Article

OBJECTIVE: To test hypothesized associations between depression and physical
activity among adults with multiple sclerosis (MS), spinal cord injury (SCI),
muscular dystrophy (MD), and postpolio syndrome (PPS). DESIGN: Cross-sectional
survey. SETTING: Survey responses collected from individuals in the Washington
state area (participants with SCI) and across the United States (participants
with MS, MD, and PPS). PARTICIPANTS: Convenience sample of participants were
surveyed (N=1676; MD, n=321; PPS, n=388; MS, n=556; SCI, n=411). INTERVENTIONS:
Not applicable. MAIN OUTCOME MEASURES: The Patient Health Questionnaire-9 (PHQ-9)
assessing depressive symptoms and the International Physical Activity
Questionnaire (IPAQ) and Godin Leisure Time Exercise Questionnaire (GLTEQ)
assessing physical activity. RESULTS: The average age was 56 years, 64% were
women, 92% were white, 86% had a high school degree or higher, and 56% walked
with an assistive device or had limited self-mobility. The IPAQ and GLTEQ
explained a small but statistically significant and unique amount of the variance
in PHQ-9 scores in all diagnostic groups, with no significant differences in the
relation by condition, age, or mobility status (IPAQ R(2)=.004; GLTEQ R(2)=.02;
both P<.02). CONCLUSIONS: Both physical activity measures demonstrated a small
but statistically significant association with depression in all 4 diagnostic
groups. Research is needed to determine longitudinal relations and whether
physical activity interventions could promote improved mood in adults with
physical disabilities.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS