TY - GEN
A1 - Heissel, Andreas
A1 - Sanchez, Alba
A1 - Pietrek, Anou F.
A1 - Bergau, Theresa
A1 - Stielow, Christiane
A1 - Rapp, Michael A.
A1 - Van der Kaap-Deeder, Jolene
T1 - Validating the German Short Basic Psychological Need Satisfaction and Frustration Scale in Individuals with Depression
T2 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe
N2 - Satisfaction and frustration of the needs for autonomy, competence, and relatedness, as assessed with the 24-item Basic Psychological Need Satisfaction and Frustration Scale (BPNSFS), have been found to be crucial indicators of individuals’ psychological health. To increase the usability of this scale within a clinical and health services research context, we aimed to validate a German short version (12 items) of this scale in individuals with depression including the examination of the relations from need frustration and need satisfaction to ill-being and quality of life (QOL). This cross-sectional study involved 344 adults diagnosed with depression (Mage (SD) = 47.5 years (11.1); 71.8% females). Confirmatory factor analyses indicated that the short version of the BPNSFS was not only reliable, but also fitted a six-factor structure (i.e., satisfaction/frustration X type of need). Subsequent structural equation modeling showed that need frustration related positively to indicators of ill-being and negatively to QOL. Surprisingly, need satisfaction did not predict differences in ill-being or QOL. The short form of the BPNSFS represents a practical instrument to measure need satisfaction and frustration in people with depression. Further, the results support recent evidence on the importance of especially need frustration in the prediction of psychopathology.
T3 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 837
KW - basic psychological need frustration
KW - need satisfaction
KW - mental health
KW - ill-being
KW - depression
Y1 - 2023
U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-589060
SN - 1866-8364
IS - 837
ER -
TY - JOUR
A1 - Heissel, Andreas
A1 - Sanchez, Alba
A1 - Pietrek, Anou F.
A1 - Bergau, Theresa
A1 - Stielow, Christiane
A1 - Rapp, Michael A.
A1 - Van der Kaap-Deeder, Jolene
T1 - Validating the German Short Basic Psychological Need Satisfaction and Frustration Scale in Individuals with Depression
JF - Healthcare
N2 - Satisfaction and frustration of the needs for autonomy, competence, and relatedness, as assessed with the 24-item Basic Psychological Need Satisfaction and Frustration Scale (BPNSFS), have been found to be crucial indicators of individuals’ psychological health. To increase the usability of this scale within a clinical and health services research context, we aimed to validate a German short version (12 items) of this scale in individuals with depression including the examination of the relations from need frustration and need satisfaction to ill-being and quality of life (QOL). This cross-sectional study involved 344 adults diagnosed with depression (Mage (SD) = 47.5 years (11.1); 71.8% females). Confirmatory factor analyses indicated that the short version of the BPNSFS was not only reliable, but also fitted a six-factor structure (i.e., satisfaction/frustration X type of need). Subsequent structural equation modeling showed that need frustration related positively to indicators of ill-being and negatively to QOL. Surprisingly, need satisfaction did not predict differences in ill-being or QOL. The short form of the BPNSFS represents a practical instrument to measure need satisfaction and frustration in people with depression. Further, the results support recent evidence on the importance of especially need frustration in the prediction of psychopathology.
KW - basic psychological need frustration
KW - need satisfaction
KW - mental health
KW - ill-being
KW - depression
Y1 - 2023
U6 - https://doi.org/10.3390/healthcare11030412
SN - 2227-9032
VL - 11
IS - 3
PB - MDPI
CY - Basel
ER -
TY - JOUR
A1 - Heinzel, Stephan
A1 - Lawrence, Jimmy B.
A1 - Kallies, Gunnar
A1 - Rapp, Michael A.
A1 - Heissel, Andreas
T1 - Using Exercise to Fight Depression in Older Adults
BT - A Systematic Review and Meta-Analysis
JF - GeroPsych : the journal of gerontopsychology and geriatric psychiatry
N2 - Depression is the most prevalent psychiatric disorder in the general population. Despite a large demand for efficient treatment options, the majority of older depressed adults does not receive adequate treatment: Additional low-threshold treatments are needed for this age group. Over the past two decades, a growing number of randomized controlled trials (RCT) have been conducted, testing the efficacy of physical exercise in the alleviation of depression in older adults. This meta-analysis systematically reviews and evaluates these studies; some subanalyses testing specific effects of different types of exercise and settings are also performed. In order to be included, exercise programs of the RCTs had to fulfill the criteria of exercise according to the American College of Sports Medicine, including a sample mean age of 60 or above and an increased level of depressive symptoms. Eighteen trials with 1,063 participants fulfilled our inclusion criteria. A comparison of the posttreatment depression scores between the exercise and control groups revealed a moderate effect size in favor of the exercise groups (standardized mean difference (SMD) of –0.68, p < .001). The effect was comparable to the results achieved when only the eleven trials with low risk of bias were included (SMD = –0.63, p < .001). The subanalyses showed significant effects for all types of exercise and for supervised interventions. The results of this meta-analysis suggest that physical exercise may serve as a feasible, additional intervention to fight depression in older adults. However, because of small sample sizes of the majority of individual trials and high statistical heterogeneity, results must be interpreted carefully.
