This qualitative study describes the effect of exercise on psychological well-being among individuals with chronic illnesses and disabilities such as stroke, cancer, diabetes and arthritis. Eleven users of a physical disability daycentre completed a novel, six-month, group-based programme of seated exercise provided by the first author. Results from grounded analyses of in-depth interviews provide evidence that exercise offers a powerful means to actively manage mood problems associated with disability, to preserve and cultivate personal identity in a positive manner and to connect with others and one's own body in ways which limit the development of illness-related psychological distress. Implications for the development of further research and future provision of similar services are discussed.
American College of Sports Medicine. (1997 ). Exercise management for persons with chronic diseases and disabilities. Champaign, IL: Human Kinetics.
2.
Annessi, J.J. (1999). Effects of minimal group promotion on cohesion and exercise adherence. Small Group Research, 30(5), 542-557.
3.
Bamber, D., Cockerill, I.M., Rodgers, S., & Carroll, D. (2000). 'It's exercise or nothing': A qualitative analysis of exercise dependence. British Journal of Sports Medicine , 34, 423-430.
4.
Baumeister, R.F., & Leary, M.R. (1995). The need to belong: Desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin , 117, 497-529.
5.
Burke, S.M., Carron, A.V., Eys, A.M., Ntoumanis, N., & Estabrooks, P.A. (2006). Group versus individual approach? A meta-analysis of the effectiveness of interventions to promote physical activity. Sport & Exercise Psychology Review , 2(1), 13-29.
6.
Bury, M.K. (1982). Physical illness as biographical disruption. Sociology of Health and Illness, 4(2), 167-182.
7.
Carless, D., & Faulkner, G. (2003). Physical activity and mental health. In J. McKenna & C. Riddoch (Eds.), Perspectives on health and exercise (pp. 61-82). Houndsmills : Palgrave MacMillan.
8.
Carron, A.V., & Burke, S.M. (2005). Context and physical activity: The influence of others. Sport & Exercise Psychology Review, 1(2), 23-31.
9.
Chapple, A., & Ziebland, S. (2004). The role of humour for men with testicular cancer . Qualitative Health Research, 14(8), 1123-1139.
10.
Charmaz, K. (1990). Discovering chronic illness: Using grounded theory . Social Science in Medicine, 30, 1161-1172.
11.
Christensen, U., Schmidt, L., Budtz-Jorgensen, E., & Avlund, K. (2006). Group cohesion and social support in exercise classes: Results from a Danish intervention study. Health Education and Behaviour, 33(5), 677-689.
12.
Deci, E.L. (1992). The relation of interest to the motivation of behavior: A self-determination theory perspective. In A. Renninger, S. Hidi, & A. Krapp (Eds.), The role of interest in learning and development (pp. 43-70). Hillsdale, NJ: Erlbaum.
13.
Farmer, T., Robinson, K., Elliott, S.J., & Eyles, J. (2006). Developing and implementing a triangulation protocol for qualitative health research. Qualitative Health Research , 16(3), 377-394.
14.
Faulkner, G., & Taylor, A.H. (2005). Exercise, health and mental health: Emerging relationships . London: Routledge.
15.
Frank, A.W. (1995). The wounded storyteller: Body, illness, and ethics . Chicago: University of Chicago Press.
16.
Glaser, B.G., & Strauss, A.L. (1967). The discovery of grounded theory: Strategies for qualitative research. New York: Aldine de Gruyter.
17.
Goode, K.T., & Roth, D.L.N. (1993). Factor analysis of cognitions during running with mood change. Journal of Sport and Exercise Psychology, 15(4), 375-389.
18.
Hall, E.E., Ekkekakis, P., & Petruzzello, S.J. (2002). The affective beneficence of vigorous exercise revisited? British Journal of Health Psychology, 7(1), 47-66.
19.
Hamburg, J., & Clare, A.A. (2003). The effects of a movement with music program on measures of balance and gait speed in healthy older adults. Journal of Music Therapy, 40(3), 212-226.
20.
Henwood, K.L., & Pidgeon, N.F. (1992). Qualitative research and psychological theorizing . British Journal of Psychology, 83, 97-111.
21.
Henwood, K., & Pidgeon, N. (1995). Grounded theory and psychological research. The Psychologist, 8, 115-118.
22.
Johnston, O., Reilly, J., & Kremer, J. (2004). Women's experiences of appearance concern and body control across the lifespan: Challenging accepted wisdom. Journal of Health Psychology, 9(3), 397-410.
