Professional Documents
Culture Documents
Running Head:
IMPACT OF EXERCISE ON
MENTAL HEALTH
Contents
Patch 1: Literature Review........................................................................................3
Introduction...............................................................................................................3
Literature review.......................................................................................................3
Research Objective....................................................................................................7
Research Questions...................................................................................................7
Conclusion.................................................................................................................7
Patch 2 Quantitative analysis.....................................................................................8
Methodology Analysis...............................................................................................8
Descriptive Statistics..............................................................................................9
Frequency Distribution........................................................................................10
Cross table analysis..............................................................................................15
Correlation Spearman's........................................................................................17
Regression Analysis.............................................................................................19
Summary of Analysis..............................................................................................20
Appendix – Reliability Analysis.............................................................................20
Patch 3.....................................................................................................................21
Critical Evaluation...................................................................................................21
Sampling..............................................................................................................21
Interviews.............................................................................................................21
Participant P4...........................................................................................................22
Participant P6...........................................................................................................22
Thematic Analysis...................................................................................................23
Participant P4.......................................................................................................23
Participant P6.......................................................................................................24
Summary of key findings.....................................................................................25
Patch 4.....................................................................................................................26
Description...........................................................................................................26
Feelings................................................................................................................26
1
Evaluations...........................................................................................................27
Conclusion...........................................................................................................29
Action...................................................................................................................29
References...............................................................................................................30
2
Patch 1: Literature Review
Introduction
The exercise is important for mental health and it can benefit ordinary people in terms of mental
well-being and health. Though, few studies have assessed the impacts of physical activity on the
quality of life and mental health of people with severe and ongoing mental health problems.
Exercise has long supported to benefit the overall population related to mental health and well-
being. Several types of research have investigated its effects on anxiety, mild depression, and
substance abuse. In contrast, there are few studies investigating whether exercise is appropriate
for people with more severe and lasting mental illness (Budde and Wegner, 2018). This
systematic evaluation draws this attention and examines the impacts of physical activity on the
quality of life and mental health of people with tough mental health problems. For review
purposes, the term severe psychiatric illness (severe mental illness) includes serious and ongoing
illnesses like “severe depression, bipolar disorder, schizophrenia, schizophrenia, and psychosis”
Literature review
Illustrative studies of serious mental patients have revealed a reported association between
regular exercise and physical activity with better mood and quality of life (Das et al. 2016).
However, researchers emphasize that there are few intervention studies on the effects of physical
activity on the quality of life and mental health of this population. Two major factors support the
requirement for further research into the physical performance of the population. First of all,
people with severe mental illness usually have to take antipsychotic medication (Larsen et al.
2019). The risks and side effects of the drugs and many pharmacies require research into safer
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treatments such as exercise. Second, people with severe mental health have more obesity and
health behaviors than the general population, and they also have lower fitness levels (Morell et
al. 2016). There has been extensive research into the need for physical activity related to health
in patients with severe mental health problems. Recognize that the physical activity advantages
by enhancing the quality of life may have secondary advantages beyond recognized
WHO describes the quality of life as the wider concept that is complexly affected by physical
health, mental health, degree of independence, relationships within society, personal beliefs and
its relation to the attractive properties of the environment (Shadick et al. 2019). The theory
behind occupational therapy researchers is that QOL might be achieved by engaging and
activity as a way for people to engage in behavior, existence, belonging, and belonging; these
concepts have been defined as key features in the professional sense (Skead, and Rogers, 2016).
Exercise is defined by Barry, (2018) and aims to enhance or maintain one or more physical
modifications of a planned structural and repetitive body movement (Barry, 2018). Therefore,
using exercise as a meaningful activity could allow people to practice, and become an athlete,
and belong to a sports culture or group. The term sports activity refers not just to sports but also
to physical activity performed during play, work, active transport, housework and leisure
It has long been known that exercise is good for your health. However, reading health magazines
and newsletters has not become commonplace in recent years, and exercise is also valuable for
promoting good mental health (Budde and Wegner, 2018). While this optimistic assessment has
4
attracted much attention, the scientific community has more accurately offered such recognition.