KW - depression
KW - exercise
KW - older adults
KW - meta-analysis
KW - review
Y1 - 2015
U6 - https://doi.org/10.1024/1662-9647/a000133
SN - 1662-9647
SN - 1662-971X
VL - 28
SP - 149
EP - 162
PB - Hogrefe
CY - Cambridge, Mass. ; Göttingen [u.a.]
ER -
TY - JOUR
A1 - Heissel, Andreas
A1 - Pietrek, Anou F.
A1 - Flunger, Barbara
A1 - Fydrich, Thomas
A1 - Rapp, Michael A.
A1 - Heinzel, Stephan
A1 - Vansteenkiste, Maarten
T1 - The Validation of the German Basic Psychological Need Satisfaction and Frustration Scale in the Context of Mental Health
JF - European Journal of Health Psychology
N2 - The primary aim of the current study was to examine the unique contribution of psychological need frustration and need satisfaction in the prediction of adults’ mental well-being and ill-being in a heterogeneous sample of adults (N = 334; Mage = 43.33, SD = 32.26; 53% females). Prior to this, validity evidence was provided for the German version of the Basic Psychological Need Satisfaction and Frustration Scale (BPNSFS) based on Self-Determination Theory (SDT). The results of the validation analyses found the German BPNSFS to be a valid and reliable measurement. Further, structural equation modeling (SEM) showed that both need satisfaction and frustration yielded unique and opposing associations with well-being. Specifically, the dimension of psychological need frustration predicted adults’ ill-being. Future research should examine whether frustration of psychological needs is involved in the onset and maintenance of psychopathology (e.g., major depressive disorder).
KW - basic psychological need frustration
KW - need satisfaction
KW - mental health
KW - well-being
KW - depression
Y1 - 2018
U6 - https://doi.org/10.1027/2512-8442/a000017
SN - 2512-8442
SN - 2512-8450
VL - 25
IS - 4
SP - 119
EP - 132
PB - Hogrefe
CY - Göttingen
ER -
TY - GEN
A1 - Heissel, Andreas
A1 - Pietrek, Anou F.
A1 - Kangas, Maria
A1 - Van der Kaap-Deeder, Jolene
A1 - Rapp, Michael A.
T1 - The Mediating Role of Rumination in the Relation between Basic Psychological Need Frustration and Depressive Symptoms
T2 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe
N2 - Research within the framework of Basic Psychological Need Theory (BPNT) finds strong associations between basic need frustration and depressive symptoms. This study examined the role of rumination as an underlying mechanism in the association between basic psychological need frustration and depressive symptoms. A cross-sectional sample of N = 221 adults (55.2% female, mean age = 27.95, range = 18–62, SD = 10.51) completed measures assessing their level of basic psychological need frustration, rumination, and depressive symptoms. Correlational analyses and multiple mediation models were conducted. Brooding partially mediated the relation between need frustration and depressive symptoms. BPNT and Response Styles Theory are compatible and can further advance knowledge about depression vulnerabilities.
T3 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 811
KW - psychopathology
KW - elf-determination theory
KW - response styles theory
KW - frustration
KW - depressive disorder
KW - emotional regulation
KW - rumination
Y1 - 2023
U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-578342
SN - 1866-8364
IS - 811
ER -
TY - JOUR
A1 - Heissel, Andreas
A1 - Pietrek, Anou F.
A1 - Kangas, Maria
A1 - Van der Kaap-Deeder, Jolene
A1 - Rapp, Michael A.
T1 - The Mediating Role of Rumination in the Relation between Basic Psychological Need Frustration and Depressive Symptoms
JF - Journal of Clinical Medicine
N2 - Research within the framework of Basic Psychological Need Theory (BPNT) finds strong associations between basic need frustration and depressive symptoms. This study examined the role of rumination as an underlying mechanism in the association between basic psychological need frustration and depressive symptoms. A cross-sectional sample of N = 221 adults (55.2% female, mean age = 27.95, range = 18–62, SD = 10.51) completed measures assessing their level of basic psychological need frustration, rumination, and depressive symptoms. Correlational analyses and multiple mediation models were conducted. Brooding partially mediated the relation between need frustration and depressive symptoms. BPNT and Response Styles Theory are compatible and can further advance knowledge about depression vulnerabilities.
