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Tavares VDDO, Schuch FB, de Sousa GM, Hallgren M, Oliveira Neto L, Cabral DAR, Nóbrega de Almeida R, Barbosa DC, de Almeida VRN, Tinoco H, Lira RA, Hallak JE, Arcoverde E, Cuthbert C, Patten S, Galvão-Coelho NL. Effectiveness of an affect-adjusted, supervised, multimodal, online and home-based exercise group protocol for major depression: A randomized controlled trial. PSYCHOLOGY OF SPORT AND EXERCISE 2025; 76:102729. [PMID: 39299665 DOI: 10.1016/j.psychsport.2024.102729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/14/2024] [Revised: 07/29/2024] [Accepted: 09/03/2024] [Indexed: 09/22/2024]
Abstract
This randomized controlled trial investigated the effectiveness of an affect-adjusted, supervised, multimodal, online, and home-based exercise group protocol as an adjunct therapy to antidepressants on depressive symptoms, cardiorespiratory fitness, and side effects related to antidepressants in adults with major depression (MDD, diagnosed by a clinician). Depressive symptom scales were administered by a psychiatrist and self-reported. A health-related measure (i.e., cardiorespiratory fitness), was also administered. The exercise intervention was adjusted by perceived effort and affect (pleasure and enjoyment) toward exercise and lasted 12 weeks. In total, 59 adults with MDD were divided into two groups: the exercise-group (EG; exercise + pharmacotherapy) with 26-patients (76.9 % females, mean age 28.5 years) and the control-group (CG, pharmacotherapy) with 33-patients (78.7 % females, mean age 25.6 years). The EG had a lower dropout rate (15.3 %) than CG and an increase in cardiorespiratory fitness (CRF), which was not observed in the CG. Both groups showed a decrease in self-reported depressive symptoms. However, the EG had significantly lower depressive symptom scores at t1 and t2. The EG also had higher remission rates (t1, EG: = 42.3 % and CG = 27.2 %) and remission rates (t2, EG: = 72.7 % and CG = 48.1 %) than CG, which were maintained during the four month follow-up. Side effects from anti-depressant medication were larger in the EG compared to CG. Complementing usual care for MDD with exercise resulted in better clinical outcomes and supports the use of this type of exercise protocol in the clinical management of depression.
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Affiliation(s)
- Vagner Deuel de O Tavares
- Laboratory of Hormone Measurement, Department of Physiology and Behavior, Federal University of Rio Grande do Norte, Natal, Brazil; Graduate Program in Psychobiology, Center for Biosciences, Federal University of Rio Grande do Norte, Natal, Brazil; Department of Community Health Sciences, University of Calgary, Canada; Faculty of Nursing, University of Calgary, Calgary, AB, Canada
| | - Felipe B Schuch
- Department of Sports Methods and Techniques, Federal University of Santa Maria, Santa Maria, Brazil; Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil; Institute of Health Sciences, Universidad Autónoma de Chile, Providencia, Chile
| | - Geovan Menezes de Sousa
- Laboratory of Hormone Measurement, Department of Physiology and Behavior, Federal University of Rio Grande do Norte, Natal, Brazil; Graduate Program in Psychobiology, Center for Biosciences, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Mats Hallgren
- Department of Global Public Health, Karolinska Institute, Stockholm, Sweden
| | - Leônidas Oliveira Neto
- Research Group in Biomechanics (GEBIO), Department of Physical Education, Federal University of Rio Grande do Norte, Natal-RN, Brazil
| | - Daniel A R Cabral
- Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, USA
| | - Raissa Nóbrega de Almeida
- Laboratory of Hormone Measurement, Department of Physiology and Behavior, Federal University of Rio Grande do Norte, Natal, Brazil
| | | | | | - Hanna Tinoco
- Laboratory of Hormone Measurement, Department of Physiology and Behavior, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Rodolfo A Lira
- Laboratory of Hormone Measurement, Department of Physiology and Behavior, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Jaime Eduardo Hallak
- Neurosciences and Behavior Department, Ribeirao Preto Medical School, University of Sao Paulo, Brazil; National Institute of Science and Technology for Translational Medicine - INCT TM - CNPq/FAPESP/CAPES, Brazil
| | - Emerson Arcoverde
- Onofre Lopes University Hospital, Federal University of Rio Grande do Norte, Natal, Brazil; National Institute of Science and Technology for Translational Medicine - INCT TM - CNPq/FAPESP/CAPES, Brazil
| | - Colleen Cuthbert
- Faculty of Nursing, University of Calgary, Calgary, AB, Canada; Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
| | - Scott Patten
- Department of Community Health Sciences, University of Calgary, Canada
| | - Nicole Leite Galvão-Coelho
- Laboratory of Hormone Measurement, Department of Physiology and Behavior, Federal University of Rio Grande do Norte, Natal, Brazil; Graduate Program in Psychobiology, Center for Biosciences, Federal University of Rio Grande do Norte, Natal, Brazil; National Institute of Science and Technology for Translational Medicine - INCT TM - CNPq/FAPESP/CAPES, Brazil; NICM Health Research Institute, Western Sydney University, Westmead, New South Wales, Australia.