Consider the preparatory conclusion of the General Report on Physical Health and Activity that
physical activity appears to alleviate symptoms of anxiety and depression and enhance mood,
It is estimated that about 7.6% of adults in the USA are anxious and need some treatment form.
Moreover, stress-related feelings are common in healthy individuals. The present interest in
prevention has led to a growing interest in sport as the alternative to traditional interventions like
psychotherapy or drug therapy. Anxiety is linked with negative forms of cognitive judgment and
According to Bosch et al. (2017), it is usually in the face of tax demand or system resource
typically measured by questioning tools (Das et al. 2016). These surveys are sometimes
conductance, blood pressure, heart rate, muscle tension). The general difference in these
documents is a concern for status and feature surveys. Calm anxiety is a common tendency to
face extreme anxiety in many cases. On the other hand, the national concern is much particular
and refers to the concern of an individual at a definite time. Although the concerns of features
and spaces are conceptually different, the available active resources show that those concerns
The meta-analysis review of the topic only included studies that looked at measures of anxiety
before and after chronic or acute exercise (Morell et al. 2016). The study of experimental socio-
psychological stressors was not included in the post-exercise period because it confuses the
5
impacts of exercise with the influences of stress (e.g., Stope test, positive physical activity).
However, a meta-analysis by (Budde and Wegner, (2018) contained some response studies to
Choo et al. (2018) studied the results of 29 narrative reviews led within the time of 2015 and
2016 and it was found that 81% of the authors found that exercise/physical fitness is associated
with reduced anxiety after exercise and rarely or almost anything. There are no conflicting
figures in these comments. For the remaining 19% of the studies, the authors concluded that the
most supportive exercise was associated with less concern, but the results were somewhat mixed.
None of these reports concluded that it was inaccurate (Rector et al. 2019). Six Meta-analyses
looked at the connection between anxiety and exercise reduction. These Meta-analyses range
from 180 studies (Das et al. 2016) to five studies (Larsen et al. 2019). All six Meta-analyses
found that exercise was significantly associated with a decrease in anxiety disorders in all of the
studies studied. These effects range from small to medium and are in line with
psychophysiological indicators of traits, conditions, and anxiety (Shadick et al. 2019). Most of
the report and all meta-analysis reviews support the conclusion that researches published within
2010 and 2018 were low to moderate (Skead, and Rogers, 2016). Both chronic and acute
exercise reduces anxiety This decrease occurs in the degree of anxiety used in all types of
exercise (ie, chronic or acute), scientific quality of the study with 1,076 subjects, Morell et al.
(2016) confirmed systolic and diastolic hypotension after exercise (-4/-3 mm Hg), but was
6
Research Objective
The aim of this research is to analyze the impact and influence of exercise on the mental health
of individuals.
Research Questions
How exercise can improve symptoms of mental illness, such as mood, alertness, sleep
Conclusion
The study is based on finding the influence of exercise on the mental health of individuals. The
study also analyses the causes of mental health illness. After the analysis of several papers and
scholars, it can be concluded that all these papers define that exercise holds a significant impact
7
Patch 2 Quantitative analysis
The quantitative research questions are the one which helps achieve the set objectives of the
research problem following the use of statistical data analysis methods. The general questions
part of the research can be categorized into three; namely, descriptive, comparative as well as
relationship-based. Concerning the study design, these fall into two as experimental and
descriptive. Smith (2009) detailed that key principles for critical appraising comprise design,
meaningful and valuable findings. The quantitative data form that is used in this research is
collected by the UK data service. The IBM developed software Statistical Package for Social
Sciences (SPSS) Version 20.0 is used for the analysis of the data.
