By Jude Coe

Photo by Janko Ferlič on Unsplash
As a physiotherapist and professional doctoral student, I am constantly seeking to deepen my understanding of how physical activity influences mental health. The recent journal article, “Physical Activity and Mental Health: A Systematic Review and Best-Evidence Synthesis of Mediation and Moderation Studies,” provides valuable insights that are highly relevant to my professional practice and research. Trying to join the dots between your thoughts and hypotheses can often be a frustrating process, but when you find a journal that facilitates how you think is a great moment.
The systematic review conducted by White et al. (2024), synthesises evidence on the mediators and moderators of the relationship between physical activity and mental health.
The study highlights several key mediators, including affect, self-esteem, self-efficacy, physical self-worth, body image satisfaction, resilience, social support and physical health. These factors play crucial roles in how physical activity impacts mental health outcomes such as depression, anxiety, and overall psychological well-being.
How can I apply this as a Physio?
As a physiotherapist, understanding these mediators allows me to design more effective interventions for my patients. For instance, incorporating activities that enhance self-efficacy and social support can significantly improve mental health outcomes. This holistic approach aligns with the biopsychosocial model of health, emphasising the connection between physical, psychological, and social factors.
How can this help with my thesis?
The findings from this journal are particularly pertinent to my thesis on the determinants of resilience in performing arts. Resilience, identified as a key mediator in the relationship between physical activity and mental health, is crucial for performers who often face high levels of stress and physical demands. By understanding how physical activity can enhance resilience, I can develop targeted interventions to support performers in maintaining their mental health and well-being.
Bridging the gap between academic and physiotherapy practice
Working with Professor Joan Duda, a renowned sport psychologist, has been instrumental in bridging my clinical practice with academic research. The insights from this journal reinforce the importance of interdisciplinary collaboration in addressing complex health issues. By integrating psychological principles with physiotherapy, I can contribute to a more comprehensive understanding of resilience in performing arts from a mental and physical perspective.
Conclusion
The systematic review by White et al. underscores the multifaceted benefits of physical activity on mental health and highlights the importance of considering various mediators and moderators. As a physiotherapist and researcher, these insights are invaluable in enhancing my practice and informing my thesis. By using this knowledge, I aim to develop effective strategies to support the mental health and resilience of performers, ultimately contributing to their overall well-being and success on the stage.

J.Coe@bham.ac.uk