Aerobic exercise for adolescent outpatients with persistent major depression : Feasibility and acceptability of moderate to vigorous group exercise in a clinically referred sample
(2021) In Clinical Child Psychology and Psychiatry 26(4). p.954-967- Abstract
Aims: To assess feasibility and acceptability of exercise in clinically referred adolescents with major depression. Methods: Outpatients12 to 17 years with mild to moderate persistent depression participated in a supervised, pulse monitored, 14-week aerobic exercise but without control group. Primary outcome was adherence and secondary was clinician-rated Quick Inventory of Depressive Symptomatology – Adolescent (QIDS-A17-C), aerobic capacity, functioning, and well-being. Results: Twenty-one (66%) of 32 eligible adolescents with major depression with disease duration 2.4 (1.1–5.3) years and comorbid ADHD (71%) and anxiety disorders (62%) consented. Estimated maximum heart rate above 70% was achieved for mean 31.6 minutes,... (More)
Aims: To assess feasibility and acceptability of exercise in clinically referred adolescents with major depression. Methods: Outpatients12 to 17 years with mild to moderate persistent depression participated in a supervised, pulse monitored, 14-week aerobic exercise but without control group. Primary outcome was adherence and secondary was clinician-rated Quick Inventory of Depressive Symptomatology – Adolescent (QIDS-A17-C), aerobic capacity, functioning, and well-being. Results: Twenty-one (66%) of 32 eligible adolescents with major depression with disease duration 2.4 (1.1–5.3) years and comorbid ADHD (71%) and anxiety disorders (62%) consented. Estimated maximum heart rate above 70% was achieved for mean 31.6 minutes, indicating that the intensity and duration of the exercise intervention was well received. Fourteen patients (67%) participated throughout the program and attended a median of 29 (81%, range 20–35) supporting satisfaction with the intervention by most patients. QIDS-A17-C score decreased compared to baseline at 15 weeks (p <.001) and further at 1 year (p <.001). Aerobic capacity improved during the intervention but was not maintained, while functioning improved and after 1 year also well-being. Conclusion: This 14 week moderate to vigorous aerobic exercise intervention was feasible and well accepted by most adolescents with persistent depression and extensive comorbidities.
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- author
- Jarbin, Håkan LU ; Höglund, Kristina ; Skarphedinsson, Gudmundur and Bremander, Ann LU
- organization
- publishing date
- 2021
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Adolescent, depression, exercise intervention, persistent depression and comorbidity
- in
- Clinical Child Psychology and Psychiatry
- volume
- 26
- issue
- 4
- pages
- 954 - 967
- publisher
- SAGE Publications
- external identifiers
-
- scopus:85104465001
- pmid:33858215
- ISSN
- 1359-1045
- DOI
- 10.1177/13591045211000782
- language
- English
- LU publication?
- yes
- id
- 52aaae81-952e-4e22-9de6-927b7428c502
- date added to LUP
- 2021-05-04 11:32:05
- date last changed
- 2024-09-21 19:53:33
@article{52aaae81-952e-4e22-9de6-927b7428c502,
abstract = {{<p>Aims: To assess feasibility and acceptability of exercise in clinically referred adolescents with major depression. Methods: Outpatients12 to 17 years with mild to moderate persistent depression participated in a supervised, pulse monitored, 14-week aerobic exercise but without control group. Primary outcome was adherence and secondary was clinician-rated Quick Inventory of Depressive Symptomatology – Adolescent (QIDS-A<sub>17</sub>-C), aerobic capacity, functioning, and well-being. Results: Twenty-one (66%) of 32 eligible adolescents with major depression with disease duration 2.4 (1.1–5.3) years and comorbid ADHD (71%) and anxiety disorders (62%) consented. Estimated maximum heart rate above 70% was achieved for mean 31.6 minutes, indicating that the intensity and duration of the exercise intervention was well received. Fourteen patients (67%) participated throughout the program and attended a median of 29 (81%, range 20–35) supporting satisfaction with the intervention by most patients. QIDS-A<sub>17</sub>-C score decreased compared to baseline at 15 weeks (p <.001) and further at 1 year (p <.001). Aerobic capacity improved during the intervention but was not maintained, while functioning improved and after 1 year also well-being. Conclusion: This 14 week moderate to vigorous aerobic exercise intervention was feasible and well accepted by most adolescents with persistent depression and extensive comorbidities.</p>}},
author = {{Jarbin, Håkan and Höglund, Kristina and Skarphedinsson, Gudmundur and Bremander, Ann}},
issn = {{1359-1045}},
keywords = {{Adolescent; depression; exercise intervention; persistent depression and comorbidity}},
language = {{eng}},
number = {{4}},
pages = {{954--967}},
publisher = {{SAGE Publications}},
series = {{Clinical Child Psychology and Psychiatry}},
title = {{Aerobic exercise for adolescent outpatients with persistent major depression : Feasibility and acceptability of moderate to vigorous group exercise in a clinically referred sample}},
url = {{http://dx.doi.org/10.1177/13591045211000782}},
doi = {{10.1177/13591045211000782}},
volume = {{26}},
year = {{2021}},
}