Methodology Analysis
The data, in this study, was collected through a survey based on a questionnaire. The
questionnaire technique is useful given the fact that the number of participants in the sample was
huge. Not only this, but it was practically impossible to collect responses individually. Another
reason for the deployment of the survey method could have been its cost effectiveness and data
accessibility. The research participants also easily respond as they are ensured of the anonymity
of the responses (Brace, 2018). Not only this, but this approach helped to reduce the biases of the
responses to the data gathered as the researcher is not in direct contact with the participants of
the research. Also, the use of statistical analysis is another major and significant factor, in the
extraction of the questionnaire responses. In addition, the data and the presentation of the
findings in the numerical form assist to understand the findings. However, the challenge that
arises is due to the inattentive reply of the respondents or the filling of the questionnaire other
than the one’s targeted. The use of this survey is also time effective given its less consumption of
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time. In addition, the computation of the Cronbach Alpha value for a questionnaire that is used in
this study is of great significance as it points to the reliability of the items that are integrated into
One major drawback that was observed is that the data was not targeted for a certain population.
Also, the absence of categories in the data makes it difficult to analyze serving as a great lacking
particularly for the age group, and inclusion of participants below 18 years of age. Thereby, the
inclusion of the responses by the participants lack then 18 years of age, which impacts the
results, as well as its generalizability across the research domain (Resnik, 2018). Another is the
lack of variables included in this research. The inclusion of more variables could have assisted in
a more comprehensive analysis. Such as the participants could have been asked of the factors
that promote their working or the satisfaction towards the work. Different internal, as well as
external factors, could have been studied from the vast variety of age large responses. In
addition, the inclusion of the participants based on the purposive sampling would have helped
gather specific results. The data of the UK survey showed no more information concerning the
region, and other characteristics related to the participants which can help enlighten the degree of
Descriptive Statistics
The descriptive analysis of the data is presented in Table 1. The mean (± standard deviation) for
the study variables are shown, which for gender is 1.54 (±.498). The mean value for qualification
is found to be 5.18 (±2.806), whereas, for wellbeing and overall satisfaction and job satisfaction,
it is found to be 7.70 (±1.890) and 7.46 (±2.199), respectively. The table also shows the mean
value for the derived variable (Number of healthy lifestyle variables), i.e., 2.74 (±1.088), while it
9
was 1.84 (±.366) for the derived variable (material deprivation). Concerning the skewness
values, these are found to range from 0.71 to 1.868, which depicts that there exists a normal
univariate distribution (as shown in George & Mallery, 2010). The kurtosis value shows that
there is a normal distribution given the value of less than three in the present data.
Frequency Distribution
The age analysis in the survey shows that the participant's age varied between 16 to 97 years..
The results depict that the major portion was aged from 64 years of age to 68 years of age as
highlighted from the percentage 22 percent and 2.4 percent. The other major part was observed
between 60 years of age to 64 years of age 1.6 percent to 2.1 percent. This also shows that very
10
Figure 1: Age of the Participants
Figure (2) shows that a major portion of the UK survey population was female, which
represents (55.5) percent, whereas the male population was found to be low, as represented by
(45.5) percent.
11
Figure 2: Gender
The respondents of the data concerning their qualification status as a major portion of the
sample were O Level as represented by 17.91 percent, while the First Degree represented the
second major group with 15.41 percent. The other groups that followed it were diploma (12.56
percent), higher degree (9.26 percent), others as well as A/AS Levels (7.37 percent). The lowest
percentage was 2.61 percent of the O level grade D-G (Figure 3).
12
Figure 3: Highest Qualification
Figure 4 shows that wellbeing and overall satisfaction (WbSatLife) concerning the UK data
survey. The results show that the overall satisfaction of life is high for 8 (31.79 percent),
13
Figure 4: Overall satisfaction with life
Figure 5 represents the overall satisfaction with the job of the UK data survey, where the
level of satisfaction for the 8th group was found to be 22.52 percent while for the 10th group it
was 19.75 percent. The other groups included the 7th group, i.e., 16.99 percent and 6th group,
i.e., 7.38 percent. A comparison of 5th grade and 6th grade shows that the former group has more
respondents, whereas it was lowest for the 1st group (i.e., 0.85 percent).
14
Figure 5: Overall satisfaction with Job
Cross table analysis
Table 2 shows results for the cross table analysis, i.e., valid responses for the wellbeing and
life satisfaction was 98.1 percent, whereas for missing values were 1.9 percent. The job
satisfaction valid responses were 44.9 percent while the missing valid responses were 55.1
percent.
