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Internet-delivered therapist-guided physical activity for mild to moderate depression: a randomized controlled trial

Objective. The main hypothesis, and the objective of the study, was to test if the participants allocated to the treatment group would show a larger reduction in depressive symptoms than those in the control group. Methods. This study was a randomized nine week trial of an Internet-administered trea...

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Autores principales: Ström, Morgan, Uckelstam, Carl-Johan, Andersson, Gerhard, Hassmén, Peter, Umefjord, Göran, Carlbring, Per
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PeerJ Inc. 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3792189/
https://www.ncbi.nlm.nih.gov/pubmed/24109561
http://dx.doi.org/10.7717/peerj.178
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author Ström, Morgan
Uckelstam, Carl-Johan
Andersson, Gerhard
Hassmén, Peter
Umefjord, Göran
Carlbring, Per
author_facet Ström, Morgan
Uckelstam, Carl-Johan
Andersson, Gerhard
Hassmén, Peter
Umefjord, Göran
Carlbring, Per
author_sort Ström, Morgan
collection PubMed
description Objective. The main hypothesis, and the objective of the study, was to test if the participants allocated to the treatment group would show a larger reduction in depressive symptoms than those in the control group. Methods. This study was a randomized nine week trial of an Internet-administered treatment based on guided physical exercise for Major Depressive Disorder (MDD). A total of 48 participants with mild to moderate depression, diagnosed using the Structured Clinical Interview for DSM-IV Axis I Disorders, were randomized either to a treatment intervention or to a waiting-list control group. The main outcome measure for depression was the Beck Depression Inventory-II (BDI-II), and physical activity level was measured using the International Physical Activity Questionnaire (IPAQ). The treatment program consisted of nine text modules, and included therapist guidance on a weekly basis. Results. The results showed significant reductions of depressive symptoms in the treatment group compared to the control group, with a moderate between-group effect size (Cohen’s d = 0.67; 95% confidence interval: 0.09–1.25). No difference was found between the groups with regards to increase of physical activity level. For the treatment group, the reduction in depressive symptoms persisted at six months follow-up. Conclusions. Physical activity as a treatment for depression can be delivered in the form of guided Internet-based self-help. Trial Registration. The trial was registered at ClinicalTrials.gov (NCT01573130).
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spelling pubmed-37921892013-10-09 Internet-delivered therapist-guided physical activity for mild to moderate depression: a randomized controlled trial Ström, Morgan Uckelstam, Carl-Johan Andersson, Gerhard Hassmén, Peter Umefjord, Göran Carlbring, Per PeerJ Clinical Trials Objective. The main hypothesis, and the objective of the study, was to test if the participants allocated to the treatment group would show a larger reduction in depressive symptoms than those in the control group. Methods. This study was a randomized nine week trial of an Internet-administered treatment based on guided physical exercise for Major Depressive Disorder (MDD). A total of 48 participants with mild to moderate depression, diagnosed using the Structured Clinical Interview for DSM-IV Axis I Disorders, were randomized either to a treatment intervention or to a waiting-list control group. The main outcome measure for depression was the Beck Depression Inventory-II (BDI-II), and physical activity level was measured using the International Physical Activity Questionnaire (IPAQ). The treatment program consisted of nine text modules, and included therapist guidance on a weekly basis. Results. The results showed significant reductions of depressive symptoms in the treatment group compared to the control group, with a moderate between-group effect size (Cohen’s d = 0.67; 95% confidence interval: 0.09–1.25). No difference was found between the groups with regards to increase of physical activity level. For the treatment group, the reduction in depressive symptoms persisted at six months follow-up. Conclusions. Physical activity as a treatment for depression can be delivered in the form of guided Internet-based self-help. Trial Registration. The trial was registered at ClinicalTrials.gov (NCT01573130). PeerJ Inc. 2013-10-03 /pmc/articles/PMC3792189/ /pubmed/24109561 http://dx.doi.org/10.7717/peerj.178 Text en © 2013 Ström et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Clinical Trials
Ström, Morgan
Uckelstam, Carl-Johan
Andersson, Gerhard
Hassmén, Peter
Umefjord, Göran
Carlbring, Per
Internet-delivered therapist-guided physical activity for mild to moderate depression: a randomized controlled trial
title Internet-delivered therapist-guided physical activity for mild to moderate depression: a randomized controlled trial
title_full Internet-delivered therapist-guided physical activity for mild to moderate depression: a randomized controlled trial
title_fullStr Internet-delivered therapist-guided physical activity for mild to moderate depression: a randomized controlled trial
title_full_unstemmed Internet-delivered therapist-guided physical activity for mild to moderate depression: a randomized controlled trial
title_short Internet-delivered therapist-guided physical activity for mild to moderate depression: a randomized controlled trial
title_sort internet-delivered therapist-guided physical activity for mild to moderate depression: a randomized controlled trial
topic Clinical Trials
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3792189/
https://www.ncbi.nlm.nih.gov/pubmed/24109561
http://dx.doi.org/10.7717/peerj.178
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