graduate student, Department of Nursing, Georgetown University School of Nursing and Health Studies, Colorado Springs, CO, USA.
Worldviews Evid Based Nurs. 2014 Dec;11(6):376-82. doi: 10.1111/wvn.12064. Epub 2014 Sep 11.
Depression affects a significant number of adolescents and requires creative treatment planning. Physical activity (PA) as a treatment option for depression has moderate support through repeated systematic reviews in adults, but not in adolescents. The purpose of this work is to present a systematic review of the evidence within the past 5 years regarding the relationship between PA and depressive symptoms (DS) in adolescents, and to determine if the evidence supports PA as a viable treatment option for this age group.
An extensive search was conducted through MEDLINE (i.e., Ovid and PubMed), CINAHL, and PsycINFO databases. Ten primary articles were ultimately selected and reviewed for their quality and contributions to the subject. The SORT tool was utilized to grade individual works and the body of evidence as a whole.
As of the writing of this review, the author finds only one randomized controlled trial that explores the interaction between PA and DS in the adolescent age group. However, the body of evidence generated from this review indicates a strong inverse correlation between the two variables.
Further research must be conducted to determine causation. However, healthcare providers can and must provide both health education and health promotion surrounding the relationship between PA and DS in the adolescent age group to enhance wellness and prevent disease.
抑郁症影响着大量青少年，需要创造性的治疗计划。身体活动（PA）作为成人抑郁症的一种治疗选择，已经通过重复的系统评价得到了中等程度的支持，但在青少年中却没有。本研究旨在对过去 5 年中关于青少年 PA 与抑郁症状（DS）之间关系的证据进行系统评价，并确定 PA 是否支持作为该年龄段的可行治疗选择。
通过 MEDLINE（即 Ovid 和 PubMed）、CINAHL 和 PsycINFO 数据库进行了广泛的搜索。最终选择了 10 篇主要文章，对其质量和对该主题的贡献进行了审查。利用 SORT 工具对个体作品和整个证据体进行分级。
截至本综述撰写之时，作者仅发现一项随机对照试验探讨了青少年群体中 PA 和 DS 之间的相互作用。然而，从本综述中得出的证据体表明，这两个变量之间存在很强的负相关。
必须进行进一步的研究以确定因果关系。然而，医疗保健提供者可以而且必须在青少年群体中提供关于 PA 和 DS 之间关系的健康教育和健康促进，以增强健康并预防疾病。