KW - psychopathology
KW - elf-determination theory
KW - response styles theory
KW - frustration
KW - depressive disorder
KW - emotional regulation
KW - rumination
Y1 - 2023
U6 - https://doi.org/10.3390/jcm12020395
SN - 2077-0383
VL - 12
SP - 1
EP - 10
PB - MDPI
CY - Basel, Schweiz
ET - 2
ER -
TY - JOUR
A1 - Heissel, Andreas
A1 - Pietrek, Anou F.
A1 - Schwefel, Melanie
A1 - Abula, Kahar
A1 - Wilbertz, Gregor
A1 - Heinzel, Stephan
A1 - Rapp, Michael A.
T1 - STEP.De study
BT - a multicentre cluster-randomised effectiveness trial of exercise therapy for patients with depressive symptoms in healthcare services : study protocol
JF - BMJ open
N2 - Introduction Although exercise therapy has widely been shown to be an efficacious treatment modality for depression, evidence for its effectiveness and cost efficiency is lacking. The Sport/Exercise Therapy for Depression study is a multicentre cluster-randomised effectiveness trial that aims to compare the effectiveness and cost efficiency of exercise therapy and psychotherapy as antidepressant treatment.
Methods and analysis 480 patients (aged 18-65) with an International Classification of Diseases diagnosis associated with depressive symptoms are recruited. Up to 30 clusters (psychotherapists) are randomly assigned to allocate patients to either an exercise or a psychotherapy treatment as usual in a 2: 1 ratio. The primary outcome (depressive symptoms) and the secondary outcomes (work and social adjustment, quality of life) will be assessed at six measurement time points (t0: baseline, t1: 8 weeks after treatment initiation, t2: 16 weeks after treatment initiation, t3/ 4/5: 2, 6, 12 months after treatment). Linear regression analyses will be used for the primary endpoint data analysis. For the secondary endpoints, mixed linear and logistic regression models with fixed and random factors will be added. For the cost efficiency analysis, expenditures in the 12 months before and after the intervention and the outcome difference will be compared between groups in a multilevel model. Recruitment start date was 1 July 2018 and the planned recruitment end date is 31 December 2020.
Ethics and dissemination The study protocol was approved by the ethics committee of the University of Potsdam (No. 17/2018) and the Freie Universitat Berlin (No. 206/2018) and registered in the ISRCTN registry. Informed written consent will be obtained from all participants. The study will be reported in accordance with the Consolidated Standards of Reporting Trials and the Recommendations for Interventional Trials statements. The results will be published in peer-reviewed academic journals and disseminated to the public.
Y1 - 2020
U6 - https://doi.org/10.1136/bmjopen-2019-036287
SN - 2044-6055
VL - 10
IS - 4
PB - BMJ Publishing Group
CY - London
ER -
TY - JOUR
A1 - Kallies, Gunnar
A1 - Rapp, Michael A.
A1 - Fydrich, Thomas
A1 - Fehm, Lydia
A1 - Tschorn, Mira
A1 - Teran, Christina
A1 - Schwefel, Melanie
A1 - Pietrek, Anou F.
A1 - Henze, Romy
A1 - Hellweg, Rainer
A1 - Ströhle, Andreas
A1 - Heinzel, Stephan
A1 - Heissel, Andreas
T1 - Serum brain-derived neurotrophic factor (BDNF) at rest and after acute aerobic exercise in major depressive disorder
JF - Psychoneuroendocrinology
N2 - Physiological mechanisms of an anti-depressive effect of physical exercise in major depressive disorder (MDD) seem to involve alterations in brain-derived neurotrophic factor (BDNF) level. However, previous studies which investigated this effect in a single bout of exercise, did not control for confounding peripheral factors that contribute to BDNF-alterations. Therefore, the underlying cause of exercise-induced BDNF-changes remains unclear. The current study aims to investigate serum BDNF (sBDNF)-changes due to a single-bout of graded aerobic exercise in a group of 30 outpatients with MDD, suggesting a more precise analysis method by taking plasma volume shift and number of platelets into account. Results show that exercise-induced increases in sBDNF remain significant (p<.001) when adjusting for plasma volume shift and controlling for number of platelets. The interaction of sBDNF change and number of platelets was also significant (p=.001) indicating larger sBDNF-increase in participants with smaller number of platelets. Thus, findings of this study suggest an involvement of peripheral as well as additional possibly brain-derived mechanisms explaining exercise-related BDNF release in MDD. For future studies in the field of exercise-related BDNF research, the importance of controlling for peripheral parameters is emphasized.
