Suppr超能文献

体育活动可能会缓冲抑郁,并在经历重大生活压力源后增强恢复力。

Physical activity may buffer against depression and promote resilience after major life stressors.

作者信息

Szuhany Kristin L, Malgaroli Matteo, Bonanno George A

机构信息

Department of Psychiatry, New York University Grossman School of Medicine, One Park Ave, New York, NY 10016 USA.

Department of Counseling and Clinical Psychology, Columbia University Teachers College, 525 West 120 St. New York, NY 10027.

出版信息

Ment Health Phys Act. 2023 Mar;24. doi: 10.1016/j.mhpa.2023.100505. Epub 2023 Feb 1.

Abstract

As many individuals experience potentially traumatic or stressful life events, understanding factors that are likely to promote resilience is imperative. Given the demonstrated efficacy of exercise for depression treatment, we examined if exercise buffers against the risk of developing psychiatric symptoms following life stressors. 1405 participants (61% female) from a longitudinal panel cohort experienced disability onset (43%), bereavement (26%), heart attack (20%), divorce (11%), and job loss (3%). They reported time spent exercising and depressive symptoms (Center for Epidemiologic Studies Depression scale) across three time points collected in two-year intervals: T0 (pre-stressor), T1 (acutely post-stressor), and T2 (post-stressor). Participants were classified in previously identified heterogeneous depression trajectories pre- to post-life stressor: resilient (69%), emerging (11.5%), chronic (10%), and improving (9.5%). Multinomial logistic regression found that more T0 exercise predicted likelihood of classification in resilient versus other groups (all p<.02). Controlling for covariates, only the higher likelihood of classification in resilient versus improving remained (p=.03). Follow-up repeated measures general linear model (GLM) assessed whether trajectory was associated with exercise at each time, controlling for covariates. GLM indicated significant within-subjects effects for time (p=.016, partial η=.003) and time*trajectory (p=.020, partial η=.005) on exercise and significant between-subjects effects of trajectory (p<.001, partial η=.016) and all covariates. The resilient group showed consistent high exercise levels. The improving group had consistent moderate exercise. The emerging and chronic groups were associated with lower exercise post-stressor. Pre-stressor exercise may buffer against depression and ongoing exercise may be associated with lower depression levels following a major life stressor.

摘要

由于许多人经历过潜在的创伤性或压力性生活事件,因此了解可能促进心理韧性的因素至关重要。鉴于运动对抑郁症治疗已证实的疗效,我们研究了运动是否能缓冲生活压力源后出现精神症状的风险。来自一个纵向队列研究的1405名参与者(61%为女性)经历了残疾发作(43%)、丧亲之痛(26%)、心脏病发作(20%)、离婚(11%)和失业(3%)。他们报告了在以两年为间隔收集的三个时间点上的运动时间和抑郁症状(流行病学研究中心抑郁量表):T0(压力源前)、T1(压力源后急性期)和T2(压力源后)。参与者在生活压力源前后被分类为先前确定的异质性抑郁轨迹:心理韧性强(69%)、逐渐显现(11.5%)、慢性(10%)和改善(9.5%)。多项逻辑回归发现,T0时更多的运动预示着被分类为心理韧性强组而非其他组的可能性(所有p<.02)。在控制协变量后,仅心理韧性强组与改善组相比被分类的可能性更高仍然存在(p=.03)。后续重复测量一般线性模型(GLM)评估了轨迹是否在每个时间点与运动相关,并控制了协变量。GLM表明,时间(p=.016,偏η=.003)和时间*轨迹(p=.020,偏η=.005)对运动有显著的受试者内效应,轨迹(p<.001,偏η=.016)和所有协变量有显著的受试者间效应。心理韧性强组显示出持续的高运动水平。改善组有持续的适度运动。逐渐显现组和慢性组在压力源后与较低的运动相关。压力源前的运动可能缓冲抑郁,而持续运动可能与重大生活压力源后的较低抑郁水平相关。

相似文献

1
Physical activity may buffer against depression and promote resilience after major life stressors.
Ment Health Phys Act. 2023 Mar;24. doi: 10.1016/j.mhpa.2023.100505. Epub 2023 Feb 1.
2
Discriminating Heterogeneous Trajectories of Resilience and Depression After Major Life Stressors Using Polygenic Scores.
JAMA Psychiatry. 2021 Jul 1;78(7):744-752. doi: 10.1001/jamapsychiatry.2021.0228.
3
Frequency and impact of midlife stressors among men and women with physical disability.
Disabil Rehabil. 2019 Jul;41(15):1760-1767. doi: 10.1080/09638288.2018.1448466. Epub 2018 Mar 9.
5
Predictors of stress resilience in Parkinson's disease and associations with symptom progression.
NPJ Parkinsons Dis. 2024 Apr 11;10(1):81. doi: 10.1038/s41531-024-00692-4.
7
Heterogeneity in Trajectories of Depression in Response to Divorce is Associated with Differential Risk for Mortality.
Clin Psychol Sci. 2017 Sep;5(5):843-850. doi: 10.1177/2167702617705951. Epub 2017 Jan 13.
8
Resilient phenotypes among bereaved youth: a comparison of trajectory, relative, and cross-domain approaches.
Child Adolesc Psychiatry Ment Health. 2023 Feb 8;17(1):23. doi: 10.1186/s13034-023-00568-0.

本文引用的文献

2
The anxiolytic effects of exercise for people with anxiety and related disorders: An update of the available meta-analytic evidence.
Psychiatry Res. 2021 Aug;302:114046. doi: 10.1016/j.psychres.2021.114046. Epub 2021 Jun 11.
3
4
Discriminating Heterogeneous Trajectories of Resilience and Depression After Major Life Stressors Using Polygenic Scores.
JAMA Psychiatry. 2021 Jul 1;78(7):744-752. doi: 10.1001/jamapsychiatry.2021.0228.
5
Cross-sectional and prospective relationship between physical activity and depression symptoms.
Sci Rep. 2020 Sep 30;10(1):16114. doi: 10.1038/s41598-020-72987-4.
7
Physical Exercise Training Improves Quality of Life in Healthy Older Adults: A Meta-Analysis.
J Aging Phys Act. 2020 Jan 1;28(1):81-93. doi: 10.1123/japa.2018-0436.
8
Physical activity protects from incident anxiety: A meta-analysis of prospective cohort studies.
Depress Anxiety. 2019 Sep;36(9):846-858. doi: 10.1002/da.22915. Epub 2019 Jun 17.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验