James W. Whitworth , Nicholas J. SantaBarbara , Sanaz Nosrat , Michelle M. Pebole , Bradley G. Cripe , Grace McKeon
{"title":"Acute changes in affective valence and perceived distress predict reductions in PTSD symptom severity","authors":"James W. Whitworth , Nicholas J. SantaBarbara , Sanaz Nosrat , Michelle M. Pebole , Bradley G. Cripe , Grace McKeon","doi":"10.1016/j.mhpa.2023.100523","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100523","url":null,"abstract":"<div><p>There is a growing amount of experimental evidence demonstrating therapeutic chronic effects of exercise (e.g., resistance exercise, running, and walking) on PTSD symptoms. However, it is currently unclear how individuals with PTSD experience exercise within individual exercise sessions (e.g., pleasurable or distressing), and if these acute experiences influence PTSD symptoms over time. Purpose: The objective of this study was to examine the acute effects of high intensity resistance exercise on affect, perceived arousal, and distress among individuals who screened positive for PTSD, using a randomized controlled design. Additionally, this study sought to explore longitudinal relations among affect, arousal, distress, and PTSD symptom severity. Methods: This study analyzed pooled data from two methodologically similar randomized controlled trials (i.e., a pilot and replication study). Participants (n = 52) were randomly assigned to exercise or non-exercise time-matched control. Data were analyzed with a series of longitudinal mixed-effects regression models. Results: The analyses suggest that positive affect increased, and distress decreased significantly during exercise sessions, relative to control. Independent of group, increases in positive affect and decreases in distress also significantly predicted decreases in PTSD symptom severity over the course of the study. Conclusions: Taken together, these findings suggest that high intensity resistance exercise is safe for individuals who screen positive for PTSD, pleasurable, and may have a therapeutic impact on trauma survivors. No evidence for symptom exacerbation was found. Future experimental studies are needed to verify these findings and determine if the observed relationships are similar for other exercise modes, durations, and intensities.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187487","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}
Emily J. Smail , Christopher N. Kaufmann , Stephen Anton , Todd M. Manini
{"title":"Older adults with clinically relevant depressive symptoms have equal mobility benefit from a chronic physical activity intervention","authors":"Emily J. Smail , Christopher N. Kaufmann , Stephen Anton , Todd M. Manini","doi":"10.1016/j.mhpa.2023.100549","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100549","url":null,"abstract":"<div><p>Approximately 18% of older adults experience mild-to-severe depressive symptoms in the U.S., which in turn can negatively affect their physical and cognitive health. It is widely acknowledged that physical activity has a positive impact on mood and depression and is highly recommended for symptom management across all ages. Little is known, however, about whether elevated depressive symptoms interfere with the potential benefits of chronic exercise on physical outcomes such as mobility improvements in older adults. In this secondary data analysis of the Lifestyle Interventions and Independence for Elders (LIFE) study, we analyzed data from 1545 older adults (mean age = 78.8, 66.7% female) randomized to either a physical activity or health education intervention with an average of 2.2 years of follow-up. We evaluated whether the presence of clinically relevant depressive symptoms (defined as a rescaled score of ≥16 on the Center for Epidemiological Studies-Depression [CES-D]-11 scale) moderated the effect of a chronic physical activity intervention on incident major mobility disability (MMD), objectively measured as the ability to walk 400 m and assessed every 6 months. There were significant main effects of both the physical activity intervention (<em>p</em> = 0.018) and clinically relevant depression (<em>p</em> < 0.001) on incident MMD, but we found no evidence of moderation by depression status (interaction <em>p</em>-value = 0.989). Our findings suggest older adults with clinically relevant depressive symptoms derive similar benefits from participating in a comprehensive physical activity intervention in terms of reduced risk of mobility disability. These results support the inclusion of older adults with depressive symptoms in behavior-based clinical trials.