Duina Marta, Santi Giampaolo, Carraro Attilio
Faculty of Education, Free University of Bozen/Bolzano, Brixen-Bressanone, Italy.
Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Front Sports Act Living. 2025 Jul 16;7:1569335. doi: 10.3389/fspor.2025.1569335. eCollection 2025.
Mental health disorders affect approximately one in every eight individuals globally, with many facing limited access to care, social exclusion, and stigma. Depression, in particular, is a leading cause of disability and has profound effects on individuals and society. Physical activity (PA) has emerged as a promising non-pharmacological intervention to alleviate depressive symptoms and promote well-being. However, people with depression often encounter substantial barriers to PA participation, exacerbating sedentary behaviors and health disparities.
This systematic review synthesizes findings from 14 peer-reviewed studies ( = 25,375 participants examining barriers and facilitators to PA engagement among individuals with clinically diagnosed depression. Studies included both qualitative and quantitative designs and were identified through searches in PubMed, ProQuest, Web of Science, Scopus, Cochrane Library, and PsycINFO. Inclusion criteria focused on studies involving participants with depression, as defined by DSM criteria, and reporting on PA-related barriers or facilitators. Studies involving healthy populations or comorbid severe physical conditions were excluded.
Adopting Bauman's socio-ecological model, there view categorizes determinants across multiple levels: individual (e.g., motivation, symptoms), interpersonal (e.g., social support), environmental (e.g., access to facilities), and policy/cultural level (e.g., educational status). Findings underscore the importance of multi-level, tailored interventions to address the complex challenges faced by individuals with depression in engaging in PA. Recommendations are provided to guide the development of inclusive, context-sensitive strategies that promote mental health through PA.
https://www.crd.york.ac.uk/PROSPERO/view/CRD42025631996, identifier CRD42025631996.
全球约八分之一的人受心理健康障碍影响，许多人面临着获得护理的机会有限、社会排斥和污名化等问题。特别是抑郁症，是导致残疾的主要原因，对个人和社会都有深远影响。体育活动已成为一种有前景的非药物干预措施，可缓解抑郁症状并促进幸福感。然而，抑郁症患者在参与体育活动时往往会遇到重大障碍，这加剧了久坐行为和健康差距。
本系统综述综合了14项同行评审研究（共25375名参与者）的结果，这些研究探讨了临床诊断为抑郁症的个体参与体育活动的障碍和促进因素。研究包括定性和定量设计，通过在PubMed、ProQuest、科学网、Scopus、Cochrane图书馆和PsycINFO中进行检索来确定。纳入标准侧重于涉及符合DSM标准定义的抑郁症患者的研究，并报告与体育活动相关的障碍或促进因素。排除涉及健康人群或合并严重身体疾病的研究。
采用鲍曼的社会生态模型，本综述将决定因素分为多个层面：个体层面（如动机、症状）、人际层面（如社会支持）、环境层面（如设施可及性）和政策/文化层面（如教育程度）。研究结果强调了多层次、量身定制的干预措施对于解决抑郁症患者在参与体育活动时所面临的复杂挑战的重要性。提供了相关建议，以指导制定通过体育活动促进心理健康的包容性、因地制宜的策略。
https://www.crd.york.ac.uk/PROSPERO/view/CRD42025631996，标识符CRD42025631996。
