Eficacia de la actividad física en combinación con la terapia cognitivo conductual sobre la depresión: metaanálisis

IF 0.5 Q4 PSYCHOLOGY, APPLIED

Revista Iberoamericana de Psicologia del Ejercicio y el Deporte Pub Date : 2022-07-01 DOI:10.5093/rpadef2022a7

Paula Chinchilla-Fonseca, Bradly Marín-Picado, José Moncada-Jiménez, Ana María Jurado Solórzano

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Abstract

: The study determined the effects of physical exercise and cognitive behavioural therapy (CBT) on depression. The databases consulted were: Google Scholar, Redalyc, Scielo, ScienceDirect Collection, PsycINFO, EBSCOhost and ProQuest Central. The systematic review was carried out from 14 August 2018 to 10 August 2021. The following eligibility criteria were used: a) randomized trials with inter-group design (control group and experimental group), b) physical exercise, CBT or its combination as independent variables, c) report of both specified and unspecified clinical depression scores, measured by valid psychometric instruments, d) year of publication greater than 1980, and e) participants of both sexes older than 18 years. 103 studies were part of the results (126 effect sizes), for a total of 9,488 participants. Additionally, as an intervention, 36 studies were characterized by using CBT, 62 exercise and 5 used a combination of both. Depression was reduced globally, with a high effect size ( d = -.87, n = 126, 95%CI = -.98, -. 75, Z = -14.53, p <.001, Q = 922.18, gl = TCC y su combinación para reducir la de presión en personas mayores de 18 años. En este contexto, las hipótesis que guiaron el proceso de recolección de datos fueron: a) el ejercicio reduce los síntomas depresivos, b) la TCC reduce los síntomas depresivos, c) el ejercicio en com binación con la TCC tiene un mayor efecto en la reducción de los síntomas depresivos que su impacto individual, y d) las características particulares de las intervenciones moderan la reducción de los síntomas depresivos. 125, I2 = 86.45, p < .001). Physical exercise alone had a high effect size ( d = -.80, n = 73, 95%CI = -.95, -.64, Z = -10.23, p <.001), CBT had a high effect size ( d = -1.03, n = 46, 95%CI = -1.24, -.83, Z = -9.98, p <.001) and exercise in combination with CBT a moderate one ( d = -. 57, n = 7, 95%CI = -1.04, -.10, Z = -2.40, p = .016). In conclusion, exercise, CBT and their combination reduce depression moderately to highly in adults over 18 years of age. consultadas

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体育活动结合认知行为疗法对抑郁症的疗效:荟萃分析

该研究确定了体育锻炼和认知行为疗法(CBT)对抑郁症的影响。参考的数据库有:Google Scholar、Redalyc、Scielo、ScienceDirect Collection、PsycINFO、EBSCOhost和ProQuest Central。系统审查于2018年8月14日至2021年8月10日进行。采用以下资格标准:a)组间设计的随机试验(对照组和实验组)，b)体育锻炼，CBT或其组合作为自变量，c)用有效的心理测量工具测量指定和未指定临床抑郁评分的报告，d)出版年份大于1980年，e)参与者年龄大于18岁。103项研究是结果的一部分(126个效应大小)，共有9488名参与者。此外，作为干预措施，36项研究采用CBT, 62项采用运动，5项采用两者结合。抑郁症在全球范围内减少，具有高效应量(d = -)。87, n = 126, 95%CI = -。98年-。75, Z = -14.53, p <。2001, Q = 922.18, gl = TCC y su combinación para reducir la de presión en personas mayores de 18 años。在埃斯特contexto, las hipotesis guiaron el proceso de recoleccion de拿督fueron: a)运动减少洛杉矶产生depresivos, b) la太极拳减少洛杉矶产生depresivos, c)运动在com binacion con太极拳这个市长efecto En la la reduccion de los产生depresivos苏impacto个人,y d) las caracteristicas特殊de las intervenciones moderan la reduccion de los产生depresivos。125, I2 = 86.45, p < 0.001)。体育锻炼本身具有很高的效应量(d = -)。80, n = 73, 95%CI = -。95年-。64, Z = -10.23, p <.001)， CBT具有高效应量(d = -1.03, n = 46, 95%CI = -1.24， -)。83, Z = -9.98, p <.001)，运动与CBT联合治疗为中度(d = -)。57, n = 7, 95%CI = -1.04， -。10, Z = -2.40, p = 0.016)。综上所述，运动、认知行为疗法和它们的结合在18岁以上的成年人中可以中度到高度地减少抑郁。consultadas

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来源期刊

Revista Iberoamericana de Psicologia del Ejercicio y el Deporte PSYCHOLOGY, APPLIED-

CiteScore

0.60

自引率

50.00%

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