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Mind and body exercises (MBE), prescribed antidepressant medication, physical exercise and depressive symptoms – a longitudinal study
Karolinska Institutet.
Stockholms University.
Örebro University.
Royal College of Music in Stockholm, Department of Music Education.ORCID iD: 0000-0002-2377-1815
Show others and affiliations
2020 (English)In: Journal of Affective Disorders, ISSN 0165-0327, E-ISSN 1573-2517, Vol. 265, p. 185-192Article in journal (Refereed) Published
Abstract [en]

Aims Earlier studies show that participation in mind and body exercises (MBE) is cross-sectionally associated with high levels of depressive symptoms and antidepressants. This study investigates the longitudinal interrelationship between depressive symptoms, MBE and antidepressants. Methods 3269 men and 4318 women aged 24–74 years participated in the Swedish Longitudinal Occupational Survey of Health (SLOSH). Measures of MBE practice and depressive symptoms were drawn from the SLOSH questionnaire, data on prescription drugs were obtained from the Swedish Prescribed Drug Register. Structural Equation Modeling (SEM) was used to analyze temporal relationships. Results Both MBE practice and antidepressants in 2012 was associated with higher levels of depressive symptoms two years later. Depressive symptoms in turn were associated with higher levels of later MBE practice and antidepressants. These relationships seemed to be explained by confounding by indication and were of higher magnitude for antidepressants than for MBE. Conclusion Overall, SEM analysis shows that MBE and antidepressant treatment were both bi-directionally associated with depressive symptoms over time. Part of the explanation is likely to be confounding by indication: those with symptoms of depression more likely to undertake treatment, and MBE alone may be more common among those with less severe depression. The results clarify some of our findings from earlier studies and give some important, new information on what people are doing to manage depressive symptoms on a societal level, regarding self-care, medication, and the combination of both.

Place, publisher, year, edition, pages
2020. Vol. 265, p. 185-192
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:kmh:diva-3403DOI: 10.1016/j.jad.2020.01.012OAI: oai:DiVA.org:kmh-3403DiVA, id: diva2:1391269
Available from: 2020-02-04 Created: 2020-02-04 Last updated: 2020-12-23Bibliographically approved

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Publisher's full texthttp://www.sciencedirect.com/science/article/pii/S0165032719327065

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CiteExportLink to record
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