Mental Health and Physical Activity最新文献

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Physical activity following discharge from inpatient adult mental health settings 成人精神健康住院病人出院后的体育活动
IF 4.7 3区 医学
Mental Health and Physical Activity Pub Date : 2023-12-18 DOI: 10.1016/j.mhpa.2023.100574
Philip Hodgson , Jack Haywood , Alex Benham
{"title":"Physical activity following discharge from inpatient adult mental health settings","authors":"Philip Hodgson ,&nbsp;Jack Haywood ,&nbsp;Alex Benham","doi":"10.1016/j.mhpa.2023.100574","DOIUrl":"10.1016/j.mhpa.2023.100574","url":null,"abstract":"<div><h3>Background</h3><p>People with severe mental illness are considerably less physically active than the general population and experience a premature mortality<span> of 10–20 years, often attributed to modifiable behaviours<span>, including physical activity. Inpatient environments provide opportunities for people with SMI to become more physically active, however evidence is limited on its sustainability following discharge to community settings.</span></span></p></div><div><h3>Objective</h3><p>This review aimed to summarise the published evidence relating to physical activity interventions following discharge from inpatient adult mental health settings.</p></div><div><h3>Design</h3><p>MEDLINE, CINAHL, PsycINFO and AMED databases were searched to identify articles considering physical activity interventions taking place following discharge from an adult (&gt;18) inpatient mental health setting, published after 2007.</p></div><div><h3>Results</h3><p>Of 3412 unique results, 5 studies were eligible for inclusion. Despite all included studies involving some transition between inpatient and community mental health settings, to-date no study has focused exclusively on physical activity interventions delivered following discharge from inpatient mental health settings.</p></div><div><h3>Conclusions</h3><p>This review has found insufficient evidence to guide the delivery of physical activity following discharge from inpatient mental health services. Future research is required to improve our knowledge of the optimal forms and delivery of physical activity interventions during this time, alongside quantifying the impact on readmission rates and clinical presentation.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"26 ","pages":"Article 100574"},"PeriodicalIF":4.7,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138820127","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}
引用次数: 0
“Goldilocks days” for adolescent mental health: Movement behaviour combinations for well-being, anxiety and depression by gender 青少年心理健康的 "黄金日":按性别分列的促进幸福感、焦虑和抑郁的运动行为组合
IF 4.7 3区 医学
Mental Health and Physical Activity Pub Date : 2023-12-13 DOI: 10.1016/j.mhpa.2023.100572
Markus J. Duncan , Nicholas Kuzik , Diego Augusto Santos Silva , Richard E. Bélanger , Valerie Carson , Jean-Philippe Chaput , Guy Faulkner , Mark A. Ferro , Anne-Marie Turcotte-Tremblay , Scott T. Leatherdale , Karen A. Patte , Mark S. Tremblay
{"title":"“Goldilocks days” for adolescent mental health: Movement behaviour combinations for well-being, anxiety and depression by gender","authors":"Markus J. Duncan ,&nbsp;Nicholas Kuzik ,&nbsp;Diego Augusto Santos Silva ,&nbsp;Richard E. Bélanger ,&nbsp;Valerie Carson ,&nbsp;Jean-Philippe Chaput ,&nbsp;Guy Faulkner ,&nbsp;Mark A. Ferro ,&nbsp;Anne-Marie Turcotte-Tremblay ,&nbsp;Scott T. Leatherdale ,&nbsp;Karen A. Patte ,&nbsp;Mark S. Tremblay","doi":"10.1016/j.mhpa.2023.100572","DOIUrl":"10.1016/j.mhpa.2023.100572","url":null,"abstract":"","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"26 ","pages":"Article 100572"},"PeriodicalIF":4.7,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138680770","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}
引用次数: 0
Physical activity interventions to improve mental health and wellbeing in university students in the UK: A service mapping study 体育活动干预以改善英国大学生的心理健康和福祉:一项服务测绘研究
IF 4.7 3区 医学
Mental Health and Physical Activity Pub Date : 2023-11-29 DOI: 10.1016/j.mhpa.2023.100563
Francesca Malagodi , Eleanor J. Dommett , James L. Findon , Benjamin Gardner