KW - Brain-derived neurotrophic factor (BDNF)
KW - Platelets
KW - Major depressive disorder
KW - Physical exercise
Y1 - 2018
U6 - https://doi.org/10.1016/j.psyneuen.2018.12.015
SN - 0306-4530
VL - 102
SP - 212
EP - 215
PB - Elsevier
CY - Oxford
ER -
TY - JOUR
A1 - Schuch, Felipe B.
A1 - Stubbs, Brendon
A1 - Meyer, Jacob
A1 - Heissel, Andreas
A1 - Zech, Philipp
A1 - Vancampfort, Davy
A1 - Rosenbaum, Simon
A1 - Deenik, Jeroen
A1 - Firth, Joseph
A1 - Ward, Philip B.
A1 - Carvalho, Andre F.
A1 - Hiles, Sarah A.
T1 - Physical activity protects from incident anxiety: A meta-analysis of prospective cohort studies
JF - Depression and anxiety
N2 - Background Prospective cohorts have suggested that physical activity (PA) can decrease the risk of incident anxiety. However, no meta-analysis has been conducted. Aims To examine the prospective relationship between PA and incident anxiety and explore potential moderators. Methods Searches were conducted on major databases from inception to October 10, 2018 for prospective studies (at least 1 year of follow-up) that calculated the odds ratio (OR) of incident anxiety in people with high PA against people with low PA. Methodological quality was assessed using the Newcastle-Ottawa Scale (NOS). A random-effects meta-analysis was conducted and heterogeneity was explored using subgroup and meta-regression analysis. Results Across 14 cohorts of 13 unique prospective studies (N = 75,831, median males = 50.1%) followed for 357,424 person-years, people with high self-reported PA (versus low PA) were at reduced odds of developing anxiety (adjusted odds ratio [AOR] = 0.74; 95% confidence level [95% CI] = 0.62, 0.88; crude OR = 0.80; 95% CI = 0.69, 0.92). High self-reported PA was protective against the emergence of agoraphobia (AOR = 0.42; 95% CI = 0.18, 0.98) and posttraumatic stress disorder (AOR = 0.57; 95% CI = 0.39, 0.85). The protective effects for anxiety were evident in Asia (AOR = 0.31; 95% CI = 0.10, 0.96) and Europe (AOR = 0.82; 95% CI = 0.69, 0.97); for children/adolescents (AOR = 0.52; 95% CI = 0.29, 0.90) and adults (AOR = 0.81; 95% CI = 0.69, 0.95). Results remained robust when adjusting for confounding factors. Overall study quality was moderate to high (mean NOS = 6.7 out of 9). Conclusion Evidence supports the notion that self-reported PA can confer protection against the emergence of anxiety regardless of demographic factors. In particular, higher PA levels protects from agoraphobia and posttraumatic disorder.
KW - agoraphobia
KW - anxiety
KW - exercise
KW - incidence
KW - meta-analysis
KW - panic
KW - physical activity
KW - posttraumatic stress disorder
KW - protection
Y1 - 2019
U6 - https://doi.org/10.1002/da.22915
SN - 1091-4269
SN - 1520-6394
VL - 36
IS - 9
SP - 846
EP - 858
PB - Wiley
CY - Hoboken
ER -
TY - JOUR
A1 - Heissel, Andreas
A1 - Pietrek, Anou F.
A1 - Rapp, Michael A.
A1 - Heinzel, Stephan
A1 - Williams, Geoffrey
T1 - Perceived health care climate of older people attending an exercise program
BT - validation of the german short version of the health care climate questionnaire
JF - Journal of aging and physical activity : JAPA ; the official journal of the International Society for Aging and Physical Activity
N2 - The role of perceived need support from exercise professionals in improving mental health was examined in a sample of older adults, thereby validating the short Health Care Climate Questionnaire. A total of 491 older people (M = 72.68 years; SD = 5.47) attending a health exercise program participated in this study. Cronbach's alpha was found to be high (alpha = .90). Satisfaction with the exercise professional correlated moderately with the short Health Care Climate Questionnaire mean value (r = .38; p < .01). The mediator analyses yielded support for the self-determination theory process model in older adults by showing both basic need satisfaction and frustration as mediating variables between perceived autonomy support and depressive symptoms. The short Health Care Climate Questionnaire is an economical instrument for assessing basic need satisfaction provided by the exercise therapist from the participant's perspective. Furthermore, this cross-sectional study supported the link from coaching style to the satisfaction/frustration of basic psychological needs, which in turn, predicted mental health. Analyses of criterion validity suggest a revision of the construct by integrating need frustration.
KW - autonomy support
KW - basic psychological need satisfaction and frustration
KW - depression
KW - need support
KW - physical activity
Y1 - 2019
U6 - https://doi.org/10.1123/japa.2018-0350
SN - 1063-8652
SN - 1543-267X
VL - 28
IS - 2
SP - 276
EP - 286
PB - Human Kinetics Publ.
