KEHALISE AKTIIVSUSE JA MASSAAŽI KASUTAMINE MEELEOLU- JA ÄREVUSHÄIRETE RAVIS KOLME EESTI PSÜHHIAATRIAKLIINIKU NÄITEL Physical activity and massage in the treatment of mood and anxiety disorders in three psychiatric clinics in Estonia Minna Sild, Anna-Liisa Parm Tartu Tervishoiu Kõrgkool Abstract The aim was to organize a pilot study to find out if physical activity and massage are used in treatment of mood and anxiety disorders in psychiatric clinics in Estonia. The questionnaire was compiled for the psychiatric clinics’ personnel and studied if the questionnaire is suitable for this kind of study. The current sample consisted of three psychiatric clinics and 15 employees. The main results of the study indicated that physical activity is used and massage is not used in all three clinics in the treatment of mood and anxiety disorders. Guided breathing and relaxation techniques and walking outdoors are used in all clinics. Two of the clinics have exercise devices which the patients can use by themselves. Two of the clinics use guided exercise by physiotherapist. The clinic where there is no physiotherapist but an activity specialist does not use guided exercise. One of the clinics uses vibroacoustic sound therapy. Physical activity is added to the treatment plan according to the individual necessities of the patients. Some of the physical activity is regular but most of it depends on the needs of the patient. In addition to physiotherapists, nurses and pshychologists also guide patients in their physical activity. All of the respondents see the necessity of physical activity in the treatment of mood and anxiety disorders and 94% of the respondents think there is a need for physiotherapists who are specialised in psychiatric patients. The compiled questionnaire needs some specifications and minor changes in order to make it more efficient. The necessary specifications are pointed out in the discussion chapter. In order to draw conclusions about physical 147