{"title":"Physical activity interventions to improve mental health and wellbeing in university students in the UK: A service mapping study","authors":"Francesca Malagodi ,&nbsp;Eleanor J. Dommett ,&nbsp;James L. Findon ,&nbsp;Benjamin Gardner","doi":"10.1016/j.mhpa.2023.100563","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100563","url":null,"abstract":"<div><h3>Background and aims</h3><p>Student mental health is of increasing concern: over a quarter of UK students report a mental health issue, and reactive support services cannot cope with increasing demand. Physical activity (PA) is associated with improved mental health in higher education settings. Universities are well placed to offer PA to promote students’ mental health and wellbeing. This study represents the first attempt to establish how many UK universities offer PA-based interventions to improve mental health and wellbeing of students, and what these interventions entail. We sought to identify, and code the characteristics of, interventions regarding how to encourage regular PA.</p></div><div><h3>Methods</h3><p>All UK universities were contacted and asked to report PA provisions available to students. We extracted key information from intervention descriptions, including using the Behaviour Change Technique (BCT) Taxonomy v1, to characterise component behaviour change strategies.</p></div><div><h3>Results</h3><p>Of 143 public UK universities identified, 125 (87%) responded to our request. Of these, only 45 (36%) universities had PA provisions in place, with a total of 54 interventions available across the country, each delivered for between 6 and 12 weeks. Most interventions were tailored (82%) and used BCTs focused on instructing students on how to perform physical activity (61%), restructuring the environment to facilitate activity (54%), and behavioural goal setting (46%).</p></div><div><h3>Conclusions</h3><p>Only a minority of UK universities offer PA interventions to students. These offerings focus on enhancing students' <em>capabilities</em> and giving greater <em>opportunities</em> for PA. Universities should consider offering greater PA provision to students, and address students’ <em>motivation</em> to engage in PA.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"26 ","pages":"Article 100563"},"PeriodicalIF":4.7,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1755296623000613/pdfft?md5=12843897aedc89924e13a2d284a2dac3&pid=1-s2.0-S1755296623000613-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138501620","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}
引用次数: 0
Cross-cultural adaptation and validation of the Spanish version of the Exercise and Eating Disorders Questionnaire 西班牙语版运动与饮食失调问卷的跨文化适应与验证
IF 4.7 3区 医学
Mental Health and Physical Activity Pub Date : 2023-11-26 DOI: 10.1016/j.mhpa.2023.100564
María Fernandez-del-Valle , Margarita Pérez Ruiz , Danika A. Quesnel , Alejandro F. San Juan , Andrea Barrios-Hernández , Montserrat Graell-Berna , Fernando Martínez-Abad
{"title":"Cross-cultural adaptation and validation of the Spanish version of the Exercise and Eating Disorders Questionnaire","authors":"María Fernandez-del-Valle ,&nbsp;Margarita Pérez Ruiz ,&nbsp;Danika A. Quesnel ,&nbsp;Alejandro F. San Juan ,&nbsp;Andrea Barrios-Hernández ,&nbsp;Montserrat Graell-Berna ,&nbsp;Fernando Martínez-Abad","doi":"10.1016/j.mhpa.2023.100564","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100564","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aimed to adapt and assess the validity and reliability of the Spanish version of the Exercise in Eating Disorders Questionnaire (EED-Q) in order to diversify and offer a more comprehensive, effective, and standardized assessment of maladaptive exercise (ME) in ED.</p></div><div><h3>Methods</h3><p>The EED-Q is a self-reported questionnaire that assesses eating disorders (ED) patients' attitudes towards exercise. Based on the four-factor model of the original version, the EED-Q was adapted through forward and back-translation and inconsistencies were addressed through a committee of experts. Then, the EED-Q Spanish version (S-EED-Q) was administered to 172 patients with eating disorders (age = 15.28 ± 1.64 years). An exploratory factor analysis was computed to assess the construct validity. Inter-item correlations, item-factor correlations, McDonald's Omega, and Cronbach's Alpha were estimated to test the internal consistency (reliability). In addition, convergent validity was tested by relating EED-Q and the Eating Disorders Inventory 2 (EDI-2) scores, discriminant validity was assessed comparing EED-Q item-factor correlations, and divergent validity was conducted by analyzing EED-Q factor correlations.