CY - Champaign
ER -
TY - JOUR
A1 - Heinzel, Stephan
A1 - Rapp, Michael A.
A1 - Fydrich, Thomas
A1 - Ströhle, Andreas
A1 - Teran, Christina
A1 - Kallies, Gunnar
A1 - Schwefel, Melanie
A1 - Heissel, Andreas
T1 - Neurobiological mechanisms of exercise and psychotherapy in depression
BT - the SPeED studyRationale, design, and methodological issues
JF - Clinical Trials
N2 - Background/Aims: Even though cognitive behavioral therapy has become a relatively effective treatment for major depressive disorder and cognitive behavioral therapy-related changes of dysfunctional neural activations were shown in recent studies, remission rates still remain at an insufficient level. Therefore, the implementation of effective augmentation strategies is needed. In recent meta-analyses, exercise therapy (especially endurance exercise) was reported to be an effective intervention in major depressive disorder. Despite these findings, underlying mechanisms of the antidepressant effect of exercise especially in combination with cognitive behavioral therapy have rarely been studied to date and an investigation of its neural underpinnings is lacking. A better understanding of the psychological and neural mechanisms of exercise and cognitive behavioral therapy would be important for developing optimal treatment strategies in depression. The SPeED study (Sport/Exercise Therapy and Psychotherapyevaluating treatment Effects in Depressive patients) is a randomized controlled trial to investigate underlying physiological, neurobiological, and psychological mechanisms of the augmentation of cognitive behavioral therapy with endurance exercise. It is investigated if a preceding endurance exercise program will enhance the effect of a subsequent cognitive behavioral therapy. Methods: This study will include 105 patients diagnosed with a mild or moderate depressive episode according to the Diagnostic and Statistical Manual of Mental Disorders (4th ed.). The participants are randomized into one of three groups: a high-intensive or a low-intensive endurance exercise group or a waiting list control group. After the exercise program/waiting period, all patients receive an outpatient cognitive behavioral therapy treatment according to a standardized therapy manual. At four measurement points, major depressive disorder symptoms (Beck Depression Inventory, Hamilton Rating Scale for Depression), (neuro)biological measures (neural activations during working memory, monetary incentive delay task, and emotion regulation, as well as cortisol levels and brain-derived neurotrophic factor), neuropsychological test performance, and questionnaires (psychological needs, self-efficacy, and quality of life) are assessed. Results: In this article, we report the design of the SPeED study and refer to important methodological issues such as including both high- and low-intensity endurance exercise groups to allow the investigation of dose-response effects and physiological components of the therapy effects. Conclusion: The main aims of this research project are to study effects of endurance exercise and cognitive behavioral therapy on depressive symptoms and to investigate underlying physiological and neurobiological mechanisms of these effects. Results may provide important implications for the development of effective treatment strategies in major depressive disorder, specifically concerning the augmentation of cognitive behavioral therapy by endurance exercise.
KW - Major depressive disorder
KW - depression
KW - psychotherapy
KW - cognitive behavioral therapy
KW - endurance exercise
KW - training
KW - functional magnetic resonance imaging
KW - brain-derived neurotrophic factor
KW - basic psychological needs
KW - cortisol
Y1 - 2017
U6 - https://doi.org/10.1177/1740774517729161
SN - 1740-7745
SN - 1740-7753
VL - 15
IS - 1
SP - 53
EP - 64
PB - Sage Publ.
CY - London
ER -
TY - JOUR
A1 - Kangas, Maria
A1 - Heissel, Andreas
T1 - Mental health literacy, treatment preferences and the lived experience of mental health problems in an Australian cancer sample
JF - Psycho-oncology
N2 - Objectives:
The prevalence rates for mental health (MH) problems in cancer patients is high, although reduced uptake of services may be influenced by mental health literacy (MHL). The objective of this study was to investigate the MHL for depression and panic disorder (PD), including treatment preferences in Australian adults who had been diagnosed and treated for cancer, and whether MHL and treatment preferences was influenced by sex, age, and individuals' lived MH experience.
Method:
A total of 421 cancer survivors (n = 378 females) completed a self-report survey. Participants were asked to specify whether they had a lived experience with anxiety and/or depression, and to indicate treatment preferences for managing cancer-related distress. Two vignettes were administered to assess MHL for depression and PD.
Results:
The MHL accuracy for depression was higher than PD. Accuracy rates were higher for females with a lived experience with anxiety and/or depression; although the accuracy rate for PD was significantly lower in males. A high proportion of individuals preferred exercise and in-person counselling to manage depression and PD. Internet-based therapies were not strongly preferred for managing MH problems.
