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基于移动设备的渐进式和固定体育活动对韩国成年人抑郁、压力、焦虑和生活质量影响的有效性:随机对照试验。

Effectiveness of Mobile-Based Progressive and Fixed Physical Activity on Depression, Stress, Anxiety, and Quality of Life Outcomes Among Adults in South Korea: Randomized Controlled Trial.

机构信息

Division of Global Sport Industry, Hankuk University of Foreign Studies, Gyeonggi-do, Republic of Korea.

Department of Data Science, Hanyang University, Seoul, Republic of Korea.

出版信息

JMIR Mhealth Uhealth. 2024 Jun 12;12:e55578. doi: 10.2196/55578.

DOI:10.2196/55578
PMID:38865705
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11208842/
Abstract

BACKGROUND

Depression acts as a significant obstacle to the overall well-being of individuals. Given the significant consequences, timely recognition and proactive steps to manage symptoms of depression become essential. Such actions not only reduce personal distress but also play a crucial role in reducing its far-reaching impact on society as a whole.

OBJECTIVE

In response to this concern, the objective of this study was to explore the use of mobile-based interventions as a possible remedy. More specifically, this study aimed to investigate the effectiveness of 2 types of physical activity (PA), progressive and fixed, within a mobile-based app on depression, perceived stress, anxiety, physical health, and psychological health, aiming to contribute to the optimization of mental health benefits.

METHODS

Participants (N=60; mean age 25.29, SD 6.10 years) were recruited using a combination of web-based and offline methods, and the study lasted for 8 weeks. The baseline and posttest questionnaires were administered to all participants. The participants were randomly assigned to 1 of the 3 groups: progressive group (n=20; performing mobile-based progressive PA), fixed group (n=20; performing mobile-based fixed intensity PA), and control group C (n=20). Data analysis involved comparing scores between the experimental and control groups using a one-way ANOVA, paired sample t tests (2-tailed), and repeated measures ANOVA with a 3 (group)×2 (time) design.

RESULTS

The findings revealed significant improvements in mental health indicators among participants engaged in both fixed and progressive PA groups compared with the control group. However, the fixed PA group demonstrated more significant reductions in symptoms. Specifically, the progressive PA group showed significant reductions in depression (F=6.941; P=.01; η=0.16) and perceived stress (F=5.47; P=.03; η=0.13), while the fixed PA group exhibited significant reductions in depression (F=5.36; P=.03; η=0.12), perceived stress (F=7.81; P=.008; η=0.17), and general anxiety disorder (F=5.45; P=.03; η=0.13) compared with the control group.

CONCLUSIONS

This study underscores the potential of mobile-based PA in improving mental health outcomes. The findings offer significant insights for mental health professionals and researchers aiming to optimize mental well-being through innovative mobile therapies.

TRIAL REGISTRATION

Clinical Research Information Service KCT0009100; https://tinyurl.com/mr33fmur.

摘要

背景

抑郁症是个体整体幸福感的重大障碍。鉴于其后果严重,及时识别和积极采取措施来管理抑郁症状至关重要。这些行动不仅减轻个人痛苦,而且对减轻其对整个社会的深远影响也至关重要。

目的

针对这一问题,本研究旨在探讨移动干预措施的应用是否可行。更具体地说,本研究旨在调查移动应用程序中的两种类型的身体活动(PA),即渐进式和固定强度,对抑郁、感知压力、焦虑、身体健康和心理健康的影响,旨在为优化心理健康效益提供依据。

方法

参与者(N=60;平均年龄 25.29,SD 6.10 岁)通过网络和线下相结合的方式招募,并进行为期 8 周的研究。所有参与者均进行基线和后测问卷调查。参与者被随机分配到 3 个组之一:渐进组(n=20;进行移动渐进式 PA)、固定组(n=20;进行移动固定强度 PA)和对照组 C(n=20)。数据分析采用单因素方差分析(one-way ANOVA)、配对样本 t 检验(2 尾)和重复测量方差分析(3(组)×2(时间)设计)比较实验组和对照组的得分。

结果

与对照组相比,固定和渐进 PA 组的参与者在心理健康指标上均有显著改善,但固定 PA 组的症状改善更为显著。具体来说,渐进 PA 组在抑郁(F=6.941;P=.01;η=0.16)和感知压力(F=5.47;P=.03;η=0.13)方面有显著降低,而固定 PA 组在抑郁(F=5.36;P=.03;η=0.12)、感知压力(F=7.81;P=.008;η=0.17)和广泛性焦虑障碍(F=5.45;P=.03;η=0.13)方面也有显著降低。

结论

本研究强调了移动 PA 在改善心理健康结果方面的潜力。研究结果为希望通过创新的移动疗法来优化心理健康的心理健康专业人员和研究人员提供了重要的见解。

试验注册

临床研究信息服务 KCT0009100;https://tinyurl.com/mr33fmur。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2582/11208842/339ee20da188/mhealth_v12i1e55578_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2582/11208842/4e128e81ac89/mhealth_v12i1e55578_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2582/11208842/339ee20da188/mhealth_v12i1e55578_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2582/11208842/4e128e81ac89/mhealth_v12i1e55578_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2582/11208842/339ee20da188/mhealth_v12i1e55578_fig2.jpg

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