Modality of exercise influences rate of decrease in depression for cancer survivors with elevated depressive symptomatology

G T Levin; Ken Greenwood; F Singh; R U Newton

doi:10.1007/s00520-017-3996-x

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Modality of exercise influences rate of decrease in depression for cancer survivors with elevated depressive symptomatology

Journal article

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Modality of exercise influences rate of decrease in depression for cancer survivors with elevated depressive symptomatology

G T Levin, Ken Greenwood, F Singh and R U Newton

Supportive Care in Cancer, Vol.26(5), pp.1597-1606

2018

DOI: https://doi.org/10.1007/s00520-017-3996-x

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Abstract

anxiety

depression

exercise oncology

psychosocial oncology

survivorship

Purpose: This three-arm feasibility controlled trial examined whether different exercise modalities provide reductions in depression symptoms to cancer survivors with elevated depression. Methods: Thirty-two participants (58.9±9.4 years) were allocated to a 12-week supervised exercise group (EX; n = 10), a self-managed home-based exercise group (SMHB; n = 8), or a usual care control group (CONT; n = 14). EX performed two supervised resistance and aerobic sessions per week. SMHB were provided with printed material about benefits of exercise and encouraged to complete 150 min of exercise weekly. CONT received no exercise or printed material and were encouraged to maintain usual activity. Results: A group × time interaction was found for the primary outcome of depression scores, measured using the Hospital Anxiety and Depression Scale (HADS-D; p = .008). SMHB (6.4±5.3 to 2.2±2.9, p = .006) and EX (6.9±4.2 to 4.0±2.4, p = .021) interventions both effectively reduced HADS-D scores compared to CONT (7.2±2.5 to 7.7±3.6). SMHB decreased depression to a greater extent, and this occurred more rapidly with greatest changes noted at 6 weeks (d = 0.50). Further favourable outcomes for exercise were also noted for several secondary outcome measures. Conclusion: The rate of exercise-related reduction in depression is influenced by the modality of exercise. However, increasing the duration of the programme appears to diminish the favourable short-term response to self-managed exercise with subsequent secondary outcomes of mental health favouring supervised exercise. © 2017 Springer-Verlag GmbH Germany, part of Springer Nature

Details

Title: Modality of exercise influences rate of decrease in depression for cancer survivors with elevated depressive symptomatology
Authors: G T Levin (Corresponding Author) - Edith Cowan University
Ken Greenwood (Author) - University of the Sunshine Coast - Faculty of Arts, Business and Law
F Singh (Author) - Edith Cowan University
R U Newton (Author) - Edith Cowan University
Publication details: Supportive Care in Cancer, Vol.26(5), pp.1597-1606
Publisher: Springer
Date published: 2018
DOI: 10.1007/s00520-017-3996-x
ISSN: 0941-4355
Organisation Unit: School of Social Sciences - Legacy; University of the Sunshine Coast, Queensland
Language: English
Record Identifier: 99450652202621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Health Care Sciences & Services; Oncology; Rehabilitation

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