{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:38:25Z","timestamp":1787841505590,"version":"build-2784847793"},"reference-count":42,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,4,18]],"date-time":"2022-04-18T00:00:00Z","timestamp":1650240000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Ankylosing spondylitis (AS) is an inflammatory rheumatic disease in which the physical impact has been evaluated; however, the psychological consequences are less well explored. The primary aim of this review was to determine the effectiveness of group versus home\u2010based exercises on psychological status of patients with AS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Six databases were searched until January 2020. Eligible studies were randomised controlled trials including group or home\u2010based exercise interventions. Risk of bias (RoB) was evaluated using the Cochrane RoB 2.0 tool. Relative percentage difference (RPD) between groups and effect sizes were presented as standardised mean differences (SMDs) with 95% confidence intervals (CI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five studies met the inclusion criteria (<jats:italic>n<\/jats:italic>\u00a0=\u00a0240), outcomes of interest were depression, anxiety and mental health. Three studies were low\u2010risk RoB, one study was high\u2010risk RoB and one study there was \u2018some concerns\u2019 of bias. Group\u2010based exercise was more effective than home\u2010based exercise for improving depression at 6\u2010week (RPD 18%) and 3\u2010month (RPD 42%), anxiety (RPD 17%) and mental health (RPD 20%). Home\u2010based exercise was more effective than control interventions for improving depression (RPD 33%). A meta\u2010analysis demonstrated group\u2010based exercises compared to home exercises, improved depression (SMD: \u22120.54; 95% CI: [\u22120.89; \u22120.18]; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.003) and physical function (SMD: \u22120.49; 95% CI: [\u22120.84; \u22120.14]; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.006).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Supervised group\u2010based demonstrated improvements in depression, anxiety and mental health compared to home\u2010based exercise. Individualised home\u2010based exercise is more effective than no intervention for improving depression in people with AS.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.1641","type":"journal-article","created":{"date-parts":[[2022,4,19]],"date-time":"2022-04-19T06:08:57Z","timestamp":1650348537000},"page":"758-771","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["The effectiveness of group and home\u2010based exercise on psychological status in people with ankylosing spondylitis: A systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"20","author":[{"given":"Brian","family":"Lane","sequence":"first","affiliation":[{"name":"Discipline of Physiotherapy School of Clinical Therapies College of Medicine and Health University College Cork  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"McCullagh","sequence":"additional","affiliation":[{"name":"Discipline of Physiotherapy School of Clinical Therapies College of Medicine and Health University College Cork  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jefferson R.","family":"Cardoso","sequence":"additional","affiliation":[{"name":"Laboratory of Biomechanics and Clinical Epidemiology PAIFIT Research Group Universidade Estadual de Londrina  Londrina Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0789-1419","authenticated-orcid":false,"given":"Joseph G.","family":"McVeigh","sequence":"additional","affiliation":[{"name":"Discipline of Physiotherapy School of Clinical Therapies College of Medicine and Health University College Cork  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,18]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1191\/0269215503cr658oa"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3233\/BMR\u2010160677"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2011.151191"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0738\u20103991(95)00844\u20106"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296\u2010010\u20101381\u2010x"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(07)60635\u20107"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2011.151027"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3233\/BMR\u20102007\u2010202\u2010305"},{"issue":"12","key":"e_1_2_12_10_1","first-page":"2281","article-title":"A new approach to defining functional ability in ankylosing spondylitis: The development of the Bath Ankylosing Spondylitis Functional Index","volume":"21","author":"Calin A.","year":"1994","journal-title":"Journal of Rheumatology"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.2307\/3001666"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004366.pub6"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20415"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD002822.pub3"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2020.06.019"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.1.2.89"},{"issue":"12","key":"e_1_2_12_17_1","first-page":"2286","article-title":"A new approach to defining disease status in ankylosing spondylitis: The Bath Ankylosing Spondylitis Disease Activity Index","volume":"21","author":"Garrett S.","year":"1994","journal-title":"Journal of Rheumatology"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067\u2010014\u20102647\u20106"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296\u2010012\u20102376\u20106"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d5928"},{"key":"e_1_2_12_21_1","volume-title":"Cochrane handbook for systematic reviews of interventions version 6.3","author":"Higgins J. 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