Child and Adolescent Habilitation, Skåne University Hospital, Malmö, Sweden.
Department of Clinical Sciences, Section of Rheumatology, Lund University, Lund, Sweden.
Nord J Psychiatry. 2021 Nov;75(8):574-581. doi: 10.1080/08039488.2021.1909128. Epub 2021 Apr 22.
Depression is common and rising in adolescents. Recent meta-analyses indicate a moderate effect of exercise on depression symptoms. Clinically referred adolescents and their experiences of an exercise intervention have rarely been studied. The aim of this study was to describe clinically referred adolescents' experience of moderate to vigorous exercise as a treatment for depression.
A total of 16 clinically referred adolescents with persistent major depression, who had taken part in a 14-week aerobic exercise intervention of moderate to vigorous intensity, were interviewed. Data was analysed by latent qualitative content analysis.
After taking part in the exercise intervention the adolescents expressed enhanced participation in daily life and joy of living by demonstrating commitment and a sense of empowerment. The categories contained both improved vitality and structure of everyday life as well as improved self-esteem and self-control. Participation in the exercise intervention changed their self-image, relationships, school performance, and family life. The adolescents highlighted that exercising in a group was beneficial, giving security and structure.
Adolescents with persistent depression experienced several beneficial aspects of participating in an aerobic group exercise of moderate to vigorous intensity.
青少年抑郁症的发病率正在上升。最近的荟萃分析表明，运动对抑郁症状有中等程度的影响。很少有研究关注临床转诊的青少年及其对运动干预的体验。本研究旨在描述临床转诊的青少年将中等至剧烈运动作为治疗抑郁症的一种体验。
共有 16 名被临床转诊的、持续患有重度抑郁症的青少年参加了一项为期 14 周的中等至剧烈强度的有氧运动干预，对他们进行了访谈。采用潜在的定性内容分析法对数据进行分析。
参加运动干预后，青少年通过表现出承诺感和赋权感，增强了对日常生活的参与度和生活的乐趣。这些类别既包括日常生活活力和结构的改善，也包括自尊和自控力的提高。参加运动干预改变了他们的自我形象、人际关系、学业表现和家庭生活。青少年们强调，参加团体运动有益，能带来安全感和结构性。
患有持续性抑郁症的青少年体验到了参加中等至剧烈强度的有氧运动团体的几个有益方面。
