青少年抑郁症患者运动干预最佳证据总结-东南大学学报医学版

青少年抑郁症患者运动干预最佳证据总结

单位：1. 东南大学医学院护理系, 江苏南京 210009;
2. 东南大学附属中大医院护理部, 江苏南京 210009;
3. 淮安市第二人民医院护理部, 江苏淮安 223022

分类号：R749.4

出版年·卷·期（页码）：2024·43·第三期（337-345）

摘要：

目的:通过循证方法检索、汇总和分析关于青少年抑郁症患者运动干预的相关证据,为青少年抑郁症患者进行运动锻炼干预提供循证依据。方法:确定循证问题,通过计算机检索数据库、指南网站及相关协会中关于青少年抑郁症运动干预相关证据,包括指南、专家共识、临床实践、证据总结、系统评价,检索时限为2013年9月至2023年9月,筛选符合质量标准的文献。对文献质量进行评价,并进行证据提取和分析。结果:最终纳入16篇文献,其中指南6篇,临床决策2篇,系统评价8篇。经过分析总结,从运动效果、运动宣教、运动前准备、运动实施、运动安全管理5个方面提取了21条证据。结论:总结青少年抑郁症患者运动锻炼干预的最佳证据,为医护人员在指导青少年抑郁症患者运动时提供循证依据。

Objective: To provide evidence-based guidance for exercise interventions in adolescents with depression by systematically retrieving, synthesizing, and analyzing relevant evidence. Methods: The research questions were identified, using an evidence-based approach, a computer search of databases, guideline websites, and relevant associations for evidence related to exercise interventions for adolescent depression. This included guidelines, expert consensus, clinical practices, evidence summaries, and systematic reviews. The search was conducted from September 2013 to September 2023. The literatures that met quality standards were selected, to evaluate the quality of the literature, and to perform evidence extraction and analysis. Results: A total of 16 articles were included, comprising 6 guidelines, 2 clinical decisions, and 8 systematic reviews. After analysis and synthesis, 21 pieces of evidence were extracted from five aspects: exercise effectiveness, exercise education, pre-exercise preparation, exercise implementation, and exercise safety management. Conclusion: This study summarizes the best evidence for exercise interventions in adolescents with depression. It provides healthcare professionals with evidence-based guidance for instructing exercise in adolescents with depression.