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187528","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":"Sounds hard: Prosodic features reflect effort level and related affective states during exercise","authors":"Aviv Emanuel , Inbal Ravreby","doi":"10.1016/j.mhpa.2023.100559","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100559","url":null,"abstract":"<div><p><span>Bouts of exercise have a substantial affective influence, which can impact performance and adherence through training programs. Yet, both the level of effort exertion and affective state during exercise are hard to monitor without the use of questionnaires, which suffer from certain limitations. Here, we examined whether prosodic features, prominent characteristics of human expression, reflect the effort level and its related affect during bouts of exercise. We extracted prosodic features from verbal affective valence ratings recorded in a previously published study (n = 20; 10 women; n</span><sub>obs</sub> = 2428) of resistance exercises performed by trained participants until task failure. We found that the mean and SD of the pitch predicted effort-related affective valence and proximity to task failure in the two subsets of the data, and in three separate bouts of exercise. These results imply that mean pitch elevation and the decrease of the SD of the pitch during effort exertion may serve as a signal of distress as task difficulty increases. The consistency of the findings across different exercises suggests that the mean and the SD of the pitch may be used to monitor physical effort and affect in various settings and help uncover the nature of physical effort in its different manifestations.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92122469","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":"Domains matter: Cross-sectional associations between mental well-being and domain specific physical activity and sedentary behaviour in n=31,818 adults in Scotland","authors":"Ailsa G. Niven, Tessa Strain","doi":"10.1016/j.mhpa.2023.100556","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100556","url":null,"abstract":"<div><p>Mental wellbeing is an important protective factor for health. This study aimed to investigate the domain-specific associations for physical activity and sedentary behaviours with different levels of mental wellbeing. We pooled data from the nationally representative 2012–2019 Scottish Health Surveys (31,818 adults (≥16 years); 52.3% female). Respondents reported domain-specific physical activity over the previous four weeks and average domain-specific daily sitting time for week and weekend days. Mental wellbeing was assessed using the Warwick-Edinburgh Mental Wellbeing Scale. Associations were investigated using cubic spline and multinomial regressions progressively adjusted for demographic variables, body mass index, self-reported general health, and other movement behaviours. The majority of the sample (71.2%) had a medium mental wellbeing score with 15.2% and 13.5% in the low and high categories respectively. The findings indicated that home-based heavy manual (including gardening and DIY), walking, sport and exercise, and leisure time sitting were all positively associated with mental wellbeing. There was no association evident for heavy housework or occupational sitting, and high levels of TV/screen time sitting were negatively associated with mental wellbeing. Activity at work presented a mixed picture. For walking and sport and exercise, the relationship differed by mental wellbeing level. The findings of this large population level study extend the argument that domains and types of activity matter, and not all physical activity and sedentary behaviour is equal in terms of mental wellbeing. Additionally, the relationship between some activity and mental wellbeing can vary depending on levels of mental wellbeing.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1755296623000546/pdfft?md5=2ccfc1a5ea6a3f92da5d3a110d62c0ce&pid=1-s2.0-S1755296623000546-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92025561","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}
Jocelyn Smith Carter, Gabriel McNair, Abigail Bushnell, Laura Saldana, Kathryn E. Grant
