Ejercicio físico como estrategia terapéutica para la ansiedad y la depresión de cuidadoras familiares de personas dependientesensayo clínico realizado desde la fisioterapia de atención primaria
- Federico Montero Cuadrado
- Javier Sánchez Sánchez 1
- José Ignacio Calvo Arenillas 2
- Feliciano Sánchez Domínguez
- Miguel Ángel Galán Martín
- Marie Carmen Coca López
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1
Universidad Pontificia de Salamanca
info
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2
Universidad de Salamanca
info
ISSN: 2529-8240
Year of publication: 2018
Issue: 22
Pages: 109-132
Type: Article
More publications in: Actas de coordinación sociosanitaria
Abstract
The dependent patient caregiver´s have physical, psychological and social repercussions, as consequence of the care that they provide. There is controversy about the effectiveness of “caregiver care programs” From Primary Health Care, being necessary to develop new therapeutic strategies. The objective of the research was to determine the effects of a physical exercise program, adressed by the primary health care physioterapist, on the anxiety and depression of dependent patient caregivers. A randomized clinical trial was conducted, with control group (GC) and intervention group (GI), double blind and pre and post-intervention evaluation. The GC received the usual program of the “caregiver care program”. The GI also carried out a multi-component exercise program monitored by physiotherapists. The study variables were anxiety and depression. In the pre-post-intervention evaluation, in the GI versus GC comparison, statistically significant improvements were obtained in the two study variables. Consequently, the physical exercise program, carried out from the primary health care physiotherapy, could be an effective therapeutic strategy in the “caregiver care programs"
Bibliographic References
- Adelman RD, Tmanova LL, Delgado D, Dion S, Lachs MS. Caregiver Burden. JAMA [Internet]. 2014 Mar 12 [cited 2017 Jan 3];311(10):1052. Available from: http://www.ncbi.nlm. nih.gov/pubmed/24618967
- Andrén S, Elmståhl S. The relationship between caregiver burden, caregivers’ perceived health and their sense of coherence in caring for elders with dementia. J Clin Nurs [Internet]. 2008 Mar [cited 2017 Mar 22];17(6):790–9. Available from: http://www.ncbi.nlm.nih.gov/ pubmed/18279282
- Buyck J-F, Ankri J, Dugravot A, Bonnaud S, Nabi H, Kivimaki M, et al. Informal Caregiving and the Risk for Coronary Heart Disease: The Whitehall II Study. J Gerontol A Biol Sci Med SciI [Internet]. 2013 Oct 1 [cited 2017 Mar 22];68(10):1316–23. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23525476
- Chiu Y-W, Huang C-T, Yin S-M, Huang Y-C, Chien C-H, Chuang H-Y. Determinants of complicated grief in caregivers who cared for terminal cancer patients. Support Care Cancer [Internet]. 2010 Oct [cited 2016 Nov 1];18(10):1321–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19816716
- Cuevas Fernández-Gallego M, Morales Asencio JM, Martin Santos FJ, Cruz Arándiga R, Contreras Fernández E, Batres Sicilia JP, et al. Effect of the act on promotion of personal autonomy and care for dependent persons on their family caregivers. BMC Health Serv Res [Internet]. 2012 Dec 17 [cited 2017 Jan 2];12(1):462. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23244337
- Darragh AR, Sommerich CM, Lavender SA, Tanner KJ, Vogel K, Campo M. Musculoskeletal Discomfort, Physical Demand, and Caregiving Activities in Informal Caregivers. J Appl Gerontol [Internet]. 2015 Sep [cited 2017 Mar 22];34(6):734–60. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24652897
- González Martín M, Güerri Martín PG. La excepcionalidad de las prestaciones económicas frente a los servicios tras los primeros años de implantación de la ley de dependencia. Trab Soc hoy [Internet]. Colegio Oficial de Diplomados en Trabajo Social y Asistentes Sociales de Madrid; 2014 [cited 2016 Nov 22];(72):39–54. Available from: https://dialnet.unirioja.es/servlet/articulo?codigo=5260362
