Physical Activity and Depression Symptom Profiles in Young Men and Women With Major Depression
Physical Activity and Depression Symptom Profiles in Young Men and Women With Major Depression
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DOI：
10.1097/psy.0b013e31828c4d53
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发表时间：
2013-05-01
影响因子：
3.3
通讯作者：
Sanderson, Kristy
中科院分区：
文献类型：
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作者：
McKercher, Charlotte;Patton, George C.;Sanderson, Kristy
目的：这项研究探讨了是否有严重抑郁症的年轻人谁是身体活跃的不同，他们的抑郁症状的轮廓，从那些身体不活跃。研究方法：分析包括来自参与国家研究的950名（47.6%）男性和1045名女性（平均[标准差]年龄= 31.5 [2.6]岁）的数据。参与者报告了休闲体力活动（国际体力活动问卷）和步行活动（每天计步器步数）。抑郁症的诊断和症状使用复合国际诊断访谈进行评估。结果：男性抑郁症患病率为5.5%（n = 52），女性为11.6%（n = 121）。在抑郁情绪、食欲变化、摇摆不定的想法和自杀倾向方面，观察到身体活动和性别之间的相互作用（所有，p <0.050）。在那些患有严重抑郁症的人中，身体活跃的男性明显不太可能认可失眠的存在（患病率[PR] = 0.78，95%置信区间[CI] = 0.63-0.96），疲乏（PR = 0.82，95%CI = 0.69-0.99），自杀倾向（PR = 0.69，95%CI = 0.49-0.96）。身体活跃的女性明显不太可能赞同嗜睡（PR = 0.50，95% CI = 0.27-0.95），过度/非理性内疚（PR = 0.76，95% CI = 0.59-0.97）、动摇念头（PR = 0.74，95% CI = 0.58-0.95）和自杀倾向（PR = 0.43，95% CI = 0.20-0.89）。相关性根据年龄、身体健康、教育程度、抑郁严重程度和其他抑郁症状进行调整。结论：在患有重度抑郁症的成年人中，那些身体活跃的人似乎在抑郁症状方面与那些身体不活跃的人不同。
Objective: This study explored whether young adults with major depression who are physically active differ in their depression symptom profile from those physically inactive. Methods: Analyses included data from 950 (47.6%) men and 1045 women (mean [standard deviation] age = 31.5 [2.6] years) participating in a national study. Participants reported leisure physical activity (International Physical Activity Questionnaire) and ambulatory activity (pedometer steps per day). Diagnosis and symptoms of major depression were assessed using the Composite International Diagnostic Interview. Results: Prevalence of major depression was 5.5% (n = 52) for men and 11.6% (n = 121) for women. Interactions between physical activity and sex were observed for depressed mood, appetite changes, vacillating thoughts, and suicidality (all, p < .050). Among those with major depression, physically active men were significantly less likely to endorse the presence of insomnia (prevalence ratio [PR] = 0.78, 95% confidence interval [CI] = 0.63-0.96), fatigue (PR = 0.82, 95% CI = 0.69-0.99), and suicidality (PR = 0.69, 95% CI = 0.49-0.96) compared with inactive men. Physically active women were significantly less likely to endorse hypersomnia (PR = 0.50, 95% CI = 0.27-0.95), excessive/irrational guilt (PR = 0.76, 95% CI = 0.59-0.97), vacillating thoughts (PR = 0.74, 95% CI = 0.58-0.95), and suicidality (PR = 0.43, 95% CI = 0.20-0.89) compared with inactive women. Associations were adjusted for age, physical health, educational attainment, depression severity, and other depressive symptoms. Conclusions: Among adults with major depression, those physically active seem to differ in their depression symptom profile from those physically inactive.