Do levels of physical activity differ by anxiety and depressive symptom status in persons with multiple sclerosis?

IF 2.6 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2025-10-01 DOI:10.1016/j.mhpa.2025.100720

Petra Šilić, Ariel Kidwell-Chandler, Robert W. Motl

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Abstract

Physical inactivity, anxiety, and depression are prevalent among persons with multiple sclerosis (MS). Anxiety and depressive symptoms impact a range of outcomes and may be differentially associated with levels of physical activity in MS. This study examined the independent and combined effects of anxiety and depressive symptom status on device-measured physical activity levels in persons with MS. This study was a secondary analysis of data from two combined studies of 440 persons with MS who completed the Hospital Anxiety and Depression Scale (HADS) and wore an accelerometer for 7 days as a measure of physical activity. The participants were divided into four subgroups of elevated and non-elevated anxiety and depressive symptom status. We examined the effects of anxiety and depressive symptoms on physical activity using 2-way analysis of covariance controlling for demographic and clinical covariates that differed among symptoms groups. There were statistically significant interactions for anxiety and depressive symptoms on light physical activity (LPA), moderate-to-vigorous physical activity (MVPA), and daily step count, after controlling for covariates. The subgroup with elevated anxiety and non-elevated depression had significantly higher levels of LPA, MVPA, and daily steps than the other three symptom subgroups. Persons with MS who have elevated anxiety and non-elevated depression had higher levels of physical activity than the other three symptom subgroups, and this may be explained by the action dispositions as theorized within the circumplex model of mood and emotion.

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多发性硬化症患者的身体活动水平是否因焦虑和抑郁症状状态而异？

缺乏运动、焦虑和抑郁在多发性硬化症（MS）患者中普遍存在。焦虑和抑郁症状的影响的结果,可能与不同水平的身体活动在这个女士研究了独立和组合状态焦虑和抑郁症状对仪器测定的影响人的身体活动水平与本研究的二次分析数据从两个联合研究与女士440人完成了医院的焦虑和抑郁量表(已经),戴一个加速度计为7天测量身体活动。参与者被分为四个亚组升高和非升高的焦虑和抑郁症状状态。我们检验了焦虑和抑郁症状对身体活动的影响，采用双方法协方差分析控制症状组间不同的人口统计学和临床协变量。在控制协变量后，焦虑和抑郁症状与轻度体力活动（LPA）、中度至剧烈体力活动（MVPA）和每日步数有统计学显著的相互作用。焦虑升高和抑郁未升高亚组的LPA、MVPA和每日步数水平显著高于其他三个症状亚组。患有高焦虑和非高抑郁的多发性硬化症患者比其他三个症状亚组有更高的身体活动水平，这可以用情绪和情绪的复杂模型中理论的行为倾向来解释。

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;