The Combined Effect of Exercise and Behavioral Therapy for Depression and Anxiety: Systematic Review and Meta-Analysis

Behavioral Sciences
Kelsey BourbeauMicah Zuhl

Abstract

Behavioral therapy (BT) and exercise are efficacious treatments for depression and anxiety when employed separately. The combination of BT and exercise (BT+Ex) may augment improvements but the combined effect of these therapies is not fully elucidated. The purpose of this meta-analysis was to determine if BT+Ex yielded a significant reduction in depression and anxiety symptoms compared to BT alone (BT). Randomized controlled studies published prior to September 2019 were searched among several databases (PUBMED, MEDLINE, PsychArticle, and Cochrane Central Register of Clinical Trials). Studies that measured depression and anxiety symptoms following BT+Ex vs. BT were extracted and analyzed. The effect of these therapies on depression and anxiety were analyzed. Subgroup analyses were performed to evaluate the effect of exercise intensity (moderate and high), exercise type (aerobic and combined exercise), and baseline levels of depression. The moderating effects of gender, age, and treatment duration were performed. Data were extracted from 18 studies (1686 participants, mean age = 47 years, 65% female). There was a significant effect of BT+Ex on symptoms of depression. The effect of BT+Ex was significant for moderate intensity exe...Continue Reading

References

Jan 1, 1992·Annals of Internal Medicine·A D Oxman, G H Guyatt
Mar 29, 2002·The International Journal of Eating Disorders·Victor R PendletonJohn P Foreyt
Jul 12, 2002·Statistics in Medicine·Simon G Thompson, Julian P T Higgins
Nov 4, 2005·Health Technology Assessment : HTA·R C DurhamA I Gumley
Dec 15, 2006·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Stanley J ColcombeArthur F Kramer
Jan 27, 2007·The Cochrane Database of Systematic Reviews·V HunotV Teixeira
Jun 6, 2009·International Journal of Cardiology·Lynn V DoeringKathleen Dracup
May 1, 2010·General Hospital Psychiatry·Margalida GiliMiquel Roca
Jul 14, 2010·Journal of the American College of Cardiology·Annelieke M RoestJohan Denollet
Jul 14, 2010·Journal of Psychosomatic Research·Rebecca A GaryAndrew L Smith
Feb 2, 2011·Proceedings of the National Academy of Sciences of the United States of America·Kirk I EricksonArthur F Kramer
Oct 14, 2011·Journal of Women's Health·Beth C BockBess H Marcus
Oct 20, 2011·BMJ : British Medical Journal·Julian P T HigginsUNKNOWN Cochrane Statistical Methods Group
Feb 7, 2012·Stroke; a Journal of Cerebral Circulation·Aglaia M E E ZedlitzLuciano Fasotti
May 1, 2013·Frontiers in Psychiatry·Elizabeth Anderson, Geetha Shivakumar
Feb 4, 2014·European Archives of Psychiatry and Clinical Neuroscience·Viola Oertel-KnöchelFrank Hänsel
Dec 3, 2014·Journal of Psychosomatic Research·Adrie SeldenrijkBrenda J W H Penninx
Feb 12, 2015·JAMA Psychiatry·Elizabeth Reisinger WalkerBenjamin G Druss
Feb 24, 2015·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Gregory L StonerockJames A Blumenthal
May 24, 2017·JAMA : the Journal of the American Medical Association·Rob M Kok, Charles F Reynolds
Oct 31, 2017·The Psychiatric Clinics of North America·Mark B PowersJasper A J Smits
Nov 11, 2017·General Hospital Psychiatry·Swathi GujralKirk I Erickson
Apr 27, 2018·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Paquito BernardGregory Moullec

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