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Exercise Therapy as a Treatment for Anxiety, Depression, and Drug Cravings for Patients with Substance Use Disorder: A Bayesian Meta-Analysis

Wise, Alicia Renee LU (2024) PSYP02 20241
Department of Psychology
Abstract
Intro: This study explores the extent to which exercise therapy lowers depression, anxiety, and drug cravings in patients diagnosed with Substance Use Disorder and chronic smokers who are unable to quit independently.
Methods: A literature search was conducted until March 2024; journal credibility was confirmed via h-5 index. In total, nineteen randomized and nonrandomized trials (n = 707) were accepted for analysis. Risk of bias was determined via Cochrane’s approved EPHPP quality assessment tool. A bayesian meta-analysis was run for both the pooled and individual effects of exercise therapy on depression, anxiety, and cravings. A secondary round of analyses examined whether the type of exercise one participates in is more efficient in... (More)
Intro: This study explores the extent to which exercise therapy lowers depression, anxiety, and drug cravings in patients diagnosed with Substance Use Disorder and chronic smokers who are unable to quit independently.
Methods: A literature search was conducted until March 2024; journal credibility was confirmed via h-5 index. In total, nineteen randomized and nonrandomized trials (n = 707) were accepted for analysis. Risk of bias was determined via Cochrane’s approved EPHPP quality assessment tool. A bayesian meta-analysis was run for both the pooled and individual effects of exercise therapy on depression, anxiety, and cravings. A secondary round of analyses examined whether the type of exercise one participates in is more efficient in lowering the symptoms of interest. Small sample sizes and heterogeneity were accounted for by using a random effects model and calculating Hedge’s g.
Results: Exercise therapy was shown to have small effect sizes for reducing depression (-0.31), anxiety (-0.38), and cravings (-0.36). The overall pooled reduction had an estimated standard mean difference of -0.32. When analysis was stratified by exercise type, Fitbit and walking-related physical activities returned marginally larger effect sizes for the overall pooled effect (-0.32) and for depression alone (-0.43). Anxiety alone was most improved by a hybrid aerobic and strength exercise regimen (-0.43), and martial arts had the largest impact on physical cravings (-0.40). Nevertheless, differences between types of exercise are likely due to differences between study populations and would need replication with larger study groups to determine a more accurate ranking of exercise therapies. (Less)
Please use this url to cite or link to this publication:
author
Wise, Alicia Renee LU
supervisor
organization
course
PSYP02 20241
year
type
H1 - Master's Degree (One Year)
subject
keywords
Exercise Therapy, Substance Use Disorder, Anxiety, Depression, Substance Cravings, Bayesian Meta-Analysis
language
English
id
9176483
date added to LUP
2025-03-31 08:51:40
date last changed
2025-03-31 08:51:40
@misc{9176483,
  abstract     = {{Intro: This study explores the extent to which exercise therapy lowers depression, anxiety, and drug cravings in patients diagnosed with Substance Use Disorder and chronic smokers who are unable to quit independently.
Methods: A literature search was conducted until March 2024; journal credibility was confirmed via h-5 index. In total, nineteen randomized and nonrandomized trials (n = 707) were accepted for analysis. Risk of bias was determined via Cochrane’s approved EPHPP quality assessment tool. A bayesian meta-analysis was run for both the pooled and individual effects of exercise therapy on depression, anxiety, and cravings. A secondary round of analyses examined whether the type of exercise one participates in is more efficient in lowering the symptoms of interest. Small sample sizes and heterogeneity were accounted for by using a random effects model and calculating Hedge’s g.
Results: Exercise therapy was shown to have small effect sizes for reducing depression (-0.31), anxiety (-0.38), and cravings (-0.36). The overall pooled reduction had an estimated standard mean difference of -0.32. When analysis was stratified by exercise type, Fitbit and walking-related physical activities returned marginally larger effect sizes for the overall pooled effect (-0.32) and for depression alone (-0.43). Anxiety alone was most improved by a hybrid aerobic and strength exercise regimen (-0.43), and martial arts had the largest impact on physical cravings (-0.40). Nevertheless, differences between types of exercise are likely due to differences between study populations and would need replication with larger study groups to determine a more accurate ranking of exercise therapies.}},
  author       = {{Wise, Alicia Renee}},
  language     = {{eng}},
  note         = {{Student Paper}},
  title        = {{Exercise Therapy as a Treatment for Anxiety, Depression, and Drug Cravings for Patients with Substance Use Disorder: A Bayesian Meta-Analysis}},
  year         = {{2024}},
}