- Gusi N, Prieto J, Madruga M, García J, González-Guerrero J. Health-Related Quality of Life and Fitness of the Caregiver of Patient with Dementia. Med Sci Sport Exerc [Internet]. 2009 Jun [cited 2016 Nov 19];41(6):1182–7. Available from: http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00005768-200906000-00003
- Hayes J, Chapman P, Young LJ, Rittman M. The Prevalence of Injury for stroke caregivers and associated risk factors. Top Stroke Rehabil [Internet]. 2009 Jul 5 [cited 2017 Mar 22];16(4):300–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19740734
- King AC, Brassington G. Enhancing physical and psychological functioning in older family caregivers: the role of regular physical activity. Ann Behav Med [Internet]. 1997 [cited 2016 Nov 19];19(2):91–100. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9603683
- Lee S, Colditz GA, Berkman LF, Kawachi I. Caregiving and risk of coronary heart disease in U.S. women: a prospective study. Am J Prev Med [Internet]. 2003 Feb [cited 2017 Jan 2];24(2):113–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12568816
- Manso Martíez ME, Sánchez Lóez M del P, Cuélar Flores I. Salud y sobrecarga percibida en personas cuidadoras familiares de una zona rural. Clínica y Salud [Internet]. 2013 Mar [cited 2017 Feb 4];24(1):37–45. Available from: http://linkinghub.elsevier.com/retrieve/pii/S1130527413700057
- Moya-Albiol L. El cuidado informal: una visión actual. Rev Motiv y emoción. 2012;1:22–30.
- Pinquart M, Sörensen S. Correlates of physical health of informal caregivers: a metaanalysis. J Gerontol B Psychol Sci Soc Sci [Internet]. 2007 Mar [cited 2017 Jan 3];62(2):P126-37. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17379673
- Rodríguez Rodríguez P. El apoyo informal a las personas mayores en España y la protección social a la dependencia. Del familismo a los derechos de ciudadanía. Rev Esp Geriatr Gerontol [Internet]. Elsevier; 2005 Nov [cited 2016 Oct 28];40:5–15. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0211139X0575068X
- Sánchez Herrero S, Sánchez López MP, Aparicio García ME. Salud, Ansiedad y Autoestima en mujeres de mediana edad cuidadoras y no cuidadoras. Ansiedad y Estres [Internet]. 2011 [cited 2017 Feb 6];14(1):27–37. Available from: https://www.researchgate.net/publication/235430002_Salud_Ansiedad_y_Autoestima_en_mujeres_de_mediana_edad_cuidadoras_y_no_cuidadoras
- Sharan D, Ajeesh PS, Rameshkumar R, Manjula M. Musculoskeletal disorders in caregivers of children with cerebral palsy following a multilevel surgery. Work [Internet]. 2012 [cited 2016 Dec 9];41 Suppl 1:1891–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22316991
- Thomas P, Hazif-Thomas C, Pareault M, Vieban F, Clément J-P. [Sleep disturbances in home caregivers of persons with dementia]. Encephale [Internet]. 2010 Apr [cited 2017 Mar 22];36(2):159–65. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20434634
- Weaving J, Orgeta V, Orrell M, Petrides K V. Predicting anxiety in carers of people with dementia: the role of trait emotional intelligence. Int Psychogeriatrics [Internet]. 2014 Jul 21 [cited 2017 Mar 22];26(7):1201–9. Available from: http://www.journals.cambridge.org/abstract_S1041610214000404
- Alonso-Cortés Fradejas B. Programa de intervención fisioterapéutica para la mejora del estrés y la calidad de vida en cuidadores de personas con discapacidad [Tesis doctoral] [Internet]. A Coruña; 2015 [cited 2017 Feb 22]. Available from: http://hdl.handle.net/2183/15791
- Bodalo-Lozano E. Cambios en los estilos de vida de las cuidadoras de personas dependientes. Portularia [Internet]. 2010 Jul 1 [cited 2017 Jan 3];10(1):85–97. Available from: http://www.uhu.es/publicaciones/revistas/portularia/index.php?CDer=1&NR=5&volumen=10&top=12&NArticulo=1070
- Boots LMM, de Vugt ME, van Knippenberg RJM, Kempen GIJM, Verhey FRJ. A systematic review of Internet-based supportive interventions for caregivers of patients with dementia. Int J Geriatr Psychiatry [Internet]. 2014 Apr [cited 2016 Nov 5];29(4):331–44. Available from: http://doi.wiley.com/10.1002/gps.4016
- Calvente MG, del Río Lozano M, Marcos JM. Desigualdades de género en el deterioro de la salud como consecuencia del cuidado informal en España. Gac Sanit. 2011;25:100–7.
