Real-Time Data Collection to Examine Relations Between Physical Activity and Affect in Adults With Mental Illness

in Journal of Sport and Exercise Psychology
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Adults with serious mental illness engage in limited physical activity, which contributes to significant health disparities. This study explored the use of both ecological momentary assessments (EMAs) and activity trackers in adults with serious mental illness to examine the bidirectional relationship between activity and affect with multilevel modeling. Affective states were assessed up to seven times per day using EMA across 4 days. The participants (n = 20) were equipped with a waist-worn accelerometer to measure moderate to vigorous physical activity. The participants had a mean EMA compliance rate of 88.3%, and over 90% of completed EMAs were matched with 30-min windows of accelerometer wear. The participants who reported more positive affect than others had a higher probability of engaging in moderate to vigorous physical activity. Engaging in more moderate to vigorous physical activity than one’s usual was associated with more negative affect. This study begins to address the effect of momentary mood on physical activity in a population of adults that is typically difficult to reach.

Madden, Redline, Dzubur, Rhoades, and Henwood are with the USC Suzanne Dworak-Peck School of Social Work, and Lam and Dunton, the Dept. of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. Intille is with the College of Computer and Information Science and Bouvé College of Health Sciences, Northeastern University, Boston, MA, USA.

Madden (dmadden@usc.edu) is corresponding author.
  • Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217237. PubMed ID: 20015584 doi:10.1016/j.cpr.2009.11.004

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Allison, D.B., Newcomer, J.W., Dunn, A.L., Blumenthal, J.A., Fabricatore, A.N., Daumit, G.L., … Alpert, J.E. (2009). Obesity among those with mental disorders: A National Institute of Mental Health meeting report. American Journal of Preventive Medicine, 36(4), 341350. PubMed ID: 19285199 doi:10.1016/j.amepre.2008.11.020

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Baldwin, S.A., Fellingham, G.W., & Baldwin, A.S. (2016). Statistical models for multilevel skewed physical activity data in health research and behavioral medicine. Health Psychology, 35(6), 552562. PubMed ID: 26881287 doi:10.1037/hea0000292

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bentham, J. (1962). The collected works of Jeremy Bentham: An introduction to the principles of morals and legislationOxford, UKOxford University Press. Retrieved from https://www.oxfordscholarlyeditions.com/view/10.1093/actrade/9780198205166.book.1/actrade-9780198205166-book-1

    • Search Google Scholar
    • Export Citation
  • Ben-Zeev, D., Davis, K.E., Kaiser, S., Krzsos, I., & Drake, R.E. (2013). Mobile technologies among people with serious mental illness: Opportunities for future services. Administration and Policy in Mental Health, 40(4), 340343. doi:10.1007/s10488-012-0424-x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Cabassa, L.J., Ezell, J.M., & Lewis-Fernández, R. (2010). Lifestyle interventions for adults with serious mental illness: A systematic literature review. Psychiatric Services, 61(8), 774782. doi:10.1176/ps.2010.61.8.774

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Chapman, J.J., Fraser, S.J., Brown, W.J., & Burton, N.W. (2016). Physical activity and sedentary behaviour of adults with mental illness. Journal of Science and Medicine in Sport, 19(7), 579584. PubMed ID: 26272678 doi:10.1016/j.jsams.2015.07.017

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Daumit, G.L., Goldberg, R.W., Anthony, C., Dickerson, F., Brown, C.H., Kreyenbuhl, J., … Dixon, L.B. (2005). Physical activity patterns in adults with severe mental illness. The Journal of Nervous and Mental Disease, 193(10), 641646. PubMed ID: 16208158 doi:10.1097/01.nmd.0000180737.85895.60

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Dickerson, F.B., Brown, C.H., Kreyenbuhl, J.A., Fang, L., Goldberg, R.W., Wohlheiter, K., & Dixon, L.B. (2006). Obesity among individuals with serious mental illness. Acta Psychiatrica Scandinavica, 113(4), 306313. PubMed ID: 16638075 doi:10.1111/j.1600-0447.2005.00637.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Druss, B.G., Zhao, L., Von Esenwein, S., Morrato, E.H., & Marcus, S.C. (2011). Understanding excess mortality in persons with mental illness: 17-year follow up of a nationally representative US survey. Medical Care, 49(6), 599604. PubMed ID: 21577183 doi:10.1097/MLR.0b013e31820bf86e

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Dunton, G.F., & Atienza, A.A. (2009). The need for time-intensive information in healthful eating and physical activity research: A timely topic. Journal of the American Dietetic Association, 109(1), 3035. PubMed ID: 19103320 doi:10.1016/j.jada.2008.10.019

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Dunton, G.F., Liao, Y., Intille, S., Huh, J., & Leventhal, A. (2015). Momentary assessment of contextual influences on affective response during physical activity. Health Psychology, 34(12), 11451153. PubMed ID: 26053885 doi:10.1037/hea0000223

