Universität zu Köln

Wunram, Heidrun Lioba, Hamacher, Stefanie ORCID: 0000-0003-2158-9101, Oberste, Max, Neufang, Susanne, Belke, Luisa, Jaenicke, Franziska, Graf, Christine, Schoenau, Eckhard, Bender, Stephan and Fricke, Oliver ORCID: 0000-0001-7592-8653 . Influence of motivational placebo-related factors on the effects of exercise treatment in depressive adolescents. Eur. Child Adolesc. Psych.. NEW YORK: SPRINGER. ISSN 1435-165X

Full text not available from this repository.

Abstract

Recent meta-analyses reveal a moderate effect of physical activity (PA) in the treatment of adolescent depression. However, not only the underlying neurobiological mechanisms, also the influences of placebo-related motivational factors (beliefs and expectancies in sporting, enjoyment and prior sports experiences), are still unclear. Based on the data of our prior study Mood Vibes, we hypothesized that placebo-inherent factors like positive prior sports experiences and motivational factors, (positive beliefs, expectancies, and enjoyment related to PA), would increase the effects of an add-on exercise-therapy in juvenile depression. From 64 included depressed adolescents, 41 underwent an intensive add-on PA-therapy. Motivational factors were assessed using sport-specific scales. The changes in depression scores under treatment were rated by self-rating scale (German Childhood Depression Inventory, (DIKJ)). A mixed model for repeated measures (MMRM) was used to analyze the effects of the different motivational variates on DIKJ. While prior sports experiences had no impact, motivational factors showed a significant effect on PA-induced changes in DIKJ scores (p = 0.002). The demotivated participants improved less, whereas it was sufficient to be neutral towards sporting to benefit significantly more. Motivational placebo-related factors (beliefs, expectancies and enjoyment regarding PA) affected the outcomes of an exercise treatment in depressed adolescents. Yet, a neutral mindset was sufficient to profit more from PA. Prior sporting in the sense of positive conditioning and as a protective factor did not play a role. Knowledge about these influences could in a second step help to develop tailored therapies.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Wunram, Heidrun Lioba UNSPECIFIED UNSPECIFIED UNSPECIFIED Hamacher, Stefanie UNSPECIFIED orcid.org/0000-0003-2158-9101 UNSPECIFIED Oberste, Max UNSPECIFIED UNSPECIFIED UNSPECIFIED Neufang, Susanne UNSPECIFIED UNSPECIFIED UNSPECIFIED Belke, Luisa UNSPECIFIED UNSPECIFIED UNSPECIFIED Jaenicke, Franziska UNSPECIFIED UNSPECIFIED UNSPECIFIED Graf, Christine UNSPECIFIED UNSPECIFIED UNSPECIFIED Schoenau, Eckhard UNSPECIFIED UNSPECIFIED UNSPECIFIED Bender, Stephan UNSPECIFIED UNSPECIFIED UNSPECIFIED Fricke, Oliver UNSPECIFIED orcid.org/0000-0001-7592-8653 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-590664
DOI:	10.1007/s00787-021-01742-5
Journal or Publication Title:	Eur. Child Adolesc. Psych.
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1435-165X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language WHOLE-BODY VIBRATION; PSYCHOLOGICAL BENEFITS; PHYSICAL-ACTIVITY; CHILDREN; EXPECTANCY; DISORDERS; SYMPTOMS; MOOD; EXPECTATIONS; MECHANISMS Multiple languages Psychology, Developmental; Pediatrics; Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/59066