Physical activity is associated with subsequent affective well-being in day hospital patients with a diagnosis of depression: A combined ecological momentary assessment and accelerometry study

IF 2.3 3区 医学 Q2 PSYCHIATRY
Usama EL-Awad , Justin Hachenberger , Udo Schneider , Sakari Lemola
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Abstract

Background and aims

Physical activity is linked to improved affective well-being in individuals with depression, but its effects in day hospital settings have not been studied yet.

Methods

Thirty-two patients (Mage = 39.09, SD = 13.49; 46.9 % females) completed baseline questionnaires and a 14-day survey using the Experience Sampling Method (ESM) via a mobile app to report on affective states and physical activity, resulting in 1574 observations. Wrist accelerometers measured physical activity objectively during this period.

Results

Both subjective and objective physical activity were positively associated with positive affect, irrespective of patient characteristics such as age, gender, BMI, baseline depression severity, the presence of additional somatic diagnoses, antidepressant use, and whether measurements were taken on weekdays in day hospital care or on weekends when patients were at home.

Conclusion

Physical activity is associated with momentary improvements in positive affect in day hospital patients, independent of patient characteristics. Future research should investigate the role of these effects for longer-term improvement in depressive symptoms and study contextual influences, such as indoor versus outdoor activity.
在诊断为抑郁症的日间医院患者中,身体活动与随后的情感幸福感相关:一项综合生态瞬时评估和加速度计研究
背景和目的体育活动与改善抑郁症患者的情感幸福感有关,但其在日间医院环境中的影响尚未得到研究。方法32例患者(Mage = 39.09, SD = 13.49;46.9%的女性)通过移动应用程序使用体验抽样法(ESM)完成了基线问卷和为期14天的调查,报告了情感状态和身体活动,产生了1574项观察结果。在此期间,手腕加速度计客观地测量了身体活动。结果:无论患者的年龄、性别、BMI、基线抑郁严重程度、是否存在额外的躯体诊断、抗抑郁药的使用,以及测量是在工作日的日间医院护理还是在患者在家的周末进行,主观和客观的体育活动都与积极情绪呈正相关。结论体育活动与日间医院患者积极情绪的短暂改善有关,与患者特征无关。未来的研究应该调查这些影响对抑郁症状的长期改善的作用,并研究环境影响,如室内与室外活动。
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来源期刊
CiteScore
6.70
自引率
6.40%
发文量
43
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;
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