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      Physical activity in a pandemic: A new treatment target for psychological therapy

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          Abstract

          The COVID‐19 pandemic and its management are placing significant new strains on people’s well‐being, particularly those with pre‐existing mental health conditions. Physical activity has been shown to improve mental as well as physical health. Increasing activity levels should be prioritized as a treatment target, especially when the barriers to exercise are greater than ever. Promoting physical activity has not traditionally been the remit of psychologists. Yet psychological theory and therapeutic techniques can be readily applied to address physical inactivity. We present theoretical perspectives and therapy techniques relating to (1) beliefs about physical activity, (2) motivation to be physically active, and (3) the sense of reward achieved through being physically active. We outline strategies to initiate and maintain physical activity during the COVID‐19 pandemic, thereby benefitting mental and physical health. COVID‐19 is demanding rapid and substantial change across the whole health care system. Psychological therapists can respond creatively by addressing physical activity, a treatable clinical target which delivers both mental and physical health benefits.

          Practitioner points

          • Physical activity is essential for our mental and physical health.

          • Yet COVID‐19 presents novel barriers to physical activity.

          • Psychological theory and techniques to address beliefs, motivation, and reward can be applied to increase physical activity during COVID‐19.

          • Physical activity is an important clinical target to sustain and improve mental health, especially in the current pandemic.

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          Most cited references14

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          Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science

          Summary The coronavirus disease 2019 (COVID-19) pandemic is having a profound effect on all aspects of society, including mental health and physical health. We explore the psychological, social, and neuroscientific effects of COVID-19 and set out the immediate priorities and longer-term strategies for mental health science research. These priorities were informed by surveys of the public and an expert panel convened by the UK Academy of Medical Sciences and the mental health research charity, MQ: Transforming Mental Health, in the first weeks of the pandemic in the UK in March, 2020. We urge UK research funding agencies to work with researchers, people with lived experience, and others to establish a high level coordination group to ensure that these research priorities are addressed, and to allow new ones to be identified over time. The need to maintain high-quality research standards is imperative. International collaboration and a global perspective will be beneficial. An immediate priority is collecting high-quality data on the mental health effects of the COVID-19 pandemic across the whole population and vulnerable groups, and on brain function, cognition, and mental health of patients with COVID-19. There is an urgent need for research to address how mental health consequences for vulnerable groups can be mitigated under pandemic conditions, and on the impact of repeated media consumption and health messaging around COVID-19. Discovery, evaluation, and refinement of mechanistically driven interventions to address the psychological, social, and neuroscientific aspects of the pandemic are required. Rising to this challenge will require integration across disciplines and sectors, and should be done together with people with lived experience. New funding will be required to meet these priorities, and it can be efficiently leveraged by the UK's world-leading infrastructure. This Position Paper provides a strategy that may be both adapted for, and integrated with, research efforts in other countries.
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            The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness

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              • Abstract: not found
              • Article: not found

              Goal Achievement: The Role of Intentions

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                Author and article information

                Contributors
                rowan.diamond@psych.ox.ac.uk
                Journal
                Psychol Psychother
                Psychol Psychother
                10.1111/(ISSN)2044-8341
                PAPT
                Psychology and Psychotherapy
                John Wiley and Sons Inc. (Hoboken )
                1476-0835
                2044-8341
                25 June 2020
                : 10.1111/papt.12294
                Affiliations
                [ 1 ] Department of Psychiatry University of Oxford UK
                [ 2 ] Oxford Cognitive Therapy Centre UK
                [ 3 ] Oxford Health NHS Foundation Trust UK
                Author notes
                [*] [* ] Correspondence should be addressed to Rowan Diamond, Department of Psychiatry, University of Oxford. Warneford Hospital, Warneford Lane, Oxford OX3 7JX, UK (email: rowan.diamond@ 123456psych.ox.ac.uk ).

                Author information
                https://orcid.org/0000-0002-3384-0570
                https://orcid.org/0000-0002-2749-1386
                Article
                PAPT12294
                10.1111/papt.12294
                7361852
                32588499
                0f774e73-db60-47be-851c-76e449d871d7
                © 2020 The Authors. Psychology and Psychotherapy: Theory, Research and Practice published by John Wiley & Sons Ltd on behalf of British Psychological Society

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 09 May 2019
                : 28 May 2019
                Page count
                Figures: 0, Tables: 1, Pages: 8, Words: 7493
                Funding
                Funded by: NIHR Oxford Health Biomedical Research Centre
                Categories
                Brief Report
                Brief Reports
                Custom metadata
                2.0
                corrected-proof
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.8.5 mode:remove_FC converted:15.07.2020

                covid‐19,exercise,sedentary behaviour,psychological techniques

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