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Yıl:2016; Cilt: 17; Sayı: 1>> Özet
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Anadolu Psikiyatri Dergisi; 2016;17(1):33-41
Alkol ve madde bağımlılığı tedavisi gören yetişkinlerde düzenli egzersizin anksiyete, depresyon ve yaşam kalitesine etkisi
HY Ercan, İL Yargıç, C Karagözoğlu.
İstanbul Teknik Üniversitesi, İstanbul
Amaç: Bu çalışmanın amacı, aerobik ve kuvvet egzersizlerinin, alkol ve madde bağımlılığı tedavisi gören yetişkinlerin kaygı, depresyon ve yaşam kaliteleri üzerindeki etkisini araştırmaktır. Yöntem: Yarı deneysel desende yapılan bu araştırmada katılımcıların depresyon, anksiyete ve yaşam kaliteleri çalışmanın başında ve sonunda ölçülerek, egzersiz ve kontrol grupları arasındaki fark karşılaştırılmıştır. Katılımcıların aerobik kapasitedeki değişiklikleri belirlemek için ‘The Bruce Treadmill Test’ kullanılarak tahmini VO2max ölçülmüş ve tahmini bir tekrar maksimal kuvveti saptamak için de dört-altı kez submaksimal kuvvet testi uygulanmıştır. Katılımcıların dinlenik nabız ve kan basınçları izlenmiştir. Bulgular: Çalışmanın sonunda egzersiz grubu katılımcılarının anksiyete düzeylerinde kontrol grubuna göre anlamlı derecede düşüş saptanmıştır. Depresyon düzeyinin, egzersiz grubu katılımcılarında kontrol grubundakilere göre daha düşük olduğu görülmekle birlikte, bu düşüş istatistiksel olarak anlamlı bulunmamıştır. Egzersiz grubu yaşam kalitesi, fiziksel sağlık bileşeninde yer alan fiziksel işlevsellik ve fiziksel rol puanları, zihinsel sağlık bileşeninde yer alan sosyal işlevsellik ve duygusal rol puanları da kontrol grubundan daha yüksek bulunmuştur. Ayrıca egzersiz grubunda aerobik kapasitesi ve kuvvette de anlamlı bir artış saptanmıştır. Sonuç: Bu çalışma sonucunda egzersizin, bağımlılarda kaygı düzeyini düşürmede etkili olduğu ve depresyonda düşüş, esenlik ile yaşam kalitesinde artış gibi pozitif yönde değişiklikleri desteklediği görülmüştür. Bu araştırma, orta şiddette aerobik egzersiz ile birlikte kuvvet egzersizlerinin tedavi gören yetişkin alkol ve madde bağımlılarının anksiyete, depresyon ve yaşam kalitelerine etkisini inceleyen Türkiye’de yapılmış ilk çalışmalardan birisidir.
The effects of regular exercise on anxiety, depression and quality of life in adult alcohol and drug dependents in addiction treatment
Objective: The purpose of this study was to examine the effects of moderate-intensity aerobic and strength exercises on anxiety, depression, and quality of life of individuals with alcohol and substance addiction disorder during addiction treatment. Methods: This is a quasi-experimental design research. Depression, anxiety and quality of life of participants were assessed at baseline and at the end of the study and compared the difference between exercise and control group. The Bruce Treadmill Test was used to measure the predicted maxVO2 to examine the changes in aerobic capacity and the four to six repetition submaximal strength test was used to measure the predicted one repetition maximal strength of the participants in the exercise group. Resting heart rate and blood pressure were also monitored. Results: Anxiety scores of exercisers was significantly lower than control group at the end of the study. Depression level of exercisers was also lower than control group but the difference was insignificant. From the physical health component of quality of life; physical functioning and physical role scores and, from the mental health component of quality of life; social functioning and emotional role scores were higher among the exercisers than the controls. A significant increase has been found in aerobic capacity and strength in the exercise group after the exercise intervention. Conclusions: This study is one of the first to examine the effects of both moderate-intensity aerobic and strength exercises on anxiety, depression and quality of life in adult alcohol and drug dependents’ in addiction treatment in Turkey

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