Cases
Valid Missing Total
N Percent N Percent N Percent
Highest Qualification *
2785 98.1% 54 1.9% 2839 100.0%
WbSatLife
15
Highest Qualification *
1276 44.9% 1563 55.1% 2839 100.0%
JobSat
The responses concerning the wellbeing and work satisfaction life showed that it was highest
The highest qualification of the participants concerning their job satisfaction shows the
highest level of satisfaction for O level / GCSE grade A-C, etc. Followed by first degree and
Correlation Spearman's
The correlation analysis depicts that wellbeing and job satisfaction are strongly correlated
with job satisfaction as indicated by the achieved p-value, i.e., 0.000. The same results were
obtained for the DvMatDep, where a significance value is 0.000. However, an insignificant value
is obtained for the DvFGHealthyB, i.e., 0.009. The results showed that job satisfaction was
insignificantly correlated with DvFGHealthyB and DvMatDep, i.e., a p-value of .266 and p-
17
value of .201, respectively. A significant correlation is found for DvFGHealthyB and DvMatDep
Table 3: Correlations
Regression Analysis
Table 4 shows the model summary for the data, such as R-value is 0.397, whereas R square
value 0.158, which depicts the variation among the 15.8%, with the adjusted R square. The
change statistics value is found to be 0.000, which denotes a substantial impact of job
R Change Statistics
18
Mode R Adjusted R Std. Error of the R Square Sig. F
The ANOVA results show that the regression value is 450.611, whereas the F value was
37.393, showing the there is an increase variance among the variables. Though, a significant
relationship exists among the variables given the achieved value more than three. The value of
the degree of freedom (df) is three. The significance value is achieved to be high, i.e., 0.000.
Table 5: ANOVA
Summary of Analysis.
The survey results for the UK population depicts that there is a significant relationship
between job satisfaction and wellbeing and overall satisfaction. The same results are found for
job satisfaction with derived variable (Number of healthy lifestyle variable), and derived variable
19
Appendix – Reliability Analysis.
The table below shows the reliability analysis stating high variance among the variables. The
range for the variable is found to be unacceptable given their low Cronbach alpha value (Vaske,
20
Patch 3
Critical Evaluation
Sampling
The interviewer has collected data by face to face interviews from patients. There are two
patients analyzed in this survey and they were asked about the issues that they have faced in the
hospital for their treatment of type II diabetes and HIV. Face to face interviews is important to
collect reliable data for the research that is the reason this research has incorporated face to face
Interviews
The researcher collects data from patients through the use of face to face interviews, and there
were two languages that were used for this research that includes welsh and English for
providing a clear understanding of questions to the participants of the research. The data which is
collected from participants is reliable because the researcher has personally collected data from
patients about their issues faced in the hospital for their treatment. This research method has
several weaknesses and strengths as well. The researcher has collected data about their routine
and habits for personally understanding the needs and demands of patients. There were some
questions in the interview that were not responded properly so those questions are excluded from
the research. According to the research conducted by Powney, and Watts, (2018) defined that
21
Participant P4
Code Explanation
Blood (T2D) Low and high blood levels are associated with T2D
Participant P6
Code Explanation
22
Thematic Analysis
The interviews are conducted by people who are suffering from HIV and Type II Diabetes. The
first participants had the age of 50 to 55 years, and the second participant had the age of 55-60
years old. The participants were from the same social class and were not highly educated. These
both were taking medication for HIV, and Type II Diabetes. The first patient was suffering from
0-5 years for HIV, and 5-10 years for Type II Diabetes. Whereas the second participant was
suffering from HIV and Type II Diabetes for 5-10 years. There are some codes which have been
extracted from participants’ interview, for that reason, the researcher has used thematic analysis
Participant P4
The first responders were 55-60 years old, had HIV 0-5 and type 5-10 diabetes, and their answers
to the questions were very clear. The patient's problem was that he had to wait a long time for
HIV treatment and type 2 diabetes, and sometimes had to wait until the next day, but he felt the
problem was resolved and ignored. As a result of the problem, he identified a limited supply of
doctors within a few days and few doctors for HIV and type 2 diabetes, so hospital
