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https://hdl.handle.net/2440/55275
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Type: | Journal article |
Title: | The effects of physical activity in the acute treatment of bipolar disorder: a pilot study |
Author: | Ng, F. Dodd, S. Berk, M. |
Citation: | Journal of Affective Disorders, 2007; 101(1-3):259-262 |
Publisher: | Elsevier Science BV |
Issue Date: | 2007 |
ISSN: | 0165-0327 1573-2517 |
Statement of Responsibility: | Felicity Ng, Seetal Dodd and Michael Berk |
Abstract: | Background: Physical activity has demonstrated efficacy in depression and anxiety, but its potential in the management of bipolar disorder is yet unexplored. This study is a pilot investigation into the effectiveness of an adjunctive walking program in the acute treatment of bipolar disorder. Methods: This is a retrospective cohort study of all patients admitted over a 24-month period to a private psychiatric unit with a primary diagnosis of bipolar disorder (ICD-10). All patients were invited to participate voluntarily in a walking group during their admissions. Those who reliably attended the walking group (participants) were compared against those who did not attend (non-participants), using the clinician-rated Clinical Global Impression Severity (CGI-S) and Improvement (CGI-I) scales and the self-reported 21-item Depression Anxiety Stress Scales (DASS) as primary outcome measures. Results: There were 24 admissions for participants and 74 admissions for non-participants. The two groups did not differ significantly in patient demographics or admission CGI and DASS measures, except for a lower DASS Stress subscore for participants (p = 0.049). At discharge, the inter-group differences in CGI measures remained non-significant, but participants had significantly lower scores than non-participants for DASS (p = 0.005) and all its subscales (Depression p = 0.048, Anxiety p = 0.002, Stress p = 0.01). Limitations: Methodological limitations include a retrospective design, small sample size, lack of randomisation or control, and indirect measure of manic symptoms. Conclusions: The results of this trial provide preliminary support for a therapeutic role of physical activity in bipolar disorder, and warrant further investigation with randomised controlled trials. |
Keywords: | Physical activity Exercise Walking Bipolar disorder Depression Anxiety |
DOI: | 10.1016/j.jad.2006.11.014 |
Published version: | http://dx.doi.org/10.1016/j.jad.2006.11.014 |
Appears in Collections: | Aurora harvest 5 Psychiatry publications |
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