Effects of Pickleball Intervention on the Self-Esteem and Symptoms of Patients with Schizophrenia

<i>Background:</i> Schizophrenia is classified by the World Health Organization (WHO) as one of the top ten diseases contributing to the global medical economic burden. Some studies have pointed out that exercise is effective for physical and mental health, as well as cognition. We hypot...

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Main Authors: Tsai-Chieh Chien, Chao-Chien Chen
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Sports
Subjects:
Online Access:https://www.mdpi.com/2075-4663/13/1/21
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author Tsai-Chieh Chien
Chao-Chien Chen
author_facet Tsai-Chieh Chien
Chao-Chien Chen
author_sort Tsai-Chieh Chien
collection DOAJ
description <i>Background:</i> Schizophrenia is classified by the World Health Organization (WHO) as one of the top ten diseases contributing to the global medical economic burden. Some studies have pointed out that exercise is effective for physical and mental health, as well as cognition. We hypothesized that participation in pickleball intervention would lead to improved self-esteem and reduced psychiatric symptoms in schizophrenia patients. <i>Method:</i> We recruited participants with schizophrenia from a long-term care facility and a regional hospital, dividing them into two groups based on the institutions. The experimental group underwent a nine-week pickleball exercise intervention, with sessions three times a week, each lasting 90 min, and a Dink ball test was conducted weekly. Questionnaires on self-esteem and the short-form health survey were collected both before and after the intervention. <i>Result:</i> This trial included 30 patients, divided equally into the experimental group (n = 15) and the control group (n = 15). After the nine-week pickleball intervention, there were no significant differences between the experimental and control groups in the Rosenberg Self-Esteem Scale (RSES) (<i>p</i> = 0.153) or the Brief Symptom Rating Scale (BSRS-5) (<i>p</i> = 0.289). However, the Dink test scores in the experimental group showed significant improvements in physical activity capabilities and attention over time, with average hit counts increasing from 5.3 ± 1.5 to 10.7 ± 2.3 (<i>p</i> < 0.01). <i>Conclusions:</i> Although the pickleball intervention did not yield significant differences in self-esteem and symptom measures between groups, the improvements observed in physical performance and attention in the experimental group suggest that exercise remains a feasible complementary approach for managing schizophrenia symptoms. Further research with larger sample sizes is recommended.
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spelling doaj-art-f7010d4cde6f4112b397f86432d4a42a2025-01-24T13:49:53ZengMDPI AGSports2075-46632025-01-011312110.3390/sports13010021Effects of Pickleball Intervention on the Self-Esteem and Symptoms of Patients with SchizophreniaTsai-Chieh Chien0Chao-Chien Chen1Department of Occupational Therapy, Asia University, Taichung 41354, TaiwanDepartment of Leisure and Recreation Management, Asia University, Taichung 41354, Taiwan<i>Background:</i> Schizophrenia is classified by the World Health Organization (WHO) as one of the top ten diseases contributing to the global medical economic burden. Some studies have pointed out that exercise is effective for physical and mental health, as well as cognition. We hypothesized that participation in pickleball intervention would lead to improved self-esteem and reduced psychiatric symptoms in schizophrenia patients. <i>Method:</i> We recruited participants with schizophrenia from a long-term care facility and a regional hospital, dividing them into two groups based on the institutions. The experimental group underwent a nine-week pickleball exercise intervention, with sessions three times a week, each lasting 90 min, and a Dink ball test was conducted weekly. Questionnaires on self-esteem and the short-form health survey were collected both before and after the intervention. <i>Result:</i> This trial included 30 patients, divided equally into the experimental group (n = 15) and the control group (n = 15). After the nine-week pickleball intervention, there were no significant differences between the experimental and control groups in the Rosenberg Self-Esteem Scale (RSES) (<i>p</i> = 0.153) or the Brief Symptom Rating Scale (BSRS-5) (<i>p</i> = 0.289). However, the Dink test scores in the experimental group showed significant improvements in physical activity capabilities and attention over time, with average hit counts increasing from 5.3 ± 1.5 to 10.7 ± 2.3 (<i>p</i> < 0.01). <i>Conclusions:</i> Although the pickleball intervention did not yield significant differences in self-esteem and symptom measures between groups, the improvements observed in physical performance and attention in the experimental group suggest that exercise remains a feasible complementary approach for managing schizophrenia symptoms. Further research with larger sample sizes is recommended.https://www.mdpi.com/2075-4663/13/1/21schizophreniapickleballself-esteemmental health
spellingShingle Tsai-Chieh Chien
Chao-Chien Chen
Effects of Pickleball Intervention on the Self-Esteem and Symptoms of Patients with Schizophrenia
Sports
schizophrenia
pickleball
self-esteem
mental health
title Effects of Pickleball Intervention on the Self-Esteem and Symptoms of Patients with Schizophrenia
title_full Effects of Pickleball Intervention on the Self-Esteem and Symptoms of Patients with Schizophrenia
title_fullStr Effects of Pickleball Intervention on the Self-Esteem and Symptoms of Patients with Schizophrenia
title_full_unstemmed Effects of Pickleball Intervention on the Self-Esteem and Symptoms of Patients with Schizophrenia
title_short Effects of Pickleball Intervention on the Self-Esteem and Symptoms of Patients with Schizophrenia
title_sort effects of pickleball intervention on the self esteem and symptoms of patients with schizophrenia
topic schizophrenia
pickleball
self-esteem
mental health
url https://www.mdpi.com/2075-4663/13/1/21
work_keys_str_mv AT tsaichiehchien effectsofpickleballinterventionontheselfesteemandsymptomsofpatientswithschizophrenia
AT chaochienchen effectsofpickleballinterventionontheselfesteemandsymptomsofpatientswithschizophrenia