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Effekter av fysisk aktivitet vid primär depression hos vuxna: En systematisk litteraturstudie
University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
2021 (Swedish)Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Personer med psykisk ohälsa, och däribland depression, är ett ökande folkhälsoproblem som vanligtvis behandlas med antidepressiva läkemedel och olika former av terapi inom primärvården. Fysisk aktivitet kan erbjudas som behandling vid depression och distriktssköterskan behöver kunskap om fysisk aktivitet och dess användning som sjukdomsprevention och behandling. Detta för att kunna erbjuda individanpassad, evidensbaserad vård till personer med depressionssymtom. Syfte: Syftet med denna litteraturstudie var att beskriva effekten av fysisk aktivitet vid primär depression hos vuxna, samt att undersöka om typen, intensiteten, dosen (frekvensen) eller durationen av den fysiska aktiviteten hade någon betydelse för effekten. Metod: Systematisk litteraturstudie med narrativ syntes, som inkluderar experimentella, randomiserade kontrollerade studier (RCT). Huvudresultat: De flesta av studiernas interventioner utfördes i instruktörsledda grupper och resultatet visade signifikant minskad grad av depression hos majoriteten av deltagarna i interventionerna. Detta samtidigt som all fysisk aktivitet oavsett typ, intensitet och dos (frekvens) gav effekt på depressionssymtom. Dock sågs durationen ha betydelse för effekten av fysisk aktivitet på primär depression och interventioner som pågick under längre tid gav i större utsträckning fördelaktiga signifikanta resultat. Slutsats: All fysisk aktivitet, oavsett typ, intensitet och dos (frekvens) gav effekt vid depression. Interventionernas duration hade betydelse för effekten, och interventioner som pågick under längre tid gav i högre grad signifikanta effekter på depression. Dessa resultat kan vara användbara i distriktssköterskans kliniska arbete och ett stöd när den fysiska aktiviteten ska individanpassas vid behandling av depression, exempelvis vid utbildning och förskrivning av fysisk aktivitet på recept (FaR®).

Abstract [en]

Background: People with mental illness, including depression, are an increasing public health problem that is usually treated with antidepressants and various forms of therapy in primary care. Physical activity can be offered as a treatment for depression and district nurses need knowledge of physical activity and its use as disease prevention and treatment in order to offer personalised, evidence-based care to people with depressive symptoms. Aim: The aim of this literature review was to describe the effect of physical activity on primary depression in adults, as well as to investigate whether the type, intensity, dose (frequency) or duration of physical activity had any impact on the effect. Method: Systematic literature review with narrative synthesis, including experimental, randomized controlled trials (RCT). Main results: Most of the studies’ interventions were performed in instructor-led groups and the results showed significantly reduced rates of depression in the majority of participants who participated in the interventions. All physical activity, regardless of type, intensity and dose (frequency), had an effect on depressive symptoms. However, the duration was seen to have an impact on the effect of physical activity on primary depression and interventions that lasted for a longer period of time gave more beneficial significant results. Coclusion: All physical activity, regardless of type, intensity and dose (frequency) had an effect on depression. The duration of the interventions had an impact on the effect, and interventions that lasted for a longer period of time had a greater effect on depression. These results can be useful in the district nurse’s clinical work when personalizing physical activity in the treatment of depression, for example in the education of patients and when prescribing physical activity on prescription (FaR®).

Place, publisher, year, edition, pages
2021.
Keywords [en]
Depression, Effect(s), Exercise, Physical Activity, Treatment Outcomes
Keywords [sv]
Behandlingsresultat, Depression, Effekt(er), Fysisk aktivitet, Träning
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-36043OAI: oai:DiVA.org:hig-36043DiVA, id: diva2:1562806
Subject / course
Nursing
Educational program
Specialist nursing – master’s programme (one year)
Supervisors
Examiners
Available from: 2021-06-15 Created: 2021-06-09 Last updated: 2021-06-15Bibliographically approved

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