improvements were needed to improve treatment for hospital patients. This is similar to research
conducted by Patel et al. (2018) who proposed similar results for patients suffering from HIV
He also explained that the process took a long time and that certain steps had to be removed or
removed at the hospital. The interviewee was asked about the things which he faces when he
enters the clinic. The moment he wakes up when he is still at home, up until he comes to the
clinic and up until he leaves the clinic. The whole process, how does it go when he comes for a
23
clinic visit? The interviewee replied that he wakes up in the morning around 6. Wash, have some
coffee or tea. It takes me fifteen minutes to get to the clinic from where he lives. So he must be
here at 7 o'clock, go to the club and get his card. He puts his card in a box and then they go to the
urine section where they urinate into small containers and they test their urine, and they test their
blood. And then, during the testing, on the diabetes side, if they find out that their levels are 15
upwards, then it is too high, that is when they send him to the doctor, but if his levels are below
15, around 10 or 9, then the level is fine. Then he does not need to see the doctor that day. They
Moreover, the interviewee was asked that What about at the HIV clinic? What is the process like
when he is coming for the ARVs? The interviewee replied saying that he mostly comes around
Fridays because it is fewer people on a Friday. And there it is much quicker than the diabetes
side because there he gets sent the same time. When he gets here, he puts his card in the box and
the nurses will take the boxes and fetch the folders and at the same time, he gets sent to the
pharmacy. So it is less than two hours, or more, or less than two hours.
Participant P6
Another patient, aged 50 to 55 with 5 to 10 years with HIV and 5 to 10 years with type 2
diabetes, also carefully answered these questions and discovered the problems he encountered.
He defined that he had many problems with diabetes, not AIDS. Applicants were asked about
issues that both sides encountered. So he replied that he had no problem with HIV because all
they did here was check the blood and when they couldn't find the space it was bad.
Furthermore, he was asked that now even if he is within his home, are there any other things that
make it very difficult for him to take care of his health. The responsibilities that he has to take
24
care of on a daily basis in the house and now also he has to be managing his HIV condition and
his diabetes condition? Is he managing to balance to those tasks? Maintaining his health and the
tasks that come with being the mother, being the head of the 93 house, being everything? He
replied suggesting that It is not easy being able to when everything has to be done by him, and he
has an eighteen-year-old that he has to take care of, and he has diabetes and his sugar levels are
up from, he has slept twice already in trauma unit because of such. He understands when he has
an eighteen-year-old what happens. So and then he gets to the clinic also they do not understand
why their sugar levels are up. He tries to explain to them and they do not understand all they tell
him is that he has to, he should at least try and keep it 100 below, try and always be alright.
There are several things which was found out from this research of patients and their issues
which they were facing in the clinic for the treatment of HIV and Type II diabetes. The study
found that the first patient's problem was that he had to wait a long time for HIV treatment and
type 2 diabetes, and sometimes had to wait until the next day, but he felt the problem was
resolved and ignored. As a result of the problem, he identified a limited supply of doctors within
a few days and few doctors for HIV and type 2 diabetes, so hospital improvements were needed
to improve treatment for hospital patients, whereas the second patient had many problems with
diabetes. He had no problem with HIV because all they did here was check the blood and when
25
Patch 4
The reflective model which is chosen for analysis of my reflection is Gibb’s reflective model
which includes description, feelings, evaluations, conclusion, and actions (Husebø et al. 2015).
Description
This module emerged as a way of understanding how essential theories of learning might be
included in a process of research. Since I work in this field, it was important for me to
understand how to apply the knowledge gained in these chapters to my everyday work. I found it
difficult to include everything in this module such as the information about theoretical
foundations and philosophical perspectives, but I did try to mention a few things. I did not want
to force anything into the module that I did not find relevant to the lesson I was doing research.
