Szuhany Kristin L, Malgaroli Matteo, Bonanno George A
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.
Ment Health Phys Act. 2023 Mar;24. doi: 10.1016/j.mhpa.2023.100505. Epub 2023 Feb 1.
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.
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。