患有COPD的退伍军人的抑郁症症状和体力活动:来自基于Web的步行计介导体力活动干预的见解
Patricia M Bamonti1,2, Christine Perndorfer3,4, Stephanie A Robinson5,6
1Research & Development Service, VA Boston Healthcare System, Boston, MA, USA.
抑郁症症状,特别是身体症状,限制了COPD患者的身体活动改善. 基于网络的干预对那些具有高认知情感抑郁症症状的人来说效果较差.
科学领域:
- 肺部医学 肺部医学
- 行为健康 行为健康
- 老年学是一门学科.
背景情况:
- 抑郁症是慢性阻塞性肺病 (COPD) 患者体力活动 (PA) 的已知障碍.
- 抑郁症对COPD患者PA干预措施有效性的影响尚不清楚.
研究的目的:
- 为了研究基线抑郁症状与COPD患者每日步数变化之间的关联.
- 为了确定是否参与基于网络的,以步数计为媒介的PA干预,可以缓和这种关联.
主要方法:
- 对两组患有COPD的美国退伍军人的二次分析 (N=212).
- 参与者被随机分配到PA干预或对照组.
- 多变量回归分析了基线抑郁症 (BDI-II总和子尺度) 对步数变化和干预相互作用的影响.
主要成果:
- 较高的总和体质抑郁得分与每日步数的较小增加有关.
- 在认知情感抑郁症症状和干预之间发现了显著的相互作用.
- 在具有高认知情感抑郁症状的参与者中,PA干预措施没有增加每日步数.
结论:
- 抑郁症评估和有针对性的干预措施对于增强COPD中PA促进至关重要.
- 身体和认知情感抑郁症状对COPD的PA干预结果有不同的影响.
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