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  - 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. <br /> 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. <br /> 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  - 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  - 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  -