nach oben

01.08.2005

Depressive Symptoms Among Older Adults: Long-Term Reduction After a Physical Activity Intervention

verfasst von: Robert W. Motl, James F. Konopack, Edward McAuley, Steriani Elavsky, Gerald J. Jerome, David X. Marquez

Erschienen in: Journal of Behavioral Medicine | Ausgabe 4/2005

Einloggen, um Zugang zu erhalten

Abstract

We examined the effects of two physical activity modes on depressive symptoms over a 5-year period among older adults and change in physical self-esteem as a mediator of changes in depressive symptoms. Formerly sedentary, older adults (N = 174) were randomly assigned into 6-month conditions of either walking or low-intensity resistance/flexibility training. Depressive symptoms and physical self-esteem were measured before and after the 6-month intervention, and 12 and 60 months after intervention initiation. Depressive symptoms scores were decreased immediately after the intervention, followed by a sustained reduction for 12 and 60 months after intervention initiation; there was no differential pattern of change between the physical activity modes. Change in physical self-esteem predicted change in depressive symptoms. This study supports the effectiveness of an exercise intervention for the sustained reduction of depressive symptoms among sedentary older adults and physical self-esteem as a potential mediator of this effect.

Arbuckle, J. L. (1996). Full information estimation in the presence of incomplete data. In Marcoulides, G. A., and Schumacker, R. E. (Eds.), Advanced Structural Equation Modeling: Issues and Techniques, Lawrence Erlbaum, Mahwah, NJ, pp. 243–277.

Babyak, M., Blumenthal, J. A., Herman, S., Khatri, P., Doraiswamy, M., Moore, K., Craighead, W. E., Baldewicz, T. T., and Krishnan, K. R. (2000). Exercise treatment for major depression: Maintenance of therapeutic benefit at 10 months. Psychosom. Med. 62: 633–638.PubMed

Baumeister, R. F. (1993). Understanding the inner nature of self-esteem. In Baumeister, R. F. (Ed.), Self-Esteem: The Puzzle of Low Self-Regard, Plenum, New York, pp. 201–218.

Baumeister, R. F., Campbell, J. D., Krueger, J. I., and Vohs, K. D. (2003). Does high self-esteem cause better performance, interpersonal success, happiness, or healthier lifestyles? Psychol. Sci. Pub. Inter. 4:1–44.CrossRef

Begg, C. B., and Iglewicz, B. (1980). A treatment allocation procedure for sequential clinical trials. Biometrics 36: 81–90.PubMedCrossRef

Bentler, P. M. (1990). Comparative fit indices in structural models. Psychol. Bull. 107: 238–246.CrossRefPubMed

Bentler, P. M., and Bonett, D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychol. Bull. 88: 588–606.CrossRef

Blair, S. N., and Connelly, J. C. (1996). How much physical activity should we do? The case for moderate amounts and intensities of physical activity. Res. Q. Sport. Exerc. 67: 193–205.

Blumenthal, J. A., Babyak, M. A., Moore, K. E., Craighead, Plenum, W. A., Herman, S., Khatri, P., Waugh, R., Napolitano, M. A., Forman, L. M., Appelbaum, M., Doraiswamy, P. M., and Krishnan, K. R. (1999). Effects of exercise training on older adults with major depression. Arch. Intern. Med. 159: 2349–2356.CrossRefPubMed

Boileau, R., McAuley, E., Demetriou, D., Devabhaktuni, N. K., Dykstra, G. L., Katula, J., Nelson, J., Pascale, A., Pena, M., and Talbot, H. (1999). Aerobic exercise training and cardiorespiratory fitness in older adults: A randomized controlled trial. J. Aging Physical Activity 7: 374–385.

Bollen, K. A. (1989). Structural Equations with Latent Variables, Wiley, New York, NY.

Borg, G. (1998). Borg's Perceived Exertion and Pain Scales, Human Kinetics, Champaign, IL.

Broose, A. L., Sheets, E. S., Lett, H. S., and Blumenthal, J. A. (2002). Exercise and the treatment of clinical depression in adults: Recent findings and future directions. Sports. Med. 32: 741–760.PubMedCrossRef

Browne, M. W., and Cudeck, R. (1993). Alternative ways of assessing model fit. In Bollen, K. A., and Long, J. S. (Eds.), Testing Structural Equation Models, Sage, Newbury Park, CA, pp. 136–162.

