Effects of acute exercise on drug craving, self‐esteem, mood and affect in adults with poly‐substance dependence: Feasibility and preliminary findings

Ellingsen, Maren Mikkelsen; Johannesen, Sunniva Launes; Martinsen, Egil W.; Hallgren, Mats

doi:10.1111/dar.12818

Cited by 13 publications

(20 citation statements)

References 12 publications

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“…Second, drug craving was assessed using a single-item visual analog scale (VAS) ranging from 0 (no craving for drugs) to 10 (strong craving for drugs). Participants were instructed to indicate how strong their craving for drugs felt “at this moment.” The instrument has been used in previous studies of acute exercise [ 41 ] and it was tested in our recent pilot study [ 36 ], where it was shown to be sensitive to change.…”

Section: Methodsmentioning

confidence: 99%

“…Statistical power was estimated using G*Power (version 3.1.9.7; Heinrich-Heine-Universität Düsseldorf). Parameters were based on results from our feasibility study [ 36 ] and also took into account previous studies demonstrating medium effect sizes for acute exercise on mood states [ 38 , 45 ]. Assuming an effect size of 0.3 and power (β) of .8, with 3 groups and 5 measurement points, we estimate needing at least 21 participants to test our hypotheses.…”

Section: Methodsmentioning

confidence: 99%

“…To address these questions, we conducted a feasibility study to compare the short-term effects of 3 different exercises (soccer, circuit training, and walking) conducted in nonlaboratory settings [ 36 ]. Findings suggested that moderately intense exercise activities performed in natural settings may increase mood, help attenuate drug cravings, increase positive affect, decrease negative affect, and improve self-esteem.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Acute Exercise on Drug Craving, Self-Esteem, Mood, and Affect in Adults with Polysubstance Use Disorder: Protocol for a Multicenter Randomized Controlled Trial

et al. 2020

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Background Novel treatments for substance use disorders are needed. Acute bouts of exercise can improve mood states and craving in nonclinical populations. Exercise effects in those with polysubstance dependence are understudied; controlled trials are needed. Objective This protocol describes a clinical study examining the short-term psychological effects of 2 types of physical activity, soccer and circuit training, in patients with substance use disorders. Effects will be compared with a nonexercise control group. Specific aims are to investigate whether there are differences between the activities and the duration of changes. Methods This study is a short-term multicenter randomized control trial with a crossover design. Patients consecutively admitted to 4 inpatient treatment centers were invited to participate in 3 conditions, each lasting 45 minutes, within one week. The order of the conditions was randomized. There were a total of 5 assessments, taken at baseline, immediately before each condition, immediately after each condition, and 1, 2, and 4 hours postintervention, enabling patterns of change over time to be observed. Psychological effects were assessed with self-report questionnaires, which included scales for craving, state anxiety, positive and negative affect, self-esteem, and mood. Exercise intensity was assessed with the Borg Rating of Perceived Exertion scale and a heart rate monitor (Polar M200; Polar Electro Ltd). Cortisol was assessed in saliva before and 4 hours after the intervention. Results A total of 39 patients were included in the study. Data collection was completed in 2019. Conclusions We anticipate larger improvements in the intervention groups than among controls, indicating positive psychological effects during and after exercise. The study will add clinically relevant information about the short-term psychological effects of exercise in the treatment of substance use disorders, using activities that are easily accessible in different clinical settings. Trial Registration German Clinical Trials Register DRKS00018869; https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00018869 International Registered Report Identifier (IRRID) DERR1-10.2196/18553

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effects of Acute Exercise on Drug Craving, Self-Esteem, Mood, and Affect in Adults with Polysubstance Use Disorder: Protocol for a Multicenter Randomized Controlled Trial

et al. 2020

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“…Participants were instructed to indicate how strong their craving for drugs felt "at this moment." The instrument has been used in previous studies of acute exercise [41] and it was tested in our recent pilot study [36], where it was shown to be sensitive to change.…”

Section: Baseline and Follow-up Assessmentsmentioning

confidence: 99%

Effects of Acute Exercise on Drug Craving, Self-Esteem, Mood, and Affect in Adults with Polysubstance Use Disorder: Protocol for a Multicenter Randomized Controlled Trial (Preprint)

