Effects of a group-based lifestyle medicine for depression: A pilot randomized controlled trial.

Given the growing evidence that a range of lifestyle factors are involved in the etiology of depression, a 'lifestyle medicine' approach can be potentially safe and cost-effective to prevent or treat depression. To examine the effects and acceptability of a group-based, integrative lifesty...

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Autores principales:	Agnes Ka-Yan Ip, Fiona Yan-Yee Ho, Wing-Fai Yeung, Ka-Fai Chung, Chee H Ng, Georgina Oliver, Jerome Sarris
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f4000652208b4c00b4081148cf6ef14a
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spelling	oai:doaj.org-article:f4000652208b4c00b4081148cf6ef14a2021-12-02T20:17:09ZEffects of a group-based lifestyle medicine for depression: A pilot randomized controlled trial.1932-620310.1371/journal.pone.0258059https://doaj.org/article/f4000652208b4c00b4081148cf6ef14a2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258059https://doaj.org/toc/1932-6203Given the growing evidence that a range of lifestyle factors are involved in the etiology of depression, a 'lifestyle medicine' approach can be potentially safe and cost-effective to prevent or treat depression. To examine the effects and acceptability of a group-based, integrative lifestyle medicine intervention as a standalone treatment for managing depressive symptoms, a pilot randomized controlled trial (RCT) was conducted in a Chinese adult population in 2018. Participants (n = 31) with PHQ-9 score above the cut-off of ≥ 10, which was indicative of moderate to severe depression, were recruited from the general community in Hong Kong and randomly assigned to lifestyle medicine group (LM group) or care-as-usual group (CAU group) in a ratio of 1:1. Participants in the LM group received 2-hour group sessions once per week for six consecutive weeks, which covered diet, exercise, mindfulness, psychoeducation, and sleep management. Linear mixed-effects model analyses showed that the LM group had a significant reduction in PHQ-9 scores compared to the CAU group at immediate posttreatment and 12-week posttreatment follow-up (d = 0.69 and 0.73, respectively). Moreover, there were significantly greater improvements in anxiety, stress, and insomnia symptoms (measured by DASS-21 and ISI) at all time points in the LM group (d = 0.42-1.16). The results suggests that our 6-week group-based, integrative lifestyle intervention program is effective in lowering depressive, anxiety, stress, and insomnia symptoms in the Chinese population. Further studies in clinical populations with a larger sample size and longer follow-up are warranted.Agnes Ka-Yan IpFiona Yan-Yee HoWing-Fai YeungKa-Fai ChungChee H NgGeorgina OliverJerome SarrisPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258059 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Agnes Ka-Yan Ip Fiona Yan-Yee Ho Wing-Fai Yeung Ka-Fai Chung Chee H Ng Georgina Oliver Jerome Sarris Effects of a group-based lifestyle medicine for depression: A pilot randomized controlled trial.
description	Given the growing evidence that a range of lifestyle factors are involved in the etiology of depression, a 'lifestyle medicine' approach can be potentially safe and cost-effective to prevent or treat depression. To examine the effects and acceptability of a group-based, integrative lifestyle medicine intervention as a standalone treatment for managing depressive symptoms, a pilot randomized controlled trial (RCT) was conducted in a Chinese adult population in 2018. Participants (n = 31) with PHQ-9 score above the cut-off of ≥ 10, which was indicative of moderate to severe depression, were recruited from the general community in Hong Kong and randomly assigned to lifestyle medicine group (LM group) or care-as-usual group (CAU group) in a ratio of 1:1. Participants in the LM group received 2-hour group sessions once per week for six consecutive weeks, which covered diet, exercise, mindfulness, psychoeducation, and sleep management. Linear mixed-effects model analyses showed that the LM group had a significant reduction in PHQ-9 scores compared to the CAU group at immediate posttreatment and 12-week posttreatment follow-up (d = 0.69 and 0.73, respectively). Moreover, there were significantly greater improvements in anxiety, stress, and insomnia symptoms (measured by DASS-21 and ISI) at all time points in the LM group (d = 0.42-1.16). The results suggests that our 6-week group-based, integrative lifestyle intervention program is effective in lowering depressive, anxiety, stress, and insomnia symptoms in the Chinese population. Further studies in clinical populations with a larger sample size and longer follow-up are warranted.
format	article
author	Agnes Ka-Yan Ip Fiona Yan-Yee Ho Wing-Fai Yeung Ka-Fai Chung Chee H Ng Georgina Oliver Jerome Sarris
author_facet	Agnes Ka-Yan Ip Fiona Yan-Yee Ho Wing-Fai Yeung Ka-Fai Chung Chee H Ng Georgina Oliver Jerome Sarris
author_sort	Agnes Ka-Yan Ip
title	Effects of a group-based lifestyle medicine for depression: A pilot randomized controlled trial.
title_short	Effects of a group-based lifestyle medicine for depression: A pilot randomized controlled trial.
title_full	Effects of a group-based lifestyle medicine for depression: A pilot randomized controlled trial.
title_fullStr	Effects of a group-based lifestyle medicine for depression: A pilot randomized controlled trial.
title_full_unstemmed	Effects of a group-based lifestyle medicine for depression: A pilot randomized controlled trial.
title_sort	effects of a group-based lifestyle medicine for depression: a pilot randomized controlled trial.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/f4000652208b4c00b4081148cf6ef14a
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Effects of a group-based lifestyle medicine for depression: A pilot randomized controlled trial.

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