Mental Health and Physical Activity最新文献

{"title":"Getting active through mindfulness: Randomised controlled trial of a digital mindfulness-based intervention promoting physical activity engagement and enjoyment","authors":"Masha Remskar ,&nbsp;Ben Ainsworth ,&nbsp;Olivia M. Maynard ,&nbsp;Olivia S. Malkowski ,&nbsp;Adam Birch ,&nbsp;Amber K. Burd ,&nbsp;Teodor-Cristian Caretu ,&nbsp;Lana El Assaad ,&nbsp;Alexia Christodoulou-Tsiaoukkas ,&nbsp;Aarya Menon ,&nbsp;Max J. Western","doi":"10.1016/j.mhpa.2025.100680","DOIUrl":"10.1016/j.mhpa.2025.100680","url":null,"abstract":"<div><h3>Background</h3><div>Physical inactivity and mental ill-health are common in university students. Physical activity (PA) interventions can improve health and wellbeing, yet resulting changes to behaviour are rarely maintained. Mindfulness training that develops psychological skills and PA cognitions may facilitate PA engagement. This preregistered trial explored the additive effects of a 30-day digital mindfulness-based intervention promoting PA engagement, compared to a simple PA intervention alone, in insufficiently active university students.</div></div><div><h3>Methods</h3><div>109 participants from three sites in England were randomised to receive an activity monitor and daily step goal (8000 steps/day; PA-only group), or a 30-day digital mindfulness intervention plus activity monitor/step goal (MPA group). Primary outcomes were self-reported PA and sedentary time; secondary were wellbeing, mental health, PA motivation, enjoyment and self-efficacy, and theoretical predictors of PA. Data were collected through surveys (pre- and post-intervention) and daily ecological momentary assessments.</div></div><div><h3>Results</h3><div>Self-reported PA doubled, and sedentary time reduced, with greater but not significant improvements in the MPA group from baseline to post-intervention (<em>M</em>_{<em>diffofdiff</em>} = 305 MET-min/wk; −9.5 h/wk). Psychological health outcomes were mixed. The MPA group reported stronger increases in behavioural intentions to be active vs. PA group. State mindfulness during PA increased in both groups, whereas exercise self-efficacy was unchanged.</div></div><div><h3>Conclusions</h3><div>Adding digital mindfulness training to a wearable-based PA intervention helped participants increase their intentions for PA, but did not produce differences in PA behaviour or sedentary time. Further research should determine if mindfulness-induced changes in PA cognitions support sustained engagement in PA over longer time periods.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100680"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828253","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":"Effects of a 6-week at-home exercise intervention on psychological and physical indicators of well-being during the COVID-19 pandemic: Secondary analysis of a pragmatic randomized trial","authors":"Benjamin A. Hives ,&nbsp;Brook L. Haight ,&nbsp;Mark R. Beauchamp ,&nbsp;Yan Liu ,&nbsp;Joshua Webster ,&nbsp;Boaz Injege ,&nbsp;Michael S. Koehle ,&nbsp;Eli Puterman","doi":"10.1016/j.mhpa.2025.100675","DOIUrl":"10.1016/j.mhpa.2025.100675","url":null,"abstract":"<div><h3>Objective</h3><div>To examine whether a 6-week at-home exercise intervention, delivered via mobile applications (apps), improves psychological and physical well-being and alleviates ill-being symptoms in adults during the early months of the COVID-19 pandemic.</div></div><div><h3>Methods</h3><div>Low active Canadian adults (n = 334) were recruited and randomized to one of three app conditions [Yoga, n = 86; high-intensity interval training (HIIT), n = 82, HIIT + Yoga, n = 83] or a waitlist control condition (n = 83). Those in the exercise conditions (HIIT, Yoga, HIIT + Yoga) were asked to use their respective modules in the apps to complete four 20-min sessions per week for six weeks. Indicators of well-being (flourishing, general mental health, life satisfaction, positive affect, resilience, and perceived physical health) and ill-being (burden of psychosocial problems, negative affect, psychological distress, psychological stress, and physical symptoms) were measured every week over the intervention.