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Cited by 74Physical Activity and HealthHealth and Lifestyle StudiesAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

A lifestyle intervention for primary care patients with depression and anxiety: A randomised controlled trial

Forsyth, Adrienne, Deane, Frank P, Williams, Peter·2015·Psychiatry Research
DOI 10.1016/j.psychres.2015.10.001
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Abstract

This study aimed to evaluate the efficacy of a diet and exercise lifestyle intervention on mental health outcomes for patients currently being treated for depression and/or anxiety in primary care. Patients (n=119) referred by general practitioners to the 12-week randomised controlled trial were assigned to either an intervention of six visits to a dual qualified dietitian/exercise physiologist (DEP) where motivational interviewing and activity scheduling were used to engage patients in individually-tailored lifestyle change (focussed on diet and physical activity), or an attention control with scheduled telephone contact. Assessments conducted at baseline (n=94) and 12 weeks (n=60) were analysed with an intent-to-treat approach using linear mixed modelling. Significant improvement was found for both groups on Depression, Anxiety and Stress Scale (DASS) scores, measures of nutrient intake and total Australian modified Healthy Eating Index (Aust-HEI) scores. Significant differences between groups over time were found only for iron intake and body mass index. Patients participating in individual consultations with a dietitian were more likely to maintain or improve diet quality than those participating in an attention control. This study provides initial evidence to support the role of dietitians in the management of patients with depression and/or anxiety.

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  • An earlier study in a cohort of 119 depressed patients provided some evidence of a beneficial effect of diet to the individual.

    “An earlier study in a cohort of 119 depressed patients, which again focused on providing dietary advice, provided some evidence of a beneficial effect of diet to the individual.”

    From The Microbiota-Gut-Brain Axis (2019) · cites this paper as Forsyth et al., 2015

  • Participants in the earlier study were at a mild level of depression at baseline and may have had less scope for improvement.

    “However, participants in this study were at a mild level of depression at baseline and may have had less scope for improvement (Forsyth et al., 2015).”

    From The Microbiota-Gut-Brain Axis (2019) · cites this paper as Forsyth et al., 2015

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Authors
Forsyth, A., Deane, F. P., & Williams, P.
Affiliations
University of Wollongong (AU)
Corresponding author
Forsyth, Adrienne
ORCID
Venue
Psychiatry Research
Publisher
Elsevier BV
Published
2015-12
Volume
230
Issue
2
Pages
537-544
ISSN
0165-1781 (ISSN-L)
DOI
10.1016/j.psychres.2015.10.001
OpenAlex
W1894872698
Cited by
74
References
52
Citations by year
2026: 5 · 2025: 5 · 2024: 6 · 2023: 14 · 2022: 13 · 2021: 6 · 2020: 6 · 2019: 6 · 2018: 3 · 2017: 7 · 2016: 3
FWCI
3.19
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Psychiatry Research (publishedVersion)
  • PubMed (publishedVersion)
  • Research Online (University of Wollongong) (submittedVersion)
Funders
  • National Health and Medical Research Council (219327)
  • Illawarra Division of General Practice
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Health Professions › General Health Professions › Health and Lifestyle Studies
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
depression, anxiety, lifestyle intervention, diet, physical activity, dietitians, exercise physiologists, motivational interviewing, activity scheduling, primary care, diet quality, nutrient intake, iron intake, body mass index, Healthy Eating Index, mental health
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Anxiety Disorders, Australia, Combined Modality Therapy, Depressive Disorder, Feeding Behavior, Female, Humans, Life Style, Male, Middle Aged, Motor Activity, Patient Care Team, Primary Health Care, Young Adult, Motivational Interviewing

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