Code for: Efficacy of a Transdiagnostic Group Exercise Intervention for Outpatients with Various Psychiatric Disorders: A Randomized Controlled Trial
Author(s) / Creator(s)
Zeibig, Johanna-Marie
Seiffer, Britta-Andrea
Sudeck, Gorden
Rösel, Inka
Hautzinger, Martin
Wolf, Sebastian
Abstract / Description
Code for: Zeibig, J. M., Seiffer, B., Sudeck, G., Rösel, I., Hautzinger, M., & Wolf, S. (2021). Transdiagnostic efficacy of a group exercise intervention for outpatients with heterogenous psychiatric disorders: a randomized controlled trial. BMC psychiatry, 21(1), 1-17. https://doi.org/10.1186/s12888-021-03307-x
Background - Exercise efficaciously reduces disorder-specific symptoms of psychiatric disorders. The current study aimed to examine the efficacy of a group exercise intervention on global symptom severity and disorder-specific symptoms among a mixed outpatient sample.
Methods - Groups of inactive outpatients, waiting for psychotherapy, with depressive disorders, anxiety disorders, insomnia, and attention-deficit/hyperactivity disorders were randomized to a manualized 12-week exercise intervention, combining moderate to vigorous aerobic exercise with techniques for sustainable exercise behaviour change (n = 38, female = 71.1% (n = 27), Mage = 36.66), or a passive control group (n = 36, female = 75.0% (n = 27), Mage = 34.33). Primary outcomes were global symptom severity and disorder-specific symptoms, measured with the Symptom Checklist-90-Revised and Pittsburgh Sleep Quality Index pre- and post-treatment. Secondary outcome was the self-reported amount of exercise (Physical Activity, Exercise, and Sport Questionnaire), measured pre-treatment, intermediate-, and post-treatment. Intention-to-treat analyses were conducted using linear mixed models. Linear regressions were conducted to examine the effect of the change of exercise behaviour on the change of symptoms.
Results - The intervention significantly improved global symptom severity (d = 0.77, p = .007), depression (d = 0.68, p = .015), anxiety (d = 0.87, p = .002), sleep quality (d = 0.88, p = .001), and increased the amount of exercise (d = 0.82, p < .001), compared to the control group. Post-treatment differences between groups were significant for depression (d = 0.63, p = .031), sleep quality (d = 0.61, p = .035) and the amount of exercise (d = 1.45, p < .001). Across both groups, the reduction of global symptom severity was significantly predicted by an increase of exercise (b = .35, p = .012).
Conclusions - The exercise intervention showed transdiagnostic efficacy among a heterogeneous clinical sample in a realistic outpatient setting and led to sustained exercise behaviour change. Exercise may serve as an efficacious and feasible transdiagnostic treatment option improving the existing treatment gap within outpatient mental health care settings.
Keyword(s)
Exercise Transdiagnostic Efficacy Depression Anxiety Disorders InsomniaPersistent Identifier
Date of first publication
2021-02-25
Publisher
PsychArchives
Is referenced by
Citation
Zeibig, J.-M., Seiffer, B.-A., Sudeck, G., Rösel, I., Hautzinger, M., & Wolf, S. (2021). Code for: Efficacy of a Transdiagnostic Group Exercise Intervention for Outpatients with Various Psychiatric Disorders: A Randomized Controlled Trial. PsychArchives. https://doi.org/10.23668/PSYCHARCHIVES.4624
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R_Data_Analyses_Zeibig_2021.RR script - 29.52KBMD5: 7cd8b11f1a298e7a05cc39f7dd0dce16Description: Syntax for data analyses of the manuscript Efficacy of a Transdiagnostic Group Exercise Intervention for Outpatients with Various Psychiatric Disorders: A Randomized Controlled Trial
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Author(s) / Creator(s)Zeibig, Johanna-Marie
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Author(s) / Creator(s)Seiffer, Britta-Andrea
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Author(s) / Creator(s)Sudeck, Gorden
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Author(s) / Creator(s)Rösel, Inka
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Author(s) / Creator(s)Hautzinger, Martin
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Author(s) / Creator(s)Wolf, Sebastian
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PsychArchives acquisition timestamp2021-02-25T15:03:40Z
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Made available on2021-02-25T15:03:40Z
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Date of first publication2021-02-25
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Abstract / DescriptionCode for: Zeibig, J. M., Seiffer, B., Sudeck, G., Rösel, I., Hautzinger, M., & Wolf, S. (2021). Transdiagnostic efficacy of a group exercise intervention for outpatients with heterogenous psychiatric disorders: a randomized controlled trial. BMC psychiatry, 21(1), 1-17. https://doi.org/10.1186/s12888-021-03307-xen
