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首页> 外文期刊>Mental health and physical activity >Engaging youth with major depression in an exercise intervention with motivational interviewing
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Engaging youth with major depression in an exercise intervention with motivational interviewing

机译：在运动干预中吸引青少年与激励面试的运动干预

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Background: Exercise has beneficial effects on depression; however, research is constrained by low program adherence. This paper investigates: 1) whether there are improvements in stage of change (exercise readiness) and exercise self-efficacy from before to after a brief motivational interviewing (MI) intervention designed to enhance program engagement among youth with major depressive disorder (MDD); and 2) any prospective association between baseline stage of change (exercise readiness) category and exercise program participation, retention and treatment outcomes. Methods: Selected pre- versus post-intervention and related secondary analyses based on pooled data from an initial pilot (n = 14) and subsequent two-armed RCT (n = 68). Participants were aged 15-25 years and met diagnostic criteria for MDD. Following psychological and physical fitness assessments, participants in the active treatment condition received a brief MI intervention followed by a supervised 12-week multi-modal exercise intervention. Results: Higher initial exercise readiness was significantly related to baseline weekly exercise participation and self-efficacy, with trend-level associations with behavioural activation. There was a trend level differential improvement in exercise readiness post MI, and a significant increase in self-efficacy among the intervention group. Post MI self-efficacy was also correlated with increased exercise participation. Clear post-intervention benefits were detected for most outcome measures; however, these were not differential by baseline stage of change category. Conclusion: Early MI based interventions increase exercise readiness and enhance self-efficacy, which may promote increased engagement and exercise adherence. Integrating MI as a prelude to exercise intervention shows promise as an effective engagement and treatment strategy among youth with MDD.
机译：背景：运动对抑郁症具有有益影响;但是，研究受到低计划依从性的限制。本文调查：1）在短暂的励志面试（MI）干预之前，旨在提高青年的方案参与，是否有改善的变革阶段（行使准备就绪）和自我效能的改善，并在旨在提高青少年的计划参与（MID）; 2）基线改变阶段（行使准备）类别和行使方案参与，保留和治疗成果之间的任何预期协会。方法：基于来自初始导频（n = 14）和后续双臂RCT（n = 68）的汇总数据所选择的后期前期干预后和相关二次分析。参与者年龄在15-25岁，并达到MDD的诊断标准。在心理和身体健康评估之后，活动治疗条件的参与者收到了简短的MI干预，然后受到监督的12周的多模态运动干预。结果：初步初始行使准备程度明显与基线每周运动参与和自我效能有关，具有行为激活的趋势一级关联。运动准备岗位MI趋势水平差异改善，干预组的自我效能的显着增加。发布术后自我效力也与运动参与增加相关。对于大多数结果措施，检测到清理干预后效益;然而，这些通过改变类别的基线阶段并不差异。结论：早期的MI干预措施提高了运动准备，提高了自我效能，这可能促进增加的参与和行使遵守。将MI作为行使干预的前奏融为一体，将承诺作为青年与MDD的有效参与和治疗战略。

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