| Abstract [eng] |
Aim of the study: To investigate the effect of physical exercise on depressive symptoms in adolescents. Hypothesis - Combined exercise and psychiatric treatment will have the greatest effect on depressive symptoms in adolescents. Research question: What is the effect of exercise on depressive symptoms in adolescents? The object of the study - Depressive symptoms in adolescents. Study subject - Adolescents (aged 10 to 19 years). Objectives: 1. To determine the effectiveness of different physical exercises on depressive symptoms in adolescents. 2. To determine the effects of different combined exercise and psychiatric treatments on adolescent depressive symptoms. 6 Methods: scientific publications were searched in PubMed and Cochrane Library databases. The search strategy was performed according to the PICO methodology and the selection of studies was based on PRISMA requirements. The searches were limited to articles up to 6 years old (from 2018-2024). The results of the interventions applied were assessed at a significance level of a = 0,05 and the effect size of the interventions was assessed using Cohen's d. Qualitative assessment of scientific publications was performed using the Rob 2 instrument. Inclusion criteria: adolescents aged between 10 and 19 years; Studies included exercise or exercise combined with psychiatric treatment; Research articles published between 01.06.2018 and 31.12.2024. Results are presented in depressive symptomatology rating scales; Scientific publications are in English or Lithuanian. Results: The systematic literature review included 10 publications, of which 6 investigated the effects of exercise on depressive symptomatology and 4 looked at the effects of exercise and psychiatric methods. In the analysis of the studies, the change in depressive symptoms in undiagnosed adolescents was statistically significant, with a moderate effect of 40-minute, twice-weekly sports games in small groups (p = 0,001; d = -0,66). In adolescents with depression, a mixed aerobic and resistance exercise programme had a statistically significant effect with an 80/20 ratio of total exercise time (p < 0,016; d = -0,143). Satir psychological counselling combined with dance therapy had the greatest effect on depressive symptomatology of combined exercise and psychiatric treatments (p = 0,00; d = -0,933). Conclusions: In adolescents who experienced depressive symptoms, but who had not been diagnosed clinically, sports games in small groups had the greatest positive effect on depressive symptomatology. In participants with clinically diagnosed depression, mixed aerobic and resistance exercise with a ratio of 80/20 training time had the greatest positive effect. The combined exercise and psychiatric treatment method that had the greatest positive effect was Satir psychological counselling combined with dance therapy. |