{"title":"Sports participation, frequency, and competence differentially impact youth depressive, anxious, and somatic symptoms: Gender, neighborhood, and sports type effects","authors":"Jocelyn Smith Carter, Gabriel McNair, Abigail Bushnell, Laura Saldana, Kathryn E. Grant","doi":"10.1016/j.mhpa.2023.100562","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100562","url":null,"abstract":"<div><p><span>Mental health problems are prevalent in adolescence, but sports participation may offer mental health benefits through this developmental period and beyond. Characteristics of sports participation including perceived frequency and competence may differentially predict adolescent depressive, anxious, and somatic symptoms over time and results may further vary according to gender, neighborhood context, and type of sport engagement. Data were collected at two time-points six months apart from an ethnically diverse sample of adolescents (</span><em>N =</em> 183<em>,</em> female = 51%). Youth sports participation and symptoms were measured using the Youth Self-Report (YSR; Achenbach & Rescorla, 2001). Path analyses were used to test for main and moderating effects of sports on symptoms. Results showed that categorical sports participation did not prospectively predict any type of internalizing symptoms, but perceived frequency and competence did. Competence predicted lower levels of symptoms while frequency predicted higher levels of symptoms. These results were further moderated by gender, neighborhood, and sport type such that frequency and competence predicted symptoms for girls and for youth in more resourced neighborhoods and who participated in team sports. These findings highlight the impact that sports participation can have on adolescent mental health in an ethnically diverse sample of urban youth.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134656489","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}
Carlos Cristi-Montero , Sam Hernandez-Jaña , Juan Pablo Zavala-Crichton , Mark S. Tremblay , Francisco B. Ortega , Natan Feter , Jorge Mota , Nicolas Aguilar-Farias , Gerson Ferrari , Kabir P. Sadarangani , Anelise Gaya
{"title":"Mentally active but not inactive sedentary behaviors are positively related to adolescents’ cognitive-academic achievements, a cross-sectional study — The Cogni-Action Project","authors":"Carlos Cristi-Montero , Sam Hernandez-Jaña , Juan Pablo Zavala-Crichton , Mark S. Tremblay , Francisco B. Ortega , Natan Feter , Jorge Mota , Nicolas Aguilar-Farias , Gerson Ferrari , Kabir P. Sadarangani , Anelise Gaya","doi":"10.1016/j.mhpa.2023.100561","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100561","url":null,"abstract":"<div><p><span>Excessive adolescent sedentary behaviors (SBs) may affect cognitive-academic achievements; however, findings vary according to the SB evaluated and their mental requirements. This study aimed to understand the multivariate association between different SBs and diverse cognitive-academic achievements as a primary analysis. As a secondary one, we differentiated between mentally active and inactive SBs. In this study, 1296 Chilean adolescents (10–14 years old) reported their SB via questionnaires. Cognitive performance was assessed with a neurocognitive battery, and academic achievement was based on school grades. </span>Canonical correlation analysis<span><span> was performed to determine the mode of covariation (MofC) between two sets of variables. The first set accounted for eight SBs (five considered as “active mentally” and three as “inactive mentally”). The second set accounted for 13 cognitive and academic variables (eight cognitive tasks and five school subjects). Several covariates and a cluster (schools, k = 19) were also included in the analysis. The primary analysis revealed a single significant MofC, with a small canonical relationship (r = 0.22, p = 0.002). This MofC indicated that time spent using computers and engaging in scholarly tasks at home was positively correlated with cognitive processing speed as well as with academic scores in English and History. Secondary analysis revealed two significant modes of covariation. The first confirmed the primary result (r = 0.21, p = 0.001), while the second highlighted the role of time spent playing video games as the sole contributing factor linked to </span>inhibitory control (r = 0.17, p = 0.034). These findings indicate a small positive relationship between certain mentally active SBs and cognitive-academic achievements, emphasizing the need for further comprehensive research to understand these complex relationships.</span></p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134656491","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}
Meijun Hou , Fabian Herold , Sean Healy , Justin A. Haegele , Martin E. Block , Sebastian Ludyga , Felipe B. Schuch , Jonathan Leo Ng , Markus Gerber , M. Mahbub Hossain , Alyx Taylor , Tine Van Damme , Notger G. Müller , Arthur F. Kramer , Liye Zou
