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Physical activity, disability, and mood in the early stage of multiple sclerosis.
Disabil Health J 2010; 3(2):93-8DH

Abstract

BACKGROUND

Early multiple sclerosis (MS) may constitute a period of particular vulnerability to psychological distress such as anxiety and depression. Physical activity is a potentially modifiable, behavioral correlate of anxiety and depression in the early stages of MS.

OBJECTIVE

The present study provides an initial examination of the associations between physical activity and anxiety and depression in early MS. We hypothesized that physical activity might be a correlate of anxiety and depression in early MS and that this association might be indirect and accounted for by disability.

METHODS

The sample included 96 individuals with a mean duration of MS of 3.0 years (SD =1.5, range=0.5-5 years). The participants wore an accelerometer for 7 days as an objective measure of physical activity and then completed the Patient Determined Disease Steps (PDDS) scale and Hospital Anxiety and Depression Scale (HADS).

RESULTS

Descriptive analysis indicated that 41% and 43% of the sample had elevated levels of anxiety and depression, respectively, based on HADS scores (i.e., score ≥8). Correlation analysis indicated that physical activity was significantly associated with depression (r=-0.25; ρ=-.23), but not anxiety (r=-0.05; ρ=-.02). Path analysis indicated that the association between physical activity and depression was entirely indirect by way of disability (path coefficient=-0.23).

CONCLUSIONS

Such results suggest that physical activity could be an important health promoting behavior for reducing depression in the early stages of MS and this should be the focus of subsequent randomized controlled clinical trials.

Authors+Show Affiliations

Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, 61801, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21122774

Citation

Suh, Yoojin, et al. "Physical Activity, Disability, and Mood in the Early Stage of Multiple Sclerosis." Disability and Health Journal, vol. 3, no. 2, 2010, pp. 93-8.
Suh Y, Motl RW, Mohr DC. Physical activity, disability, and mood in the early stage of multiple sclerosis. Disabil Health J. 2010;3(2):93-8.
Suh, Y., Motl, R. W., & Mohr, D. C. (2010). Physical activity, disability, and mood in the early stage of multiple sclerosis. Disability and Health Journal, 3(2), pp. 93-8. doi:10.1016/j.dhjo.2009.09.002.
Suh Y, Motl RW, Mohr DC. Physical Activity, Disability, and Mood in the Early Stage of Multiple Sclerosis. Disabil Health J. 2010;3(2):93-8. PubMed PMID: 21122774.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Physical activity, disability, and mood in the early stage of multiple sclerosis. AU - Suh,Yoojin, AU - Motl,Robert W, AU - Mohr,David C, Y1 - 2009/11/01/ PY - 2009/05/13/received PY - 2009/09/03/revised PY - 2009/09/08/accepted PY - 2010/12/3/entrez PY - 2010/12/3/pubmed PY - 2011/5/25/medline SP - 93 EP - 8 JF - Disability and health journal JO - Disabil Health J VL - 3 IS - 2 N2 - BACKGROUND: Early multiple sclerosis (MS) may constitute a period of particular vulnerability to psychological distress such as anxiety and depression. Physical activity is a potentially modifiable, behavioral correlate of anxiety and depression in the early stages of MS. OBJECTIVE: The present study provides an initial examination of the associations between physical activity and anxiety and depression in early MS. We hypothesized that physical activity might be a correlate of anxiety and depression in early MS and that this association might be indirect and accounted for by disability. METHODS: The sample included 96 individuals with a mean duration of MS of 3.0 years (SD =1.5, range=0.5-5 years). The participants wore an accelerometer for 7 days as an objective measure of physical activity and then completed the Patient Determined Disease Steps (PDDS) scale and Hospital Anxiety and Depression Scale (HADS). RESULTS: Descriptive analysis indicated that 41% and 43% of the sample had elevated levels of anxiety and depression, respectively, based on HADS scores (i.e., score ≥8). Correlation analysis indicated that physical activity was significantly associated with depression (r=-0.25; ρ=-.23), but not anxiety (r=-0.05; ρ=-.02). Path analysis indicated that the association between physical activity and depression was entirely indirect by way of disability (path coefficient=-0.23). CONCLUSIONS: Such results suggest that physical activity could be an important health promoting behavior for reducing depression in the early stages of MS and this should be the focus of subsequent randomized controlled clinical trials. SN - 1876-7583 UR - https://www.unboundmedicine.com/medline/citation/21122774/Physical_activity_disability_and_mood_in_the_early_stage_of_multiple_sclerosis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1936-6574(09)00087-9 DB - PRIME DP - Unbound Medicine ER -