Exercise as Treatment for Alcohol Dependence

Roessler, Kirsten Kaya; Bilberg, Randi; Jensen, Kurt; Kjærgaard, Anne-Sofie; Dervisevic, Ajla; Nielsen, Bent

doi:10.2478/ssr-2013-0010

Cited by 11 publications

(18 citation statements)

References 13 publications

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“…Almost all studies applied aerobic exercise such as running or walking (Murphy, Pagano & Marlatt,; Palmer, Vacc & Epstein, ; Roessler, Bilberg, Jensen, Kjærgaard, Dervisevic & Nielsen, ; Sinyor, Brown, Rostant & Seraganian, ). Brown, Abrantes, Read et al .…”

Section: Resultsmentioning

confidence: 99%

Exercise based interventions for alcohol use disorder: A comment on motivational aspects of participation

Roessler

Bramsen

Dervisevic

et al. 2016

Scandinavian J Psychology

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R. (2017). Exercise based interventions for alcohol use disorder: A comment on motivational aspects of participation. Scandinavian Journal of Psychology, 58, 23-28.Exercise based treatment for alcohol use disorders have shown an impact on mental health (e.g., depression or anxiety), and alcohol outcomes (e.g., craving or abstinence). However, there is a lack of information on the role of motivational aspects of participation in the process of designing exercise interventions for alcohol use disorder. This study aims to examine: (1) whether motivational aspects are taken into account when the type and delivery method of exercise interventions are chosen; (2) whether motivational aspects are taken into account post intervention; and (3) whether there are different traditions regarding payment for participants. A systematic search was conducted to identify eligible studies in order to investigate the impact of motivational aspects including payment for participation. Twelve samples including ten to 620 participants were investigated. Participants were predominantly male and in their 40s, ranging from 20 to 69 years. Aerobic exercise (running, walking, fitness) either in a group or individual condition is the most frequently used exercise form. Two studies included ball games or cycling, while only one study offered the opportunity to choose between a wide range of sports. Motivational aspects are mentioned explicitly in half of the studies, mostly with regard to adherence to participation and social integration as the reason for using a group condition. Achievement is mentioned in two studies but not explicitly with regard to planning the intervention design. Five studies include payment for participation in exercise. Findings of the present study identify that motivational aspects for participation are rarely involved in the planning of an exercise intervention. With regard to the specific psychosocial vulnerability of an alcohol use disorder population, this should be an important aspect of further research studies.

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Section: Resultsmentioning

confidence: 99%

Exercise based interventions for alcohol use disorder: A comment on motivational aspects of participation

Roessler

Bramsen

Dervisevic

et al. 2016

Scandinavian J Psychology

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“…And non-RCT studies also show that high- and moderate-intensity long-term physical exercise can significantly treat alcohol abuse. A pilot study on the treatment effects of aerobics on alcohol abusers [78] reported that 35 minutes of moderate- (HR = 50–60% VO2max) to high-intensity (HR = 80–90% VO2max) physical exercise for six weeks, can significantly reduce depression symptoms in alcohol abusers. Another cross-over design study showed that moderate-intensity fast walking can significantly enhance self-management techniques in alcohol abusers [79] , [80] .…”

Section: Discussionmentioning

confidence: 99%

Impact of Physical Exercise on Substance Use Disorders: A Meta-Analysis

et al. 2014

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ObjectiveThe goal of this meta-analysis was to examine whether long-term physical exercise could be a potential effective treatment for substance use disorders (SUD).MethodsThe PubMed, Web of Science, Elsevier, CNKI and China Info were searched for randomized controlled trials (RCT) studies in regards to the effects of physical exercise on SUD between the years 1990 and 2013. Four main outcome measures including abstinence rate, withdrawal symptoms, anxiety, and depression were evaluated.ResultsTwenty-two studies were integrated in the meta-analysis. The results indicated that physical exercise can effectively increase the abstinence rate (OR = 1.69 (95% CI: 1.44, 1.99), z = 6.33, p<0.001), ease withdrawal symptoms (SMD = −1.24 (95% CI: −2.46, −0.02), z = −2, p<0.05), and reduce anxiety (SMD = −0.31 (95% CI: −0.45, −0.16), z = −4.12, p<0.001) and depression (SMD = −0.47 (95% CI: −0.80, −0.14), z = −2.76, p<0.01). The physical exercise can more ease the depression symptoms on alcohol and illicit drug abusers than nicotine abusers, and more improve the abstinence rate on illicit drug abusers than the others. Similar treatment effects were found in three categories: exercise intensity, types of exercise, and follow-up periods.ConclusionsThe moderate and high-intensity aerobic exercises, designed according to the Guidelines of American College of Sports Medicine, and the mind-body exercises can be an effective and persistent treatment for those with SUD.

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“…If they observed and valued the rewards that they associated with exercising, such as a desirable self-image or wellness, then they would be more likely to exercise themselves. Such an understanding further reinforces the importance of taking account of peer influences and social norms on health behaviour [21], and of the potential use of role models in influencing social norms [22]. Furthermore, development of social support through participation in especially group-based exercise interventions which have the potential to foster interpersonal relationships may also contribute to recovery [23].…”

Section: Methodsmentioning

confidence: 96%

Exercising alcohol patients don’t lack motivation but struggle with structures, emotions and social context - a qualitative dropout study

2017

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BackgroundExercise is an important component of a healthy lifestyle, the development of which is a relapse prevention strategy for those with alcohol use disorder. However, it is a challenge to create exercise interventions with a persistent behavioural change. The aim of this qualitative study was to investigate perceived barriers to participation in an exercise intervention among alcohol use disorder patients, who dropped out of the intervention program. Furthermore, this study aims to propose possibilities for a better practice of future intervention studies based on the participants’ experiences and suggestions.MethodsQualitative interviews with 17 patients who dropped out from an exercise intervention in an outpatient treatment centre about their experiences and reasons for dropping out. Social cognitive theory informed the development of the interview guides and systematic text condensation was used for analysis.ResultsAnalysis revealed three central themes: 1) Structural barriers described as the type of exercise and the timing of the intervention, 2) Social barriers described as need for accountability and unsupportive relations, and 3) Emotional barriers described as fear, guilt and shame, and negative affect of the intervention on long term.ConclusionsFuture exercise interventions should include socio-psychological support during the first weeks, begin shortly after treatment initiation instead of concurrently, and focus on garnering social support for participants in both the intervention context and among their existing network in order to best reduce barriers to participation.Trial registrationThis study was retrospectively registered at Current Controlled Trials ISRCTN74889852 on 11 July 2013.Electronic supplementary materialThe online version of this article (doi:10.1186/s12875-017-0606-4) contains supplementary material, which is available to authorized users.

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Exercise as Treatment for Alcohol Dependence

Cited by 11 publications

References 13 publications

Exercise based interventions for alcohol use disorder: A comment on motivational aspects of participation

Exercise based interventions for alcohol use disorder: A comment on motivational aspects of participation

Impact of Physical Exercise on Substance Use Disorders: A Meta-Analysis

Exercising alcohol patients don’t lack motivation but struggle with structures, emotions and social context - a qualitative dropout study

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