{"title":"24-Hour movement behaviors among visually impaired US children and adolescents","authors":"Meijun Hou , Fabian Herold , Sean Healy , Justin A. Haegele , Martin E. Block , Sebastian Ludyga , Felipe B. Schuch , Jonathan Leo Ng , Markus Gerber , M. Mahbub Hossain , Alyx Taylor , Tine Van Damme , Notger G. Müller , Arthur F. Kramer , Liye Zou","doi":"10.1016/j.mhpa.2023.100545","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100545","url":null,"abstract":"<div><h3>Background</h3><p>24-h movement behavior (24-HMB) guidelines suggest that children and adolescents should limit screen time (ST), get an adequate amount of sleep (SL), and engage in a sufficient amount of physical activity (PA) to ensure optimal health. However, it is not fully understood how adherence to these 24-HMB guidelines apply specifically to visually impaired children and adolescents. To address this gap in the literature, a cross-sectional study was conducted to investigate potential associations between adherence to the 24-HMB guidelines and academic, social, and emotional outcomes among a national sample of visually impaired children and adolescents.</p></div><div><h3>Methods</h3><p>Data on movement behaviors (physical activity, screen time, and sleep duration) and specific outcome variables (academic performance, social function, and emotional function) were collected through caregiver-proxy reports (questionnaires completed by the caregivers of the visually impaired children and adolescents aged between 6 and 17 years). Logistic regressions were performed to examine the associations between the adherence to 24-HMB guidelines and academic, social, and emotional outcomes adjusting for covariates (e.g., age, sex, race, weight, birth status, household poverty level, and the caregiver's education level) and calculate the odds ratio with 95% confidence interval (CI).</p></div><div><h3>Results</h3><p>Among 907 visually impaired children and adolescents, only a small proportion adhered to all three 24-HMB guidelines (6.12%). The prevalence of adhering to the SL (33.16%) was higher than those participants meeting PA (3.68%) and ST guidelines (10.28%). As compared to participants who did not meet any of the three 24-HMB guidelines, adhering to: (1) PA + ST guidelines were linked to better academic performance; (2) PA + ST guidelines were linked to less social difficulties, and (3) SL + ST guidelines were linked to better emotional functioning.</p></div><div><h3>Conclusion</h3><p>Less than one-third of the visually impaired children and adolescents did meet one or more guidelines of the 24-HMB recommendations. Adhering to the 24-HMB guidelines, both alone and in an integrated manner, was linked to better academic performance, social relationships, and emotional functioning while visually impaired children and adolescents who adhered to PA + ST guidelines benefited the most. Our results suggest that the promotion of the 24-HMB guidelines among visually impaired children and adolescents might be an effective intervention strategy to promote academic, social, and emotional development among this unique group, although further research is necessary to empirically buttress this assumption.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187485","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":"Frequency of vigorous physical activity and depressive symptoms across adolescence: Disentangling the reciprocal associations between different groups and subtypes of symptoms","authors":"F. Giannotta , K.W. Nilsson , C. Åslund , P. Larm","doi":"10.1016/j.mhpa.2023.100536","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100536","url":null,"abstract":"<div><p>Physical activity has a demonstrated positive effect on youth depressive symptoms. However, very few studies have explored the bi-directionality of the links between physical activity and depression. The present study aims at filling this gap and tests whether any associations are moderated by sex. Moreover, the role of subtype of depressive symptoms, vegetative (i.e., lack of energy, poor sleep) or non-vegetative (i.e., mood-related), is explored. Participants were 910 12–13 year-old Swedish adolescents (56% girls) who answered a three-wave survey at ages 12–13 (T1), 15–16 (T2), and 18–19 (T3). Using a cross-lagged structural model, depression predicted decreased frequency of vigorous physical activity (VPA) from T1 to T2 (β = −0.09, p < .05) and from T2 to T3 (β = −0.10, p < .01), while frequency of VPA at T2 decreased depression at T3 (β = −0.12, p < .05). Associations did not differ between boys and girls. Non-vegetative symptoms predicted decreased frequency of VPA from T1 to T2 (β = −0.10, p < .05), while frequency of VPA at T2 predicted decreased non-vegetative symptoms at T3 (β = −0.15, p < .05). Vegetative symptoms predicted decreased frequency of VPA from T1 to T2 (β = −0.09, p < .05), while have a reciprocal influence with VPA from T2 to T3. Overall, our results highlight an association across adolescence between VPA and depression. The association becomes stronger and reciprocal in middle adolescence, which suggests this period as an effective developmental time to plan physical-activity-based interventions to decrease youth depressive symptoms.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187490","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}