Cutrona, C. E., and Russell, D. W. (1987). The provisions of social relationships and adaptations to stress. In Jones, W. H., and Perleman, D. (Eds.), Advances in Personal Relationships, JAI Press, Greenwich, pp. 37–67.

Diener, E. (1984). Subjective well-being. Psychol. Bull. 95: 542–575.CrossRefPubMed

Dishman, R. K. (1997). Brain monoamines, exercise, and behavioral stress: Animal models. Med. Sci. Sports Exerc. 29: 63–74.PubMed

Duncan, T. E., Duncan, S. C., Strycker, L. A., Li, F., and Alpert, A. (1999). An Introduction to Latent Variable Growth Curve Modeling, Lawrence Erlbaum, Nahwah, NJ.

Dunn, A. L., Trivedi, M. H., and O'Neal, H. A. (2001). Physical activity dose-response effects on outcomes of depression and anxiety. Med. Sci. Sports Exerc. 33: S587–S597.PubMedCrossRef

Enders, C. K. (2002). A primer of maximum likelihood algorithms available for use with missing data. Struct. Equat. Model. 8: 128–141.CrossRef

Enders, C. K., and Bandalos, D. L. (2001). The relative performance of full information maximum likelihood estimation for missing data in structural equation models. Struct. Equat. Model. 8: 430–457.CrossRef

Fox, K. R. (1990). The Physical Self-Perception Manual, Office of Health Promotion, Northern Illinois University, Dekalb, IL.

Fox, K. R. (2000). Self-esteem, self-perceptions and exercise. Int. J. Sport Psychol. 31: 228–240.

Hu, L., and Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct. Equat. Model. 6: 1–55.CrossRef

Hyer, L., and Blount, J. (1984). Concurrent and discriminant validities of the Geriatric Depression Scale with older psychiatric inpatients. Psychol. Rep. 54: 611–616.PubMed

Jöreskog, K. G., and Sörbom, D. (1996). LISREL 8: User's reference guide, Scientific Software International, Chicago, IL.

Lance, C. E., Vandenberg, R. J., and Self, R. M. (2000). Latent growth models of individual change: The case of newcomer adjustment. Organ. Behav. Human Decis. Process. 83: 107–140.CrossRef

Larsson, L., Grimby, G., and Karlsson, J. (1979). Muscle strength and speed of movement in relation to age and muscle morphology. J. Appl. Physiol. 46: 451–456.PubMed

Li, F., Duncan, T., Duncan, S., McAuley, E., et al. (2001). Enhancing psychological well-being of elderly individuals through tai-chi exercise. Struct. Equat. Model. 8: 53–83.CrossRef

Li, F., Harmer, P., Chaumeton, N. R., Duncan, T. E., et al. (2002). Tai Chi as a means to enhance self-esteem: A randomized controlled trial. J. Appl. Gerontol. 21: 70–89.CrossRef

Mather, A. S., Rodriguez, C., Guthrie, M. F., McHarg, A. M., M., Reid, I. C., and McMurdo, M. E. (2002). Effects of exercise on depressive symptoms in older adults with poorly responsive depressive disorder. Brit. J. Psychiatry 180: 411–415.CrossRef

McAuley, E., Kramer, A. F., and Colcombe, S. J. (2004). Cardiovascular fitness and neurocognitive function in older adults: A brief review. Brain, Behav. Immun. 18: 214–220.CrossRef

McAuley, E., Katula, J., Mihalko, S. L., Blissmer, B., et al. (1999). Mode of physical activity and self-efficacy in older adults: A latent growth curve analysis. J. Gerontol. B Psychol. Sci. Soc. Sci. 54: P283–P292.PubMed

McMurdo, M. E. T., and Burnett, L. (1992). Randomized controlled trial of exercise in the elderly. Gerontology 38: 292–298.PubMedCrossRef

McNeil, J. K., LeBlanc, E. M., and Joyner, M. (1992). The effect of exercise on depressive symptoms in the moderately depressed elderly. Psychol. Aging 6: 487–488.CrossRef

Meredith, W., and Tisak, J. (1990). Latent curve analysis. Psychometrika 55: 107–122.CrossRef

National Institute of Aging (2002). Older Americans 2000: Key Indicators of Well-Being. (Federal Interagency Forum on Aging-Related Statistics), US Government Printing Office, Washington, DC.

