Exercise as a treatment for depression: A meta-analysis

Kvam, Siri; Kleppe, Catrine Lykkedrang; Nordhus, Inger Hilde; Hovland, Anders

doi:10.1016/j.jad.2016.03.063

Cited by 612 publications

(436 citation statements)

References 180 publications

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“…Women are more likely to have negative health consequences as a result of AUD (Schenker, 1997), are more likely to report depression (Cornelius et al, 1995; Hartka et al, 1991; Kessler et al, 1997), have poor coping strategies for depression (Sanchez et al, 2014), and drink alcohol to cope with negative affect (Brienza and Stein, 2002; Lehavot et al, 2014). In contrast, regular physical activity engagement reduces depression (Kvam et al, 2016) and acute bouts of physical activity has been shown to reduce alcohol craving (Ussher et al, 2004) and reduce negative affect (Bartholomew et al, 2005; Petruzzello et al, 1991). Indeed, we have examined a lifestyle physical activity intervention focused on guiding depressed alcohol dependent women to use bouts of physical activity specifically as a coping strategy to manage negative mood and alcohol cravings (Abrantes et al, 2017).…”

mentioning

confidence: 99%

Changes in coping, autonomous motivation, and beliefs about exercise among women in early recovery from alcohol participating in a lifestyle physical activity intervention

Blevins

Rapoport

Battle

et al. 2017

Mental Health and Physical Activity

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Women are particularly likely to drink alcohol for the purpose of coping with or alleviating negative affect. Engaging in physical activity has been posited as a potentially effective alternate coping strategy during early recovery for managing mood and cravings. Utilizing exercise to cope may be associated with more adaptive coping strategies in general. Additionally, an intrinsic (autonomous) motivational style and positive beliefs about exercise are associated with long-term adherence to physical activity. The current study evaluates changes in coping strategies, autonomous motivation, and beliefs about exercise among women engaged in a physical activity intervention during early recovery (N=20; mean age=39.53). General coping strategies, motivational style, and beliefs about exercise were examined before and after engaging in the 12-week intervention which aimed to help women utilize physical activity as a means to cope with negative affect and alcohol craving. We found that, by the end of the intervention, participants significantly increased utilization of adaptive coping strategies such as the use of emotional support from others. Additionally, participants increased autonomous motivation over time. There were no significant changes in beliefs about exercise. Changes in beliefs about benefits of exercise, autonomous motivation, and adaptive coping were related to use of exercise to cope. However, even though these changes were associated with how women in the intervention used exercise, they were not associated with exercising more. Results from this open pilot suggest that women in early recovery from alcohol who increase physical activity – specifically as a means to cope with negative affect and craving – also demonstrate other wider coping strategies, more positive beliefs, and autonomous motivation.

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mentioning

confidence: 99%

Changes in coping, autonomous motivation, and beliefs about exercise among women in early recovery from alcohol participating in a lifestyle physical activity intervention

Blevins

Rapoport

Battle

et al. 2017

Mental Health and Physical Activity

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“…Fortunately, convergent evidence demonstrates that physical activity (PA) confers neuroplastic effects [5, 6] and may serve as an effective intervention for MDs [7–12]. Physical exercise is a subcategory of PA that connotes purposeful, planned, and structured endeavors undertaken to improve skill or physical fitness level [12].…”

Section: Introductionmentioning

confidence: 99%

Physical Activity Modulates Common Neuroplasticity Substrates in Major Depressive and Bipolar Disorder

Phillips¹

2017

Neural Plasticity

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Mood disorders (MDs) are chronic, recurrent mental diseases that affect millions of individuals worldwide. Although the biogenic amine model has provided some clinical utility, a need remains to better understand the interrelated mechanisms that contribute to neuroplasticity deficits in MDs and the means by which various therapeutics mitigate them. Of those therapeutics being investigated, physical activity (PA) has shown clear and consistent promise. Accordingly, the aims of this review are to (1) explicate key modulators, processes, and interactions that impinge upon multiple susceptibility points to effectuate neuroplasticity deficits in MDs; (2) explore the putative mechanisms by which PA mitigates these features; (3) review protocols used to induce the positive effects of PA in MDs; and (4) highlight implications for clinicians and researchers.

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“…Results from randomized controlled trials and clinical guidelines suggest that internet based treatments and some complementary or alternative therapies, such as exercise or sleep deprivation, are also effective in the short term (Caliyurt and Guducu, 2005; Kvam et al, 2016). There is a large body of research on the effectiveness of these interventions in reducing depressive symptoms.…”

Section: Introductionmentioning

confidence: 99%

Research Recommendations for Improving Measurement of Treatment Effectiveness in Depression

et al. 2017

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Background: Despite the steadily escalating psychological and economic burden of depression, there is a lack of evidence for the effectiveness of available interventions on functioning areas beyond symptomatology. Therefore, the main objective of this study was to give an insight into the current measurement of treatment effectiveness in depression and to provide recommendations for its improvement.Materials and Methods: The study was based on a multi-informant approach, comparing data from a systematic literature review, an expert survey with representatives from clinical practice (130), and qualitative interviews with patients (11) experiencing depression.Results: Current literature places emphasis on symptomatic outcomes and neglects other domains of functioning, whereas clinicians and depressed patients highlight the importance of both. Interpersonal relationships, recreation and daily activities, communication, social participation, work difficulties were identified as being crucial for recovery. Personal factors, neglected by the literature, such as self-efficacy were introduced by experts and patients. Furthermore, clinicians and patients identified a number of differences regarding the areas improved by psychotherapeutic or pharmacological interventions that were not addressed by the pertinent literature.Conclusion: Creation of a new cross-nationally applicable measure of psychosocial functioning, broader remission criteria, report of domain-specific information, and a personalized approach in treatment decision-making are the first crucial steps needed for the improvement of the measurement of treatment effectiveness in depression. A better measurement will facilitate the clinical decision making and answer the escalating burden of depression.

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Exercise as a treatment for depression: A meta-analysis

Cited by 612 publications

References 180 publications

Changes in coping, autonomous motivation, and beliefs about exercise among women in early recovery from alcohol participating in a lifestyle physical activity intervention

Changes in coping, autonomous motivation, and beliefs about exercise among women in early recovery from alcohol participating in a lifestyle physical activity intervention

Physical Activity Modulates Common Neuroplasticity Substrates in Major Depressive and Bipolar Disorder

Research Recommendations for Improving Measurement of Treatment Effectiveness in Depression

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