Frontiers in psychology · 2026
The psychosocial and mental health benefits of aquatic physical activity for individuals with disabilities: a systematic review from a sport psychology perspective.
СтатьяСистематический обзорНазвание и аннотация: Перевод в очереди
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Wu Ti, Hung Min-Hao, Huang Yen-Tzu, Wang Hsin-Huan, Liao Chun-Ju, Chang Po-Han
Аннотация
PURPOSE: Individuals with disabilities face a high risk of physical inactivity, leading to severe mental health challenges and social isolation. Aquatic physical activity, due to its unique physical properties, is considered an intervention with profound psychological potential. Guided by the International Classification of Functioning, Disability, and Health (ICF) framework and Self-Determination Theory (SDT), this study aims to systematically review the psychosocial, mental health, and functional benefits of aquatic physical activity for individuals with disabilities.
METHODS: This study strictly followed the PRISMA guidelines to search for high-quality literature published up to February 2026 in Web of Science, PubMed, Scopus, and SPORTDiscus. Two independent researchers conducted the screening based on strict PICOS criteria.
RESULTS: Following the search and screening, 21 core articles were included. The extracted data confirmed that aquatic interventions act as profound psychological facilitators. They significantly reduce depressive symptoms and anxiety (Z = -2.294) and enhance social skills and peer interaction (Cohen's d = 0.76). Furthermore, physiological improvements (e.g., in gross motor function and balance) act as critical mediators that boost perceived competence and autonomy, effectively reducing kinesiophobia (fear of movement).
CONCLUSION: Aquatic physical activity is a safe and highly effective adaptive health intervention. The aquatic medium serves as a "natural de-marginalisation space" that mitigates internal psychological barriers and societal ableism. These findings provide critical, evidence-based insights for sport psychology practitioners, coaches, and policymakers to design inclusive, confidence-building interventions.
METHODS: This study strictly followed the PRISMA guidelines to search for high-quality literature published up to February 2026 in Web of Science, PubMed, Scopus, and SPORTDiscus. Two independent researchers conducted the screening based on strict PICOS criteria.
RESULTS: Following the search and screening, 21 core articles were included. The extracted data confirmed that aquatic interventions act as profound psychological facilitators. They significantly reduce depressive symptoms and anxiety (Z = -2.294) and enhance social skills and peer interaction (Cohen's d = 0.76). Furthermore, physiological improvements (e.g., in gross motor function and balance) act as critical mediators that boost perceived competence and autonomy, effectively reducing kinesiophobia (fear of movement).
CONCLUSION: Aquatic physical activity is a safe and highly effective adaptive health intervention. The aquatic medium serves as a "natural de-marginalisation space" that mitigates internal psychological barriers and societal ableism. These findings provide critical, evidence-based insights for sport psychology practitioners, coaches, and policymakers to design inclusive, confidence-building interventions.