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Treating Major Depression with Physical Activity: a Systematic Overview with Recommendations
Umeå University, Faculty of Social Sciences, Department of Psychology.
Umeå University, Faculty of Social Sciences, Department of Psychology.
Umeå University, Faculty of Social Sciences, Department of Psychology. Faculty of Health, University of Canberra, Canberra, Australia.
Department of Psychology, Stockholm University, Stockholm, Sweden.
2015 (Swedish)In: Cognitive Behaviour Therapy, ISSN 1650-6073, E-ISSN 1651-2316, Vol. 44, no 4, p. 341-352Article in journal (Refereed) Published
Abstract [en]

The purpose of this systematic overview was to determine the most effective mode and doseof physical activity (PA) for treating major depressive disorder (MDD), and to suggest guidelines and recommendations for clinicians. The selection process consisted of a comprehensive search that was conducted up until April 2014 in the following databases: sycINFO, Medline, PubMed and Scopus. The inclusion criteria were: (1) a randomized controlled trial (RCT) design, (2) complete description of intensity, duration and frequency of the PA, (3) the participants had to be diagnosed with MDD according to Diagnostic Statistical Manual 4 th edition (DSM-IV) or International Classification of Disease tenth Revision (ICD-10) criteria (4) if the controls received any treatment, it had to be specified, (5) published after 1990, (6) consist of aerobic or anaerobic treatment PA, and (7) not be a pilotor preliminary study. A quality assessment of each study was conducted independently by two reviewers; this stringent selection process resulted in 12 reviewed studies. Conclusion: individually customized PA, for at least 30 minutes, preferably performed under supervision and with a frequency of at least three times per week is recommended when treating MDD. hese recommendations must be viewed in light of the relatively few studies matching the inclusion criteria.

Place, publisher, year, edition, pages
Taylor & Francis, 2015. Vol. 44, no 4, p. 341-352
Keyword [en]
RCT, treatment, physical activity, depression, major depression
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:umu:diva-104393DOI: 10.1080/16506073.2015.1015440ISI: 000355812000010OAI: oai:DiVA.org:umu-104393DiVA, id: diva2:819370
Available from: 2015-06-10 Created: 2015-06-10 Last updated: 2018-02-27Bibliographically approved
In thesis
1. Treating depression with activation
Open this publication in new window or tab >>Treating depression with activation
2018 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Aktivering som behandling vid depression
Abstract [en]

The aim of this thesis was to evaluate and compare four therapist-supported Internet-administered treatments for depression. Three studies were conducted. The first was a systematic review to determine the most effective mode and dose of physical activity (PA) for treating major depressive disorders (MDDs), and to suggest guidelines and recommendations for clinicians. These recommendations included that the PA needs to be individually customized, performed for at least 30 minutes, preferably under supervision, and with a frequency of at least three times per week to be effective for treating MDDs. Recommendations, however, must be viewed in light of the relatively few studies that match the inclusion criteria. The second study aimed to empirically evaluate and compare the effect of four therapist-supported Internet-administered treatments for mild to moderate depression. Two of the treatments were based on PA and two on behavioural activation (BA). One PA group was provided with a rationale; whereas, the other was not. The treatment in one BA group was based on Lewinsohn’s model and the other on Martell’s model. Results showed that all groups (including the control group) significantly reduced their depressive symptoms. Group comparisons revealed that three of the four treatment groups (all except the PA group that did not receive a rationale) had a significantly greater symptom reduction than the control group. This suggests that some sort of rationale is important for symptom reduction. The third study aimed to examine if a relapse prevention program would affect symptom change during a 24-month follow-up. We also examined if symptom change during the acute phase (AP) treatment period predicted symptom change during the follow-up period. A third and final aim was to examine if the number of symptoms post-AP treatment predicted symptom change during the follow-up period. The initial analysis indicated that the introduction of a relapse prevention program did not affect symptom change during follow-up. The symptom change during AP treatment did predict symptom change during follow-up for three of the four treatment groups (all except one of the BA groups). The number of symptoms post-AP treatment, however, did not predict symptom change during follow-up for any of the treatment groups. The main conclusion from this thesis is that PA seems to be effective for treating and preventing depressive symptoms. PA with a rationale is more effective than without one, and an understanding of the person’s situation is important for a treatment outcome. If a symptom change can be achieved during the acute phase, the likelihood for symptom change during the follow-up increases.

Place, publisher, year, edition, pages
Umeå: Umeå University, 2018. p. 90
Keyword
depression treatment, physical activity, behavioural activation, 24-month follow-up, relapse prevention
National Category
Applied Psychology
Research subject
Clinical Psychology; Psychology
Identifiers
urn:nbn:se:umu:diva-145292 (URN)978-91-7601-857-6 (ISBN)
Public defence
2018-03-23, Hörsal H, Humanisthuset, Umeå, 10:00 (English)
Opponent
Supervisors
Available from: 2018-03-02 Created: 2018-02-27 Last updated: 2018-03-01Bibliographically approved

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