O'Connor, P. J., Aenchbacher, L. E., and Dishman, R. K. (1993). Physical activity and depression in the elderly. J. Aging Physical Activity 1: 34–58.

O'Neal, H. A., Dunn, A. L., and Martinsen, E. W. (2000). Depression and exercise. Int. J. Sport Psychol. 31: 110–135.

Penninx, B. W., Guralnik, J. M., Ferrucci, L., Simonsick, E. M., Deeg, D. J., and Wallace, R. B. (1998). Depressive symptoms and physical decline in community-dwelling older persons. JAMA 279: 1720–1726.CrossRefPubMed

Penninx, B. W., Rejeski, W. J., Pandya, J., Miller, M. E., et al. (2002). Exercise and depressive symptoms: A comparison of aerobic and resistance exercise effects on emotional and physical function in older persons with high and low depressive symptomatology. J. Gerontol. B Psychol. Sci. Soc. Sci. 57: P124–P132.PubMed

Pfeiffer, E. (1975). A Short Portable Mental Status Questionnaire for the assessment of organic brain deficit in elderly patients. J. Am. Geriatr. Soc. 23: 433–441.PubMed

Rosenberg, M., Schooler, C., Schoenbach, C., and Rosenberg, F. (1995). Global self-esteem and specific self-esteem: Different concepts, different outcomes. Am. Sociol. Rev. 60: 141–156.CrossRef

Singh, N. A., Clements, K. M., and Fiatarone, M. A. (1997). A randomized controlled trial of progressive resistance training in depressed elders. J. Gerontol. A Med. Sci. 52: M27–M35.

Singh, N. A., Clements, K. M., and Singh, M. A. F. (2001). The efficacy of exercise as a long-term antidepressant in elderly subjects: A randomized controlled trial. J. Gerontol. A Med. Sci. 56: M497–M504.

Sonstroem, R. J. (1997). Physical activity and self-esteem. In Morgan, W. P. (Ed.), Physical Activity and Mental Health, Taylor and Francis, Washington, DC, pp. 128–143.

Sonstroem, R. J., and Morgan, W. P. (1989). Exercise and self-esteem: Rationale and model. Med. Sci. Sports Exerc. 21: 329–337.PubMed

Sonstroem, R. J., and Potts, S. A. (1996). Life adjustment correlates of physical self-concepts. Med. Sci. Sports Exerc. 28: 619–625.PubMedCrossRef

Strawbridge, W. J., Deleger, S., Roberts, R. E., and Kaplan, G. A. (2002). Physical activity reduces the risk of subsequent depression for older adults. Am. J. Epidemiol. 156: 328–334.CrossRefPubMed

Willett, J. B., and Sayer, A. G. (1994). Using covariance structure analysis to detect correlates and predictors of individual change over time. Psychol. Bull. 116: 363–381.CrossRef

Wothke, W. (2000). Longitudinal and multigroup modeling with missing data. In Little, T. D., Schnabel, K. U., and Baumert, J. (Eds.), Modeling Longitudinal and Multilevel Data: Practical Issues, Applied Approaches, and Specific Examples, Lawrence Erlbaum, Mahwah, NJ, pp. 219–240.

Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., and Leirer, V.O. (1982). Development and validation of a geriatric depression screening scale: A preliminary report. J. Psychiatric Res. 17: 37–49.CrossRef

Titel: Depressive Symptoms Among Older Adults: Long-Term Reduction After a Physical Activity Intervention
verfasst von: Robert W. Motl
James F. Konopack
Edward McAuley
Steriani Elavsky
Gerald J. Jerome
David X. Marquez
Publikationsdatum: 01.08.2005
Verlag: Springer US
Erschienen in: Journal of Behavioral Medicine / Ausgabe 4/2005
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-005-9005-5

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen