TY - JOUR
T1 - Physical fitness exercise versus cognitive behavior therapy on reducing the depressive symptoms among community-dwelling elderly adults
T2 - A randomized controlled trial
AU - Huang, Tzu Ting
AU - Liu, Chiu Bi
AU - Tsai, Yu Hsia
AU - Chin, Yen Fan
AU - Wong, Ching Hsiang
N1 - Publisher Copyright:
© 2015 Elsevier Ltd.
PY - 2015
Y1 - 2015
N2 - Background: Depression is a major health problem for community-dwelling elderly adults. Since limited resources are available to decrease the high prevalence of depressive symptoms among the elderly adults, improved support for them can be provided if we can determine which intervention is superior in ridding depressive symptoms. Objective: To compare the effectiveness of the physical fitness exercise program and the cognitive behavior therapy program on primary (depressive symptoms) and secondary outcomes (6-min walk distance, quality of life, and social support) for community-dwelling elderly adults with depressive symptoms. Design and settings: A prospective randomized control trial was conducted in three communities in northern Taiwan. Participants: The elderly adults in the three communities were invited to participate by mail, phone calls, and posters. There were a total of 57 participants who had depressive symptoms and all without impaired cognition that participated in this trial. None of the participants withdrew during the 9 months of follow-up for this study. Methods: Fifty-seven participants were randomly assigned to one of the three groups: the physical fitness exercise program group, the cognitive behavior therapy (CBT) group, or the control group. The primary (Geriatric Depression Scale-15, GDS-15), and secondary outcomes (6-min walk distance, SF-36, and Inventory of Socially Supportive Behaviors scales, ISSB) were collected immediately (T2), at 3 months (T3), and at 6 months after the interventions (T4). Results: After the interventions, the CBT group participants demonstrated significantly lower symptoms of depression (p= 0.009) at T2 and perceived more social support from those around them (p< 0.001, <0.001 and =0.004, respectively) at three time-point comparisons than the control group. Moreover, after intervention, participants in the physical fitness exercise program group had decreased GDS-15 scores at three time-point comparisons (p= 0.003, 0.012 and 0.037, respectively), had a substantially greater 6-min walk distance (p= 0.023), a better quality of life (p< 0.001), and a better perceived social support at T2 (p< 0.001). Conclusions: Immediately after a 12-week intervention, there were significant decreases in depressive symptoms and more perceived social support amongst those in the CBT group. When considering the effectiveness in the decrease of depressive symptoms longer term, the increase in the 6-min walk distance and raising the patients' quality of life, physical fitness exercise program may be a better intervention for elderly adults with depressive symptoms.
AB - Background: Depression is a major health problem for community-dwelling elderly adults. Since limited resources are available to decrease the high prevalence of depressive symptoms among the elderly adults, improved support for them can be provided if we can determine which intervention is superior in ridding depressive symptoms. Objective: To compare the effectiveness of the physical fitness exercise program and the cognitive behavior therapy program on primary (depressive symptoms) and secondary outcomes (6-min walk distance, quality of life, and social support) for community-dwelling elderly adults with depressive symptoms. Design and settings: A prospective randomized control trial was conducted in three communities in northern Taiwan. Participants: The elderly adults in the three communities were invited to participate by mail, phone calls, and posters. There were a total of 57 participants who had depressive symptoms and all without impaired cognition that participated in this trial. None of the participants withdrew during the 9 months of follow-up for this study. Methods: Fifty-seven participants were randomly assigned to one of the three groups: the physical fitness exercise program group, the cognitive behavior therapy (CBT) group, or the control group. The primary (Geriatric Depression Scale-15, GDS-15), and secondary outcomes (6-min walk distance, SF-36, and Inventory of Socially Supportive Behaviors scales, ISSB) were collected immediately (T2), at 3 months (T3), and at 6 months after the interventions (T4). Results: After the interventions, the CBT group participants demonstrated significantly lower symptoms of depression (p= 0.009) at T2 and perceived more social support from those around them (p< 0.001, <0.001 and =0.004, respectively) at three time-point comparisons than the control group. Moreover, after intervention, participants in the physical fitness exercise program group had decreased GDS-15 scores at three time-point comparisons (p= 0.003, 0.012 and 0.037, respectively), had a substantially greater 6-min walk distance (p= 0.023), a better quality of life (p< 0.001), and a better perceived social support at T2 (p< 0.001). Conclusions: Immediately after a 12-week intervention, there were significant decreases in depressive symptoms and more perceived social support amongst those in the CBT group. When considering the effectiveness in the decrease of depressive symptoms longer term, the increase in the 6-min walk distance and raising the patients' quality of life, physical fitness exercise program may be a better intervention for elderly adults with depressive symptoms.
KW - Cognitive behavior therapy
KW - Depression
KW - Elderly adults
KW - Physical fitness
UR - http://www.scopus.com/inward/record.url?scp=84946581845&partnerID=8YFLogxK
U2 - 10.1016/j.ijnurstu.2015.05.013
DO - 10.1016/j.ijnurstu.2015.05.013
M3 - 文章
C2 - 26105535
AN - SCOPUS:84946581845
SN - 0020-7489
VL - 52
SP - 1542
EP - 1552
JO - International Journal of Nursing Studies
JF - International Journal of Nursing Studies
IS - 10
ER -