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Bastos V, Rodrigues F, Davis P, Teixeira DS. Assessing affective valence and activation in resistance training with the feeling scale and the felt arousal scale: A systematic review. PLoS One 2023; 18:e0294529. [PMID: 37972201 PMCID: PMC10653427 DOI: 10.1371/journal.pone.0294529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Accepted: 10/31/2023] [Indexed: 11/19/2023] Open
Abstract
Evidence suggests affective responses to exercise can influence exercise adherence. However, there is a limited understanding of how and when to measure core affect in resistance training. As such, the objective of this systematic review was to analyze how the Feeling Scale and/or the Felt Arousal Scale have been used in resistance training to assess core affect. Focus was given to the contextual feasibility, timing, and frequency of assessment. A search in PubMed, SPORTDiscus, and PsycINFO databases was conducted (last search date July, 2022) with the purpose of including experimental and non-experimental studies, utilizing the Feeling Scale and/or the Felt Arousal Scale in resistance training, and focused on apparently healthy individuals of any age. Twenty-seven studies (N = 718 participants) published between 2009-2022 were qualitatively analyzed. Both scales appeared to be able to detect core affect within a wide array of intensities, ages, and equipment. As for the timing and frequency of measurement, no apparent standardization was evident. The use of the Feeling Scale, the Felt Arousal Scale, or both, to measure core affect appears to be feasible in resistance training practices. However, a lack of methodological background raises concerns regarding the quality of previous studies' assessments and comparisons of results across studies.
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Affiliation(s)
- Vasco Bastos
- Faculty of Physical Education and Sport (ULHT), Lusófona University, Lisbon, Portugal
- Research Center in Sport, Physical Education, and Exercise and Health (CIDEFES), Lisbon, Portugal
| | - Filipe Rodrigues
- ESECS-Polytechnic of Leiria, Leiria, Portugal
- Quality of Life Research Center (CIEQV), Santarém, Portugal
| | - Paul Davis
- Department of Psychology, Umeå University, Umeå, Sweden
| | - Diogo Santos Teixeira
- Faculty of Physical Education and Sport (ULHT), Lusófona University, Lisbon, Portugal
- Research Center in Sport, Physical Education, and Exercise and Health (CIDEFES), Lisbon, Portugal
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Bastos V, Andrade AJ, Rodrigues F, Monteiro D, Cid L, Teixeira DS. Set to Fail: Affective Dynamics in a Resistance Training Program Designed to Reach Muscle Concentric Failure. Scand J Med Sci Sports 2022; 32:1710-1723. [PMID: 35920056 DOI: 10.1111/sms.14222] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Revised: 07/12/2022] [Accepted: 08/01/2022] [Indexed: 11/27/2022]
Abstract
Grounded in hedonic assumptions, evidence suggests that people tend to engage in activities they consider pleasurable and enjoyable, while trying to avoid pain and displeasure. This suggests that the dynamic between positive and negative affect can influence current behavior and the intentions to continue performing. Regarding resistance training (RT), research focusing on how to promote a better affective response is still scarce and much needed. Given existing limitations and theoretical suggestions, a RT program was developed and applied to recreational exercisers in a quasi-experimental design aiming to: (1) explore the affective response dynamic through a continuous assessment after the last set of each exercise; and (2) analyze possible differences of preference and tolerance profiles in affective variables (core affect and enjoyment). For that purpose, 43 participants (21 male and 22 female; Mage = 34.69 ± 6.71 years; Mexperience = 8.32 ± 4.54 years; MBMI = 24.26 ± 2.64 kg/m2 ) accepted to participate in this study. Descriptive statistics, correlational, and group comparisons analyses were performed to provide evidence for proposed objectives. The present study showed that measures of affective valence/arousal applied immediately after a set represents a feasible and ecologically valid approach to tap core affect. Results presented evidence that recreationally trained exercisers in a common RT program would need a minimum of one measurement to assess the affective response. However, additional assessments could refine the understanding of exercise pleasurable experience. Results also suggest that exercisers with distinct profiles of preference/tolerance depicted differentiated patterns for the affective response, possibly justifying a distinct approach when promoting affective regulation.