Christopher E.J. DeWolfe , Megan K. Galbraith , Martin M. Smith , Margo C. Watt , Janine V. Olthuis , Simon B. Sherry , Sherry H. Stewart
{"title":"Anxiety sensitivity and physical activity are inversely related: A meta-analytic review","authors":"Christopher E.J. DeWolfe , Megan K. Galbraith , Martin M. Smith , Margo C. Watt , Janine V. Olthuis , Simon B. Sherry , Sherry H. Stewart","doi":"10.1016/j.mhpa.2023.100548","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100548","url":null,"abstract":"<div><p>The relation between anxiety sensitivity and physical activity is important because of the significant physical and mental health improvements physical activity yields for individuals with elevated anxiety sensitivity. Most studies suggest anxiety sensitivity has a negative relation with physical activity; however, there are mixed results regarding the presence and magnitude of this association. This study aimed to synthesize and analyze the existing literature to clarify the presence/magnitude of this association and assess various potential moderators. A comprehensive search identified 43 eligible studies, including 10,303 participants. Results revealed a significant, albeit small magnitude, inverse relation between anxiety sensitivity and physical activity without intervention (<em>r</em> = -.09). The relation was stronger with increasing physical activity intensity. Mental health status moderated the relation with general samples (versus clinical mental health samples). The relation was significant for physical and cognitive concerns, but not social concerns. These results suggest elevated anxiety sensitivity is associated with lower levels of physical activity, which is a risk factor for many health concerns and, therefore, anxiety sensitivity should be targeted for interventions to increase physical activity involvement.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187482","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":"Barriers & facilitators to physical activity in people with depression and type 2 diabetes mellitus in Pakistan: A qualitative study to explore perspectives of patient participants, carers and healthcare staff","authors":"Aatik Arsh , Saima Afaq , Claire Carswell , Karen Coales , Najma Siddiqi","doi":"10.1016/j.mhpa.2023.100542","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100542","url":null,"abstract":"<div><h3>Background</h3><p>The health benefits of physical activity in adults with depression and type 2 diabetes mellitus (T2DM) are well established, however people with depression and T2DM do not generally reach recommended levels of physical activity. Evidence on how to support physical activity in this group is limited; this is particularly the case in low- and middle-income countries. To develop interventions to promote physical activity, it is important first to understand the barriers and facilitators in this population.</p></div><div><h3>Methods</h3><p>A qualitative study was conducted in Pakistan using semi-structured individual interviews. Adults diagnosed with depression and T2DM, their carers, and healthcare staff were included. Interviews were audio-recorded and transcribed verbatim. Inductive thematic analysis was used to identify themes.</p></div><div><h3>Results</h3><p>Twenty-three participants (12 male; 11 female) were recruited. Five themes were generated from the data: 1) Cultural and religious norms and practices influence physical activity behaviours 2) Availability of resources and the potential for incorporating physical activity into routine life determine physical activity behaviours 3) Available healthcare resources can be used to promote physical activity 4) Patients’ individual-level characteristics affect their physical activity behaviours 5) Technology-based interventions may be used to promote physical activity.</p></div><div><h3>Conclusion</h3><p>Individual, cultural, and healthcare system level barriers and facilitators can affect the participation of people with depression and T2DM in physical activity. Religious, social, cultural, domestic, and occupational activities provide opportunities to perform physical activities. Furthermore, harnessing routinely available healthcare resources and the use of technology-based interventions can facilitate the promotion of physical activity.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187483","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}