</div></div><div><h3>Results</h3><div>After six weeks, compared to the waitlist control condition, those in the HIIT + Yoga condition improved in all well-being outcomes, those in the Yoga condition showed improvements in flourishing, positive affect, and perceived physical health, and those in the HIIT condition showed no improvements in well-being indicators. None of the three exercise conditions demonstrated any improvement in ill-being indicators compared to the waitlist control condition.</div></div><div><h3>Conclusion</h3><div>Engagement with at-home exercise apps over 6 weeks can improve multiple facets of well-being (e.g., flourishing, positive affect), especially when a variety of modalities of exercise are presented.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100675"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510600","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":"The moderating role of different lifestyle domains in the association between physical activity and depressive symptoms in brazilian university students","authors":"Debora Tornquist ,&nbsp;Maria Eduarda Adornes Guimarães ,&nbsp;Eduarda Bitencourt dos Santos ,&nbsp;Julia Amaral Teixeira ,&nbsp;Jênifer de Oliveira ,&nbsp;Aline Josiane Waclawovsky ,&nbsp;Ana Carolina Guidorizzi Zanetti ,&nbsp;Daniel Alvarez Pires ,&nbsp;Danilo Rodrigues Pereira da Silva ,&nbsp;Fabianna Resende de Jesus-Moraleida ,&nbsp;Helena Ferreira Moura ,&nbsp;Luis Eduardo Wearick-Silva ,&nbsp;Nicole Leite Galvão-Coelho ,&nbsp;Renato Sobral Monteiro-Junior ,&nbsp;Thiago Sousa Matias ,&nbsp;Andrea Camaz Deslandes ,&nbsp;Felipe Barreto Schuch","doi":"10.1016/j.mhpa.2025.100682","DOIUrl":"10.1016/j.mhpa.2025.100682","url":null,"abstract":"<div><h3>Purpose</h3><div>Evidence shows that physical activity (PA) is associated with a lower risk of depression, but the moderating factors of this relationship still need to be better elucidated. This study aimed to investigate the association between <span>PA</span> and depressive symptoms (DS), and whether substance use, diet, sleep, social support, stress management, and screen time can moderate this association.</div></div><div><h3>Method</h3><div>This cross-sectional study was conducted using data from the UNILIFE-M Cohort (pilot phase). The sample consisted of undergraduate and graduate students from 11 Brazilian universities. DS were measured using the Patient Health Questionnaire-2 and PA and lifestyle domains, using the Short Multidimensional Inventory Lifestyle Evaluation. Moderation analyses were conducted by multiple linear regression. In models with significant interactions, the Johnson-Neymann technique estimated points of the moderating variables that demonstrate modification in the association between PA and DS.</div></div><div><h3>Results</h3><div>The final sample included 790 students (23 ± 6 years; 56.3 % women). PA was associated with DS (β: 0.014; 95 %CI: −0.018;-0.011), with significant interaction with diet (p = 0.016) and stress management (p = 0.041). A linear reduction in the effect of PA on DS was observed as diet and stress management scores increased. The association ceased to be significant among students who presented ≥77.70 out of 100 points in the diet score and ≥55.82 out of 100 points in the stress management score. Substance use, sleep, social support, and screen time did not show significant interactions.</div></div><div><h3>Conclusion</h3><div>These findings indicate that staying active appears especially important among students who are unable to adopt good eating habits and stress management measures.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100682"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874344","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":"Capoeira and brain function: Hypotheses and perspectives from a systematic review","authors":"Renato Sobral Monteiro-Junior ,&nbsp;Valter da Rocha Fernandes ,&nbsp;Henrique Nunes Pereira Oliva ,&nbsp;Tiago Paiva Prudente ,&nbsp;Sidarta Ribeiro","doi":"10.1016/j.mhpa.2025.100678","DOIUrl":"10.1016/j.mhpa.2025.100678","url":null,"abstract":"<div><h3>Objective</h3><div>To review the literature on brain activation and cognitive network in individuals involved in Capoeira. Additionally, we propose a hypothetical model of brain function in response to Capoeira stimuli.