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Affiliation(s)
- Vasco Bastos
- Faculty of Physical Education and Sport (ULHT), Lusófona University, Lisbon, Portugal.,Research Center in Sport, Physical Education, and Exercise and Health (CIDEFES), Lisbon, Portugal
| | - Ana Jesus Andrade
- Faculty of Physical Education and Sport (ULHT), Lusófona University, Lisbon, Portugal.,Research Center in Sport, Physical Education, and Exercise and Health (CIDEFES), Lisbon, Portugal
| | - Filipe Rodrigues
- ESECS - Polytechnic of Leiria, Leiria, Portugal.,Quality of Life Research Center (CIEQV), Santarém, Portugal
| | - Diogo Monteiro
- ESECS - Polytechnic of Leiria, Leiria, Portugal.,Quality of Life Research Center (CIEQV), Santarém, Portugal.,Research Center in Sport Sciences, Health Sciences and Human Development (CIDESD), Covilhã, Portugal
| | - Luis Cid
- Quality of Life Research Center (CIEQV), Santarém, Portugal.,Research Center in Sport Sciences, Health Sciences and Human Development (CIDESD), Covilhã, Portugal.,Sport Science School of Rio Maior (ESDRM), IPSantarém, Portugal
| | - Diogo Santos Teixeira
- Faculty of Physical Education and Sport (ULHT), Lusófona University, Lisbon, Portugal.,Research Center in Sport, Physical Education, and Exercise and Health (CIDEFES), Lisbon, Portugal
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Schlichta C, Cabral LL, da Silva CK, Bigliassi M, Pereira G. Exploring the Impact of Mental Fatigue and Emotional Suppression on the Performance of High-Intensity Endurance Exercise. Percept Mot Skills 2022; 129:1053-1073. [DOI: 10.1177/00315125221093898] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This study investigated the extent to which mental fatigue and emotional suppression affected exercise endurance. Twelve participants performed cycling endurance tests at 80% of their peak power up to the point of exhaustion. Two experimental conditions (mental fatigue [MF] and emotion suppression conditions [ES]) and a control condition (CO) were administered. Participants responded to psychological measures throughout the exercise trials. Both MF and ES conditions hindered exercise performance relative to the CO, and there was no statistically significant difference between the negative effects of both MF and ES conditions. Of note, however, higher levels of subjective fatigue were reported in MF, prior to commencing the exercise test. High cognitive loads that induce MF and/or engaging in ES may reduce high intensity endurance exercise performance among young adults, but further research with greater numbers of participants is needed to replicate and extend these findings.
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Affiliation(s)
- Clara Schlichta
- Physical Education Department, Federal University of Parana, Curitiba, Brasil
| | - Luana Loss Cabral
- Physical Education Department, Federal University of Parana, Curitiba, Brasil
| | | | - Marcelo Bigliassi
- Department of Teaching and Learning, Florida International University, Miami, FL, USA
| | - Gleber Pereira
- Physical Education Department, Federal University of Parana, Curitiba, Brasil
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Moreira MV, Neves VR, Schwingel PA, Moreira S. Perceptual Responses and Future Exercise Intentions of Individuals with Systemic Arterial Hypertension. Percept Mot Skills 2022; 129:606-623. [PMID: 35084243 DOI: 10.1177/00315125211073280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
To analyze the perceptual responses and future intentions (FI) to engage in continuous moderate aerobic exercise (CE) and high-intensity interval exercise (HIIE) of individuals with systemic arterial hypertension (SAH), we had 25 participants with SAH (M age=48.0, SD=8.0 years) perform, on different days and in randomized order, 33 minute sessions of CE and 30 minutes of HIIE. Twenty seconds after each 3-minutes of these sessions, we obtained participant responses to Ratings of Perceived Exertion (RPE), the Feeling Scale (FS), the Felt Arousal Scale (FAS), and attentional focus (AF). We assessed their FI to engage in CE and HIIE at the end of each session. We analyzed results using two-way ANOVAs with repeated measures, Spearman correlation coefficients, a simple linear regression and Wilcoxon test. We found a significant time by session type (CE and HIIE) interaction effect for RPE (F [2.05; 49.17] = 3.31; p < 0.001), FAS (F [2.43; 58.25] = 6.18; p = 0.002) and AF (F [2.56; 61.44] = 5.41; p = 0.004). Participants' FI to engage in HIIE were only significantly correlated with FAS (r = -0.424; p = 0.035) and AF (r =0.431; p = 0.032) responses. FAS responses (βz=-0.455; R2=0.207; p =0.022) and AF responses (βz=0.467; R2=0.218; p=0.019) predicted FI for engaging in HIIE. There were no significant differences in participants' FI to engage in CE sessions (M = 76.4, SD =22.5%) versus HIIE sessions (M = 71.8, SD = 22.9%; p=0.177). Individuals with SAH had more positive perceptions of CE than HIIE, as seen by their greater dissociative AF in the CE sessions. Furthermore, these results supported the application of strategies aimed at manipulating AF in this population, possibly as a tool to increase participants' FI to engage in subsequent physical exercise.
