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运动在预防和治疗抑郁症中的作用。

The Role of Exercise in Preventing and Treating Depression.

作者信息

Schuch Felipe Barreto, Stubbs Brendon

机构信息

Department of Sports Methods and Techniques, Federal University of Santa Maria, Santa Maria, BRAZIL.

Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, UNITED KINGDOM.

出版信息

Curr Sports Med Rep. 2019 Aug;18(8):299-304. doi: 10.1249/JSR.0000000000000620.

Abstract

Depression is a leading cause of global burden. The mainstay of treatment is pharmacological and psychological interventions. While effective, not all people will respond to those treatments and alternative approaches for preventing and treating depression are required. Recent literature has demonstrated that higher physical activity (PA) levels and exercise confer protective effects on incident depression. Also, exercise has demonstrated efficacy on reducing symptoms for people with depression. Despite its effectiveness, similar to other treatments, some people may benefit more from exercise and identifying these potential predictors of response is necessary to deal with patients' and professionals' expectations. Dropout from exercise interventions is comparable to dropout from other treatments for depression and similar to dropout from exercise in other clinical populations. However, some strategies to increase adherence are important. In the present article, we provide an updated overview of the use of PA and exercise for the prevention and treatment of depression.

摘要

抑郁症是全球负担的主要成因。治疗的主要手段是药物和心理干预。虽然这些方法有效,但并非所有人都会对这些治疗产生反应,因此需要预防和治疗抑郁症的替代方法。最近的文献表明,较高的身体活动(PA)水平和运动对预防抑郁症具有保护作用。此外,运动已被证明对减轻抑郁症患者的症状有效。尽管运动有效,但与其他治疗方法一样,有些人可能从运动中获益更多,识别这些潜在的反应预测因素对于满足患者和专业人员的期望很有必要。运动干预的退出率与抑郁症的其他治疗方法的退出率相当,并且与其他临床人群的运动退出率相似。然而,一些提高依从性的策略很重要。在本文中,我们提供了关于使用身体活动和运动预防和治疗抑郁症的最新综述。

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