Cognitive Behavior Therapy combined with Exercise for Adults with Chronic Diseases: Systematic Review and Meta-Analysis

Bernard, Paquito; Romain, Ahmed-Jérôme; Caudroit, Johan; Chevance, Guillaume; Carayol, Marion; Gourlan, M; Dancause, Kelsey Needham et Moullec, Gregory (2018). « Cognitive Behavior Therapy combined with Exercise for Adults with Chronic Diseases: Systematic Review and Meta-Analysis ». Health Psyhcology.

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Résumé

Objective. The present meta-analysis aimed to determine the overall effect of cognitive behavior therapy combined with physical exercise (CBTEx) interventions on depression, anxiety, fatigue, and pain in adults with chronic illness; to identify the potential moderators of efficacy; and to compare the efficacy of CBTEx versus each condition alone (CBT and physical exercise). Methods. Relevant randomized clinical trials, published before July 2017, were identified through database searches in Pubmed, PsycArticles, CINAHL, SportDiscus and the Cochrane Central Register for Controlled Trials. Results. A total of 30 studies were identified. CBTEx interventions yielded small-to-large effect sizes for depression (SMC = -0.34, 95% CI [-0.53; -0.14]), anxiety (SMC = -0.18, 95% CI [-0.34; -0.03]) and fatigue (SMC = -0.96, 95% CI [-1.43; -0.49]). Moderation analyses revealed that longer intervention was associated with greater effect sizes for depression and anxiety outcomes. Low methodological quality was also associated with increased CBTEx efficacy for depression. When compared directly, CBTEx interventions did not show greater efficacy than CBT alone or physical exercise alone for any of the outcomes. Conclusion. The current literature suggests that CBTEx interventions are effective for decreasing depression, anxiety, and fatigue symptoms, but not pain. However, the findings do not support an additive effect of CBT and exercise on any of the four outcomes compared to each condition alone.

Type: Article de revue scientifique
Mots-clés ou Sujets: Cognitive behavior therapy, physical activity, mental health, chronic disease
Unité d'appartenance: Faculté des sciences > Département de kinanthropologie
Déposé par: M Paquito Bernard
Date de dépôt: 07 févr. 2018 08:28
Dernière modification: 07 févr. 2018 08:28
Adresse URL : http://archipel.uqam.ca/id/eprint/10922

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