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Type: Journal article
Title: The effects of physical activity in the acute treatment of bipolar disorder: a pilot study
Author: Ng, F.
Dodd, S.
Berk, M.
Citation: Journal of Affective Disorders, 2007; 101(1-3):259-262
Publisher: Elsevier Science BV
Issue Date: 2007
ISSN: 0165-0327
Statement of
Felicity Ng, Seetal Dodd and Michael Berk
Abstract: Background: Physical activity has demonstrated efficacy in depression and anxiety, but its potential in the management of bipolar disorder is yet unexplored. This study is a pilot investigation into the effectiveness of an adjunctive walking program in the acute treatment of bipolar disorder. Methods: This is a retrospective cohort study of all patients admitted over a 24-month period to a private psychiatric unit with a primary diagnosis of bipolar disorder (ICD-10). All patients were invited to participate voluntarily in a walking group during their admissions. Those who reliably attended the walking group (participants) were compared against those who did not attend (non-participants), using the clinician-rated Clinical Global Impression Severity (CGI-S) and Improvement (CGI-I) scales and the self-reported 21-item Depression Anxiety Stress Scales (DASS) as primary outcome measures. Results: There were 24 admissions for participants and 74 admissions for non-participants. The two groups did not differ significantly in patient demographics or admission CGI and DASS measures, except for a lower DASS Stress subscore for participants (p = 0.049). At discharge, the inter-group differences in CGI measures remained non-significant, but participants had significantly lower scores than non-participants for DASS (p = 0.005) and all its subscales (Depression p = 0.048, Anxiety p = 0.002, Stress p = 0.01). Limitations: Methodological limitations include a retrospective design, small sample size, lack of randomisation or control, and indirect measure of manic symptoms. Conclusions: The results of this trial provide preliminary support for a therapeutic role of physical activity in bipolar disorder, and warrant further investigation with randomised controlled trials.
Keywords: Physical activity
Bipolar disorder
DOI: 10.1016/j.jad.2006.11.014
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Appears in Collections:Aurora harvest 5
Psychiatry publications

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