Ellingsen¹,

Johannesen²,

Martinsen³

et al. 2020

Preprint

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BACKGROUND Novel treatments for substance use disorders are needed. Acute bouts of exercise can improve mood states and craving in nonclinical populations. Exercise effects in those with polysubstance dependence are understudied; controlled trials are needed. OBJECTIVE This protocol describes a clinical study examining the short-term psychological effects of 2 types of physical activity, soccer and circuit training, in patients with substance use disorders. Effects will be compared with a nonexercise control group. Specific aims are to investigate whether there are differences between the activities and the duration of changes. METHODS This study is a short-term multicenter randomized control trial with a crossover design. Patients consecutively admitted to 4 inpatient treatment centers were invited to participate in 3 conditions, each lasting 45 minutes, within one week. The order of the conditions was randomized. There were a total of 5 assessments, taken at baseline, immediately before each condition, immediately after each condition, and 1, 2, and 4 hours postintervention, enabling patterns of change over time to be observed. Psychological effects were assessed with self-report questionnaires, which included scales for craving, state anxiety, positive and negative affect, self-esteem, and mood. Exercise intensity was assessed with the Borg Rating of Perceived Exertion scale and a heart rate monitor (Polar M200; Polar Electro Ltd). Cortisol was assessed in saliva before and 4 hours after the intervention. RESULTS A total of 39 patients were included in the study. Data collection was completed in 2019. CONCLUSIONS We anticipate larger improvements in the intervention groups than among controls, indicating positive psychological effects during and after exercise. The study will add clinically relevant information about the short-term psychological effects of exercise in the treatment of substance use disorders, using activities that are easily accessible in different clinical settings. CLINICALTRIAL German Clinical Trials Register DRKS00018869; https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00018869 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/18553

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“…Changes such as reduced metabolic activity in the prefrontal cortex [8] decreased oxygenation [9] and reduced amount of gray matter in the anterior and prefrontal cingulate cortex have already been reported [10]. Physical exercise has been recommended as a treatment alternative capable of promoting positive effects on cognitive performance, cerebral oxygenation level [13], reduced desire for drugs, improved self-esteem and mood [14]. These results reinforce the role of exercise as an adjunct in the treatment of impaired frontal cortex activity and cognitive function in individuals with drug use disorder.…”

Section: Introductionmentioning

confidence: 99%

Futsal como estratégia terapêutica para indivíduos com dependência química

Silva

Venditti

Santos

2021

Rev Bras Fisiol Exerc

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Introdução: Estudos mostram que o uso crônico de substâncias psicoativas está associado com redução na função cognitiva, além de afetar de forma negativa a regulação emocional reforçando o comportamento para o uso de drogas. Objetivo: analisar o efeito agudo de uma partida de futsal sobre o estado de humor e na função cognitiva em indivíduos toxicodependentes, atendidos no CAPS-ad. Métodos: Os participantes foram divididos em dois grupos, Grupo controle (n = 10) e Grupo futsal (n = 10). Para a avaliação do estado de humor foi utilizado à escala de humor de Brunel e o teste de cubos de Corsi para a memória de trabalho visuespacial. Resultados: Na análise intergrupos pós-intervenção, verificou-se redução dos fatores raiva (p = 0,008), depressão (p = 0,005) e tensão (p = 0,009). Já na análise intragrupos, o grupo futsal apresentou redução dos fatores raiva (p = 0,03), depressão (p = 0,007) e tensão (p = 0,01) evidenciando mudança no estado de humor. Em relação à memória operacional, houve um aumento na quantidade de blocos recordados (p = 0,0002) na análise intergrupos e intragrupo (p = 0,01) no grupo futsal. Conclusão: A realização de uma partida de futsal utilizada como uma estratégia não farmacológica no tratamento de dependentes químicos foi capaz de modular de forma positiva o estado de humor e a função cognitiva destes sujeitos. No entanto, o jogo de futsal ainda precisa ser mais estudado como opção de conteúdo em um programa de atividade física regular para o tratamento de dependentes químicos.

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Effects of acute exercise on drug craving, self‐esteem, mood and affect in adults with poly‐substance dependence: Feasibility and preliminary findings

Abstract: Football, circuit training and walking are feasible therapeutic activities for inpatients with poly-substance dependence. Controlled trials are needed to determine the long-term effects of these activities.

Cited by 13 publications

References 12 publications

Effects of Acute Exercise on Drug Craving, Self-Esteem, Mood, and Affect in Adults with Polysubstance Use Disorder: Protocol for a Multicenter Randomized Controlled Trial

Effects of Acute Exercise on Drug Craving, Self-Esteem, Mood, and Affect in Adults with Polysubstance Use Disorder: Protocol for a Multicenter Randomized Controlled Trial

Effects of Acute Exercise on Drug Craving, Self-Esteem, Mood, and Affect in Adults with Polysubstance Use Disorder: Protocol for a Multicenter Randomized Controlled Trial (Preprint)

Futsal como estratégia terapêutica para indivíduos com dependência química

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