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Short-Term Outcomes of Physical Activity Counseling in In-Patients With Major Depressive Disorder: Results From the Pacinpat Randomized Controlled Trial Publisher



Cody R1 ; Beck J2 ; Brand S1, 3, 5, 6 ; Donath L7 ; Faude O1 ; Hatzinger M8 ; Imboden C9 ; Kreppke JN1 ; Lang UE3 ; Ludyga S1 ; Mans S9 ; Mikoteit T8 ; Oswald A2 ; Schweinfurth N3 Show All Authors
Authors
  1. Cody R1
  2. Beck J2
  3. Brand S1, 3, 5, 6
  4. Donath L7
  5. Faude O1
  6. Hatzinger M8
  7. Imboden C9
  8. Kreppke JN1
  9. Lang UE3
  10. Ludyga S1
  11. Mans S9
  12. Mikoteit T8
  13. Oswald A2
  14. Schweinfurth N3
  15. Zahner L1
  16. Gerber M1
Show Affiliations
Authors Affiliations
  1. 1. Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
  2. 2. Psychiatric Clinic Sonnenhalde, Riehen, Switzerland
  3. 3. Adult Psychiatric Clinics Universitare Psychiatrische Klinik fur Erwachsene (UPKE), University of Basel, Basel, Switzerland
  4. 4. Sleep Disorders Research Center, Kermanshah University of Medical Sciences (KUMS), Kermanshah, Iran
  5. 5. Substance Use Prevention Research Center and Sleep Disorders Research Center, Kermanshah University of Medical Sciences (KUMS), Kermanshah, Iran
  6. 6. School of Medicine, Tehran University of Medical Sciences (TUMS), Tehran, Iran
  7. 7. Department of Intervention Research in Exercise Training, German Sport University Cologne, Cologne, Germany
  8. 8. Psychiatric Services Solothurn, Solothurn, Switzerland
  9. 9. Private Clinic Wyss, Munchenbuchsee, Switzerland

Source: Frontiers in Psychiatry Published:2023


Abstract

Introduction: A physical activity counseling intervention based on a motivation-volition model was developed and delivered to in-patients with Major Depressive Disorders with the aim of increasing lifestyle physical activity. The aim of this study is to evaluate the short-term outcomes of this intervention. Methods: A multi-center randomized controlled trial was conducted in four Swiss psychiatric clinics. Adults who were initially insufficiently physically active and were diagnosed with Major Depressive Disorder according to ICD-10 were recruited. The sample consisted of 113 participants in the intervention group (Mage = 42 years, 56% women) and 107 in the control group (Mage = 40 years, 49% women). Motivation and volition determinants of physical activity were assessed with questionnaires. Implicit attitudes were assessed with an Implicit Association Test. Physical activity was self-reported and measured with hip-worn accelerometers over 7 consecutive days starting on the day following the data collection. Results: According to accelerometer measures, step count decreased on average 1,323 steps less per day (95% CI = −2,215 to −431, p < 0.01) over time in the intervention group compared to the control group. A trend was recognized indicating that moderate-to-vigorous physical activity decreased on average 8.37 min less per day (95% CI = −16.98 to 0.23, p < 0.06) over time in the intervention group compared to the control group. The initial phase of the intervention does not seem to have affected motivational and volitional determinants of and implicit attitudes toward physical activity. Conclusion: Physical activity counseling may be considered an important factor in the transition from in-patient treatment. Methods to optimize the intervention during this period could be further explored to fulfill the potential of this opportunity. Clinical trial registration: https://www.isrctn.com/ISRCTN10469580, identifier ISRCTN10469580. Copyright © 2023 Cody, Beck, Brand, Donath, Faude, Hatzinger, Imboden, Kreppke, Lang, Ludyga, Mans, Mikoteit, Oswald, Schweinfurth, Zahner and Gerber.
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