Skip to main content

Welkom bij THIM Hogeschool voor Fysiotherapie & Bohn Stafleu van Loghum

THIM Hogeschool voor Fysiotherapie heeft ervoor gezorgd dat je Mijn BSL eenvoudig en snel kunt raadplegen. Je kunt je links eenvoudig registreren. Met deze gegevens kun je thuis, of waar ook ter wereld toegang krijgen tot Mijn BSL. Heb je een vraag, neem dan contact op met helpdesk@thim.nl.

Registreer

Om ook buiten de locaties van THIM, thuis bijvoorbeeld, van Mijn BSL gebruik te kunnen maken, moet je jezelf eenmalig registreren. Dit kan alleen vanaf een computer op een van de locaties van THIM.

Eenmaal geregistreerd kun je thuis of waar ook ter wereld onbeperkt toegang krijgen tot Mijn BSL.

Login

Als u al geregistreerd bent, hoeft u alleen maar in te loggen om onbeperkt toegang te krijgen tot Mijn BSL.

Top
Gepubliceerd in:

20-11-2024 | REVIEW

Effects of Combined Mindfulness and Physical Activity Intervention on Depressive Symptoms: A Systematic Review and Meta-Analysis

Auteurs: Ju Huang, Xiaoqi Wei, Liqing Yao, Xinli Chi, Wei Xu

Gepubliceerd in: Mindfulness | Uitgave 11/2024

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objectives

Both mindfulness intervention and physical activity have been shown to benefit individuals with depression. While it has been suggested that combined mindfulness and physical interventions may induce larger effects than either intervention alone, the existing literature presents mixed results. This meta-analysis aimed to assess the efficacy of combined interventions on depression (primary outcome) and anxiety (secondary outcome) by comparing combined intervention to control condition, mindfulness intervention and physical activity.

Method

Eighteen randomized controlled trials with 1391 participants (mean age, 44.91 years) from over 10 years (2012 to 2023) of research were included in this study; 11 electronic sources were used for the search.

Results

Combined intervention had a generally large and significant positive effect on depression (SMD =  − 0.94, p < 0.01) and anxiety (SMD =  − 1.64, p < 0.01) compared to the control group (e.g., treatment as usual, waitlist control group, and educational seminar). Compared to physical activity alone, combined intervention produced greater effects on overall effect size in depression (SMD =  − 0.52, p < 0.05) and anxiety (SMD =  − 0.65, p < 0.05), while no significant differences were found between combined intervention and mindfulness intervention in terms of depression (SMD = 0.11, p > 0.05) and anxiety (SMD = 0.01, p > 0.05). Subgroup analysis showed that effect sizes were affected by country, subject type, duration, and mode of intervention.

Conclusions

The findings suggest that combined intervention demonstrates advantages over control group and physical exercise, while evidence is still lacking for superiority when compared combined intervention to mindfulness intervention.

