Adolescents’ Experiences of Facilitators for and Barriers to Maintaining Exercise 12 Months after a Group-Based Intervention for Depression

International Journal of Environmental Research and Public Health

Evelina Sunesson¹  Ingrid Larsson¹  Håkan Jarbin²  Emma Haglund³  Ann Bremander³ 

[1] Center of Research on Welfare, Health and Sport, School of Health and Welfare, Halmstad University, SE-30118 Halmstad, Sweden;Child and Adolescent Psychiatry, Department of Clinical Sciences Lund, Lund University, SE-22184 Lund, Sweden;Spenshult Research and Development Centre, SE-30274 Halmstad, Sweden;

关键词: adolescents;    facilitators;    barriers;    depression;    exercise;   

DOI  :  10.3390/ijerph18105427

来源: DOAJ

【 摘 要 】

Exercise can improve health among adolescents with depression. Understanding facilitators for and barriers to maintaining exercise among adolescents with depression may increase adherence to exercise and consequently improve health. The aim was to explore adolescents’ experiences of facilitators for and barriers to maintaining exercise after a group-based exercise intervention for depression. Interviews (n = 14) were conducted 12 months after the exercise intervention. A qualitative content analysis was used to extract facilitators and barriers. Facilitators for maintaining exercise among adolescents with depression were (1) greater self-esteem by having companionship while exercising and by achieving exercise results and (2) having a supportive environment in terms of accessibility and coaching. Barriers to maintaining exercise were (1) disease burden due to fatigue, social anxiety, and a lack of drive, and (2) lack of a supportive environment including a lack of social support, as well as structural support. In conclusion, facilitating enhanced self-esteem and continuous support for exercising are important for adolescents with depression to maintain exercise. The disease burden of depression is a substantial barrier that needs to be considered to maintain exercise. The findings can contribute to the development of services that promote and coordinate exercise as a treatment among adolescents with depression.

【 授权许可】

Unknown