</div></div><div><h3>Methods</h3><div>This systematic review was conducted based on PRISMA guidelines. Articles investigating neurocognitive domains or neurophysiological mechanisms in the brains of individuals involved with Capoeira were retrieved from PubMed, Web of Science, Scopus, Embase, and Lilacs in July 2024 (PROSPERO CRD42024556159). Outcomes related to neurocognitive domains or brain functionality, such as cortical and subcortical activity, neural circuitry, and oxygen or glucose metabolism, were analyzed.</div></div><div><h3>Results</h3><div>Five articles with a total of 1365 individuals involved with Capoeira were selected and analyzed. Individuals involved with Capoeira presented alterations in the left hemisphere of the precentral gyrus, the right dorsal premotor cortex, posterior insular cortex, visual cortex, supplementary motor area, and post-central gyrus, among other subregions. Neurocognitive effects were particularly prominent in children.</div></div><div><h3>Conclusion</h3><div>Capoeira practice engages a broad network of brain regions, notably the prefrontal, temporal, and parietal cortices, regions related to motor and cognitive processing. Subcortical regions also seem to be activated in individuals involved in Capoeira, potentially relating to executive control and emotions. This review highlights the neural engagement related to Capoeira exposure, suggesting benefits in motor, cognitive, and emotional processing, which may inspire future research and therapeutic applications of Capoeira.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100678"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820786","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":"Effects of an exercise and sport intervention on symptoms of post-traumatic stress disorder and other mental health indices among asylum seekers in a camp. A pragmatic randomized controlled trial","authors":"Konstantinia Filippou ,&nbsp;Florian Knappe ,&nbsp;Antonis Hatzigeorgiadis ,&nbsp;Ioannis D. Morres ,&nbsp;Emmanouil Tzormpatzakis ,&nbsp;Theodoros Proskinitopoulos ,&nbsp;Marianne Meier ,&nbsp;Harald Seelig ,&nbsp;Sebastian Ludyga ,&nbsp;Uwe Pühse ,&nbsp;Roland von Känel ,&nbsp;Yannis Theodorakis ,&nbsp;Markus Gerber","doi":"10.1016/j.mhpa.2025.100676","DOIUrl":"10.1016/j.mhpa.2025.100676","url":null,"abstract":"<div><h3>Background and aims</h3><div>People seeking asylum face a high risk of mental health disorders, in particular post-traumatic stress (PTSD). Physical activity has been recommended as an effective treatment for relieving mental health symptoms, yet the impact of exercise and sport in this particular and steeply increasing population has been scantly studied. This study aimed to examine the effects of an exercise and sport intervention primarily on PTSD but also on symptoms of depression, anxiety, stress, and well-being, among asylum seekers living in a camp.</div></div><div><h3>Methods</h3><div>One hundred and forty-two asylum seekers (75 women) were enrolled and randomly assigned into intervention and control groups. A 10-week intervention was implemented during which a variety of organized exercise and sport activities were provided daily for men and women separately. Mixed model ANOVAs were conducted to examine changes in outcome measures from pre-to post-intervention.</div></div><div><h3>Results</h3><div>Ninety-eight participants (58% women) with a mean age of 29.87 (±10.12) years completed both the pre-and post-intervention measures. They displayed a rather poor mental health profile, with 59% suffering from PTSD. The results showed that among participants of the intervention group, those attending the sport and exercise activities on average twice or more per week showed improved PTSD symptoms (p = .03, η²_p = .05), whereas no changes were found for those attending less than twice per week (p = .95, η²_p &lt; .001), and participants of the control group (p = .98, η²_p &lt; .001); no significant changes were revealed for depression, anxiety, stress, and well-being.</div></div><div><h3>Conclusion</h3><div>The findings provided indications that engagement in exercise and sport can help ameliorate symptoms of PTSD among asylum seekers and highlight the importance of participation frequency; the lack of improvements in other mental health indices may be linked to external factors and requires further investigation.