Preregistration

This review was preregistered on PROSPERO (Ref No: CRD42023442346).
Literatuur
go back to reference Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241. https://doi.org/10.1093/clipsy.bph077CrossRef Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241. https://​doi.​org/​10.​1093/​clipsy.​bph077CrossRef
go back to reference Borenstein, M., Hedges, L. V., Higgins, J. P., & Rothstein, H. R. (2009). Fixed-effect versus random-effects models. In M. Borenstein, L. V. Hedges, J. P. T. Higgins, & H. R. Rothstein (Eds.), Introduction to Meta-analysis (pp. 77–86), John Wiley & Sons. https://doi.org/10.1002/9780470743386.ch13 Borenstein, M., Hedges, L. V., Higgins, J. P., & Rothstein, H. R. (2009). Fixed-effect versus random-effects models. In M. Borenstein, L. V. Hedges, J. P. T. Higgins, & H. R. Rothstein (Eds.), Introduction to Meta-analysis (pp. 77–86), John Wiley & Sons. https://​doi.​org/​10.​1002/​9780470743386.​ch13
go back to reference Bowden, D., Gaudry, C., An, S. C., & Gruzelier, J. (2012). A comparative randomised controlled trial of the effects of brain wave vibration training, Iyengar yoga, and mindfulness on mood, well-being, and salivary cortisol. Evidence-Based Complementary and Alternative Medicine, 2012(1), 234713. https://doi.org/10.1016/j.neulet.2011.05.135 Bowden, D., Gaudry, C., An, S. C., & Gruzelier, J. (2012). A comparative randomised controlled trial of the effects of brain wave vibration training, Iyengar yoga, and mindfulness on mood, well-being, and salivary cortisol. Evidence-Based Complementary and Alternative Medicine, 2012(1), 234713. https://​doi.​org/​10.​1016/​j.​neulet.​2011.​05.​135
go back to reference Fischer, J. M., Kandil, F.-I., Kessler, C. S., Nayeri, L., Zager, L. S., Rocabado Hennhöfer, T., Steckhan, N., Koppold-Liebscher, D. A., Bringmann, H. C., Schäfer, T., Michalsen, A., & Jeitler, M. (2022). Stress reduction by yoga versus mindfulness training in adults suffering from distress: A three-armed randomized controlled trial including qualitative interviews (Relax Study). Journal of Clinical Medicine, 11(19), 5680. https://doi.org/10.3390/jcm11195680CrossRefPubMedPubMedCentral Fischer, J. M., Kandil, F.-I., Kessler, C. S., Nayeri, L., Zager, L. S., Rocabado Hennhöfer, T., Steckhan, N., Koppold-Liebscher, D. A., Bringmann, H. C., Schäfer, T., Michalsen, A., & Jeitler, M. (2022). Stress reduction by yoga versus mindfulness training in adults suffering from distress: A three-armed randomized controlled trial including qualitative interviews (Relax Study). Journal of Clinical Medicine, 11(19), 5680. https://​doi.​org/​10.​3390/​jcm11195680CrossRefPubMedPubMedCentral
go back to reference Gerbarg, P. L., Jacob, V. E., Stevens, L., Bosworth, B. P., Chabouni, F., DeFilippis, E. M., Warren, R., Trivellas, M., Patel, P. V., Webb, C. D., Harbus, M. D., Christos, P. J., Brown, R. P., & Scherl, E. J. (2015). The effect of breathing, movement, and meditation on psychological and physical symptoms and inflammatory biomarkers in inflammatory bowel disease. Inflammatory Bowel Diseases, 21(12), 2886–2896. https://doi.org/10.1097/mib.0000000000000568CrossRefPubMed Gerbarg, P. L., Jacob, V. E., Stevens, L., Bosworth, B. P., Chabouni, F., DeFilippis, E. M., Warren, R., Trivellas, M., Patel, P. V., Webb, C. D., Harbus, M. D., Christos, P. J., Brown, R. P., & Scherl, E. J. (2015). The effect of breathing, movement, and meditation on psychological and physical symptoms and inflammatory biomarkers in inflammatory bowel disease. Inflammatory Bowel Diseases, 21(12), 2886–2896. https://​doi.​org/​10.​1097/​mib.​0000000000000568​CrossRefPubMed
