Complementary Therapies in Clinical Practice最新文献

{"title":"Decreasing edema with platysma exercises following third molar extraction surgery: A randomized controlled trial","authors":"Sevim Beyza Olmez ,&nbsp;Gokhan Yazici ,&nbsp;Merve Onder ,&nbsp;Melek Volkan-Yazici ,&nbsp;Nihan Kafa ,&nbsp;Cengiz Evli ,&nbsp;Mert Ozlu ,&nbsp;Kaan Orhan","doi":"10.1016/j.ctcp.2025.101963","DOIUrl":"10.1016/j.ctcp.2025.101963","url":null,"abstract":"<div><h3>Background and purpose</h3><div>The extraction of lower third molars is a routine procedure in dental practice however, it can lead to complications such as pain, edema and trismus. The aim of this study is to investigate the effects of platysma exercises applied after lower third molar tooth extraction on edema, while observing the differences in pain and trismus.</div></div><div><h3>Materials and methods</h3><div>This randomized controlled trial was conducted at the Faculty of Dentistry, Ankara University. Thirty-one participants, aged 18–40, requiring impacted lower third molar extraction were randomly assigned to an intervention group following surgery (receiving platysma exercises and pharmacological treatment) or a control group (receiving pharmacological treatment only). Postoperative outcomes, including edema, pain, and trismus, were evaluated at four time points: preoperatively, and on postoperative days 1, 3 and 7. Edema was assessed via standardized facial measurements, pain using a visual analog scale, and trismus by measuring maximum inter-incisal distance.</div></div><div><h3>Results</h3><div>The intervention group exhibited a significant reduction in edema compared to the control group by the seventh postoperative day (p &lt; 0.05). No significant differences were observed in trismus or pain levels between the groups, although a trend towards lower pain scores was noted in the intervention group.</div></div><div><h3>Conclusion</h3><div>Platysma exercises effectively reduce postoperative facial edema without exacerbating pain or trismus. This simple, cost-effective approach can be considered a valuable adjunct in the postoperative management of lower third molar extractions.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101963"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143552830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical activity and cognitively difficulties in adolescents: A cross-sectional study of 13,677 participants","authors":"Qian Sun ,&nbsp;Zehan Xu ,&nbsp;Dongye Lyu ,&nbsp;Xiao Xu ,&nbsp;Lei Wang ,&nbsp;Tingkai Yan ,&nbsp;Jin Yan","doi":"10.1016/j.ctcp.2025.101965","DOIUrl":"10.1016/j.ctcp.2025.101965","url":null,"abstract":"<div><h3>Background</h3><div>Physical activity (PA) has been shown to improve cognitive ability in adolescents. However, there is evidence for the impact of different PA characteristics (e.g., intensity, frequency, type). Therefore, we used national surveillance data to assess the impact of PA characteristics and cognitive impairment in adolescents.</div></div><div><h3>Methods</h3><div>This study included 13,677 high school students from the 2019 Youth Risk Behavior Survey. The dependent variable was the presence of cognitive impairment due to physical, mental, or emotional problems. The independent variables related to PA were muscle strengthening, sports team participation, and physical education attendance. We used weighted binary logistic regression to evaluate the association of PA with cognitive impairment while controlling for demographic characteristics.</div></div><div><h3>Results</h3><div>This study includes 13,677 participants. Ages range from 12 or younger (0.4 %) to 18 or older (11.9 %), with a nearly equal gender distribution (49.0 % female, 51.0 % male). Significant odds ratios (OR) include muscle strengthening for four days vs. 0 days (OR = 1.471) and sports team participation for 1 team vs. 0 teams (OR = 1.281). Males show higher ORs in muscle strengthening and sports participation, while females show significant ORs for one day (OR = 1.344) and six days (OR = 1.387) of muscle strengthening. Physical education attendance shows no significant differences across groups.</div></div><div><h3>Conclusion</h3><div>Approximately 55.6 % of adolescents were physically inactive, did not engage in muscle-strengthening exercises, did not participate in physical education attendance, and did not engage in sports teams. Participation in PE three or five times per week has a significant impact on cognitive impairment in adolescents.