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100676"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143685365","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":"The effect of replacing sedentary behaviour with different intensities of physical activity on depression: A meta-analysis of isotemporal substitution studies","authors":"Xiaojun Liu ,&nbsp;Zhongyan Du ,&nbsp;Lina Wang ,&nbsp;Jiaqi Tian ,&nbsp;Ling Zhang ,&nbsp;Yuanyuan Li","doi":"10.1016/j.mhpa.2025.100677","DOIUrl":"10.1016/j.mhpa.2025.100677","url":null,"abstract":"<div><h3>Objective</h3><div>Physical activity, sedentary behaviour and sleep are modifiable risk factors associated with depressive symptoms, but there are conflicting findings regarding their relationship. Some studies reported that increased physical activity significantly reduces depressive symptoms, while others suggested that changes in sedentary behaviour or sleep have a more significant effect on depressive symptoms. In addition, many individual studies have ignored the dependencies between these behaviours. Studies have explored the effects of replacing sedentary behaviour with physical activity on depression, but the results remain inconclusive. Therefore, we aimed to summarize the evidence from studies that have used isotemporal substitution models to explore the effects of reallocating sedentary time to different activity intensities on adults with depression.</div></div><div><h3>Methods</h3><div>From inception to July 2024, a systematic search of Chinese and English databases was conducted to look for observational studies reporting the effects of replacing sedentary behaviours with light and/or moderate to vigorous physical activity, as well as sleep on depression. Random effects meta-analyses were performed to summarize the estimated odds ratios (ORs) and regression coefficients (β) and the corresponding 95 % confidence intervals (CIs). The OR reflects the effect of the substitution effect on the risk of depression, while the β reflects the effect on the level of depression. Subgroup analyses were also performed to explore potential moderators of heterogeneity. Study quality was assessed via the Newcastle-Ottawa Scale and the Agency for Health care Research and Quality evaluation criteria.</div></div><div><h3>Results</h3><div>Seventeen studies with 136,270 participants met the inclusion criteria. Pooled analyses revealed that replacing sedentary time with LPA was not significantly associated with depression in either cross-sectional (OR = 0.93, 95 % CI: 0.77–1.13) or prospective cohort studies (OR = 0.99, 95 % CI: 0.93–1.05). Reallocating sedentary time to patients' self-reported duration of sleep was associated with a reduction in depression (OR = 0.84, 95 %CI: 0.74–0.96). An accelerometer was used to measure physical activity, and replacing sedentary time with MVPA was cross-sectionally associated with depression (OR = 0.79, 95 % CI: 0.69–0.91), but no longitudinal association was found.</div></div><div><h3>Conclusion</h3><div>Replacing sedentary behaviours with moderate to vigorous physical activity and sleep may reduce the odds ratio of depression, but more research is needed to demonstrate the role of light-intensity physical activity on depression. Exercise guidelines and effective strategies to prevent depression must be developed to integrate the interplay of activity behaviours and provide targeted recommendations for time reallocation.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100677"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143696954","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":"Running toward substance use recovery II: Associations between physical activity, recovery capital and hope","authors":"Daniel A.R. Cabral,&nbsp;Anthony Nist,&nbsp;Ghada Nusair,&nbsp;Rafaela M. Fontes,&nbsp;Ana Carolina L. Bovo,&nbsp;Warren K. Bickel","doi":"10.1016/j.mhpa.2025.100684","DOIUrl":"10.1016/j.mhpa.2025.100684","url":null,"abstract":"<div><h3>Background</h3><div>Hope and recovery capital are critical constructs for a successful recovery from substance use disorders (SUD). Physical activity (PA) may be associated with these constructs. The present study examines the relationship between PA, recovery capital, hope, and the mediating role of recovery capital in the PA-hope association.