Exercise improves physical and psychological quality of life in people with depression: A meta-analysis including the evaluation of control group response

PSYCHIATRY RESEARCH

卷:241

Review

Schuch, Felipe B.^1,2  Vancampfort, Davy^3,4  Rosenbaum, Simon^5,9  Richards, Justin⁶  Ward, Philip B.^5,9  Stubbs, Brendon^7,8 

[1] Hosp Clin Porto Alegre, Porto Alegre, RS, Brazil

[2] Univ Fed Rio Grande do Sul, Programa Pos Grad Ciencias Med Psiquiatria, Porto Alegre, RS, Brazil

[3] Univ Leuven, KU Leuven, Dept Rehabil Sci, Leuven, Belgium

[4] Univ Leuven, KU Leuven, Zorg Leuven, Campus ICortenberg, Kortenberg, Belgium

[5] Univ New South Wales, Sch Psychiat, Sydney, NSW, Australia

[6] Univ Sydney, Sch Publ Hlth, Charles Perkins Ctr, Sydney, NSW, Australia

[7] South London & Maudsley NHS Fdn Trust, Physiotherapy Dept, Denmark Hill, London SE5 8AZ, England

[8] Kings Coll London, Inst Psychiat Psychol & Neurosci, Hlth Serv & Populat Res Dept, De Crespigny Pk, London SE5 8AF, England

[9] Ingham Inst Appl Med Res, Liverpool, Australia

关键词: Depression;    Exercise;    Quality of life;    Meta-analysis;   

DOI  :  10.1016/j.psychres.2016.04.054

来源: Elsevier

【 摘 要 】

Exercise has established efficacy as an antidepressant in people with depression. However, few meta analyses have assessed the effects of exercise across different domains of Quality of Life (QoL) in people with depression. Furthermore, there has been no previous meta-analysis of control group response in relation to QoL in exercise trials for depression. Randomized Clinical Trials(RCTs) were initially identified from a Cochrane review, and those including QoL assessments were included in the analysis. Search of major electronic databases were conducted to identify RCTs that compared the exercise effects on QoL versus control condition in people with depression. A random effects meta-analysis was employed to evaluate the Standardized Mean Difference (SMD). Six RCTs were included. Exercise significantly improved physical and psychological domains and overall QoL. Effects on social relationship and environment domains were not significant. No significant control group response was found for any domain or overall QoL. Exercise can be considered as a therapeutic strategy to improve physical and psychological domains and overall QoL of people with depression, with no effect evident across the social and environmental domains. The lack of improvement among control groups reinforces the role of exercise as a treatment for depression with benefits to QoL. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

Free