go back to reference Heissel, A., Heinen, D., Brokmeier, L. L., Skarabis, N., Kangas, M., Vancampfort, D., Stubbs, B., Firth, J., Ward, P. B., Rosenbaum, S., Hallgren, M., & Schuch, F. (2023). Exercise as medicine for depressive symptoms? A systematic review and meta-analysis with meta-regression. British Journal of Sports Medicine, 57(16), 1049–1057. https://doi.org/10.1136/bjsports-2022-106282CrossRefPubMed Heissel, A., Heinen, D., Brokmeier, L. L., Skarabis, N., Kangas, M., Vancampfort, D., Stubbs, B., Firth, J., Ward, P. B., Rosenbaum, S., Hallgren, M., & Schuch, F. (2023). Exercise as medicine for depressive symptoms? A systematic review and meta-analysis with meta-regression. British Journal of Sports Medicine, 57(16), 1049–1057. https://​doi.​org/​10.​1136/​bjsports-2022-106282CrossRefPubMed
go back to reference Hut, M., Minkler, T. O., Glass, C. R., Weppner, C. H., Thomas, H. M., & Flannery, C. B. (2021). A randomized controlled study of Mindful Sport Performance Enhancement and psychological skills training with collegiate track and field athletes. Journal of Applied Sport Psychology, 35(2), 284–306. https://doi.org/10.1080/10413200.2021.1989521CrossRef Hut, M., Minkler, T. O., Glass, C. R., Weppner, C. H., Thomas, H. M., & Flannery, C. B. (2021). A randomized controlled study of Mindful Sport Performance Enhancement and psychological skills training with collegiate track and field athletes. Journal of Applied Sport Psychology, 35(2), 284–306. https://​doi.​org/​10.​1080/​10413200.​2021.​1989521CrossRef
go back to reference Jochems, E. C., Duivenvoorden, H. J., van Dam, A., van der Feltz-Cornelis, C. M., & Mulder, C. L. (2016). Motivation, treatment engagement and psychosocial outcomes in outpatients with severe mental illness: A test of self-determination theory. International Journal of Methods in Psychiatric Research, 26(3), e1537. https://doi.org/10.1002/mpr.1537CrossRefPubMedPubMedCentral Jochems, E. C., Duivenvoorden, H. J., van Dam, A., van der Feltz-Cornelis, C. M., & Mulder, C. L. (2016). Motivation, treatment engagement and psychosocial outcomes in outpatients with severe mental illness: A test of self-determination theory. International Journal of Methods in Psychiatric Research, 26(3), e1537. https://​doi.​org/​10.​1002/​mpr.​1537CrossRefPubMedPubMedCentral
go back to reference Kraemer, K. M., Luberto, C. M., Hall, D. L., & Yeh, G. Y. (2020). The role of mind–body approaches in promoting healthcare engagement and positive behavior change. In M. Moy, F. Blackstock, & L. Nici (Eds.), Enhancing Patient Engagement in Pulmonary Healthcare (pp. 157–182). Humana. https://doi.org/10.1007/978-3-030-44889-9_9 Kraemer, K. M., Luberto, C. M., Hall, D. L., & Yeh, G. Y. (2020). The role of mind–body approaches in promoting healthcare engagement and positive behavior change. In M. Moy, F. Blackstock, & L. Nici (Eds.), Enhancing Patient Engagement in Pulmonary Healthcare (pp. 157–182). Humana. https://​doi.​org/​10.​1007/​978-3-030-44889-9_​9
go back to reference Li, Y. F., Sun, W. X., Sun, X. J., Sun, J., Yang, D. M., Jia, B. L., & Yuan, B. (2020). Effects of mindfulness meditation on anxiety, depression, stress, and mindfulness in nursing students: A meta-analysis and trial sequential analysis of Randomized Controlled Trials. Frontiers of Nursing, 7(1), 59–69. https://doi.org/10.2478/fon-2020-0001CrossRef Li, Y. F., Sun, W. X., Sun, X. J., Sun, J., Yang, D. M., Jia, B. L., & Yuan, B. (2020). Effects of mindfulness meditation on anxiety, depression, stress, and mindfulness in nursing students: A meta-analysis and trial sequential analysis of Randomized Controlled Trials. Frontiers of Nursing, 7(1), 59–69. https://​doi.​org/​10.​2478/​fon-2020-0001CrossRef
go back to reference Meng, L. (2022). The effect of mindfulness therapy combined with exercise therapy on patients with schizophrenia. Special Health, (21), 33–34. Meng, L. (2022). The effect of mindfulness therapy combined with exercise therapy on patients with schizophrenia. Special Health, (21), 33–34.