</div></div><div><h3>Methods</h3><div>Data were collected from the International Quit &amp; Recovery Registry (IQRR) and comprised of 217 participants who reported being in recovery from SUD. Participants completed the Adult Hope Scale, Brief Assessment of Recovery Capital, a validated single-item PA question, demographics, and SUD-related questions. Multivariate linear regressions were used to test associations between PA with recovery capital and PA with hope. Mediation analysis evaluated the mediating role of recovery capital in the relationship between PA and hope.</div></div><div><h3>Results</h3><div>Participants (73.70 % women) had a mean age of 44.65 years. Bivariate analyses revealed that PA was positively associated with both recovery capital (<em>β</em> = 1.11, 95 % CI [0.57–1.67]) and hope (<em>β</em> = 1.21, 95 % CI [0.64–1.77]). In addition, PA remained a significant predictor of recovery capital (<em>β</em> = 0.94, 95 % CI [0.45–1.43]; adjusted by remission status and education) and hope (<em>β</em> = 1.05, 95 % CI [0.51–1.59]; adjusted by sex, education, and remission status). Finally, recovery capital mediated the relationship between PA and hope (<em>β</em> = 0.67, 95 % CI[0.31, 1.07]; each arm of the mediation was adjusted by the same covariates).</div></div><div><h3>Conclusion</h3><div>PA can be an important tool in the treatment and recovery of SUD, as it is associated with key recovery constructs. It may help build resources and a sense of hope among individuals in recovery from SUD.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100684"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874345","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":"‘A spark to start’: Experiences of forcibly displaced individuals participating in a co-designed exercise and sport intervention","authors":"Florian Knappe ,&nbsp;Konstantinia Filippou ,&nbsp;Antonis Hatzigeorgiadis ,&nbsp;Harald Seelig ,&nbsp;Marianne Meier ,&nbsp;Luce Ann Pieters ,&nbsp;Chiara Zollino ,&nbsp;Uwe Pühse ,&nbsp;Markus Gerber","doi":"10.1016/j.mhpa.2025.100681","DOIUrl":"10.1016/j.mhpa.2025.100681","url":null,"abstract":"<div><h3>Background</h3><div>A growing number of individuals are forced to leave their homes, facing numerous pre- and post-migration challenges that can increase their risk of physical and mental distress. Given the health benefits of exercise and sport, several initiatives aim to address these needs. However, the experiences and perceptions of displaced individuals participating in such activities have received little attention.</div></div><div><h3>Methods</h3><div>We conducted a qualitative study in 2021 within a reception center in Greece, utilizing ethnographic research methods, including observations, informal discussions, and field notes. These methods complemented the analysis of thirteen focus group discussions and six semi-structured interviews involving fifty-four individuals. An inductive, reflexive thematic analysis was performed to understand the factors driving engagement in exercise and sport activities cooperatively designed with participants, as well as their experiences and the meaning these activities hold for them.</div></div><div><h3>Results</h3><div>Three main themes were created: (1) a life on hold: systemic barriers to well-being in a reception center, (2) the multi-layered role of exercise and sport in pursuing individual goals, (3) co-designed exercise and sport activities as drivers to leave the container.</div></div><div><h3>Conclusion</h3><div>Structured, co-designed exercise and sport activities particularly enabled accessibility for women and older individuals. While these activities cannot resolve the burdensome structural conditions, they offer a ground for potential psychosocial benefits within the given socio-political framework, supporting individuals’ coping mechanisms with current living difficulties.