 of the 76 available hospitalized patients with chronic schizophrenia who participated in the activity programs were enrolled. They wore a mHealth device for a week to assess their activity (steps/day). The Positive and Negative Syndrome Scale (PANSS) was completed by the subjects. As a result, the positive subscale of the PANSS and the positive and negative factors of the PANSS 5-factor structure showed a predictive value for low levels of physical activity. The group of subjects with a high total PANSS score had a significantly lower level of physical activity than the other groups. In conclusion, physical activity showed a significant association with positive symptoms as well as negative symptoms. The mHealth device showed relatively good feasibility for schizophrenic patients. We should pay more attention to the activity of patients with high PANSS scores.
Department of Internal Medicine, Bugok National Hospital, Gyeongsangnam-do, Republic of Korea.
Seunghwan
S
Shin
Department of Psychiatry, Bugok National Hospital, Gyeongsangnam-do, Republic of Korea. Electronic address: chwoye@gmail.com.
Chan-Woo
CW
Yeom
Department of Psychiatry, Bugok National Hospital, Gyeongsangnam-do, Republic of Korea.
Cheolmin
C
Shin
Department of Psychiatry, Bugok National Hospital, Gyeongsangnam-do, Republic of Korea.
Jae-Hyun
JH
Shin
Department of Psychiatry, Bugok National Hospital, Gyeongsangnam-do, Republic of Korea.
Jae Hoon
JH
Jeong
Department of Psychiatry, Bugok National Hospital, Gyeongsangnam-do, Republic of Korea.
Jung Uk
JU
Shin
Department of Psychiatry, Bugok National Hospital, Gyeongsangnam-do, Republic of Korea.
Young Ryeol
YR
Lee
D056044:Actigraphy / Q000295:instrumentation*; D000328:Adult; D002908:Chronic Disease; D015444:Exercise / Q000502:physiology*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012559:Schizophrenia / Q000503:physiopathology*; D012720:Severity of Illness Index; D017216:Telemedicine / Q000295:instrumentation*; D055815:Young Adult
Activity; Activity tracker; Feasibility; MHealth device; Schizophrenia