go back to reference Rawtaer, I., Mahendran, R., Yu, J., Fam, J., Feng, L., & Kua, E. H. (2015). Psychosocial interventions with art, music, Tai Chi and mindfulness for subsyndromal depression and anxiety in older adults: A naturalistic study in Singapore. Asia-Pacific Psychiatry, 7(3), 240–250. https://doi.org/10.1111/appy.12201CrossRefPubMed Rawtaer, I., Mahendran, R., Yu, J., Fam, J., Feng, L., & Kua, E. H. (2015). Psychosocial interventions with art, music, Tai Chi and mindfulness for subsyndromal depression and anxiety in older adults: A naturalistic study in Singapore. Asia-Pacific Psychiatry, 7(3), 240–250. https://​doi.​org/​10.​1111/​appy.​12201CrossRefPubMed
go back to reference Sterne, J. A. C., Savović, J., Page, M. J., Elbers, R. G., Blencowe, N. S., Boutron, I., Cates, C. J., Cheng, H.-Y., Corbett, M. S., Eldridge, S. M., Emberson, J. R., Hernán, M. A., Hopewell, S., Hróbjartsson, A., Jüni, P., Kirkham, J., Lasserson, T., Li, T., McAleenan, A., ... & Higgins, J. P. T. (2019). RoB 2: A revised tool for assessing risk of bias in randomized trials. BMJ, 366, I4898. https://doi.org/10.1136/bmjI4898 Sterne, J. A. C., Savović, J., Page, M. J., Elbers, R. G., Blencowe, N. S., Boutron, I., Cates, C. J., Cheng, H.-Y., Corbett, M. S., Eldridge, S. M., Emberson, J. R., Hernán, M. A., Hopewell, S., Hróbjartsson, A., Jüni, P., Kirkham, J., Lasserson, T., Li, T., McAleenan, A., ... & Higgins, J. P. T. (2019). RoB 2: A revised tool for assessing risk of bias in randomized trials. BMJ, 366, I4898. https://​doi.​org/​10.​1136/​bmjI4898
go back to reference Vollbehr, N. K., Hoenders, H. J., Bartels-Velthuis, A. A., Nauta, M. H., Castelein, S., Schroevers, M. J., Stant, A. D., Albers, C. J., de Jong, P. J., & Ostafin, B. D. (2022). Mindful yoga intervention as add-on to treatment as usual for young women with major depressive disorder: Results from a randomized controlled trial. Journal of Consulting and Clinical Psychology, 90(12), 925–941. https://doi.org/10.1037/ccp0000777CrossRefPubMed Vollbehr, N. K., Hoenders, H. J., Bartels-Velthuis, A. A., Nauta, M. H., Castelein, S., Schroevers, M. J., Stant, A. D., Albers, C. J., de Jong, P. J., & Ostafin, B. D. (2022). Mindful yoga intervention as add-on to treatment as usual for young women with major depressive disorder: Results from a randomized controlled trial. Journal of Consulting and Clinical Psychology, 90(12), 925–941. https://​doi.​org/​10.​1037/​ccp0000777CrossRefPubMed
go back to reference Zheng, F., Zheng, Y., Liu, S., Yang, J., Xiao, W., Xiao, W., Chen, L., Yang, W., Zhang, S., Yu, Q., Hao, Z., Wang, Y., & Wang, C. (2022). The effect of M-health-based core stability exercise combined with self-compassion training for patients with nonspecific chronic low back pain: A randomized controlled pilot study. Pain and Therapy, 11(2), 511–528. https://doi.org/10.1007/s40122-022-00358-0CrossRefPubMedPubMedCentral Zheng, F., Zheng, Y., Liu, S., Yang, J., Xiao, W., Xiao, W., Chen, L., Yang, W., Zhang, S., Yu, Q., Hao, Z., Wang, Y., & Wang, C. (2022). The effect of M-health-based core stability exercise combined with self-compassion training for patients with nonspecific chronic low back pain: A randomized controlled pilot study. Pain and Therapy, 11(2), 511–528. https://​doi.​org/​10.​1007/​s40122-022-00358-0CrossRefPubMedPubMedCentral
go back to reference Zou, Y. J. (2023). The impact of mindfulness stress reduction self-care training combined with resistance exercise on cancer-related fatigue in patients with lung cancer during chemotherapy. Tibetan Medicine, 44(1), 100–103. Zou, Y. J. (2023). The impact of mindfulness stress reduction self-care training combined with resistance exercise on cancer-related fatigue in patients with lung cancer during chemotherapy. Tibetan Medicine, 44(1), 100–103.
Metagegevens
Titel
Effects of Combined Mindfulness and Physical Activity Intervention on Depressive Symptoms: A Systematic Review and Meta-Analysis
Auteurs
Ju Huang
Xiaoqi Wei
Liqing Yao
Xinli Chi
Wei Xu
Publicatiedatum
20-11-2024
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 11/2024
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-024-02469-5