</p></div><div><h3>Results</h3><p>The S-EED-Q revealed significant generalized correlations among the scale items and showed good reliability scores (McDonald's Omega and Cronbach's alpha &gt;0.7) except for Factor 2 (McDonald's Omega = 0.63 and Cronbach's alpha = 0.58). After eliminating items 8 and 15 due to their low factor loadings, the EFA revealed a robust empirical factor structure, adequate to the theoretical model, with good levels of total explained variance (65%). Convergent, discriminant and divergent validity showed good performance: results showed expected correlations between EED-Q and EDI-2, all items achieved higher item-factor correlations in their theoretical factor than in the others, and all factor-factor correlations were as expected.</p></div><div><h3>Conclusion</h3><p>This study is the first to adapt and validate the S-EED-Q. The psychometric properties of the S-EED-Q compared to the original version were supported with some limitations. Although the psychometric properties of the scale are adequate and the construct, convergent, discriminant and divergent validity are endorsed, some of the original items are questionable. Likewise, the items of the positive and healthy exercise factor require an in-depth revision.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"26 ","pages":"Article 100564"},"PeriodicalIF":4.7,"publicationDate":"2023-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1755296623000625/pdfft?md5=2d291aa07b5ba40c1b1a13800769e602&pid=1-s2.0-S1755296623000625-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138467350","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}
引用次数: 0
Physical activity and mental health: Comparing between-person and within-person associations in longitudinal analysis 体育活动与心理健康:纵向分析中人与人之间关联的比较
IF 4.7 3区 医学
Mental Health and Physical Activity Pub Date : 2023-10-01 DOI: 10.1016/j.mhpa.2023.100546
Chloe Sher , Cary Wu
{"title":"Physical activity and mental health: Comparing between-person and within-person associations in longitudinal analysis","authors":"Chloe Sher ,&nbsp;Cary Wu","doi":"10.1016/j.mhpa.2023.100546","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100546","url":null,"abstract":"<div><h3>Background</h3><p>Extensive research has consistently highlighted the strong association between physical activity and mental health. But few have examined how this association may differ at the between-person and the within-person level. This longitudinal study compares how within-person and between-person changes in physical activity are associated mental health during the COVID-19 pandemic among the American population.</p></div><div><h3>Methods</h3><p>We analyzed data from the Understanding Coronavirus in America (UCA) survey, a probability-based online panel of American adults. An average of more than 6000 panel members repeatedly participated across 33 waves from the start of the pandemic in March 2020 to January 2023. Measures of physical activity include 1) number of days exercised in the past week (0–7), and 2) whether gone outside to walk, hike, and exercise in the past week (0 = no, 1 = yes), capturing both the frequency and the context (e.g., outdoor) of physical activity. Mental health is indicated using the four-item Patient Health Questionnaire (PHQ-4). We used multilevel Within-Between Random Effects models (REWB) that provide coefficients for both between-individual as well as within-individual associations.</p></div><div><h3>Results</h3><p>We reported three main findings. First, both within-person and between-person increases in physical activity are significantly associated with lower levels of anxiety and depression regardless of the measure. Second, between-person changes in physical activity are more strongly associated with mental health than within-person changes. Third, a large share of the between-person association (about 32%) can be attributed to structural inequalities captured by status markers such as gender, race, and SES.</p></div><div><h3>Conclusions</h3><p>Our findings indicate the value of physical activity as a mental health intervention and highlight that both between-individual inequality in physical activity, as well as within-individual changes in physical activity, should be considered. The finding of a stronger between-person association that is largely related to status markers such as gender, race, and SES can be used to develop targeted intervention and prevention strategies to improve mental health through physical activity among the most vulnerable populations.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"25 ","pages":"Article 100546"},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187486","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}