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Abstract / DescriptionBackground - Exercise efficaciously reduces disorder-specific symptoms of psychiatric disorders. The current study aimed to examine the efficacy of a group exercise intervention on global symptom severity and disorder-specific symptoms among a mixed outpatient sample. Methods - Groups of inactive outpatients, waiting for psychotherapy, with depressive disorders, anxiety disorders, insomnia, and attention-deficit/hyperactivity disorders were randomized to a manualized 12-week exercise intervention, combining moderate to vigorous aerobic exercise with techniques for sustainable exercise behaviour change (n = 38, female = 71.1% (n = 27), Mage = 36.66), or a passive control group (n = 36, female = 75.0% (n = 27), Mage = 34.33). Primary outcomes were global symptom severity and disorder-specific symptoms, measured with the Symptom Checklist-90-Revised and Pittsburgh Sleep Quality Index pre- and post-treatment. Secondary outcome was the self-reported amount of exercise (Physical Activity, Exercise, and Sport Questionnaire), measured pre-treatment, intermediate-, and post-treatment. Intention-to-treat analyses were conducted using linear mixed models. Linear regressions were conducted to examine the effect of the change of exercise behaviour on the change of symptoms. Results - The intervention significantly improved global symptom severity (d = 0.77, p = .007), depression (d = 0.68, p = .015), anxiety (d = 0.87, p = .002), sleep quality (d = 0.88, p = .001), and increased the amount of exercise (d = 0.82, p < .001), compared to the control group. Post-treatment differences between groups were significant for depression (d = 0.63, p = .031), sleep quality (d = 0.61, p = .035) and the amount of exercise (d = 1.45, p < .001). Across both groups, the reduction of global symptom severity was significantly predicted by an increase of exercise (b = .35, p = .012). Conclusions - The exercise intervention showed transdiagnostic efficacy among a heterogeneous clinical sample in a realistic outpatient setting and led to sustained exercise behaviour change. Exercise may serve as an efficacious and feasible transdiagnostic treatment option improving the existing treatment gap within outpatient mental health care settings.en
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Publication statusunknownen
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Review statusunknownen
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SponsorshipThe Robert-Enke Foundation partially funded the study by financing the compensation for participants of the control group and research assistants. The funding associations had no involvement in the study design, the collection, analysis and interpretation of data, in the writing of the report nor in the decision to submit the article for publication. Open Access funding enabled and organized by Projekt DEAL.en
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CitationZeibig, J.-M., Seiffer, B.-A., Sudeck, G., Rösel, I., Hautzinger, M., & Wolf, S. (2021). Code for: Efficacy of a Transdiagnostic Group Exercise Intervention for Outpatients with Various Psychiatric Disorders: A Randomized Controlled Trial. PsychArchives. https://doi.org/10.23668/PSYCHARCHIVES.4624en
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Persistent Identifierhttps://hdl.handle.net/20.500.12034/4110
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Persistent Identifierhttps://doi.org/10.23668/psycharchives.4624
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Language of contenteng
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PublisherPsychArchivesen
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Is referenced byhttps://doi.org/10.1186/s12888-021-03307-x
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Is related tohttps://www.psycharchives.org/handle/20.500.12034/4111
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Is related tohttps://doi.org/10.23668/psycharchives.6488
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Is related tohttps://doi.org/10.23668/psycharchives.6489
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Is related tohttps://doi.org/10.1186/s12888-021-03307-x
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Keyword(s)Exerciseen
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Keyword(s)Transdiagnostic Efficacyen
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Keyword(s)Depressionen
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Keyword(s)Anxiety Disordersen
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Keyword(s)Insomniaen
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Dewey Decimal Classification number(s)150
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TitleCode for: Efficacy of a Transdiagnostic Group Exercise Intervention for Outpatients with Various Psychiatric Disorders: A Randomized Controlled Trial
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DRO typecode
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Leibniz subject classificationPsychologie