Conclusions:
The MHL for depression and PD is moderate for adult cancer survivors, with higher levels indicated for individuals with a personal lived experience with anxiety and/or depression. Public health campaigns for enhancing MHL should broaden to include individuals experiencing comorbid physical health conditions. Health providers also need to take into account client preferences for evidence-based therapies.
KW - anxiety
KW - cancer
KW - exercise
KW - major depression
KW - mental health
KW - preferences
KW - psycho-oncology
KW - treatment
Y1 - 2020
U6 - https://doi.org/10.1002/pon.5520
SN - 1057-9249
SN - 1099-1611
VL - 29
IS - 11
SP - 1883
EP - 1894
PB - Wiley
CY - New York, NY
ER -
TY - JOUR
A1 - Zech, Philipp
A1 - Schuch, Felipe
A1 - Pérez Chaparro, Camilo Germán Alberto
A1 - Kangas, Maria
A1 - Rapp, Michael A.
A1 - Heissel, Andreas
T1 - Exercise, Comorbidities, and Health-Related Quality of Life in People Living with HIV
BT - The HIBES Cohort Study
JF - International Journal of Environmental Research and Public Health
N2 - (1) Background: People with HIV (PWH) may perform more than one type of exercise cumulatively. The objective of this study is to investigate recreational exercise and its association with health-related quality of life (HRQOL) and comorbidities in relation to potential covariates. (2) Methods: The HIBES study (HIV-Begleiterkrankungen-Sport) is a cross-sectional study for people with HIV. The differences between non-exercisers versus exercisers (cumulated vs. single type of exercises) were investigated using regression models based on 454 participants. (3) Results: Exercisers showed a higher HRQOL score compared to non-exercisers (Wilcox r = 0.2 to 0.239). Psychological disorders were identified as the main covariate. Participants performing exercise cumulatively showed higher scores in duration, frequency, and intensity when compared to participants performing only one type of exercise. The mental health summary score was higher for the cumulated and single type of exercise if a psychological disorder existed. Duration and intensity were associated with an increase of HRQOL, whilst a stronger association between psychological disorders and exercise variables were evident. Exercise duration (minutes) showed a significant effect on QOL (standardized beta = 0.1) and for participants with psychological disorders (standardized beta = 0.3), respectively. (4) Conclusions: Psychological disorders and other covariates have a prominent effect on HRQOL and its association with exercise. For PWH with a psychological disorder, a stronger relationship between HRQOL with exercise duration and intensity emerged. However, differentiation of high-HRQOL individuals warrants further investigation by considering additional factors.
KW - HIV
KW - exercise intensity
KW - quality of life
KW - comorbidity
Y1 - 2020
U6 - https://doi.org/10.3390/ijerph17145138
SN - 1660-4601
SN - 1661-7827
VL - 17
IS - 14
PB - MDPI AG
CY - Basel
ER -
TY - GEN
A1 - Zech, Philipp
A1 - Schuch, Felipe
A1 - Pérez Chaparro, Camilo Germán Alberto
A1 - Kangas, Maria
A1 - Rapp, Michael A.
A1 - Heissel, Andreas
T1 - Exercise, Comorbidities, and Health-Related Quality of Life in People Living with HIV
BT - The HIBES Cohort Study
T2 - Postprints der Universität Potsdam : Humanwissenschaftliche Reihe
N2 - (1) Background: People with HIV (PWH) may perform more than one type of exercise cumulatively. The objective of this study is to investigate recreational exercise and its association with health-related quality of life (HRQOL) and comorbidities in relation to potential covariates. (2) Methods: The HIBES study (HIV-Begleiterkrankungen-Sport) is a cross-sectional study for people with HIV. The differences between non-exercisers versus exercisers (cumulated vs. single type of exercises) were investigated using regression models based on 454 participants. (3) Results: Exercisers showed a higher HRQOL score compared to non-exercisers (Wilcox r = 0.2 to 0.239). Psychological disorders were identified as the main covariate. Participants performing exercise cumulatively showed higher scores in duration, frequency, and intensity when compared to participants performing only one type of exercise. The mental health summary score was higher for the cumulated and single type of exercise if a psychological disorder existed. Duration and intensity were associated with an increase of HRQOL, whilst a stronger association between psychological disorders and exercise variables were evident. Exercise duration (minutes) showed a significant effect on QOL (standardized beta = 0.1) and for participants with psychological disorders (standardized beta = 0.3), respectively. (4) Conclusions: Psychological disorders and other covariates have a prominent effect on HRQOL and its association with exercise. For PWH with a psychological disorder, a stronger relationship between HRQOL with exercise duration and intensity emerged. However, differentiation of high-HRQOL individuals warrants further investigation by considering additional factors.
T3 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 661
KW - HIV
KW - exercise intensity
KW - quality of life
KW - comorbidity
Y1 - 2020
U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-480289
SN - 1866-8364
IS - 661
ER -
TY - JOUR
A1 - Heissel, Andreas
A1 - Zech, Philipp
A1 - Rapp, Michael A.
