Within-day bidirectional associations between physical activity and affect: A real-time ambulatory study in persons with and without depressive and anxiety disorders.
Within-day bidirectional associations between physical activity and affect: A real-time ambulatory study in persons with and without depressive and anxiety disorders.
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DOI：
10.1002/da.23298
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发表时间：
2022-12
影响因子：
7.4
通讯作者：
Lamers, Femke
中科院分区：
文献类型：
--
作者：
Difrancesco, Sonia;Penninx, Brenda W. J. H.;Merikangas, Kathleen R.;van Hemert, Albert M.;Riese, Harriette;Lamers, Femke
门诊评估提供了研究身体活动水平（PAL）和群体和个人水平影响的机会。我们在3小时内检查了PAL和情感之间的双向关联，并评估了有和没有当前或缓解的抑郁/焦虑的人之间的关联是否不同。从荷兰抑郁与焦虑研究中获得了359名患有当前（n = 93）、缓解（n = 176）或无（n = 90） CIDI抑郁/焦虑诊断的参与者的两周生态瞬时评估（EMA）和活动记录仪数据。积极影响（PA）和消极影响（NA）采用EMA评估，每天5次。根据活动记录仪数据计算EMA评估之间的平均PAL。在组水平上，较高的PAL与随后较高的PA （b=0.109, p<0.001）和较低的NA （b= - 0.043, p<0.001）相关，而较高的PA （b=0.066, p<0.001）和较低的NA （b= - 0.053, p<0.001）与随后较高的PAL相关，当前抑郁/焦虑患者的PAL与随后较低的NA之间的相关性比对照组强（p=0.01）。在个人水平上，分析揭示了双向关联的异质性。高PAL可改善情绪，尤其是抑郁/焦虑患者。由于人与人之间的关系各不相同，门诊评估可能有助于确定谁将从行为干预中受益。
Ambulatory assessments offer opportunities to study physical activity level (PAL) and affect at the group and person-level. We examined bidirectional associations between PAL and affect in a 3-hour timeframe and evaluated whether associations differ between people with and without current or remitted depression/anxiety. Two-week ecological momentary assessment (EMA) and actigraphy data of 359 participants with current (n = 93), remitted (n = 176), or no (n = 90) CIDI depression/anxiety diagnoses were obtained from the Netherlands Study of Depression and Anxiety. Positive affect (PA) and negative affect (NA) were assessed by EMA 5 times per day. Average PAL between EMA assessments were calculated from actigraphy data. At the group-level, higher PAL was associated with subsequent higher PA (b=0.109, p<0.001) and lower NA (b= −0.043, p<0.001), while higher PA (b=0.066, p<0.001) and lower NA (b= −0.053, p<0.001) were associated with subsequent higher PAL. The association between higher PAL and subsequent lower NA was stronger for current depression/anxiety patients than controls (p=0.01). At the person-level, analyses revealed heterogeneity in bidirectional associations. Higher PAL may improve affect, especially among depression/anxiety patients. As the relationships vary at the person-level, ambulatory assessments may help identify who would benefit from behavioural interventions.
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