Could autonomous motivation hold the key to successfully implementing lifestyle changes in affective disorders? A multicentre cross sectional study

Vancampfort, Davy; Madou, Tomas; Moens, H.L. Bernelot; Backer, Tanja De; Vanhalst, Patrick; Helon, Chris; Naert, Pieter; Rosenbaum, Simon; Stubbs, Brendon; Probst, Michel

doi:10.1016/j.psychres.2015.04.021

Cited by 55 publications

(37 citation statements)

References 31 publications

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“…Strategies such as behavioral activation are built upon the idea that increases in activity will lead to improvements in other domains (Ekers et al, 2008), a concept nicely supported by these results. Since motivation has been shown to be an important factor associated with physical activity engagement in patients with mood disorders (Vancampfort et al, 2015a) one possible factor behind our results is that those with more motivation were better able to participate in the recommended exercise dose, and therefore benefitted more. There is a lack of overall understanding of factors that improve engagement in exercise in patients with depression (Vancampfort et al, 2015b) despite clear evidence of its efficacy and of low rates of adequate exercise in this population.…”

Section: Discussionmentioning

confidence: 91%

Exercise is an effective treatment for positive valence symptoms in major depression

Toups

Carmody

Greer

et al. 2017

Journal of Affective Disorders

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Introduction Measurement of symptoms domains and their response to treatment in relative isolation from diagnosed mental disorders has gained new urgency, as reflected by the National Institute of Mental Health’s introduction of the Research Domain Criteria (RDoC). The Snaith Hamilton Pleasure Scale (SHAPS) and the Motivation and Energy Inventory (MEI) are two scales measuring positive valence symptoms. We evaluated the effect of exercise on positive valence symptoms of Major Depressive Disorder (MDD). Methods Subjects in the Treatment with Exercise Augmentation for Depression (TREAD) study completed self-reported SHAPS and MEI during 12 weeks of exercise augmentation for depression. We evaluated the effect of exercise on SHAPS and MEI scores, and whether the changes were related to overall MDD severity measured with the Quick Inventory of Depression Symptomatology (QIDS). Results SHAPS and MEI scores significantly improved with exercise. MEI score change had larger effect size and greater correlation with change in QIDS score. MEI also showed significant moderator and mediator effects of exercise in MDD. Limitations Generalizability to other treatments is limited. This study lacked other bio-behavioral markers that would enhance understanding of the relationship of RDoC and the measures used. Conclusions Positive valence symptoms improve with exercise treatment for depression, and this change correlates well with overall outcome. Motivation and energy may be more clinically relevant to outcome of exercise treatment than anhedonia.

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Section: Discussionmentioning

confidence: 91%

Exercise is an effective treatment for positive valence symptoms in major depression

Toups

Carmody

Greer

et al. 2017

Journal of Affective Disorders

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“…Second, research has not yet elucidated how to initiate and maintain healthy levels of physical activity among BD patients presenting with maladaptive behavioral patterns. For instance, it has been hypothesized that one reason for the reluctance in initiating physical activity observed in patients with BD may be due to the focus of the health professionals on the health benefits of exercise rather than on the individuals’ value of the benefits of physical activity (Vancampfort et al, 2015). …”

Section: Discussionmentioning

confidence: 99%

Lifestyle interventions targeting dietary habits and exercise in bipolar disorder: A systematic review

Bauer

Gálvez

Hamilton

et al. 2016

Journal of Psychiatric Research

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Background Bipolar disorder (BD) is a serious mental illness associated with a high risk of medical comorbidities, long-term disability and premature death. This systematic review examined the current literature on therapeutic interventions targeting nutrition and physical activity in BD and collecting health-related measures such as mood and course of illness. Methods Scopus (all databases), Pubmed and Ovid Medline were systematically searched with no language or year restrictions, up to June 2015, for studies focusing on lifestyle interventions in BD. Search terms were related to bipolar disorder, nutrition, physical activity, wellbeing, psychosocial interventions and course of illness. We hand searched content pages of Bipolar Disorders and Journal of Affective Disorders and checked references of relevant reviews and dissertations to identify additional papers. Results After applying inclusion and exclusion criteria to identified hits, this literature search retrieved six papers. Overall findings point towards a beneficial role of lifestyle interventions on mood, weight, blood pressure, lipid profile, physical activity and overall wellbeing. Methodological limitations include small sample size, gender ratio imbalance, inconsistencies in terms of laboratory measures, and lack of randomized control trials and absence of follow-up and longitudinal studies to determine the benefits of these factors on clinical and functional outcomes over time Conclusions Lifestyle interventions in BD targeting nutrition, exercise, wellbeing alongside beliefs, coping strategies and attitudes towards health show promise in reducing the risk of comorbid ailments in BD. There is still a strong need for studies a) developing interventions which are informed by the patient’s input and b) examining the effectiveness of such interventions targeting general wellness using well-controlled trials.

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“…Studies show that exercise interventions delivered by personal trainers can be effective at improving mental illness symptoms, but adherence is often poor and may be related to lack of population-specific clinical training (Firth et al, 2017;Helgadóttir, Hallgren, Kullberg, & Forsell, 2018). Autonomous regulation has been suggested as a key factor in the successful implementation of exercise interventions for people with depression (Vancampfort, Madou, et al, 2015). Of special note is the support for autonomy of exercise choice, in that people suggested exercising not to a specific intensity, but rather until the person felt it was beneficial.…”

Section: Discussionmentioning

confidence: 99%

Exercise and mental health literacy in an Australian adult population

2018

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Background: Exercise is a well-established treatment for depression, and its use in clinical care is supported by consumers and clinicians. However, whether public health messages regarding the benefits of exercise for depression have translated to public knowledge remains unknown.This study aims to examine the community's mental health literacy, and views regarding exercise delivery for people with depression. Methods:A vignette was presented as part of the telephone-based 2017 National Social Survey (n = 1,265). Interviewees identified what (if anything) was wrong with the person described, who they should seek help from, whether exercise might be beneficial, and how exercise should be delivered for the person described in the vignette. Results are reported using descriptive statistics.Results: From 1,265 respondents (response rate = 24%, n = 598 males, mean age 54.7 years [range 18-101]), almost two-thirds correctly identified the condition described in the vignette as depression. There was widespread support for seeking help from a general practitioner. Exercise was well supported in the treatment of the person described in the vignette, with general practitioners and accredited exercise physiologists highlighted as persons to consult regarding exercise. Views regarding the type of program were consistent with current best practice recommendations.Conclusions: Australian adults demonstrate a high level of exercise and mental health literacy. The high level of support for accredited exercise physiologists is evidence of the effectiveness of health promotion campaigns from peak exercise professional agencies. K E Y W O R D Saffective disorders, depression, depressive illness, physical activity, physical health, vignette

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Could autonomous motivation hold the key to successfully implementing lifestyle changes in affective disorders? A multicentre cross sectional study

Cited by 55 publications

References 31 publications

Exercise is an effective treatment for positive valence symptoms in major depression

Exercise is an effective treatment for positive valence symptoms in major depression

Lifestyle interventions targeting dietary habits and exercise in bipolar disorder: A systematic review

Exercise and mental health literacy in an Australian adult population

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