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101965"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinician views on acupuncture for acute pain care in a busy urban emergency department","authors":"Lisa A. Seaman ,&nbsp;Dana LaVergne ,&nbsp;Angela L. Walden ,&nbsp;Dennis P. Watson ,&nbsp;Frank A. Yurasek ,&nbsp;Michelle Hudson ,&nbsp;Casey Sarapas ,&nbsp;Benjamin Nguyen ,&nbsp;Anita Hollins ,&nbsp;Lisa Taylor ,&nbsp;Mark B. Mycyk","doi":"10.1016/j.ctcp.2025.101982","DOIUrl":"10.1016/j.ctcp.2025.101982","url":null,"abstract":"<div><h3>Introduction</h3><div>Opioid misuse and dependence remain critical public health issues in the U.S., contributing significantly to reduced life expectancy. Emergency departments (EDs) are key settings for implementing opioid reduction strategies when treating acute pain, such as nonpharmacologic treatment options like acupuncture. This study explored clinician-related factors influencing the integration of the Pain Elimination through Acupuncture Research and Learning (PEARL) program for pain reduction within a high-volume urban ED.</div></div><div><h3>Methods</h3><div>This study employed a sequential mixed methods design, involving surveys and interviews with ED clinicians. An 11-item electronic survey was administered annually to assess clinician attitudes related to appropriateness and effectiveness of integrating acupuncture into the ED's comprehensive care plan for treatment of pain. Near the end of the 3rd year of the PEARL program, semi-structured interviews were conducted to gather in-depth insights into clinician knowledge and perceptions of the program.</div></div><div><h3>Results</h3><div>Quantitative survey data from 99 eligible ED clinicians indicated positive perceptions of the program's appropriateness and effectiveness, and improved understanding of acupuncture referral procedures. Analysis of qualitative interviews conducted with 16 ED clinicians revealed five key themes: acupuncture as an acceptable analgesic strategy to reduce the use of opioids, patient benefits, program presence in the ED, integration challenges, and the need for continued education.</div></div><div><h3>Conclusion</h3><div>Strong acceptance of acupuncture as a feasible nonpharmacologic addition to the comprehensive pain care plan used in the ED was observed. Dedicated space, expanded acupuncture staff and hours, and ongoing training of ED staff will require institutional support to sustain acupuncture as a nonpharmacologic treatment option for ED patients.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101982"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Music-based interventions for anxiety and depression in older adults with dementia: A systematic review of randomized controlled trials","authors":"Zhengyang Mei ,&nbsp;Yuanzhuo Zhang ,&nbsp;Wen Zhao ,&nbsp;Chifong Lam ,&nbsp;Shulai Luo ,&nbsp;Shaojie Wang ,&nbsp;Shi Luo","doi":"10.1016/j.ctcp.2025.101951","DOIUrl":"10.1016/j.ctcp.2025.101951","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this systematic review was to synthesize evidence from randomized controlled trials (RCTs) regarding the efficacy of music-based interventions (MBIs) in improving anxiety and depression in older adults with dementia.</div></div><div><h3>Methods</h3><div>Relevant RCTs were identified through searches in electronic databases, including PubMed, Embase, EBSCOhost, Scopus, Web of Science, APA PsycINFO, and Google. The Revised Cochrane risk-of-bias tool for randomized trials (RoB 2) was used to evaluate the risk of bias in the included trials. A narrative synthesis of the included trials was conducted.</div></div><div><h3>Results</h3><div>Nine RCTs involving 496 patients met the inclusion criteria; five trials evaluated the efficacy of MBIs for anxiety, and six trials evaluated their efficacy for depression in older adults with dementia. Of the nine trials, two reported significant improvements in anxiety in older adults with dementia following MBIs (Cohen's d = −1.71 to −2.48), while one trial reported significant improvements in depression (Cohen's d = −0.66).</div></div><div><h3>Conclusions</h3><div>Only a few trials support the efficacy of MBIs in alleviating negative emotions in older adults with dementia, as evidenced by three out of the nine trials. However, due to the small sample sizes and heterogeneity in dementia types, stages, and interventions, quantitative results were not pooled, making it challenging to draw reliable conclusions. Further validation and examination of the findings presented in this study are warranted to strengthen the evidence base for integrating MBIs into dementia care and treatment protocols.