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Assessing the additional impact of fitness training in depressed psychiatric patients receiving multifaceted treatment : a replicated single-subject design
VAN DE VLIET P; ONGHENA P; KNAPEN J
DISABIL REHABIL , 2003, vol. 25, n° 24, p. 1344-1353 Doc n°: 110753 Localisation : Documentation IRR Descripteurs : N - SPORT, JI - PSYCHOLOGIE ET HANDICAP Exercise has been put forward as a therapeutic means for the treatment of clinical depression. Methods : In this study, 29 patients, all with diagnosed with mood disorder, completed daily measurements of depression and physical well-being during periods ranging from 77 to 436 days (M = 146.5). Fitness training was added to the treatment after a period and changes before (A-phase) and after (B-phase) the implementation of this training were the subject of investigation. Data were analysed by means of randomization tests with an AB-design and time-series analysis. Replication of the findings was investigated using Fisher's multiplicative method. Results : Adding fitness training to the treatment of clinical depression does not systematically lead to changes in self-reported feelings of depression on top of benefits that may be due to other treatments. Conclusion : Since the present findings are not in agreement with previous studies, the absence of statistically significant changes in self-reported feelings of depression is discussed within the complexity of the 'exercise - depression' relationship in inpatient populations. These included the severity of their depression, the potential ceiling effect of a multifaceted treatment programme and the initial increase in depression due to the confrontational nature of the intervention. Langue : ANGLAIS Identifiant basis : 2004228855 |
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