参考文献：

[1] LI J Y,LI J,LIANG J H,et al.Depressive symptoms among children and adolescents in China:a systematic review and Meta-analysis[J].Med Sci Monit,2019,25:7459-7470.
[2] MALHI G S,MANN J J.Depression[J].Lancet,2018,392(10161):2299-2312.
[3] 傅小兰,张侃.心理健康蓝皮书:中国国民心理健康发展报告(2021—2022)[M].北京:社会科学文献出版社,2023:1-319.
[4] JARBIN H,HÖGLUND K,SKARPHEDINSSON G,et al.Aerobic exercise for adolescent outpatients with persistent major depression:feasibility and acceptability of moderate to vigorous group exercise in a clinically referred sample[J].Clin Child Psychol Psychiatry,2021,26(4):954-967.
[5] IMBODEN C,GERBER M,BECK J,et al.Aerobic exercise or stretching as add-on to inpatient treatment of depression:similar antidepressant effects on depressive symptoms and larger effects on working memory for aerobic exercise alone[J].J Affect Disord,2020,276:866-876.
[6] BROUWERS M C,KHO M E,BROWMAN G P,et al.AGREE II:advancing guideline development,reporting and evaluation in health care[J].CMAJ,2010,182(18):E839-842.
[7] 胡雁,郝玉芳,李晓玲,等.循证护理学[M].2版.北京:人民卫生出版社,2019:1-511.
[8] 王春青,胡雁.JBI证据预分级及证据推荐级别系统(2014版)[J].护士进修杂志,2015,30(11):964-967.
[9] National Institute for Health and Care Excellence(NICE):Guidelines,Depression in children and young people:identification and management[EB/OL].(2019-06-25)[2023-09-20].https://www.nice.org.uk/guidance/ng134.
[10] ZUCKERBROT R A,CHEUNG A,JENSEN P S,et al.Guidelines for Adolescent Depression in Primary Care(GLAD-PC):Part Ⅰ.Practice preparation,identification,assessment,and initial management[J].Pediatrics,2018,141(3):e20174081.
[11] CHEUNG A H,ZUCKERBROT R A,JENSEN P S,et al.Guidelines for Adolescent Depression in Primary Care(GLAD-PC):Part Ⅱ.Treatment and ongoing management[J].Pediatrics,2018,141(3):e20174082.
[12] 张云婷,马生霞,陈畅,等.中国儿童青少年身体活动指南[J].中国循证儿科杂志,2017,12(6):401-409.
[13] MALHI G S,BELL E,BASSETT D,et al.The 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders[J].Aust N Z J Psychiatry,2021,55(1):7-117.
[14] WALTER H J,ABRIGHT A R,BUKSTEIN O G,et al.Clinical practice guideline for the assessment and treatment of children and adolescents with major and persistent depressive disorders[J].J Am Acad Child Adolesc Psychiatry,2023,62(5):479-502.
[15] BONIN L,MORELAND C S.Overview of prevention and treatment for pediatric depression [EB/OL].(2023-02-27)[2023-09-20].https://www.uptodate.cn/contents.
[16] VEHRS P T,FACS M.Physical activity and strength training in children and adolescents:an overview[EB/OL].(2022-11-29)[2023-09-20].https://www.uptodate.cn/contents.
[17] RADOVIC S,GORDON M S,MELVIN G A.Should we recommend exercise to adolescents with depressive symptoms? A meta-analysis[J].Journal of Paediatrics and Child Health,2017,53(3):214-220.
[18] BAILEY A P,HETRICK S E,ROSENBAUM S,et al.Treating depression with physical activity in adolescents and young adults:a systematic review and meta-analysis of randomised controlled trials[J].Psychological Medicine,2018,48(7):1068-1083.
[19] OBERSTE M,MEDELE M,JAVELLE F,et al.Physical activity for the treatment of adolescent depression:a systematic review and Meta-analysis[J].Frontiers in Physiology,2020,11:185.
[20] DAGLAS-GEORGIOU R,BRYCE S,SMITH G,et al.Treatments for objective and subjective cognitive functioning in young people with depression:Systematic review of current evidence[J].Early Intervention in Psychiatry,2022,16(10):1057-1074.
[21] AXELSDOÓTTIR B,BIEDILAE S,SAGATUN Å,et al.Review:exercise for depression in children and adolescents-a systematic review and meta-analysis[J].Child and Adolescent Mental Health,2021,26(4):347-356.
[22] WANG X,CAI Z D,JIANG W T,et al.Systematic review and meta-analysis of the effects of exercise on depression in adolescents[J].Child & Adolescent Psychiatry & Mental Health,2022,16(1):1-19.
[23] ZHANG C S,CHENG L,CHEN X,et al.The strategies of exercise intervention for adolescent depression:a meta-analysis of randomized controlled trials[J].Frontiers in Psychology,2022,13:974382.
[24] RECCHIA F,BERNAL J D K,FONG D Y,et al.Physical activity interventions to alleviate depressive symptoms in children and adolescents:a systematic review and Meta-analysis[J].JAMA Pediatrics,2023,177(2):132-140.
[25] SCHUCH F B,DESLANDES A C,STUBBS B,et al.Factors that influence the neurobiological effects of exercise likely extend beyond age and intensity in people with major depression[J].Neuroscience and Biobehavioral Reviews,2017,77:301-302.
[26] CARTER T,MORRES I,REPPER J,et al.Exercise for adolescents with depression:valued aspects and perceived change[J].Journal of Psychiatric and Mental Health Nursing,2016,23(1):37-44.
[27] KVAM S,KLEPPE C L,NORDHUS I H,et al.Exercise as a treatment for depression:a meta-analysis[J].J Affect Disord,2016,202:67-86.
[28] COONEY G M,DWAN K,GREIG C A,et al.Exercise for depression[J].Cochrane Database Syst Rev,2013,2013(9):Cd004366.
[29] NASSTASIA Y,BAKER A L,HALPIN S A,et al.Evaluating the efficacy of an integrated motivational interviewing and multi-modal exercise intervention for youth with major depression:Healthy Body,Healthy Mind randomised controlled trial protocol[J].Contemporary Clinical Trials Communications,2018,9:13-22.
[30] DIETZ L J.Family-based interventions for childhood depression[J].J Am Acad Child Adolesc Psychiatry,2017,56(6):464-465.
[31] PIERCY K L,TROIANO R P,BALLARD R M,et al.The physical activity guidelines for Americans[J].JAMA,2018,320(19):2020-2028.
[32] POJEDNIC R M,POLAK R,ARNSTEIN F,et al.Practice patterns,counseling and promotion of physical activity by sports medicine physicians[J].J Sci Med Sport,2017,20(2):123-127.
[33] MORIKAWA R,KUBOTA N,AMEMIYA S,et al.Interaction between intensity and duration of acute exercise on neuronal activity associated with depression-related behavior in rats[J].J Physiol Sci,2021,71(1):1.
[34] ROSS R E,SALADIN M E,GEORGE M S,et al.High-intensity aerobic exercise acutely increases brain-derived neurotrophic factor[J].Med Sci Sports Exerc,2019,51(8):1698-1709.
[35] GRABOVAC I,STEFANAC S,SMITH L,et al.Association of depression symptoms with receipt of healthcare provider advice on physical activity among US adults[J].J Affect Disord,2020,262:304-309.
[36] KRÄMER L V,HELMES A W,SEELIG H,et al.Correlates of reduced exercise behaviour in depression:the role of motivational and volitional deficits[J].Psychol Health,2014,29(10):1206-1225.
[37] SCHUCH F B,VANCAMPFORT D,RICHARDS J,et al.Exercise as a treatment for depression:a meta-analysis adjusting for publication bias[J].J Psychiatr Res,2016,77:42-51.
[38] 张满燕,袁勇贵.青少年心理健康与家庭功能相关性的研究进展[J].东南大学学报(医学版),2019,38(3):545-550.
[39] COURTRIGHT A K,JAWORSKA N,CULOS-REED N,et al.Aerobic exercise induced hippocampal plasticity in youth with major depression[J].Canadian Journal of Experimental Psychology-Revue Canadienne De Psychologie Experimentale,2013,67(4):307.

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