引用次数: 1
Physical activity interventions for young people with increased risk of problematic substance use: A systematic review including different intervention formats 针对问题药物使用风险增加的年轻人的体育活动干预:包括不同干预形式的系统综述
IF 4.7 3区 医学
Mental Health and Physical Activity Pub Date : 2023-10-01 DOI: 10.1016/j.mhpa.2023.100551
Lisa Klamert , Gillinder Bedi , Melinda Craike , Susan Kidd , Michaela C. Pascoe , Alexandra G. Parker
{"title":"Physical activity interventions for young people with increased risk of problematic substance use: A systematic review including different intervention formats","authors":"Lisa Klamert ,&nbsp;Gillinder Bedi ,&nbsp;Melinda Craike ,&nbsp;Susan Kidd ,&nbsp;Michaela C. Pascoe ,&nbsp;Alexandra G. Parker","doi":"10.1016/j.mhpa.2023.100551","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100551","url":null,"abstract":"<div><h3>Objective</h3><p>This systematic review investigates physical activity (PA) interventions for (1) reducing substance use and associated outcomes, (2) increasing physical activity, and (3) improving mental health in young people aged 12–25 years at increased risk for problematic substance use.</p></div><div><h3>Method</h3><p>Four databases (PsycINFO, CINAHL, SPORTDiscus, and Medline) and grey literature, including hand searches, were searched (2021–2022). Non-randomized controlled or randomized controlled trials of a) multimodal or unimodal, short or long-term physical activity interventions in young people at increased risk of problematic substance use that b) investigated substance use outcomes were included. PA and mental health outcomes were explored where possible.</p></div><div><h3>Results</h3><p>Sixty-one percent of the studies (k = 17/28) reported a significant improvement in outcomes related to tobacco (e.g., abstinence, cravings, withdrawal symptoms, smoking pattern), alcohol (e.g., quantity, frequency), or other substance use (e.g., frequency, quantity, recent use). Eight studies reported an increase in PA participation; two reported a beneficial effect on depression symptoms. The certainty of the evidence, i.e., the confidence in the reported effect estimates, was downgraded based on the risk of bias assessment. Findings should therefore be interpreted cautiously.</p></div><div><h3>Conclusions</h3><p>A range of physical activity intervention formats and modalities may decrease substance use and associated outcomes and increase physical activity participation among people at risk for problematic substance use. Future research is warranted to better establish efficacy and investigate the effectiveness of implementing physical activity as part of treatment for substance use in young people.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"25 ","pages":"Article 100551"},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187526","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}
引用次数: 1
Interventions to increase physical activity and reduce sedentary behaviour in severe mental ill health: How effective are they?’- A systematic review 在严重精神疾病中增加体育活动和减少久坐行为的干预措施:效果如何?”-系统综述
IF 4.7 3区 医学
Mental Health and Physical Activity Pub Date : 2023-10-01 DOI: 10.1016/j.mhpa.2023.100547
Emily Peckham , Garry Tew , Ben Lorimer , Laura Bailey , Rebecca Beeken , Cindy Cooper , Samantha Gascoyne , Simon Gilbody , Gareth Jones , Katarzyna Machaczek , Katie Pickering , Gemma Traviss-Turner , Brendon Stubbs
{"title":"Interventions to increase physical activity and reduce sedentary behaviour in severe mental ill health: How effective are they?’- A systematic review","authors":"Emily Peckham ,&nbsp;Garry Tew ,&nbsp;Ben Lorimer ,&nbsp;Laura Bailey ,&nbsp;Rebecca Beeken ,&nbsp;Cindy Cooper ,&nbsp;Samantha Gascoyne ,&nbsp;Simon Gilbody ,&nbsp;Gareth Jones ,&nbsp;Katarzyna Machaczek ,&nbsp;Katie Pickering ,&nbsp;Gemma Traviss-Turner ,&nbsp;Brendon Stubbs","doi":"10.1016/j.mhpa.2023.100547","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100547","url":null,"abstract":"<div><h3>Background</h3><p>People with severe mental ill health experience a mortality gap of 15–20 years and one of the main reasons for this is due to preventable physical health conditions. Physical activity can reduce the risk of developing physical health conditions such as diabetes and cardiovascular disease yet people with severe mental ill health are less physically active and more sedentary than the general population.