Duong Karen, Lee Jenny Seung-Hyun
Medical Student, Department of Family Medicine, Texas College of Osteopathic Medicine, University of North Texas Health Science Center, 3500 Camp Bowie Blvd., Fort Worth, Texas 76107-2699, USA.
Assistant Professor, Department of Family Medicine, Texas College of Osteopathic Medicine, University of North Texas Health Science Center, 3500 Camp Bowie Blvd., Fort Worth, Texas 76107-2699, USA.
J Lifestyle Med. 2015 Sep;5(2):39-48. doi: 10.15280/jlm.2015.5.2.39. Epub 2015 Sep 30.
This study examines perception of exercise lifestyle prescription as a valid treatment for depression among rural patients at a primary care clinic in Texas.
The researchers created a depression and exercise survey completed by 104 patients ages 18 and up living in central, economically disadvantaged rural Texas. Logistic regression was used to analyze data obtained.
There was a significant difference (p = 0.01) in perception of exercise as a valid treatment for depression as a function of demographic variables, however not as a function of exercise duration (p = 0.12) in the rural primary care clinic's patients. Even though it was not a statistically significant finding, there was a positive correlation found between the amount of exercise engaged in per day and the likelihood to have a positive perception of exercise prescription as a tool in depression prevention and treatment.
Participants between ages 40 to 59 years old, female, and of Hispanic ethnicity independently are most likely to perceive exercise lifestyle as a valid treatment for depression. This is the first study to look specifically at patient perception of exercise as a valid treatment tool for depression not only in rural areas, but also in the nation. Findings from this pilot study may help healthcare service providers learn how to best incorporate exercise prescription into depression prevention and treatment in rural areas, leading to reducing depression epidemics.
本研究调查了得克萨斯州一家基层医疗诊所的农村患者对运动生活方式处方作为抑郁症有效治疗方法的看法。
研究人员编制了一份抑郁症与运动调查问卷,由104名年龄在18岁及以上、生活在得克萨斯州中部经济贫困农村地区的患者填写。采用逻辑回归分析所获数据。
在该农村基层医疗诊所的患者中,对运动作为抑郁症有效治疗方法的看法因人口统计学变量存在显著差异(p = 0.01),但不因运动时长而有显著差异(p = 0.12)。尽管这一发现无统计学意义,但每天的运动量与将运动处方视为抑郁症预防和治疗工具的积极看法之间存在正相关。
40至59岁、女性及西班牙裔的参与者最有可能独立地将运动生活方式视为抑郁症的有效治疗方法。这是第一项不仅专门研究农村地区,而且是全国范围内患者对运动作为抑郁症有效治疗工具看法的研究。这项初步研究的结果可能有助于医疗服务提供者了解如何最好地将运动处方纳入农村地区的抑郁症预防和治疗,从而减少抑郁症的流行。