- Carvalho MJ, Marques E, Mota J. Training and Detraining Effects on Functional Fitness after a Multicomponent Training in Older Women. Gerontology [Internet]. 2009 Jun 19 [cited 2017 Jan 22];55(1):41–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18562788
- Dirección General de Salud Publica. Consejería de Sanidad. IV Plan de salud de Castilla y León. Perspectiva 2020. [Internet]. Febrero 20. Consejería de Sanidad. Junta de Castilla y León, editor. Valladolid: Consejería de Sanidad. Junta de Castilla y León,; 2016. 1-277 p. Available from: http://www.saludcastillayleon.es/institucion/es/biblioteca/materialeseditados-consejeria-sanidad/buscador/iv-plan-salud-castilla-leon-perspectiva-2020
- Gobbo S, Bergamin M, Sieverdes JC, Ermolao A, Zaccaria M. Effects of exercise on dual-task ability and balance in older adults: A systematic review. Arch Gerontol Geriatr [Internet]. 2014 Mar [cited 2017 Jan 22];58(2):177–87. Available from: http://www.ncbi.nlm.nih.gov/pubmed/2418873
- Goldberg D, Bridges K, Duncan-Jones P, Grayson D. Detecting anxiety and depression in general medical settings. BMJ [Internet]. 1988 Oct 8 [cited 2016 Dec 9];297(6653):897–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/3140969
- Jensen M, Agbata IN, Canavan M, McCarthy G. Effectiveness of educational interventions for informal caregivers of individuals with dementia residing in the community: systematic review and meta-analysis of randomised controlled trials. Int J Geriatr Psychiatry [Internet]. 2015 Feb [cited 2017 Feb 22];30(2):130–43. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25354132
- Legg L, Weir CJ, Langhorne P, Smith LN, Stott DJ. Is informal caregiving independently associated with poor health? A population-based study. J Epidemiol Community Heal [Internet]. 2013 Jan [cited 2017 Mar 22];67(1):95–7. Available from: http://jech.bmj.com/lookup/doi/10.1136/jech-2012-201652
- López J, Crespo M. Intervenciones con cuidadores de familiares mayores dependientes: una revisión. Psicothema [Internet]. 2007 [cited 2017 Jan 11];19(1):72–80. Available from: http://www.psicothema.com/psicothema.asp?id=3330
- López Gil MJ, Orueta Sánchez R, Gómez-Caro S, Sánchez Oropesa AS, Carmona De La Morena J, Alonso Moreno FJ. El rol de Cuidador de personas dependientes y sus repercusiones sobre su Calidad de Vida y su Salud. Rev Clin Med Fam [Internet]. 2009 [cited 2016 Nov 1];2(7):332–4. Available from: http://revclinmedfam.com/PDFs/32bb90e8976aab5298d5da10fe66f21d.pdf
- Marim CM, Silva V, Taminato M, Barbosa DA. Effectiveness of educational programs on reducing the burden of caregivers of elderly individuals with dementia: a systematic review. Rev Lat Am Enferm [Internet]. [cited 2016 Nov 5];21 Spec No:267–75. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23459916
- Mason A, Weatherly H, Spilsbury K, Arksey H, Golder S, Adamson J, et al. A systematic review of the effectiveness and cost-effectiveness of different models of community-based respite care for frail older people and their carers. Heal Technol Assess [Internet]. 2007 Apr [cited 2016 Nov 5];11(15):1–157, iii. Available from: http://www.ncbi.nlm.nih.gov/pubmed/1745926333.