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101951"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of objectively measured physical activity and sedentary behavior with sleep quality in college students","authors":"Yangyi Huang ,&nbsp;Kefeng Zheng ,&nbsp;Teck Cheng Tan ,&nbsp;Jiaxin Zheng ,&nbsp;Tianle Chen ,&nbsp;Tao Huang ,&nbsp;Kun Wang","doi":"10.1016/j.ctcp.2025.101964","DOIUrl":"10.1016/j.ctcp.2025.101964","url":null,"abstract":"<div><h3>Background</h3><div>Sleep disorders are prevalent in college students and are often exacerbated by academic pressures. Accumulating evidence indicates that physical activity and sedentary behaviors exert divergent effects on sleep quality. This study aimed to investigate the associations of objectively measured physical activity and sedentary behavior with sleep quality in college students. The potential effects of substituting sedentary behavior with physical activity on sleep quality were also examined.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 349 college students (age range: 17–25 years; 57.6 % female) recruited from Shanghai, China. Light physical activity (LPA), moderate-to-vigorous physical activity (MVPA), and sedentary behavior were objectively measured using wrist-worn accelerometers for 7 days. Sleep quality was assessed using the Pittsburgh Sleep Quality Index. A single-factor model was used to examine independent associations, whereas an isotemporal substitution model (ISM) was used to estimate the effects of replacing sedentary behavior with physical activity on sleep quality.</div></div><div><h3>Results</h3><div>Higher levels of LPA (B = −0.007, 95 % CI = −0.013 to −0.001, <em>p</em> &lt; 0.05) and MVPA (B = −0.013, 95 % CI = −0.022 to −0.003, <em>p</em> &lt; 0.05) were associated with better sleep quality. Conversely, sedentary time was negatively associated with sleep quality (B = 0.007, 95 % CI = 0.002 to 0.012, <em>p</em> &lt; 0.05). In the ISM, replacing 30 min of sedentary behavior with an equivalent duration of MVPA was associated with improved sleep quality (B = −0.322, 95 % CI = −0.624 to −0.021, <em>p</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>The findings indicated that physical activity was positively associated with sleep quality, whereas sedentary time was negatively associated with sleep quality in college students. Replacing sedentary behavior with an equivalent duration of MVPA positively affected sleep quality.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101964"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and safety of moxibustion for knee osteoarthritis: A systematic review and meta-analysis","authors":"Shun Chen ,&nbsp;Weiting Liu ,&nbsp;Changhao Liang ,&nbsp;Hanjiang Liu ,&nbsp;Pei Wang ,&nbsp;Qinwei Fu","doi":"10.1016/j.ctcp.2025.101979","DOIUrl":"10.1016/j.ctcp.2025.101979","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Although several reviews have examined moxibustion for knee osteoarthritis (KOA), they have some methodological limitations. This systematic review aims to synthesize current evidence on various moxibustion interventions for KOA pain relief.</div></div><div><h3>Methods</h3><div>We conducted a comprehensive search across seven databases up to June 2024. The Cochrane risk of bias tool (ROB2) was used to assess the risk of bias, and the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) criterion approach was employed to evaluate the certainty of evidence for primary outcomes. Primary outcomes included Visual Analogue Scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), stiffness, physical function, and total effective rate. Secondary outcomes encompassed adverse events (AEs) and treatment regimen of moxibustion for KOA. Meta-analysis was performed using STATA 17.0 and RevMan 5.4.1.</div></div><div><h3>Results</h3><div>A total of 43 studies with 4008 participants were included in this review. Moxibustion significantly reduced WOMAC (−0.91, 95 % CI: −1.12, −0.70) and VAS scores (−0.95, 95 % CI: −1.18, −0.73). Electronic moxibustion was the most effective intervention. Treatment frequencies exceeding three times per week were more effective than fewer sessions. The total effective rate was 93.11 % for the moxibustion group versus 76.41 % for the controls. AEs were reported in sixteen studies, with one serious AE.</div></div><div><h3>Conclusion</h3><div>Moxibustion is more effective for pain relief than other treatments and has a lower incidence of AEs. Further high-level evidence is warranted to validate these findings.