The purpose of this investigation was to evaluate the influence of a 6-week group exercise intervention in the adjunctive treatment of depression. A total of thirty-one subjects were recruited from WPICs Bellefield Clinic of the Adult Service Line and the surrounding community. Subjects were between the ages of 25 and 60 years, had a diagnosis of depression (dysthymic disorder, major depressive disorder, depressive disorder not otherwise specified, or bipolar disorder) according to the DSM-IV by a licensed therapist, and were enrolled in a standardized outpatient treatment program consisting of antidepressant medication and psychotherapy. Subjects were randomly assigned to either a 6-week exercise group intervention or a social control group (stress coping intervention). Groups were matched for group exposure, meeting for one hour, two nights a week. The IDS-SR was used to assess changes in depressive symptoms as a result of the intervention at 0 and 6-weeks. Additionally, the Q-LES-Q and the Revised UCLA Loneliness Scale were used to assess changes in quality of life and feelings of loneliness, respectively, as a result of the intervention at 0 and 6-weeks. The main hypothesis was that subjects randomized to the group exercise intervention would experience a significant decrease in depressive symptoms, as assessed by the IDS-SR, and a significant increase in quality of life, as assessed by the Q-LES-Q, when compared to the social control group. An additional hypothesis was that subjects in the group exercise intervention and the social control group would experience a significant and equal decrease in feelings of loneliness as assessed by the Revised UCLA Loneliness Scale. Statistical analysis included separate two-way (group x time) repeated measures ANOVA to determine between and within group mean differences on the IDS-SR, Q-LES-Q, and the Revised UCLA Loneliness Scale. Results indicated that subjects in the group exercise intervention and the social control group experienced a decrease in symptoms of depression, whereas no significant differences in either group for quality of life or feelings of loneliness were found. Results were the same for the intent-to-treat analysis and the non-intent-to-treat analysis. It was concluded that social interaction may have contributed to the positive findings concerning symptoms of depression.
| Identifer | oai:union.ndltd.org:PITT/oai:PITTETD:etd-07292005-141655 |
| Date | 08 August 2005 |
| Creators | Abt, Kristie Lynne |
| Contributors | Bruce S. Rabin, MD, PhD, Elizabeth Nagle-Stilley, PhD, Richard D. Day, PhD, Fredric L. Goss, PhD, Michael Thase, MD, Robert J. Robertson, PhD, Kathleen I. Sward, PhD |
| Publisher | University of Pittsburgh |
| Source Sets | University of Pittsburgh |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.library.pitt.edu/ETD/available/etd-07292005-141655/ |
| Rights | unrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to University of Pittsburgh or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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