- McCann JJ, Hebert LE, Bienias JL, Morris MC, Evans DA. Predictors of beginning and ending caregiving during a 3-year period in a biracial community population of older adults. Am J Public Health [Internet]. American Public Health Association; 2004 Oct [cited 2016 Nov 1];94(10):1800–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15451753
- Oliva Moreno J, Osuna Guerreror R. Los costes de los cuidados informales en España [Internet]. Vol. 56, Presupuesto y Gasto Público. 2009 [cited 2016 Nov 22]. Available from: http://www.ief.es/documentos/recursos/publicaciones/revistas/presu_gasto_publico/56_11.pdf
- Pérez Peñaranda A, García Ortiz L, Rodríguez Sánchez E, Losada Baltar A, Porras Santos N, Gómez Marcos MÁ. Función familiar y salud mental del cuidador de familiares con dependencia. Atención Primaria [Internet]. Elsevier; 2009 Nov [cited 2017 Jan 2];41(11):621–8. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0212656709002261
- Schulz R, Beach SR. Caregiving as a risk factor for mortality: the Caregiver Health Effects Study. Jama [Internet]. 1999 Dec 15 [cited 2017 Jan 3];282(23):2215–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10605972
- Selwood A, Johnston K, Katona C, Lyketsos C, Livingston G. Systematic review of the effect of psychological interventions on family caregivers of people with dementia. J Afect Disord [Internet]. 2007 Aug [cited 2016 Nov 5];101(1–3):75–89. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0165032706004654
- Van Mierlo LD, Meiland FJM, Van der Roest HG, Dröes R-M. Personalised caregiver support: effectiveness of psychosocial interventions in subgroups of caregivers of people with dementia. Int J Geriatr Psychiatry [Internet]. 2012 Jan [cited 2016 Nov 5];27(1):1–14. Available from: http://doi.wiley.com/10.1002/gps.2694
- Vandepitte S, Van Den Noortgate N, Putman K, Verhaeghe S, Verdonck C, Annemans L. Effectiveness of respite care in supporting informal caregivers of persons with dementia: a systematic review. Int J Geriatr Psychiatry [Internet]. 2016 Dec [cited 2016 Nov 5];31(12):1277–88. Available from: http://doi.wiley.com/10.1002/gps.4504
- Vlachantoni A, Evandrou M, Falkingham J, Robards J. Informal care, health and mortality. Maturitas [Internet]. 2013 Feb [cited 2017 Jan 2];74(2):114–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23218988
- Yesavage JA, Sheiskh JI. 9/Geriatric Depression Scale (GDS). Clin Gerontol [Internet]. Taylor & Francis Group; 1986 Nov 18 [cited 2016 Dec 9];5(1–2):165–73. Available from: https://www.tandfonline.com/doi/full/10.1300/J018v05n01_09
- Zabalegui Yárnoz A, Navarro Díez M, Cabrera Torres E, Gallart Fernández-Puebla A, Bardallo Porras D, Rodríguez Higueras E, et al. Eficacia de las intervenciones dirigidas a cuidadores principales de personas dependientes mayores de 65 años. Una revisión sistemática. Rev Esp Geriatr Gerontol [Internet]. Elsevier; 2008 May [cited 2016 Nov 5];43(3):157–66. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0211139X08711764
- Cadore EL, Izquierdo M. How to simultaneously optimize muscle strength, power, functional capacity, and cardiovascular gains in the elderly: an update. Age [Internet]. Springer; 2013 Dec [cited 2017 Jan 22];35(6):2329–44. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23288690
- Castillo-Garzón MJ, Ruiz JR, Ortega FB, Gutiérrez A. Anti-aging therapy through fitness enhancement. Clin Interv Aging [Internet]. Dove Press; 2006 [cited 2016 Nov 15];1(3):213–20. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18046873
- Chen C, Nakagawa S, An Y, Ito K, Kitaichi Y, Kusumi I. The exercise-glucocorticoid paradox: How exercise is beneficial to cognition, mood, and the brain while increasing glucocorticoid levels. Front Neuroendocr [Internet]. 2017 Jan [cited 2017 Feb 8];44:83–102. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27956050