A1 - Schuch, Felipe B.
A1 - Lawrence, Jimmy B.
A1 - Kangas, Maria
A1 - Heinzel, Stephan
T1 - Effects of exercise on depression and anxiety in persons living with HIV: A meta-analysis
JF - Journal of psychosomatic research
N2 - Objective: The purpose of this systematic review and meta-analysis was to examine the effects of exercise on depression and anxiety in people living with HIV (PLWH), and to evaluate, through subgroup analysis, the effects of exercise type, frequency, supervision by exercise professionals, study quality, and control group conditions on these outcomes. Method: A literature search was conducted through four electronic databases from inception to February 2019. Considered for inclusion were randomized controlled trials (RCTs) investigating exercise interventions and depression or anxiety as outcomes in people living with HIV (>= 18 years of age). Ten studies were included (n = 479 participants, 49.67% females at baseline), and the standardized mean difference (SMD) and heterogeneity were calculated using random-effect models. An additional pre-post meta-analysis was also conducted. Results: A large effect in favor of exercise when compared to controls was found for depression (SMD = -0.84, 95%CI = [-1.57, -0.11], p = 0.02) and anxiety (SMD = -1.23, 95%CI = [-2.42, 0.04], p = -0.04). Subgroup analyses for depression revealed large effects on depression for aerobic exercise only (SMD = -0.96, 95%CI = [-1.63, -0.30], p = 0.004), a frequency of >= 3 exercise sessions per week (SMD = -1.39, 95%CI = [-2.24, -0.54], p < 0.001), professionally supervised exercise (SMD = -1.40, 95%CI = [-2.46, -0.17], p = 0.03]), and high-quality studies (SMD = -1.31, 95%CI = [-2.46, -0.17], p = 0.02). Conclusion: Exercise seems to decrease depressive symptoms and anxiety in PLWH, but other larger and high-quality studies are needed to verify these effects.
KW - HIV
KW - Exercise
KW - Depression
KW - Anxiety
KW - Meta-analysis
KW - Supervision
Y1 - 2019
U6 - https://doi.org/10.1016/j.jpsychores.2019.109823
SN - 0022-3999
SN - 1879-1360
VL - 126
PB - Elsevier
CY - Oxford
ER -
TY - JOUR
A1 - Zech, Philipp
A1 - Perez Chaparro, Camilo Germán Alberto
A1 - Schuch, Felipe
A1 - Wolfarth, Bernd
A1 - Rapp, Michael A.
A1 - Heissel, Andreas
T1 - Effects of Aerobic and Resistance Exercise on Cardiovascular Parameters for People Living With HIV
BT - a Meta-analysis
JF - JANAC-Journal of the Association of Nurses in AIDS Care
N2 - People living with HIV (PLWH) have limited exercise capacity because of anemia, neuromuscular disorders, and pulmonary limitations. We used a meta-analysis to examine the effect of aerobic and resistance exercise alone and in combination on cardiovascular parameters. Subgroup meta-analyses were conducted and long-term effects of exercise were investigated. A systematic literature search was conducted up to July/August 2017. The Physiotherapy Evidence Database-scale was used to rate quality and assess the risk of bias on the papers. Standardized mean differences (SMDs) were calculated to assess the effect of exercise. Posttreatment comparison between the exercise and control groups revealed moderate and large effect sizes in favor of the intervention group for VO2max (SMD50.66, p < .0001) and the 6-minute walk test (SMD = 1.11, p = .0001). Exercise had a positive effect on cardiovascular parameters in PLWH. Exercise can be a prevention factor for PLWH dealing with multiple comorbidities.
KW - aerobic exercise
KW - cardiovascular
KW - HIV
KW - long-term effects
KW - physical exercise
KW - resistance training
Y1 - 2019
U6 - https://doi.org/10.1097/JNC.0000000000000006
SN - 1055-3290
SN - 1552-6917
VL - 30
IS - 2
SP - 186
EP - 205
PB - Lippincott Williams & Wilkins
CY - Philadelphia
ER -
TY - GEN
A1 - Chaparro, Camilo G. A. Perez
A1 - Zech, Philipp A.
A1 - Heinzel, Stephan
A1 - Mayer, Frank
A1 - Wolfarth, Bernd
A1 - Rapp, Michael A.
A1 - Heissel, Andreas
T1 - Effects Of Aerobic & Resistance Training On Cardiorespiratory Fitness In People Living with HIV. A Meta-analysis
T2 - Medicine and science in sports and exercise : official journal of the American College of Sports Medicine
Y1 - 2017
U6 - https://doi.org/10.1249/01.mss.0000519265.28705.86
SN - 0195-9131
SN - 1530-0315
VL - 49
SP - 842
EP - 842
PB - Lippincott Williams & Wilkins
CY - Philadelphia
ER -
TY - GEN
A1 - Zech, Philipp A.