23.
Kugelman, R. (1999). Complaining about chronic pain. Social Science and Medicine, 49, 1663-1676.
24.
Lai, S.M., Studenski, S., Richards, L., Perera, S., Reker, D., Rigler, S., & Duncan, P.W. (2006). Therapeutic exercise and depressive symptoms after stroke. Journal of the American Geriatrics Society, 54(2), 240-247.
25.
Lawlor, D.A., & Hopker, S.W. (2001). The effectiveness of exercise as an intervention in the management of depression: Systematic review and meta-regression analysis of randomised controlled trials. British Medical Journal, 322, 1-8.
26.
Lenze, E.J., Rogers, J.C., Martire, L.M., Mulsant, B.H., Rollman, B.L., Dew, M.A. et al. (2001). The association of late-life depression and anxiety with physical disability: A review of the literature and prospects for future research. American Journal of Geriatric Psychiatry , 9(2), 113-135.
27.
Leventhal, H., Diefenbach, M., & Leventhal, E.A. (1992). Illness cognition: Using common sense to understand treatment adherence and affect cognition interactions . Cognitive Therapy and Research, 16(2), 143-163.
28.
Metzger, L.K. (2004). Assessment of use of music by patients participating in cardiac rehabilitation. Journal of Music Therapy, 41(1), 51-69.
29.
Miller, P.D. (1995). Fitness programming and physical disability. IllinoisHuman Kinetics.
30.
Morgan, W.P. (1997). Methodological considerations. In W. P. Morgan (Ed.), Physical activity and mental health (pp. 3-32). Washington, DC.Taylor & Francis.
31.
Pedersen, B.K., & Saltin, B. (2006). Evidence for prescribing exercise as therapy in chronic disease. Scandinavian Journal of Medicine and Science in Sports, 16(1), 3-63.
32.
Pollio, H.R., & Bainum, C.K. (1983). Are funny groups good at solving problems. Small Group Research, 14(4), 379-404.
33.
Rimal, R. (2001). Longitudinal influences of knowledge and self-efficacy on exercise behaviour: Tests of a mutual reinforcement model. Journal of Health Psychology, 6(1), 31-46.
34.
Rose, G. (1995). Love's work. London: Chatto & Windus.
35.
Scully, D., Kremer, J., Meade, M.M., Graham, R., & Dudgeon, K. (1998). Physical exercise and psychological well-being: A critical review. British Journal of Sports Medicine, 32(2), 111-120.
36.
Secrest, J.A., & Thomas, S.P. (1999). Continuity and discontinuity: The quality of life following stroke. Rehabilitation Nursing, 24(6), 240-246.
37.
Sontag, S. (1991). Illness as metaphor: AIDS and its metaphors. Harmondsworth: Penguin.
38.
Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory, 2nd edn. London: SAGE.
39.
Tully, M.A., Cupples, M.E., Chan, W.S., McGlade, K., & Young, I.S. (2005). Brisk walking, fitness, and cardiovascular risk: A randomized controlled trial in primary care. Preventative Medicine, 41(2), 622-628.
40.
Van Landuyt, L.M., Ekkekakis, P., Hall, E.E., & Petruzzello, S.J. (2000). Throwing the mountains into the lakes: On the perils of nomothetic conceptions of the exercise-affect relationship. Journal of Sport and Exercise Psychology, 22(3), 208-234.
41.
Ward-Schofield, J. (1993). Increasing the generalisability of qualitative research. In M. Hammersley (Ed.), Social research: Philosophy, politics & practice (pp. 220-225). London: Open University/SAGE .
42.
Wheeler, G., Graham, R.G., Hota-Mitchell, S., Metz, L., Natho, K., McGuinness, S., & Steadward, R. (in preparation). Refusing to capitulate: The role of physical activity in the lives of persons with MS.
43.
Wilson, H.S., & Hutchinson, S.A. (1991). Triangulation of qualitative methods: Heidegerrian hermeneutics and grounded theory. Qualitative Health Research, 1(2), 263-276.
44.
Williams, S.J. (2000). Chronic illness as biographical disruption or biographical disruption as chronic illness? Reflections on a core concept . Sociology of Health and Illness, 22(1), 40-67.
45.
Yeung, R.R. (1996). The acute effects of exercise on mood state. Journal of Psychosomatic Research, 2, 123-141.
46.
Zander, A. (1982). Making groups effective. San Francisco: Jossey-Bass.
