Depressive Symptom Outcomes of Physical Activity Interventions: Meta-analysis Findings

Depressive Symptom Outcomes of Physical Activity Interventions: Meta-analysis Findings
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DOI:
10.1007/s12160-010-9172-x
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发表时间:
2010-05-01
影响因子:
3.8
通讯作者:
Conn, Vicki S.
Conn, Vicki S.
中科院分区:
心理学2区
文献类型:
--
作者:
Conn, Vicki S.

文献摘要

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体力活动(PA)与心理健康结果一致相关。这项荟萃分析综合了健康成年人中有监督和无监督PA干预的抑郁症状结果。对无临床抑郁的成年人的PA干预采用了综合搜索和编码。分析包括随机效应标准化平均数、Q,以及使用方差分析和回归元分析类比进行的调节分析。在38项监督PA研究中,处理与对照比较的标准化平均效应大小为0.372,在22项非监督PA研究中,标准化平均效应大小为0.522。初步的主持人分析表明,当监督的PA干预包括灵活性/抵抗力和低强度运动时,可能会更有效。当他们推荐以中心为基础的PA时,无监督PA干预可能会更有效。确定了方法调节因素(随机分配,对照组管理)。这些发现证明,即使在没有临床抑郁症的成年人中,PA干预也能减轻抑郁症状。主持人分析为未来的研究和实践提供了方向。
Physical activity (PA) is consistently linked to mental health outcomes.This meta-analysis synthesized depressive symptom outcomes of supervised and unsupervised PA interventions among healthy adults.Comprehensive searching and coding were applied to PA interventions among adults without clinical depression. Analyses included random-effects standardized means, Q, and moderator analysis using analysis of variance and regression meta-analytic analogues.Treatment versus control comparisons yielded a standardized mean effect size of 0.372 among 38 supervised PA studies and 0.522 among 22 unsupervised PA studies. Preliminary moderator analyses suggested that supervised PA interventions may be more effective when they include flexibility/resistance and low-intensity exercise. Unsupervised PA interventions may be more effective when they recommend center-based PA. Methodological moderators (random assignment, control group management) were identified.These findings document that PA interventions reduce depressive symptoms even in adults without clinical depression. Moderator analyses suggest directions for future research as well as practice.