A1 - Rapp, Michael A.
A1 - Heinzel, Stephan
A1 - Wolfarth, Bernd
A1 - Lawrence, Jimmy B.
A1 - Heissel, Andreas
T1 - Does Exercise Help People Living with HIV Improve Their Quality of Life? A meta-analysis.
T2 - Medicine and science in sports and exercise : official journal of the American College of Sports Medicine
Y1 - 2017
U6 - https://doi.org/10.1249/01.mss.0000518177.22369.2f
SN - 0195-9131
SN - 1530-0315
VL - 49
SP - 470
EP - 470
PB - Lippincott Williams & Wilkins
CY - Philadelphia
ER -
TY - GEN
A1 - Pietrek, Anou F.
A1 - Kangas, Maria
A1 - Kliegl, Reinhold
A1 - Rapp, Michael A.
A1 - Heinzel, Stephan
A1 - Van der Kaap-Deeder, Jolene
A1 - Heissel, Andreas
T1 - Basic psychological need satisfaction and frustration in major depressive disorder
T2 - Zweitveröffentlichungen der Universität Potsdam : Gesundheitswissenschaftliche Reihe
N2 - Basic psychological needs theory postulates that a social environment that satisfies individuals’ three basic psychological needs of autonomy, competence, and relatedness leads to optimal growth and well-being. On the other hand, the frustration of these needs is associated with ill-being and depressive symptoms foremost investigated in non-clinical samples; yet, there is a paucity of research on need frustration in clinical samples. Survey data were compared between adult individuals with major depressive disorder (MDD; n = 115; 48.69% female; 38.46 years, SD = 10.46) with those of a non-depressed comparison sample (n = 201; 53.23% female; 30.16 years, SD = 12.81). Need profiles were examined with a linear mixed model (LMM). Individuals with depression reported higher levels of frustration and lower levels of satisfaction in relation to the three basic psychological needs when compared to non-depressed adults. The difference between depressed and non-depressed groups was significantly larger for frustration than satisfaction regarding the needs for relatedness and competence. LMM correlation parameters confirmed the expected positive correlation between the three needs. This is the first study showing substantial differences in need-based experiences between depressed and non-depressed adults. The results confirm basic assumptions of the self-determination theory and have preliminary implications in tailoring therapy for depression.
T3 - Zweitveröffentlichungen der Universität Potsdam : Gesundheitswissenschaftliche Reihe - 8
KW - basic need satisfaction and frustration
KW - depressive symptoms
KW - clinical sample
KW - need profiles
KW - social environment
Y1 - 2023
U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-582269
IS - 8
ER -
TY - JOUR
A1 - Pietrek, Anou F.
A1 - Kangas, Maria
A1 - Kliegl, Reinhold
A1 - Rapp, Michael A.
A1 - Heinzel, Stephan
A1 - Van der Kaap-Deeder, Jolene
A1 - Heissel, Andreas
T1 - Basic psychological need satisfaction and frustration in major depressive disorder
JF - Frontiers in Psychiatry - Mood Disorders
N2 - Basic psychological needs theory postulates that a social environment that satisfies individuals’ three basic psychological needs of autonomy, competence, and relatedness leads to optimal growth and well-being. On the other hand, the frustration of these needs is associated with ill-being and depressive symptoms foremost investigated in non-clinical samples; yet, there is a paucity of research on need frustration in clinical samples. Survey data were compared between adult individuals with major depressive disorder (MDD; n = 115; 48.69% female; 38.46 years, SD = 10.46) with those of a non-depressed comparison sample (n = 201; 53.23% female; 30.16 years, SD = 12.81). Need profiles were examined with a linear mixed model (LMM). Individuals with depression reported higher levels of frustration and lower levels of satisfaction in relation to the three basic psychological needs when compared to non-depressed adults. The difference between depressed and non-depressed groups was significantly larger for frustration than satisfaction regarding the needs for relatedness and competence. LMM correlation parameters confirmed the expected positive correlation between the three needs. This is the first study showing substantial differences in need-based experiences between depressed and non-depressed adults. The results confirm basic assumptions of the self-determination theory and have preliminary implications in tailoring therapy for depression.
KW - basic need satisfaction and frustration
KW - depressive symptoms
KW - clinical sample
KW - need profiles
KW - social environment
Y1 - 2022
U6 - https://doi.org/10.3389/fpsyt.2022.962501
SN - 1664-0640
SP - 1
EP - 10
PB - Frontiers Media S.A.
CY - Lausanne, Schweiz
ER -