Physical exercise and internet-based cognitive-behavioural therapy in the treatment of depression : Randomised controlled trial

• Background Depression is common and tends to be recurrent. Alternative treatments are needed that are non-stigmatising, accessible and can be prescribed by general medical practitioners.Aims To compare the effectiveness of three interventions for depression: physical exercise, internet-based cognitive-behavioural therapy (ICBT) and treatment as usual (TAU). A secondary aim was to assess changes in self-rated work capacity.Method A total of 946 patients diagnosed with mild to moderate depression were recruited through primary healthcare centres across Sweden and randomly assigned to one of three 12-week interventions (trail registry: KCTR study ID: KT20110063). Patients were reassessed at 3 months (response rate 78%).Results Patients in the exercise and ICBT groups reported larger improvements in depressive symptoms compared with TAU. Work capacity improved over time in all three groups (no significant differences).Conclusions Exercise and ICBT were more effective than TAU by a general medical practitioner, and both represent promising non-stigmatising treatment alternatives for patients with mild to moderate depression. 

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Psykiatri (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Psychiatry (hsv//eng)

SAMHÄLLSVETENSKAP  -- Psykologi -- Tillämpad psykologi (hsv//swe)

SOCIAL SCIENCES  -- Psychology -- Applied Psychology (hsv//eng)

Nyckelord

adult

aged

alcohol consumption

anxiety disorder

Article

cognitive therapy

comparative effectiveness

controlled study

depression

disease severity

exercise

female

follow up

human

intermethod comparison

Internet

internet based cognitive behavioural therapy

job performance

major clinical study

male

Montgomery Asberg Depression Rating Scale

mood disorder

outcome assessment

primary health care

randomized controlled trial

sex difference

Sweden

treatment response

work capacity

adolescent

clinical trial

comparative study

Depressive Disorder

employment

kinesiotherapy

middle aged

multicenter study

multimodality cancer therapy

procedures

self concept

statistics and numerical data

treatment outcome

young adult

Combined Modality Therapy

Exercise Therapy

Humans

Self Efficacy

Work Capacity Evaluation

Psychology

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)