</p></div><div><h3>Methods</h3><p>A systematic review was conducted to investigate the effectiveness of interventions aimed at increasing physical activity and reducing sedentary behaviour in people with severe mental ill health. The protocol was published with PROSPERO (CRD42021277579). Randomised controlled trials conducted in any country in any setting and published in English with an aim of increasing physical activity or reducing sedentary behaviour were included.</p></div><div><h3>Results</h3><p>Eleven unique studies were identified for inclusion. Due to the variability between interventions, outcome measures, and time points, it was not possible to conduct a meta-analysis. Effect estimates suggested that three of the interventions were effective at increasing physical activity. However, the certainty of the evidence was rated as low using the GRADE approach.</p></div><div><h3>Conclusions</h3><p>The evidence on interventions to increase activity shows promise but is insufficiently robust for an intervention to be recommended in clinical guidelines. More high-quality and statistically powered trials are needed to guide best practice and policy.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"25 ","pages":"Article 100547"},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187481","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}
引用次数: 1
Effects of different exercise patterns on drug craving in female methamphetamine-dependent patients: Evidence from behavior and fNIRS 不同运动方式对女性甲基苯丙胺依赖患者药物渴求的影响:来自行为学和fNIRS的证据
IF 4.7 3区 医学
Mental Health and Physical Activity Pub Date : 2023-10-01 DOI: 10.1016/j.mhpa.2023.100534
Yifan Chen , Xuru Wang , Chenglin Zhou
{"title":"Effects of different exercise patterns on drug craving in female methamphetamine-dependent patients: Evidence from behavior and fNIRS","authors":"Yifan Chen ,&nbsp;Xuru Wang ,&nbsp;Chenglin Zhou","doi":"10.1016/j.mhpa.2023.100534","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100534","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the effects of short-term moderate-intensity cycle ergometer and aerobic calisthenics training on drug craving and brain activity.</p></div><div><h3>Methods</h3><p>Forty female methamphetamine (MA)-dependent patients were randomly assigned to receive 30 min of either moderate-intensity cycle ergometer or aerobic calisthenics training. Before and after exercise, drug-cue exposure task was used to assess changes in subjective drug craving, and functional near-infrared spectroscopy (fNIRS) was used to assess activation of prefrontal cortex.</p></div><div><h3>Results</h3><p>After the intervention, drug craving was significantly decreased in both groups, and activation of frontal polar area (FPA) was significantly decreased in the cycle ergometer group. Functional connectivity between right dorsolateral prefrontal cortex (DLPFC) and FPA in the aerobic calisthenics group was significantly reduced. Pre-exercise levels of drug craving correlated positively with FPA activation.</p></div><div><h3>Conclusion</h3><p>Both short-term moderate-intensity cycle ergometer and aerobic calisthenics training effectively reduced subjective drug craving in female MA-dependent patients. Cycle ergometer training mainly decreased neural activity in FPA, and likely suppressed drug craving by reducing the episodic memory and pleasure experience of drug-related cues. Aerobic calisthenics training reduced functional connectivity between FPA and right DLPFC, and likely helped subjects reduce the motivation for drug-related behavior and inhibit drug craving.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"25 ","pages":"Article 100534"},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187489","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}
引用次数: 0
Adding web-based support to exercise referral schemes improves symptoms of depression in people with elevated depressive symptoms: A secondary analysis of the e-coachER randomised controlled trial 在运动转诊计划中添加基于网络的支持可以改善抑郁症状加重者的抑郁症状:e-oachER随机对照试验的二次分析
IF 4.7 3区 医学
Mental Health and Physical Activity Pub Date : 2023-10-01 DOI: 10.1016/j.mhpa.2023.100535