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Dunton, G.F., Liao, Y., Kawabata, K., & Intille, S. (2012). Momentary assessment of adults’ physical activity and sedentary behavior: Feasibility and validity. Frontiers in Psychology, 3, 19. doi:10.3389/fpsyg.2012.00260

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Fagiolini, A., & Goracci, A. (2009). The effects of undertreated chronic medical illnesses in patients with severe mental disorders. The Journal of Clinical Psychiatry, 70(Suppl. 3), 2229. doi:10.4088/JCP.7075su1c.04

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Firth, J., Rosenbaum, S., Stubbs, B., Gorczynski, P., Yung, A.R., & Vancampfort, D. (2016). Motivating factors and barriers towards exercise in severe mental illness: A systematic review and meta-analysis. Psychological Medicine, 46(14), 28692881. PubMed ID: 27502153 doi:10.1017/S0033291716001732

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Fisher, E.B. (2008). The importance of context in understanding behavior and promoting health. Annals of Behavioral Medicine, 35(1), 318. PubMed ID: 18347900 doi:10.1007/s12160-007-9001-z

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Glover, C.M., Ferron, J.C., & Whitley, R. (2013). Barriers to exercise among people with severe mental illnesses. Psychiatric Rehabilitation Journal, 36(1), 4547. PubMed ID: 23477650 doi:10.1037/h0094747

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Haskell, W.L. (2012). Physical activity by self-report: A brief history and future issues. Journal of Physical Activity & Health, 9(Suppl. 1), S5S10. doi:10.1123/jpah.9.s1.s5

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hedeker, D., Mermelstein, R.J., & Demirtas, H. (2008). An application of a mixed-effects location scale model for analysis of Ecological Momentary Assessment (EMA) data. Biometrics, 64(2), 627634. PubMed ID: 17970819 doi:10.1111/j.1541-0420.2007.00924.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hedeker, D., Mermelstein, R.J., & Demirtas, H. (2012). Modeling between-subject and within-subject variances in ecological momentary assessment data using mixed-effects location scale models. Statistics in Medicine, 31(27), 33283336. PubMed ID: 22419604 doi:10.1002/sim.5338

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kahneman, D., Fredrickson, B.L., Schreiber, C.A., & Redelmeier, D.A. (1993). When more pain is preferred to less: Adding a better end. Psychological Science, 4(6), 401405. doi:10.1111/j.1467-9280.1993.tb00589.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Leone, L., Perugini, M., & Bagozzi, R. (2005). Emotions and decision making: Regulatory focus moderates the influence of anticipated emotions on action evaluations. Cognition and Emotion, 19(8), 11751198. doi:10.1080/02699930500203203

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Levine, J.A. (2002). Non-exercise activity thermogenesis (NEAT). Best Practice & Research. Clinical Endocrinology & Metabolism, 16(4), 679702. PubMed ID: 12468415 doi:10.1053/beem.2002.0227

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Liao, Y., Shonkoff, E.T., & Dunton, G.F. (2015). The acute relationships between affect, physical feeling states, and physical activity in daily life: A review of current evidence. Frontiers in Psychology, 6, 1975. PubMed ID: 26779049 doi:10.3389/fpsyg.2015.01975

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Loney, T., Standage, M., Thompson, D., Sebire, S.J., & Cumming, S. (2011). Self-report vs. objectively assessed physical activity: Which is right for public health? Journal of Physical Activity & Health, 8(1), 6270. PubMed ID: 21297186 doi:10.1123/jpah.8.1.62

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mellers, B.A. (2000). Choice and the relative pleasure of consequences. Psychological Bulletin, 126(6), 910924. PubMed ID: 11107882 doi:10.1037/0033-2909.126.6.910

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Moore, R.C., Kaufmann, C.N., Rooney, A.S., Moore, D.J., Eyler, L.T., Granholm, E., … Depp, C.A. (2017). Feasibility and acceptability of ecological momentary assessment of daily functioning among older adults with HIV. The American Journal of Geriatric Psychiatry, 25(8), 829840. PubMed ID: 28065496 doi:10.1016/j.jagp.2016.11.019

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Morgan, J.K., Lee, G.E., Wright, A.G.C., Gilchrist, D.E., Forbes, E.E., Mcmakin, D.L., … Silk, J.S. (2017). Altered positive affect in clinically anxious youth: The role of social context and anxiety subtype. Journal of Abnormal Child Psychology, 45(7), 14611472. PubMed ID: 28032272 doi:10.1007/s10802-016-0256-3

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Nahum-Shani, I., Smith, S.N., Spring, B.J., Collins, L.M., Witkiewitz, K., Tewari, A., & Murphy, S.A. (2018). Just-in-Time Adaptive Interventions (JITAIs) in mobile health: Key components and design principles for ongoing health behavior support. Annals of Behavioral Medicine, 52(6), 446462. doi:10.1007/s12160-016-9830-8

