Maria Serrander1, Ann Bremander2,3,4,5,6, Håkan Jarbin7,8, Ingrid Larsson2,6,9. 1. Child and Adolescent Habilitation, Skåne University Hospital, Malmö, Sweden. 2. Department of Clinical Sciences, Section of Rheumatology, Lund University, Lund, Sweden. 3. Department of Regional Health Research, University of Southern Denmark, Odense, Denmark. 4. Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Sonderborg, Denmark. 5. The Rydberg Laboratory for Applied Sciences, Halmstad University, Halmstad, Sweden. 6. Spenshult Research and Development Centre, Halmstad, Sweden. 7. Faculty of Medicine, Department of Clinical Sciences Lund, Lund University, Sweden. 8. Child and Adolescent Psychiatry, Region Halland, Sweden. 9. Center of Research on Welfare, Health and Sport, School of Health and Welfare, Halmstad University, Halmstad, Sweden.
Abstract
AIM: Depression is common and rising in adolescents. Recent meta-analyses indicate a moderate effect of exercise on depression symptoms. Clinically referred adolescents and their experiences of an exercise intervention have rarely been studied. The aim of this study was to describe clinically referred adolescents' experience of moderate to vigorous exercise as a treatment for depression. METHODS: A total of 16 clinically referred adolescents with persistent major depression, who had taken part in a 14-week aerobic exercise intervention of moderate to vigorous intensity, were interviewed. Data was analysed by latent qualitative content analysis. RESULTS: After taking part in the exercise intervention the adolescents expressed enhanced participation in daily life and joy of living by demonstrating commitment and a sense of empowerment. The categories contained both improved vitality and structure of everyday life as well as improved self-esteem and self-control. Participation in the exercise intervention changed their self-image, relationships, school performance, and family life. The adolescents highlighted that exercising in a group was beneficial, giving security and structure. CONCLUSIONS: Adolescents with persistent depression experienced several beneficial aspects of participating in an aerobic group exercise of moderate to vigorous intensity.
AIM: Depression is common and rising in adolescents. Recent meta-analyses indicate a moderate effect of exercise on depression symptoms. Clinically referred adolescents and their experiences of an exercise intervention have rarely been studied. The aim of this study was to describe clinically referred adolescents' experience of moderate to vigorous exercise as a treatment for depression. METHODS: A total of 16 clinically referred adolescents with persistent major depression, who had taken part in a 14-week aerobic exercise intervention of moderate to vigorous intensity, were interviewed. Data was analysed by latent qualitative content analysis. RESULTS: After taking part in the exercise intervention the adolescents expressed enhanced participation in daily life and joy of living by demonstrating commitment and a sense of empowerment. The categories contained both improved vitality and structure of everyday life as well as improved self-esteem and self-control. Participation in the exercise intervention changed their self-image, relationships, school performance, and family life. The adolescents highlighted that exercising in a group was beneficial, giving security and structure. CONCLUSIONS: Adolescents with persistent depression experienced several beneficial aspects of participating in an aerobic group exercise of moderate to vigorous intensity.
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