There were three different tasks of this module which I performed in this module. In the first
tasks, I analyzed several research papers and researchers’ work who had conducted research on
the influence of exercise on the mental health of individuals. In the second task, I analyzed
quantitative data through the use of SPSS software, and in the third part, I analyzed qualitative
data i.e. interviews of patients. The second task of this module was quite tough for me and I
faced several difficulties while doing it because I had less knowledge of SPSS software, but I
learned it initially and performed this task as per the requirement of the task. Overall I have truly
enjoyed performing these tasks. I would like to sum up and reflect on everything I have learned
26
Feelings
My skills and knowledge at the beginning of a semester of research skills were very small. I am
not going to lie, I never really thought about how I could utilize the internet and web to help me
be successful and enhance my learning (Graham and Walton, 2018). Now, at the end of the
semester, there are so many online tools I am aware of and have begun to use to be more
successful. The internet, google, and the web are more than just the place you check your email
and scroll through Facebook. There are several useful tools of research which I have used in this
module.
Of course, this module is most relevant to my career. From the first task I started, I was excited
and started learning the module. Of course, teamwork always plays an important role in a project
and my whole team knows it. Fortunately, most teams (always working) seem to have performed
well and collaborated with each other on previous projects (Reynolds and Vince, 2017). I always
have many positions. This is because the other members of my group feel comfortable and know
In the early stages of project development and the ideas behind it, I felt that things were going
particularly well. We divided into a small group of 3/4, discussed several ideas, and then
presented our ideas to others (Cottrell, 2017). I think this is quite a long task, but the important
thing is that we have come up with many ideas. Human thoughts are the main themes that follow
the impact of physical activity on personal mental health. With a few basic ideas in mind, we
decide that the best way is to vote and choose the ideas we think we want to develop further.
First, we come up with ideas that could offer a lot of content and research potential.
27
Evaluations
There are several useful things that I have learned throughout this course. I will say the most
useful, to me personally, is the research skills. I am able to track and schedule my life, and I
really enjoy using it to stay organized. Another useful thing I learned was all the helpful websites
for learning, studying, writing and time management. There are a lot of great websites out there
over a vast number of topics and techniques that can be useful to help you study, write or
manage your time. I was pretty ignorant of most of them, but now there are multiple that I visit
I have learned quite a few things about myself while taking the module. The Time Management
Self-Assessment at the beginning and end of the course taught me how well I managed and
prioritized my time. At the beginning of the module, I was okay at managing and staying on task
and not getting distracted (Gilbert et al. 2017). After taking the assessment at the end of the
course, I have become much better at goal setting, prioritizing, managing interruptions and
procrastinating. So, basically, I came to know that I had a lot of room for improvement, and I
think throughout this course I really did enhance on the management of time (Cunliffe, and
Easterby-Smith, 2017), also, after analyzing quantitative data, and qualitative data, I learned
I would definitely apply a lot of what I learned in this class in the future. I will apply the skills of
time management, research skills and techniques of the organization to my daily life. I have
learned about myself that I work best when my life is very organized and planned out
(Pennycook et al. 2016). So, I will definitely be using my research skills in my future
professional and career life. Moreover, I will also further look for areas of improvement. I would
28
also apply the note-taking methods I learned about to better take notes during my lectures in
class (Graham and Walton, 2018). Along with that, I have also figured out the way I learn best
and what styles and techniques do and do not work for me. I will set my goals and follow in the
Conclusion
Overall though, the module was the quite enjoyable and complete experience of challenging right
from the beginning to ending. Having conducting this research and analyzing quantitative data,
and qualitative data by scratch is extremely rewarding and could not have been achieved without
each group member contributing. I am very pleased with the outcome of these tasks. Again, it
was not possible for me to perform these tasks alone. On another side, though, my role was not
totally satisfying to me and I wished I might have performed more for this research. Though, I
Action
I would definitely use several things that I have learned in this module in the coming future. I
will apply these skills such as research skills and organization techniques to my daily life, and
my future professional life. I have learned about myself that I perform best in some areas. So, I
will definitely be using my research skills in my future professional and career life. Moreover, I
will also further look for areas of improvement. I would also apply the note-taking method which
I learned about to better take notes during my lectures in class. Along with that, I have also
figured out the way I learn best and what styles and techniques do and do not work for me. I will
set my goals and follow in the future for conducting any research in my professional life.
29
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