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101979"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143769082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heart rate and salivary cortisol as indicators of arousal and synchrony in clients, therapy horses and therapist in equine-assisted therapy","authors":"A. Naber ,&nbsp;L. Kreuzer ,&nbsp;R. Zink ,&nbsp;E. Millesi ,&nbsp;R. Palme ,&nbsp;K. Hediger ,&nbsp;L.M. Glenk","doi":"10.1016/j.ctcp.2025.101937","DOIUrl":"10.1016/j.ctcp.2025.101937","url":null,"abstract":"<div><h3>Background</h3><div>This exploratory study aimed to analyse physiological interaction processes in equine-assisted-therapy (EAT) between client, therapy horse and therapist.</div></div><div><h3>Methods</h3><div>We measured heart rate (HR), heart rate variability (HRV) and cortisol levels before, during and after a standardized therapy session and a control condition in one therapist, four therapy horses and ten female clients in emerging adulthood (Mn = 21.8 years, SD = 3.39). The clients were diagnosed with mild (N = 5) to moderate (N = 5) intellectual disability (ID).</div></div><div><h3>Results</h3><div>There was no significant change in the client's HR, HRV and cortisol levels during an EAT session. No difference was observed between therapy sessions with or without a therapy horse, except during the challenge phase of the EAT protocol, where clients had a significantly lower HR when interacting with the therapy horse. HR between therapist and client correlated significantly, as well as between therapist and horse. This effect was greater when therapists interacted with a familiar horse. Clients' and horses' HRs also correlated, but only when the horse was the clients' familiar and preferred horse.</div></div><div><h3>Conclusions</h3><div>These results indicate that relationship intensity is an important factor for the synchronization process. Moreover, the inclusion of horses in a therapeutic setting can lead to a decreased HR in young adults with intellectual disability while mastering a challenge. Future research should investigate this potential benefit of EAT, considering the reciprocal influences and the relationship between client, therapist and horse.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101937"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moderate intensity continuous training, combined moderate-intensity continuous training vs combined high-intensity interval training in adults with hypertension: Randomized controlled trial","authors":"Isabel López-Ruiz ,&nbsp;Fernando Lozano Ruiz-Poveda ,&nbsp;María Dolores Masía ,&nbsp;Juan Ramón Heredia-Elvar ,&nbsp;Noelia González-Gálvez","doi":"10.1016/j.ctcp.2025.101960","DOIUrl":"10.1016/j.ctcp.2025.101960","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Despite all efforts to treat hypertension, it is still responsible for 10.8 million deaths annually. The aim of this study was to compare the effects of continuous moderate-intensity training, strength training combined with continuous moderate-intensity training and strength training combined with high-intensity interval training in adults with high blood pressure.</div></div><div><h3>Methods</h3><div>A 12-week randomized control trial was performed. A total of 100 volunteers, 51 women and 49 men with hypertension participated. The sample was randomly assigned into three intervention groups and one control group.</div></div><div><h3>Results</h3><div>All intervention groups significantly improved their hemodynamic parameters, body composition, lipid profile, glucose, and physical fitness as compared to the control group. Both combined training groups showed greater improvements than the moderate-intensity continuous training group. However, the strength group combined with the moderate-intensity continuous group showed the greatest benefits in systolic, diastolic and mean arterial pressure, of −13.4 mmHg, −6.8 mmHg and −8.9 mmHg respectively, abdominal circumference, upper and lower limb strength and VO₂peak, versus the continuous moderate-intensity group; it also achieved greater reductions in systolic and mean blood pressure, up to −6.8 mmHg and 4.3 mmHg respectively, than the strength group combined with the high intensity interval group.</div></div><div><h3>Conclusion</h3><div>Performing a strength training program combined with continuous moderate intensity training, 2 days per week for 12 weeks, produces significant improvements in cardiometabolic biomarkers, body composition, and physical condition of adults with hypertension, with these adaptations being superior to those produced by continuous moderate-intensity training and strength training combined with high-intensity intervallic training.