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Tavares VDDO, Schuch FB, Tempest G, Parfitt G, Oliveira Neto L, Galvão-Coelho NL, Hackett D. Exercisers' Affective and Enjoyment Responses: A Meta-Analytic and Meta-Regression Review. Percept Mot Skills 2021; 128:2211-2236. [PMID: 34112041 DOI: 10.1177/00315125211024212] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Affective responses and enjoyment of exercise mediate exercise adherence, but previous research findings have failed to examine nuances that may moderate this relationship. We examined the effects of exercise on affective and enjoyment responses during and post exercise through a systematic literature review and meta-regression analysis. We searched major databases up to July 9, 2020 for studies evaluating healthy adults' acute and chronic responses to exercise, using either of The Feeling Scale or Physical Activity Enjoyment Scales. We calculated effect size (ES) values of 20 unique studies (397 participants; 40% females) as standardized differences in the means and expressed them as Hedges' g, together with the 95% confidence interval (95%CI). Among acute studies examining affective responses, we found a greater positive effect post exercise for continuous training (CT) compared to high intensity interval training (HIIT) (g = -0.61; 95%CI = -1.11, -0.10; p < .018), but there was no significant difference between these modes for effects during exercise. Subgroup analyses revealed that moderate, and not high intensity, CT, compared to HIIT, resulted in significantly greater positive affective responses (g = -1.09; 95%CI = -1.88, -0.30; p < .006). In contrast, enjoyment was greater for HIIT, compared to CT (g = 0.75; 95%CI = 0.17, -1.13; p = .010), but CT intensity did not influence this result. Among chronic studies, there was greater enjoyment following HIIT compared to CT, but these studies were too few to permit meta-analysis. We concluded that an acute bout of moderate intensity CT is more pleasurable, when measured post exercise than HIIT, but enjoyment is greater following HIIT, perhaps due to an interaction between effort, discomfort, time efficiency and constantly changing stimuli.
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Affiliation(s)
- Vagner Deuel de Oliveira Tavares
- Laboratory of Hormone Measurement, Department of Physiology and Behavior, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Felipe Barreto Schuch
- Department of Sports Methods and Techniques, Federal University of Santa Maria, Brazil
| | - Gavin Tempest
- Department of Sport, Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK
| | - Gaynor Parfitt
- University of South Australia, Allied Health and Human Performance, Adelaide, South Australia
| | | | - Nicole Leite Galvão-Coelho
- Laboratory of Hormone Measurement, Department of Physiology and Behavior, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Daniel Hackett
- Discipline of Exercise and Sports Science, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia
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Elsangedy HM, Oliveira GTA, Machado DGDS, Tavares MPM, Araújo ADO, Krinski K, Browne RAV, Gregório da Silva S. Effects of Self-selected Resistance Training on Physical Fitness and Psychophysiological Responses in Physically Inactive Older Women: A Randomized Controlled Study. Percept Mot Skills 2020; 128:467-491. [PMID: 33115322 DOI: 10.1177/0031512520967610] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This study aimed to investigate the effects of a 12-week self-selected resistance training (SSRT) program on physical fitness and psychophysiological responses among physically inactive older women. We randomly allocated 32 inactive older women (M age = 66.0 years, SD = 3.0) into either an SSRT (n = 16) or control group (n = 16). Participants performed SSRT three times per week over 12 weeks. We assessed maximal isotonic and isokinetic muscle strength, functional capacity, flexibility, cardiorespiratory fitness, and body composition at baseline and after the intervention. Affective responses and perceived exertion were evaluated after each exercise set throughout the training program. The SSRT group significantly improved their maximal muscle strength in all exercises (Cohen's d ranging from 1.4-3.3; all p's < .001), peak torque (knee flexors: d = 1.7; knee extensors: d = 1.6; all p < .001), flexibility (knee flexors: d = 1.7; single hip flexors: d = 1.6; all p < .001; bilateral hip flexors: d = 1.1, p = .001), fat-free mass (d = .9, p = .008), and cardiorespiratory fitness (d = .9, p = .014), compared to the control group. All components of functional capacity improved compared to the control group (Cohen's d ranging from .8 to 5.5; all p's ≤ .001). Participants perceived the exercise training sessions as pleasant and of low to moderate effort. Thus, a 12-week SSRT program was effective at improving physical fitness and inducing feelings of pleasure among inactive older women.
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Affiliation(s)
- Hassan Mohamed Elsangedy
- Department of Physical Education, Federal University of Rio Grande do Norte, Natal, Brazil.,Graduate Program in Physical Education, Federal University of Rio Grande do Norte, Natal, Brazil
| | | | | | | | | | - Kleverton Krinski
- Graduate Program in Collective Health, Federal University of Rio Grande do Norte, Natal, RN, Brazil
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