Summary
In general, depressed patients are physically sedentary. They have reduced physical work capacity but normal pulmonary function compared with the general population. This indicates that the reduced fitness level is caused by physical inactivity and is a strong argument for integrating physical fitness training into comprehensive treatment programmes for depression.
Exercise is associated with an antidepressive effect in patients with mild to moderate forms of nonbipolar depressive disorders. An increase in aerobic fitness does not seem to be essential for the antidepressive effect, because similar results are obtained with nonaerobic forms of exercise. More than half of the patients continue with regular exercise 1 year after termination of the training programmes. Patients who continue to exercise tend to have lower depression scores than the sedentary ones. Patients appreciate physical exercise, and rank exercise to be the most important element in comprehensive treatment programmes. Exercise seems to be a promising new approach in the treatment of nonbipolar depressive disorders of mild to moderate severity.
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References
American College of Sports Medicine. Guidelines for graded exercise testing and exercise prescription, 2nd ed. Lea and Febiger, Philadelphia, 1980
American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 3rd ed., APA, Washington DC, 1980
American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 3rd ed. Revised version, APA, Washington DC, 1987
Aaarø LE, Brekke T. Physical activity among adult Norwegians. Journal of the Norwegian Medical Association 103: 402–409, 1983
Åsberg M, Perris C, Schalling D, Sedvall G. The CPRS — development and applications of a psychiatric rating scale. Acta Psychiatrica Scandinavica 271 (Suppl.): 1–27, 1978
Åstrand I. Aerobic work capacity in men and women with special reference to age. Acta Physiologica Scandinavica 169 (Suppl.) 1960
Åstrand PO, Rodahl K. Textbook in work physiology, McGraw-Hill, New York, 1985
Bahrke MS, Morgan WP. Anxiety reduction following exercise and meditation. Cognitive Therapy and Research 4: 323–333, 1978
Bandura A. Self-efficacy: toward a unifying theory of behavioural change. Psychological Review 84: 191–215, 1977
Beck AT, Ward CH, Mendelsohn M, Mock J, Erbaugh H. An inventory for measuring depression. Archives of General Psychiatry 4: 561–571, 1961
Carr DB, Bullen BA, Skrinar GS, Arnold MA, Rosenblatt M, et al. Physical conditioning facilitates the exercise-induced secretion of beta-endorphin and beta-lipoprotein in women. New England Journal of Medicine 305: 560–563, 1981
Cousineau D, Ferguson RJ, de Champlain J, Gauthier P, Cote P, et al. Cathecolamines in cornary sinus during exercise in man before and after training. Journal of Applied Physiology 43: 801–806, 1977
Derogatis LR, Lipman RS, Covi L. An outpatient rating scale — preliminary report. Psychopharmacological Bulletin 9: 13–28, 1973
Dishman R. Exercise adherence and habitual physical activity. In Morgan & Goldston (Eds) Exercise and mental health, Hemisphere Publishing, Washington, 1987
Doyne EJ, Chambless DL, Beutler LE. Aerobic exercise as a treatment for depression in women. Behavioural Therapy 14: 434–440, 1983
Doyne EJ, Ossip-Klein DJ, Bowman ED, Osborn KM, McDougall-Wilson IB, et al. Running versus weight-lifting in the treatment of depression. Journal of Consulting and Clinical Psychology 55: 748–754, 1987
Eisemann M. Leisure activities in depressed patients. Acta Psychiatrica Scandinavica 71: 495–498, 1985
Freemont J, Craighead LW. Aerobic exercise and cognitive therapy in the treatment of dysphoric moods. Cognitive Therapy and Research 2: 241–251, 1987
Gordon E, Savin W, Haskell WL, Bristow M. β-adrenergic receptor response to exercise training in the presence of β-1 selective and non-selective blockade. Circulation 68: 148, 1983
Greist JH, Klein MH, Eischens RR, Faris J, Gurman AS, et al. Running as a treatment for depression. Comprehensive Psychiatry 20: 41–54, 1979
Greist JH. Exercise intervention with depressed outpatients. In Morgan & Goldston (Eds) Exercise and mental health, Hemisphere Publishing, Washington 1987