Jeffrey Lambert , Adrian Taylor , Adam Streeter , Colin Greaves , Wendy M. Ingram , Sarah Dean , Kate Jolly , Nanette Mutrie , Lisa Price , John Campbell
{"title":"Adding web-based support to exercise referral schemes improves symptoms of depression in people with elevated depressive symptoms: A secondary analysis of the e-coachER randomised controlled trial","authors":"Jeffrey Lambert ,&nbsp;Adrian Taylor ,&nbsp;Adam Streeter ,&nbsp;Colin Greaves ,&nbsp;Wendy M. Ingram ,&nbsp;Sarah Dean ,&nbsp;Kate Jolly ,&nbsp;Nanette Mutrie ,&nbsp;Lisa Price ,&nbsp;John Campbell","doi":"10.1016/j.mhpa.2023.100535","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100535","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Exercise referral schemes (ERS) reduce depression but the additional effect on mental health from web-based behavioural support is unknown. The e-coachER trial reported no effect of augmenting usual ERS with theory-driven web-based behavioural support on moderate to vigorous physical activity (MVPA) at 12 months for patients with chronic physical and mental health conditions. The present study reports the effects of the e-coachER intervention on depression, anxiety and MVPA only among participants with elevated depressive symptoms and investigates whether these were mediated by changes in MVPA and hypothesised cognitive and behavioural processes.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;Of the original 450 adults recruited into the e-coachER trial, 205 had at least mild depression, based on the Hospital Anxiety and Depression Scale (HADS), and were included in the present analysis. Data collected included the HADS, accelerometer measured and self-reported MVPA and survey process measures on physical activity action planning, self-monitoring and goal reviewing, and perceived importance, confidence, competence, autonomy and support. Linear mixed models were used to compare groups for change in depression and anxiety at 4 and 12 months using intention-to-treat complete case analysis, controlling for baseline. We also examined whether changes in physical activity and process variables at 4 months mediated changes in depression and anxiety at 12 months.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;Of the 205 participants, 138 (67%) provided follow-up data at four months and 126 (61%) at 12 months. For those that provided follow-up data, those randomised to e-coachER reported improved levels of depression (−1.36, 95% CI: −2.55 to −0.18) but not anxiety, or MVPA, compared with controls at four months. No differences were observed at 12 months for depression, anxiety or MVPA. Intervention effects on accelerometer-measured or self-reported MVPA did not mediate improvements in depression or anxiety. However, intervention effects on confidence, competence and self-monitoring at four months significantly mediated the reduction in depression scores at four months. Intervention effects on competence and self-monitoring at four months also significantly mediated improvements in anxiety scores at four months.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Interpretation&lt;/h3&gt;&lt;p&gt;Adding web-based support to usual &lt;span&gt;ERS&lt;/span&gt; leads to reductions in depression but not anxiety at four months. Changes in depression and anxiety were influenced by changing people's motivational regulations toward physical activity. The benefit of adding web-based support to usual &lt;span&gt;ERS&lt;/span&gt; on mental health appears to be from increasing a sense of confidence, competence and self-monitoring rather than from increasing physical activity in people with elevated depression. ERS should focus more on strengthening motivational regulations than just doing more exercise.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Trial registratio","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"25 ","pages":"Article 100535"},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187491","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}
引用次数: 0
Investigating psychosocial and behavioural mediators of the relationship between physical activity and depressive symptoms in women from socioeconomically disadvantaged neighbourhoods 调查社会经济弱势社区妇女身体活动与抑郁症状之间关系的社会心理和行为中介因素
IF 4.7 3区 医学
Mental Health and Physical Activity Pub Date : 2023-10-01 DOI: 10.1016/j.mhpa.2023.100560
Thea Baker , Rhiannon White , Gavin Abbott , Eloise Litterbach , Megan Teychenne
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