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100681"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898414","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":"Understanding the barriers and facilitators of physical activity promotion for depression among healthcare professionals: A systematic review","authors":"Jemima Cooper,&nbsp;Georgina Wort,&nbsp;Fiona Gillison,&nbsp;Jeffrey Lambert","doi":"10.1016/j.mhpa.2025.100674","DOIUrl":"10.1016/j.mhpa.2025.100674","url":null,"abstract":"<div><div>Despite the evidence-based benefits of physical activity (PA) as a treatment for depression, many Healthcare Professionals (HCPs) do not promote PA to patients. We conducted a systematic review to identify the barriers and/or facilitators reported by HCPs working with individuals with depression, either exclusively or alongside other health conditions. Data were extracted and thematically analysed using the Theoretical Domains Framework (TDF). From 10,619 articles identified, 23 studies involving 5711 HCPs across 12 countries met the inclusion criteria of; 1) HCPs working with individuals with depression, either exclusively or alongside other health conditions, and 2) primary data on barriers and/or facilitators experienced by HCPs for promoting PA for the treatment of depression. We identified three key themes: assumptions about patients, perceived HCP beliefs and capabilities, and contextual influences. From the studies included in this review, key barriers to the promotion of PA for depression are HCPs’ perceptions about barriers to patients becoming more active, and a lack of a supportive environment for HCPs to promote PA for depression. HCPs having good knowledge of the benefits of PA and perceiving PA as an effective treatment for depression were key facilitators.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100674"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143528778","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":"Comparative effectiveness of mindfulness and physical exercise on rumination in patients with major depression: An integrated evaluation of an open label randomized trial","authors":"Hanna Gabriela Bezerra de Macedo Tinôco ,&nbsp;Geovan Menezes de Sousa ,&nbsp;Elissa Beatriz Araújo Ribeiro ,&nbsp;Jovita Eduarda de Mendonça Maciel ,&nbsp;Vagner Deuel de O. Tavares ,&nbsp;Maria Luiza de Morais ,&nbsp;Renali Camilo Bezerra ,&nbsp;Leonardo Alves Fernandes ,&nbsp;Rodolfo Aragão Lira ,&nbsp;Geissy Lainny de Lima-Araujo ,&nbsp;Emerson Arcoverde Nunes ,&nbsp;Megan Teychenne ,&nbsp;Patrícia Cavalcanti-Ribeiro ,&nbsp;Fernanda Palhano-Fontes ,&nbsp;Maria Bernardete Cordeiro de Sousa ,&nbsp;Nicole Leite Galvão-Coelho","doi":"10.1016/j.mhpa.2025.100679","DOIUrl":"10.1016/j.mhpa.2025.100679","url":null,"abstract":"<div><h3>Background and aims</h3><div>Rumination, characterized by repetitive and prolonged negative thoughts, is a common symptom of Major Depressive Disorder (MDD) that can impair treatment effectiveness. Among MDD treatments, pharmacological and non-pharmacological approaches have been demonstrating important changes in brain and behavior. Therefore, this randomized controlled trial aimed to evaluate the level of rumination of individuals who underwent the combined use of escitalopram and physical exercise or mindfulness practice, compared to those who used the medication as a stand-alone.</div></div><div><h3>Methods</h3><div>Rumination was evaluated in 88 MDD patients who were randomly assigned to three groups: stand-alone pharmacotherapy (control group, CG, n = 33), escitalopram adjunct to exercise (exercise group, EG, n = 26, 2 h/week), and escitalopram adjunct to mindfulness (mindfulness group, MG, n = 29, 2 h/week), in a 12-week treatment. The Ruminative Response Scale-Short Form (RRS-SF) was administered pre- and post-treatment to assess changes in rumination levels.</div></div><div><h3>Results</h3><div>While all groups exhibited reductions in general rumination, the mindfulness group demonstrated larger effect sizes (MG: d = 1.30; EG: d = 0.68; CG: d = 0.96), particularly among patients with high baseline rumination levels (MG: d = 1.51; EG: d = 0.88; CG: d = 0.42). Results for patients with low baseline levels of rumination were mixed. Further analysis of the reflective factor of the RRS-SF showed reductions only for EG and MG. A greater reduction in the brooding factor was found for MG in patients with high level of rumination.</div></div><div><h3>Conclusion</h3><div>These findings suggest that mindfulness, when used as a complementary therapy, may reduce the burden of MDD by promoting a more resilient state of mind that fosters less ruminative thought patterns, particularly in patients with intense rumination.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100679"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844085","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}