One-year follow-up of a primary care-based 12-week exercise intervention for adults with anxiety disorders

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2024-09-11 DOI:10.1016/j.mhpa.2024.100630

Anna-Karin Lennartsson , Malin Henriksson , Alexander Wall , Jenny Nyberg , Kristian Bolin , Berit A.M. Larsson , Louise Danielsson , Margda Waern , N. David Åberg , Maria Åberg

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引用次数: 0

Abstract

Background and aims

While there is increasing evidence for the short-term effectiveness of exercise interventions for adults with anxiety disorders, follow-up studies are rare. The aim of this study was to examine whether the significant reductions in anxiety and depression symptoms observed in connection with our primary care-based 12-week exercise RCT were maintained at subsequent follow-up after nine-months. A further aim was to investigate the hypothesis whether exercise interacted with antidepressant medication.

Methods

113 out of 153 who completed the 12-week intervention completed the follow-up assessments. Symptoms were self-assessed with the Beck Anxiety Index (BAI) and the Montgomery Åsberg Depression Rating Scale (MADRS-S) at baseline, intervention completion (the 12-weeks follow-up) and 9 months post-intervention (the 1-year follow up).

Results

The reduced symptoms of anxiety and depression effects seen after 12 weeks in the intervention groups were maintained at the 1-year follow-up. Similar reductions were seen in the control group. However, among antidepressant users, the odds ratios for the intervention group to reach improvement in anxiety were four-fold, and in depression, eleven-fold compared to controls at the 1-year follow-up.

Conclusion

The results strengthen the view that physical exercise is an effective treatment for anxiety especially in among those with antidepressant treatment.

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对焦虑症成人进行为期 12 周的初级保健运动干预的一年跟踪研究

背景和目的虽然有越来越多的证据表明运动干预对成人焦虑症患者具有短期疗效，但后续研究却很少见。本研究的目的是探讨在我们基于初级保健的为期 12 周的运动 RCT 中观察到的焦虑和抑郁症状的显著减轻在 9 个月后的随访中是否得以维持。另一个目的是研究运动是否会与抗抑郁药物产生相互作用这一假设。方法在完成 12 周干预的 153 人中，有 113 人完成了随访评估。在基线、干预结束（12 周随访）和干预后 9 个月（1 年随访）时，用贝克焦虑指数（BAI）和蒙哥马利奥斯伯格抑郁评定量表（MADRS-S）对症状进行自我评估。对照组也有类似的减轻效果。然而，在抗抑郁药使用者中，与对照组相比，干预组焦虑症改善的几率是对照组的四倍，抑郁症改善的几率是对照组的十一倍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Mental Health and Physical Activity PSYCHIATRY-

CiteScore

6.70

自引率

6.40%

发文量

审稿时长

32 days

期刊介绍： The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;