- Connell CM, Janevic MR. Effects of a Telephone-Based Exercise Intervention for Dementia Caregiving Wives: A Randomized Controlled Trial. J Appl Gerontol [Internet]. 2008 Oct 1 [cited 2016 Nov 19];28(2):171–94. Available from: http://jag.sagepub.com/cgi/doi/10.1177/0733464808326951
- Cooney G, Dwan K, Mead G, A T, V P, B U. Exercise for depression. JAMA [Internet]. American Medical Association; 2014 Jun 18 [cited 2017 Mar 27];311(23):2432. Available from: http://jama.jamanetwork.com/article.aspx?doi=10.1001/jama.2014.4930
- Domínguez JA, Ruíz M, Gumez I, Gallego E, Valero J, Izquierdo MT. Ansiedad y depresión en cuidadores de pacientes dependientes. Semer - Med Fam [Internet]. 2012 [cited 2017 Apr 11];38(1):16–23. Available from: http://www.sciencedirect.com/science/article/pii/S113835931100248
- Eggenberger P, Theill N, Holenstein S, Schumacher V, de Bruin E. Multicomponent physical exercise with simultaneous cognitive training to enhance dual-task walking of older adults: a secondary analysis of a 6-month randomized controlled trial with 1-year follow-up. Clin Interv Aging [Internet]. 2015 Oct [cited 2017 Jan 22];10:1711. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26604719
- Fredman L, Bertrand RM, Martire LM, Hochberg M, Harris EL. Leisure-time exercise and overall physical activity in older women caregivers and non-caregivers from the Caregiver SOF Study. Prev Med [Internet]. 2006 Sep [cited 2016 Nov 19];43(3):226–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16737731
- Herring MP, O’Connor PJ, Dishman RK. The Effect of Exercise Training on Anxiety Symptoms Among Patients. Arch Intern Med [Internet]. 2010 Feb 22 [cited 2017 Feb 7];170(4):321. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20177034
- Hill K, Smith R, Fearn M, Rydberg M, Oliphant R. Physical and psychological outcomes of a supported physical activity program for older carers. J Aging Phys Act [Internet]. 2007 Jul [cited 2017 Feb 6];15(3):257–71. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17724393
- Hirano A, Suzuki Y, Kuzuya M, Onishi J, Ban N, Umegaki H. Influence of regular exercise on subjective sense of burden and physical symptoms in community-dwelling caregivers of dementia patients: A randomized controlled trial. Arch Gerontol Geriatr [Internet]. 2011 Sep [cited 2016 Nov 19];53(2):e158–63. Available from:http://linkinghub.elsevier.com/retrieve/pii/S0167494310002141
- Hirano A, Suzuki Y, Kuzuya M, Onishi J, Hasegawa J, Ban N, et al. Association between the caregiver’s burden and physical activity in community-dwelling caregivers of dementia patients. Arch Gerontol Geriatr [Internet]. 2011 May [cited 2016 Nov 19];52(3):295–8. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0167494310001123
- King AC, Baumann K, O’Sullivan P, Wilcox S, Castro C. Effects of moderate-intensity exercise on physiological, behavioral, and emotional responses to family caregiving: a randomized controlled trial. J Gerontol A Biol Sci Med Sci [Internet]. 2002 Jan [cited 2016 Nov 19];57(1):M26-36. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11773209
- Lautenschlager NT, Cox K, Cyarto E V. The influence of exercise on brain aging and dementia. Biochim Biophys Acta [Internet]. 2012 Mar [cited 2017 Apr 10];1822(3):474–81. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21810472
- Loi SM, Dow B, Ames D, Moore K, Hill K, Russell M, et al. Physical activity in caregivers: What are the psychological benefits? Arch Gerontol Geriatr [Internet]. 2014 Sep [cited 2016 Nov 19];59(2):204–10. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0167494314000478
- Madruga Vicente M, Gonzalo Delgado M, Gusi Fuertes N, Prieto Prieto J. Efectos de un programa de ejercicio físico a domicilio en cuidadores de pacientes de Alzheimer: un estudio piloto. Rev Psicol del Deport. 2009;18(1):255–70.
