Dopp Richard R, Mooney Ann J, Armitage Roseanne, King Cheryl
Child and Adolescent Psychiatry Section, Department of Psychiatry, University of Michigan, 4250 Plymouth Road, Ann Arbor, MI 48109-2700, USA.
Depress Res Treat. 2012;2012:257472. doi: 10.1155/2012/257472. Epub 2012 Jul 24.
Objectives. Adolescence is associated with increased depressive symptoms and decreased aerobic exercise, yet the relationship between exercise and clinical depression among adolescents requires further examination. This study assessed the feasibility of a 12-week intervention designed to increase exercise for adolescents with depressive disorders: Will a teenager with depression exercise? Methods. Participants were 13 adolescents with depression reporting low levels of aerobic exercise. They completed a 12-week intervention (15 supervised exercise sessions and 21 independent sessions). Exercise was measured through the aerobic exercise Questionnaire, actigraphy, and heart-rate monitoring. Depression was measured with the Children's Depression Rating Scale, Revised, and Quick Inventory of Depressive Symptomatology, Self-Report. Results. All participants who started the intervention completed the protocol, attending all supervised exercise sessions. Actigraphy verified 81% adherence to the protocol's independent sessions. Analysis of secondary outcomes showed a significant increase in exercise levels and a significant decrease in depression severity. Initially, ten participants were overweight or obese, and three were healthy weight. After 12 weeks of exercise, the number of participants in the healthy-weight category doubled. Conclusions. Adolescents suffering from depression can complete a rigorous protocol requiring structured increases in aerobic exercise. Participants showed significant increases in exercise, and significant decreases in depressive symptoms.
目标。青春期与抑郁症状增加和有氧运动减少有关,但青少年运动与临床抑郁症之间的关系需要进一步研究。本研究评估了一项为期12周的干预措施的可行性,该措施旨在增加患有抑郁症的青少年的运动量:患有抑郁症的青少年会运动吗?方法。参与者为13名患有抑郁症且有氧运动水平较低的青少年。他们完成了一项为期12周的干预(15次监督下的运动课程和21次独立课程)。通过有氧运动问卷、活动记录仪和心率监测来测量运动情况。用修订后的儿童抑郁评定量表和抑郁症状快速自评量表来测量抑郁情况。结果。所有开始干预的参与者都完成了方案,参加了所有监督下的运动课程。活动记录仪证实81%的人遵守了方案中的独立课程。对次要结果的分析显示运动水平显著提高,抑郁严重程度显著降低。最初,10名参与者超重或肥胖,3名体重正常。经过12周的运动后,体重正常类别的参与者人数增加了一倍。结论。患有抑郁症的青少年可以完成一项要求有计划地增加有氧运动的严格方案。参与者的运动显著增加,抑郁症状显著减少。