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Göteborgs universitets publikationer

“Crawling Out of the Cocoon”: Patients’ Experiences of a Physical Therapy Exercise Intervention in the Treatment of Major Depression.

Författare och institution:
Louise Danielsson (Centrum för personcentrerad vård vid Göteborgs universitet (GPCC) & Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa); Birgitta Kihlbom (Institutionen för neurovetenskap och fysiologi); Susanne Rosberg (Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering & Centrum för personcentrerad vård vid Göteborgs universitet (GPCC))
Publicerad i:
Physical Therapy, 96 s. 1241-1250
ISSN:
0031-9023
E-ISSN:
1538-6724
Publikationstyp:
Artikel, refereegranskad vetenskaplig
Publiceringsår:
2016
Språk:
engelska
Fulltextlänk:
Sammanfattning (abstract):
Background: While the effectiveness of physical exercise for depression has been studied for many years, few studies have described patients’ experiences of what exercise means to them, beyond the biological focus. Moreover, exercise as a treatment for depression is rarely explored in a physical therapy context. Objectives: The purpose was to explore a physical therapy exercise intervention, as experienced by persons suffering from major depression. Design: This study had an inductive approach and employed qualitative content analysis. Methods: Semi-structured interviews were conducted with 13 persons who participated in physical therapist-guided aerobic exercise in a randomized controlled trial. The participants were all diagnosed with major depression according to the Diagnostic and Statistical Manual of Mental Disorders. Data were collected and analyzed in an inductive tradition using qualitative content analysis according to Graneheim and Lundman. Results: Four categories emerged: struggling toward a healthy self, challenging the resistance, feeling alive but not euphoric, and needing someone to be there for you. The participants experienced that although the exercise intervention was hard work, it enhanced the feeling of being alive and made them feel that they were doing something good for themselves. These feelings were a welcome contrast to the numbness and stagnation they experienced during depression. Conclusions: Exercise in a physical therapy context can improve the participants’ perception of their physical ability and create a sense of liveliness, improving their depressed state. The therapeutic relationship is essential for supporting the patient’s vulnerability and ambiguity in an empathic and perceptive way.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
MEDICIN OCH HÄLSOVETENSKAP ->
Hälsovetenskaper ->
Sjukgymnastik
Postens nummer:
231800
Posten skapad:
2016-02-08 14:47
Posten ändrad:
2016-08-19 08:52

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