- Marsden D, Quinn R, Pond N, Golledge R, Neilson C, White J, et al. A multidisciplinary group programme in rural settings for community-dwelling chronic stroke survivors and their carers: a pilot randomized controlled trial. Clin Rehabil [Internet]. 2010 Apr 1 [cited 2016 Nov 19];24(4):328–41. Available from: http://cre.sagepub.com/cgi/doi/10.1177/0269215509344268
- McAuley E, Doerksen SE, Morris KS, Motl RW, Hu L, Wójcicki TR, et al. Pathways from physical activity to quality of life in older women. Ann Behav Med [Internet]. 2008 Aug 2 [cited 2017 Mar 27];36(1):13–20. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18677453
- Orgeta V, Miranda-Castillo C. Does physical activity reduce burden in carers of people with dementia? A literature review. Int J Geriatr Psychiatry [Internet]. 2014 Aug [cited 2016 Nov 19];29(8):771–83. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25191688
- Patiño Villada FA, Arango Vélez EF, Zuleta Baena L. Ejercicio físico y depresión en adultos mayores: una revisión sistémica. rev.colomb.psiquiatr [Internet]. Sociedad Colombiana de Psiquiatría; 2013 [cited 2017 Mar 27];42(2):198–211. Available from: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0034-74502013000200007
- Pedersen BK, Saltin B. Exercise as medicine - evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sport [Internet]. 2015 Dec [cited 2016 Dec 4];25:1–72. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26606383
- Pichierri G, Coppe A, Lorenzetti S, Murer K, de Bruin ED. The effect of a cognitive-motor intervention on voluntary step execution under single and dual task conditions in older adults: a randomized controlled pilot study. Clin interv Aging [Internet]. 2012 Jul [cited 2017 Jan 22];7:175–84. Available from: http://www.dovepress.com/the-effect-of-a-cognitive-motorintervention-on-voluntary-step-executi-peer-reviewed-article-CIA
- Prieto Prieto J. Efecto sobre la calidad de vida relacionada con la salud y la condición física de un programa de atención domiciliaria basado en ejercicio físico en cuidadores de personas con demencia [Tesis Doctoral] [Internet]. Universidad de Extremadura; 2012 [cited 2017 Feb 23]. Available from: https://www.educacion.gob.es/teseo/mostrarRef.do?ref=965022
- Rosenbaum S, Tiedemann A, Sherrington C, Curtis J, Ward PB. Physical Activity Interventions for People With Mental Illness: a systematic review and meta-analysis. J Clin Psychiatry [Internet]. 2014 Sep 25 [cited 2017 Jan 11];75(9):964–74. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24813261
- Schuch FB, Vancampfort D, Richards J, Rosenbaum S, Ward PB, Stubbs B. Exercise as a treatment for depression: A meta-analysis adjusting for publication bias. J Psychiatr Res [Internet]. 2016 Jun [cited 2017 Mar 8];77:42–51. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26978184
- Teychenne M, Ball K, Salmon J. Physical activity, sedentary behavior and depression among disadvantaged women. Heal Educ Res [Internet]. 2010 Aug 1 [cited 2017 Apr 10];25(4):632–44. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20145009
- Vogel T, Brechat P-H, Leprêtre P-M, Kaltenbach G, Berthel M, Lonsdorfer J. Health benefits of physical activity in older patients: a review. Int J Clin Pr [Internet]. 2009 Feb [cited 2016 Nov 15];63(2):303–20. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19196369
- Wipfli BM, Rethorst CD, Landers DM. The anxiolytic effects of exercise: a meta-analysis of randomized trials and dose-response analysis. J Sport Exerc Psychol [Internet]. 2008 Aug [cited 2016 Nov 20];30(4):392–410. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18723899
- Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res [Internet]. 1982 [cited 2016 Dec 9];17(1):37–49. Available from: http://www.ncbi.nlm.nih.gov/pubmed/7183759