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101960"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Needling trigger points for treating myofascial pain syndrome: A systematic review and meta-analysis","authors":"Yuwei Zhao ,&nbsp;Yun Yang ,&nbsp;Xiehe Kong ,&nbsp;Jie Liu ,&nbsp;Jue Hong ,&nbsp;Yanting Yang ,&nbsp;Yue Zhao ,&nbsp;Xinyun Huang ,&nbsp;Xiaopeng Ma","doi":"10.1016/j.ctcp.2025.101978","DOIUrl":"10.1016/j.ctcp.2025.101978","url":null,"abstract":"<div><h3>Background</h3><div>Myofascial pain syndrome (MPS) is a widespread musculoskeletal disorder characterized by myofascial trigger points. Needling trigger points is one of the most common therapeutic interventions to treat MPS. However, it is unclear whether needling trigger points is superior to other non-pharmacological interventions.</div></div><div><h3>Methods</h3><div>Randomized clinical trials (RCTs) which compared the effectiveness of needling trigger points and other non-pharmacological therapies for treating MPS, were searched in the databases of PubMed, Web of Science, Embase, Cochrane Library, CNKI, WanFang, VPCS, and Sinomed, from their inception to August 25th, 2024. Two independent reviewers extracted relevant data on study characteristics and assessed the risk of bias using the Cochrane Risk of Bias Tool.</div></div><div><h3>Results</h3><div>Of the 1968 articles initially screened, 13 RCTs were included. Needling trigger points treatment were more efficacious than non-pharmacological therapies in reducing Visual Analog Scale (VAS) scores (MD = −1.32; 95 % CI = −1.84 to −0.81; P &lt; 0.0001) and the Roland-Morris Disability Questionnaire (RMDQ) scores (MD = −2.77; 95 % CI = −3.58 to −1.97; P &lt; 0.0001).</div></div><div><h3>Conclusion</h3><div>This systematic review has shown that needling trigger points could be a more effective option than other non-pharmacological therapies to improve the symptoms of MPS. Clinical trials of robust quality are required to promote further the evidence-based application of needling trigger points for MPS.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101978"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the associations of perceived physical literacy with depression, anxiety, and stress among Spanish adolescents","authors":"Raquel Pastor-Cisneros ,&nbsp;José Francisco López-Gil ,&nbsp;Johannes Carl ,&nbsp;José Carmelo Adsuar ,&nbsp;María Mendoza-Muñoz","doi":"10.1016/j.ctcp.2025.101948","DOIUrl":"10.1016/j.ctcp.2025.101948","url":null,"abstract":"<div><h3>Background and purpose</h3><div>The concept of physical literacy has gained prominence in the context of adolescent health, with increasing evidence suggesting its potential as a pivotal factor in promoting adolescent well-being and physical activity. The objective of the current study was to examine the relationships between perceived physical literacy (PPL) and symptoms of depression, anxiety, and stress in Spanish adolescents.</div></div><div><h3>Materials and methods</h3><div>A cross-sectional study including 714 adolescents was conducted. The Spanish Perceived Physical Literacy Instrument for Adolescents (S-PPLI) and Depression Anxiety Stress Scale 21 (DASS-21) were used. To determine the relationship between the PPL and DASS-21 score, robust linear regression models were constructed.</div></div><div><h3>Results</h3><div>After adjusting for several covariates, an inverse relationship was found between the S-PPLI score and the domains of the DASS-21 (symptoms of depression: unstandardized beta coefficient [<em>B</em>] = −0.14; 95 % confidence interval [CI] −0.20 to −0.08; <em>p</em> &lt; 0.001; anxiety: <em>B</em> = −0.09; 95 % CI −0.15 to −0.04; <em>p</em> = 0.002; and stress: <em>B</em> = −0.09; 95 % CI −0.16 to −0.03; <em>p</em> = 0.006). Furthermore, adolescents with high PPL status presented significantly lower symptoms of depression, anxiety and stress than adolescents with low PPL status did.</div></div><div><h3>Conclusion</h3><div>PPL could be considered a key factor in preventing the development of symptoms of depression, anxiety, and stress in the adolescent population. Physical literacy might play a decisive role in the potential of physical activity in promoting mental health in adolescents.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101948"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}