Persönlichkeit und Inkongruenzerleben als Determinanten des Effekts eines 6-wöchigen hochfrequenten, standardisierten Sportprogramms (SIWAS-Studie)

Personality and motivational incongruence as determinants of the effect of a 6-week high-frequency, standardized sports program (SIWAS study)

by Ricarda Sophie Breer
Doctoral thesis
Date of Examination:2025-01-30
Date of issue:2025-01-17
Advisor:Prof. Dr. Dirk Wedekind
Referee:Prof. Dr. Dr. Peter Marschik
Referee:Prof. Dr. Thomas Meyer
Persistent Address: http://dx.doi.org/10.53846/goediss-10969

 

 

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Abstract

English

The therapeutic effect of exercise on mental illness has already been shown many times and for patients with various mental illnesses, especially depression (Knapen et al. 2014, Dauwan et al. 2015). However, little research has been conducted into the individual factors that influence the effect or adherence to an exercise program. The aim of this study was to determine whether the personality structure according to the NEO-FFI (Costa & McCrae 1992) or the motivational incongruence with the K-INK (Grawe 2004) influence the effect of a high-frequency 3- to 6-week exercise program, in addition to treatment as usual, in patients with depression (and over 65 years of age), schizophrenia or an addiction disorder. A total of 61 patients were included between November 2021 and July 2022, 26 in the depression group, 22 in the dependence group and 12 in the schizophrenia group. The statistical analysis showed that there was a significant decrease in motivational incongruence between the examination times, but there were no differences between the groups. There were higher decreases in the patients who showed a more pronounced incongruence at the entry examination. There was also a high correlation between the change in the K-INK and the change in the BDI (r=0.6) and the GAF. However, there was no evidence of a correlation between the extent of motivational incongruence at baseline and the change in the effect parameters. The incongruence at the beginning was not related to a later drop-out, but a higher incongruence was associated with a lower attendance rate of the graduates. The correlations between the personality dimensions and the change in the effect parameters did not yield any significant results, except that a high level of extraversion and conscientiousness tended to be advantageous. There were also no significant differences between the personality dimensions in the drop-out rate; only the attendance rate of graduates showed medium-strong correlations, with patients with a high openness and low emotional instability showing a higher attendance rate. Thus, there are indications that motivational incongruence may be suitable as an effect parameter but not as a predictor of the success of a sports therapy program. Although not significant, extraversion and conscientiousness appear to be beneficial for the effect of a sports program. Future studies should re-examine these hypotheses in a randomized, controlled study design and include other effect parameters.
Keywords: exercise; mental illness; depression; schizophrenia; substance use disorder; alcohol use disorder; personality traits; motivational incongruence; adherence
Schlagwörter: Sporttherapie; Depression; Schizophrenie; Abhängigkeitserkrankungen; Persönlichkeitsdimensionen; Motivationale Inkongruenz; Adhärenz
 
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