Effects of mindful and non-mindful exercises on people with depression: A systematic review
Effects of mindful and non-mindful exercises on people with depression: A systematic review
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DOI：
10.1348/014466508x279260
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发表时间：
2008-09-01
影响因子：
3.1
通讯作者：
Cheung, W. M.
中科院分区：
文献类型：
--
作者：
Tsang, Hector W. H.;Chan, Edward R.;Cheung, W. M.
目的.新出现的证据表明，正念和非正念体育锻炼对治疗抑郁症都有治疗效果。本研究的目的是基于系统的文献综述，探讨正念和非正念体育锻炼作为抑郁或抑郁症状干预的有效性。我们的综述是在五个电子数据库中进行的，以确定随机对照试验（RCT），这些试验测试了正念或/和非正念体育锻炼对抑郁症的影响。根据受试者的基线抑郁状态及其与分配隐藏、结局评估时的盲法、随访和是否采用意向治疗分析的关系对研究进行分类。基于12项随机对照试验的结果表明，正念和非正念体育锻炼在降低抑郁水平或抑郁症状方面的短期效果都是有效的。然而，大多数研究存在方法学问题，仅使用小样本量，并且没有报道体育锻炼的维持作用。由于设计的局限性，没有对正念练习和非正念练习的RCT进行具体比较。我们建议在未来进行更多的对照研究，以解决体育锻炼对缓解抑郁症的短期和长期影响。应该集中精力揭示正念和非正念练习对抑郁症的不同影响及其治疗作用的潜在机制。
Purpose. An emerging body of evidence has shown the therapeutic effect of both mindful and non-mindful physical exercises on the treatment of depression. The purpose of this study is to examine the effectiveness of mindful and non-mindful physical exercises as an intervention in managing depression or depressive symptoms based on a systematic literature review.Methods. Our review was conducted among five electronic databases to identify randomized controlled trials (RCTs), which tested the effects of mindful or/and non-mindful physical exercises on depression. Studies were classified according to the baseline depression status of participants and its relation to allocation concealment, blinding at outcome assessment, follow-up, and whether intention to treat analysis was employed.Results. The results based on 12 RCTs indicated that both the mindful and non-mindful physical exercises were effective in their short-term effect in reducing depression levels or depressive symptoms. However, most of studies had methodological problems that only small sample size was used, and the maintenance effects of physical exercise were not reported. Specific comparisons between RCTs on mindful and non-mindful exercises were not performed because of the limitations on the designs.Conclusions. We recommend that more well-controlled studies have to be conducted in the future to address the short- and long-term effects of physical exercise on alleviating depression. Efforts should be focused on unveiling the differential effects of mindful and non-mindful exercises on depression and the underlying mechanisms of their therapeutic action.