Author： Vliet P van de Onghena P Knapen J Fox KR Probst M Coppenolle H van Pieters G
Publisher： Informa Healthcare
ISSN： 1464-5165
Source： Disability and Rehabilitation, Vol.25, Iss.24, 2003-12, pp. : 1344-1353
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Abstract
Purpose : 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 v = v 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.
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