Physical exercise and internet-based cognitive behavioural therapy in the treatment of depression: randomised controlled trial.

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Physical exercise and internet-based cognitive behavioural therapy in the treatment of depression: randomised controlled trial. / Hallgren, Mats; Kraepelien, Martin; Öjehagen, Agneta; Lindefors, Nils; Zeebari, Zangin; Kaldo, Viktor; Forsell, Yvonne.

In: British Journal of Psychiatry, Vol. 207, No. 3, 2015, p. 227-234.

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Hallgren, Mats ; Kraepelien, Martin ; Öjehagen, Agneta ; Lindefors, Nils ; Zeebari, Zangin ; Kaldo, Viktor ; Forsell, Yvonne. / Physical exercise and internet-based cognitive behavioural therapy in the treatment of depression: randomised controlled trial. In: British Journal of Psychiatry. 2015 ; Vol. 207, No. 3. pp. 227-234.

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TY - JOUR

T1 - Physical exercise and internet-based cognitive behavioural therapy in the treatment of depression: randomised controlled trial.

AU - Hallgren, Mats

AU - Kraepelien, Martin

AU - Öjehagen, Agneta

AU - Lindefors, Nils

AU - Zeebari, Zangin

AU - Kaldo, Viktor

AU - Forsell, Yvonne

PY - 2015

Y1 - 2015

N2 - BackgroundDepression is common and tends to be recurrent. Alternative treatments are needed that are non-stigmatising, accessible and can be prescribed by general medical practitioners.AimsTo compare the effectiveness of three interventions for depression: physical exercise, internet-based cognitive-behavioural therapy (ICBT) and treatment as usual (TAU). A secondary aim was to assess changes in self-rated work capacity.MethodA total of 946 patients diagnosed with mild to moderate depression were recruited through primary healthcare centres across Sweden and randomly assigned to one of three 12-week interventions (trail registry: KCTR study ID: KT20110063). Patients were reassessed at 3 months (response rate 78%).ResultsPatients in the exercise and ICBT groups reported larger improvements in depressive symptoms compared with TAU. Work capacity improved over time in all three groups (no significant differences).ConclusionsExercise and ICBT were more effective than TAU by a general medical practitioner, and both represent promising non-stigmatising treatment alternatives for patients with mild to moderate depression.

AB - BackgroundDepression is common and tends to be recurrent. Alternative treatments are needed that are non-stigmatising, accessible and can be prescribed by general medical practitioners.AimsTo compare the effectiveness of three interventions for depression: physical exercise, internet-based cognitive-behavioural therapy (ICBT) and treatment as usual (TAU). A secondary aim was to assess changes in self-rated work capacity.MethodA total of 946 patients diagnosed with mild to moderate depression were recruited through primary healthcare centres across Sweden and randomly assigned to one of three 12-week interventions (trail registry: KCTR study ID: KT20110063). Patients were reassessed at 3 months (response rate 78%).ResultsPatients in the exercise and ICBT groups reported larger improvements in depressive symptoms compared with TAU. Work capacity improved over time in all three groups (no significant differences).ConclusionsExercise and ICBT were more effective than TAU by a general medical practitioner, and both represent promising non-stigmatising treatment alternatives for patients with mild to moderate depression.

U2 - 10.1192/bjp.bp.114.160101

DO - 10.1192/bjp.bp.114.160101

M3 - Article

VL - 207

SP - 227

EP - 234

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

SN - 0007-1250

IS - 3

ER -