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

書誌事項

公開日
2015-09
権利情報
  • https://www.cambridge.org/core/terms
DOI
  • 10.1192/bjp.bp.114.160101
公開者
Royal College of Psychiatrists

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説明

<jats:sec><jats:title>Background</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Aims</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p>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%).</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>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).</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>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.</jats:p></jats:sec>

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