دانلود رایگان مقاله انگلیسی رفتار یک جا نشینی و فعالیت بدنی در افسردگی و شدت نشانه های اضطراب در بیماران - الزویر 2018

ABSTRACT

Research has consistently shown that regular physical activity may protect against the development and maintenance of depression and anxiety, whereas sedentary behavior may exacerbate depression and anxiety. However, much of the past research in this area has focused on non-clinical populations. Therefore, the goal of this study was to examine the relations of physical activity and sedentary behavior to depression and anxiety symptom severity among an understudied patient population, patients in residential substance use disorder (SUD) treatment. This study also sought to determine the extent to which physical activity and sedentary behavior relate to depression and anxiety symptom severity above and beyond an established transdiagnostic risk factor for depression and anxiety, emotion dysregulation. A sample of 41 patients from a residential SUD treatment facility completed a variety of self-report measures focused on physical activity, sedentary behavior, emotion dysregulation, and depression and anxiety symptom severity. Physical activity, but not sedentary behavior, was found to significantly predict depression symptom severity above and beyond emotion dysregulation. Physical activity and sedentary behavior did not significantly predict anxiety symptom severity above and beyond emotion dysregulation. In addition to providing additional support for the relevance of emotion dysregulation to depression and anxiety symptom severity, results suggest that physical activity may be another factor to consider in evaluating risk for depression among patients with SUDs. Although additional research in this area is warranted, results also suggest the potential utility of targeting physical activity in reducing risk for depression among patients with SUDs.

Discussion

The primary goal of the present study was to provide an initial examination of the relations of physical activity and sedentary behavior to depression and anxiety symptom severity among patients receiving residential SUD treatment. Specifically, this study examined the extent to which physical activity and sedentary behavior were uniquely associated with depression and anxiety symptom severity above and beyond an established transdiagnostic risk factor for these symptoms, emotion dysregulation. Results indicate that physical activity was inversely associated with depression severity among individuals with SUDs, even when accounting for emotion dysregulation. This finding highlights the importance of assessing an individual's level of physical activity (in addition to other established risk factors such as emotion dysregulation) when evaluating risk for depression among individuals with SUDs, as well as the potential utility of targeting physical activity in treatments for depression within this population. Although this finding is consistent with extant literature on the relation between physical inactivity and depression (e.g., Dunn et al., 2001), some novel results were found.