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Neuhaus, J.M., & Kalbfleisch, J.D. (1998). Between- and within-cluster covariate effects in the analysis of clustered data. Biometrics, 54(2), 638645. PubMed ID: 9629647 doi:10.2307/3109770

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Nicaise, V., Marshall, S., & Ainsworth, B.E. (2011). Domain-specific physical activity and self-report bias among low-income Latinas living in San Diego County. Journal of Physical Activity & Health, 8(7), 881890. PubMed ID: 21885878 doi:10.1123/jpah.8.7.881

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Niermann, C.Y.N., Herrmann, C., von Haaren, B., van Kann, D., & Woll, A. (2016). Affect and subsequent physical activity: An ambulatory assessment study examining the affect-activity association in a real-life context. Frontiers in Psychology, 7, 677. PubMed ID: 27242591 doi:10.3389/fpsyg.2016.00677

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Office of Disease Prevention and Health Promotion. (2019). Physical activity. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/physical-activity?topicid=33

    • Search Google Scholar
    • Export Citation
  • Patrick, K., Griswold, W.G., Raab, F., & Intille, S.S. (2008). Health and the mobile phone. American Journal of Preventive Medicine, 35(2), 177181. PubMed ID: 18550322 doi:10.1016/j.amepre.2008.05.001

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Physical Activity Guidelines Advisory Committee. (2008). Physical activity guidelines advisory committee report. Washington, DC: U.S. Department of Health and Human Services, Washington, DC.

    • Search Google Scholar
    • Export Citation
  • Raudenbush, S.W. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Thousand Oaks, CA: SAGE Publications.

    • Search Google Scholar
    • Export Citation
  • Richardson, C.R. (2005). A lifestyle physical activity program for persons with serious mental illness. Psychiatric Services, 56(3), 354. doi:10.1176/appi.ps.56.3.354

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Richardson, C.R., Avripas, S.A., Neal, D.L., & Marcus, S.M. (2005). Increasing lifestyle physical activity in patients with depression or other serious mental illness. Journal of Psychiatric Practice, 11(6), 379388. PubMed ID: 16304506 doi:10.1097/00131746-200511000-00004

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Staud, R., Mokthech, M., Price, D.D., & Robinson, M.E. (2015). Evidence for sensitized fatigue pathways in patients with chronic fatigue syndrome. Pain, 156(4), 750759. PubMed ID: 25659069 doi:10.1097/j.pain.0000000000000110

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Suetani, S., Waterreus, A., Morgan, V., Foley, D.L., Galletly, C., Badcock, J.C., … McGrath, J.J. (2016). Correlates of physical activity in people living with psychotic illness. Acta Psychiatrica Scandinavica, 134(2), 129137. PubMed ID: 27218211 doi:10.1111/acps.12594

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Trivedi, J.K. (2006). Cognitive deficits in psychiatric disorders: Current status. Indian Journal of Psychiatry, 48(1), 1020. PubMed ID: 20703409 doi:10.4103/0019-5545.31613

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Troiano, R.P., Berrigan, D., Dodd, K.W., Mâsse, L.C., Tilert, T., & McDowell, M. (2008). Physical activity in the United States measured by accelerometer. Medicine & Science in Sports & Exercise, 40(1), 181188. PubMed ID: 18091006 doi:10.1249/mss.0b013e31815a51b3

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Updegraff, J.A., Gable, S.L., & Taylor, S.E. (2004). What makes experiences satisfying? The interaction of approach-avoidance motivations and emotions in well-being. Journal of Personality and Social Psychology, 86(3), 496504. PubMed ID: 15008652 doi:10.1037/0022-3514.86.3.496

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Vancampfort, D., Knapen, J., Probst, M., Scheewe, T., Remans, S., & De Hert, M. (2012). A systematic review of correlates of physical activity in patients with schizophrenia. Acta Psychiatrica Scandinavica, 125(5), 352362. PubMed ID: 22176559 doi:10.1111/j.1600-0447.2011.01814.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Viron, M.J., & Stern, T.A. (2010). The impact of serious mental illness on health and healthcare. Psychosomatics, 51(6), 458465. PubMed ID: 21051676 doi:10.1016/S0033-3182(10)70737-4

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Williams, S.L., Haskard-Zolnierek, K.B., Banta, J.E., Haviland, M.G., DiMatteo, M.R., Anderson, D.L., & Werner, L.S. (2010). Serious psychological distress and diabetes care among California adults. International Journal of Psychiatry in Medicine, 40(3), 233245. PubMed ID: 21166335 doi:10.2190/PM.40.3.a

    • Crossref
    • Search Google Scholar
    • Export Citation
  • World Health Organization. (2009). 2008-2013 Action plan for the global strategy for the prevention and control of noncommunicable diseases: Prevent and control cardiovascular diseases, cancers, chronic respiratory diseases and diabetes. Geneva, SwitzerlandAuthor. https://www.who.int/nmh/publications/ncd_action_plan_en.pdf

    • Search Google Scholar
    • Export Citation
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