Hamilton M. A rating scale for depression. Journal of Neurological and Neurosurgical Psychiatry 23: 56–61, 1960
Haskell WL. Developing an activity plan for improving health. In Morgan & Goldston (Eds) Exercise and mental health, Hemisphere Publishing, Washington, 1987
Howlett TA, Tomlin S, Ngahffong L, Rees LH, Bulen BA, et al. Release of beta endorphin and met-enkephalin during exercise in normal women. British Medical Journal 288: 1950–1952, 1984
Kathol RE. Running. American Journal of Psychiatry 141: 1635–1636, 1984
Klein MH, Greist JH, Gurman AS, Neimeyer RA, Lesser DP, et al. A comparative outcome study of group psychotherapy vs exercise treatments for depression. International Journal of Mental Health 13: 148–177, 1985
Llewelyn SP. Psychological therapy as viewed by therapists and clients. British Journal of Clinical Psychology 27: 223–237, 1988
Lubin B. Adjective checklist for measurement of depression. Archives of General Psychiatry 12: 47–62, 1965
Martinsen EW. Exercise and medication in the psychiatric patient. In Morgan & Goldston (Eds) Exercise and mental health. Hemisphere Publishing, Washington, 1987a
Martinsen EW. The role of aerobic exercise in the treatment of depression. Stress Medicine 3: 93–100, 1987b
Martinsen EW, Hoffart A, Solberg Ø. Comparing aerobic and nonaerobic forms of exercise in the treatment of clinical depression: a randomized trial. Comprehensive Psychiatry 30: 324–331, 1989b
Martinsen EW, Medhus A. Exercise adherence and patients’ evaluation of exercise in a comprehensive treatment programme for depression. Nordic Journal of Psychiatry 43: 521–529, 1989
Martinsen EW, Medhus A, Sandvik L. Effects of aerobic exercise on depression: controlled study. British Medical Journal 291: 109, 1985
Martinsen EW, Sandvik L, Kolbjørnsrud OB. Aerobic exercise in the treatment of nonpsychotic mental disorders: an exploratory study. Nordic Journal of Psychiatry 43: 411–415, 1989c
Martinsen EW, Strand J, Paulsson G, Kaggestad J. Physical fitness level in patients with anxiety and depressive disorders. International Journal of Sports Medicine 10: 58–61, 1989a
McCann IL, Holmes DS. Influence of aerobic exercise on depression. Journal of Personality and Social Psychology 46: 1142–1147, 1984
Morgan WP. A pilot investigation of physical working capacity in depressed and nondepressed psychiatric males. Research Quarterly 4: 859–861, 1969
Morgan WP. Physical activity and mental health. In Eckhert & Montoye (Eds) Exercise and health, Human Kinetics Publishers, Champaign IL, 1984
Polloch ML. How much exercise is enough? Physician and Sportsmedicine 6: 50–54, 1978
Raglin JS. Exercise and mental health: beneficial and detrimental effects. Sports Medicine 9: 323–329, 1990
Ransford CP. A role for amines in the antidepressant effect of exercise. Medicine and Science in Sports and Exercise 14: 1–10, 1982
Rueter M, Mutrie N, Harris D. Running as an adjunct to counselling in the treatment of depression. Unpublished manuscript, The Pennsylvania State University, 1982
Sime WE. Exercise in the treatment and prevention of depression. In Morgan & Goldston (Eds) Exercise and mental health, Hemisphere Publishing, Washington, 1987
Simons AD, McGowan CR, Epstein LH, Kupfer DJ, Robertson R. Exercise as treatment for depression: an update. Clinical Psychological Review 5: 288–301, 1985
Spitzer RL, Endicott J, Robins E. Research diagnostic criteria. Archives of General Psychiatry 35: 773–782, 1978
Vitalograph Ltd. Tables for normal values of lung function, Morton Press, Buckingham, 1980
Weinstein WS, Meyers AW. Running as treatment for depression: is it worth it? Journal of Sports Psychology 5: 288–301, 1983
White RW. Motivation reconsidered: the concept of competence. Psychological Review 66: 297–333, 1959
Zung WWK, Richards CB, Short MJ. Self-rating depression scale in an outpatient clinic. Archives of General Psychiatry 13: 508–515, 1965
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Martinsen, E.W. Benefits of Exercise for the Treatment of Depression. Sports Med 9, 380–389 (1990). https://doi.org/10.2165/00007256-199009060-00006
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DOI: https://doi.org/10.2165/00007256-199009060-00006