Lifestyle management of unipolar depression
Open accessAbstract
Objective: To be used in conjunction with ‘Pharmacological management of unipolar depression’ [Malhi et al. Acta Psychiatr Scand 2013;127(Suppl. 443):6–23] and ‘Psychological management of unipolar depression’ [Lampe et al. Acta Psychiatr Scand 2013;127(Suppl. 443):24–37]. To provide clinically relevant recommendations for lifestyle modifications in depression, derived from a literature review. Method: A search of pertinent literature was conducted up to A ugust 2012 in the area of lifestyle factors and depression. A narrative review was then conducted. Results: There is evidence that level of physical activity plays a role in the risk of depression, and there is a large and validated evidence base for exercise as a therapeutic modality. Smoking and alcohol and substance misuse appear to be independent risk factors for depression, while the new epidemiological evidence supports the contention that diet is a risk factor for depression; good quality diets appear protective and poor diets increase risk. Conclusion: Lifestyle modification, with a focus on exercise, diet, smoking and alcohol, may be of substantial value in reducing the burden of depression in individuals and the community.
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Patients find exercise acceptable.
“This is despite patient acceptability for exercise.”
From A call to action: Exercise as treatment for patients with mental illness (2015) · cites this paper as Berk et al. 2013
People with depression view exercise as a highly regarded yet underutilised self-management strategy.
“Berk et al. (2013) recently reported that people with depression view exercise as a highly regarded yet underutilised self-management strategy.”
From A call to action: Exercise as treatment for patients with mental illness (2015) · cites this paper as Berk et al. 2013
Cites
Cytokines sing the blues: inflammation and the pathogenesis of depression
Raison, C. L., Capuron, L., & Miller, A. H. (2006) · Trends in Immunology · doi:10.1016/j.it.2005.11.006 · Cited by 3,009 · see citing works
Belmaker, R. H., & Agam, G. (2008) · New England Journal of Medicine · doi:10.1056/nejmra073096 · Cited by 2,166 · see citing works
Barton, J., & Pretty, J. (2010) · Environmental Science & Technology · doi:10.1021/es903183r · Cited by 1,592 · see citing works
Exercise treatment for depression
Dunn, A. L., Trivedi, M. H., Kampert, J. B., Clark, C. G., & Chambliss, H. O. (2005) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2004.09.003 · Cited by 1,208 · see citing works
The Psychobiology of Depression and Resilience to Stress: Implications for Prevention and Treatment
Southwick, S. M., Vythilingam, M., & Charney, D. S. (2005) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.1.102803.143948 · Cited by 1,160 · see citing works
The mental and physical health outcomes of green exercise
Pretty, J., Peacock, J., Sellens, M., & Griffin, M. (2005) · International Journal of Environmental Health Research · doi:10.1080/09603120500155963 · Cited by 1,128 · cited 2× · see citing works
“PA in the presence of nature has been coined ‘green exercise’ (56).”
BackgroundExercise and Pharmacotherapy in the Treatment of Major Depressive Disorder
Blumenthal, J. A., Babyak, M. A., Doraiswamy, P. M., Watkins, L., Hoffman, B. M., Barbour, K. A., Herman, S., Craighead, W. E., Brosse, A. L., Waugh, R., et al. (2007) · Psychosomatic Medicine · doi:10.1097/psy.0b013e318148c19a · Cited by 1,019 · see citing works
Lopez-Garcia, E., Schulze, M. B., Fung, T. T., Meigs, J. B., Rifai, N., Manson, J. E., & Hu, F. B. (2004) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/80.4.1029 · Cited by 881 · see citing works
Smoking and Major Depression: A Causal Analysis
Kendler, K. S. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820130038007 · Cited by 792 · see citing works
Yoga for depression: the research evidence
Pilkington, K., Kirkwood, G., Rampes, H., & Richardson, J. (2005) · Journal of Affective Disorders · doi:10.1016/j.jad.2005.08.013 · Cited by 495 · see citing works
Exercise in prevention and treatment of anxiety and depression among children and young people
Larun, L., Nordheim, L. V., Ekeland, E., Hagen, K. B., & Heian, F. (2006) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004691.pub2 · Cited by 492 · see citing works
Tai chi on psychological well-being: systematic review and meta-analysis
Wang, C., Bannuru, R., Ramel, J., Kupelnick, B., Scott, T., & Schmid, C. H. (2010) · BMC Complementary and Alternative Medicine · doi:10.1186/1472-6882-10-23 · Cited by 478 · see citing works
Herring, M. P. (2012) · Archives of Internal Medicine · doi:10.1001/archinternmed.2011.696 · Cited by 362 · see citing works
Appleton, K. M., Rogers, P. J., & Ness, A. R. (2010) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.2009.28313 · Cited by 353 · see citing works
Maes, M., Fišar, Z., Medina, M., Scapagnini, G., Nowak, G., & Berk, M. (2012) · Inflammopharmacology · doi:10.1007/s10787-011-0111-7 · Cited by 325 · see citing works
Self-citationExercise and depression: A review of reviews
Daley, A. (2008) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-008-9105-z · Cited by 324 · see citing works
Association of high-sensitivity C-reactive protein with <i>de novo</i> major depression
Pasco, J. A., Nicholson, G. C., Williams, L. J., Jacka, F. N., Henry, M. J., Kotowicz, M. A., Schneider, H. G., Leonard, B. E., & Berk, M. (2010) · British Journal of Psychiatry · doi:10.1192/bjp.bp.109.076430 · Cited by 321 · see citing works
Self-citationTesting Causality in the Association Between Regular Exercise and Symptoms of Anxiety and Depression
De Moor, M. H. M., Boomsma, D. I., Stubbe, J. H., Willemsen, G., & de Geus, E. J. C. (2008) · Archives of General Psychiatry · doi:10.1001/archpsyc.65.8.897 · Cited by 299 · see citing works
Tobacco smoking and depressed mood in late childhood and early adolescence.
Wu, L. T., & Anthony, J. C. (1999) · American Journal of Public Health · doi:10.2105/ajph.89.12.1837 · Cited by 273 · see citing works
Kay‐Lambkin, F. J., Baker, A. L., Lewin, T. J., & Carr, V. J. (2009) · Addiction · doi:10.1111/j.1360-0443.2008.02444.x · Cited by 269 · see citing works
Prospective Study of Physical Activity and Depressive Symptoms in Middle-Aged Women
BROWN, W., FORD, J., BURTON, N., MARSHALL, A., & DOBSON, A. (2005) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2005.06.009 · Cited by 269 · see citing works
Klungsøyr, O., Nygård, J. F., Sørensen, T., & Sandanger, I. (2006) · American Journal of Epidemiology · doi:10.1093/aje/kwj058 · Cited by 269 · see citing works
Moving towards a population health approach to the primary prevention of common mental disorders
Jacka, F. N., Mykletun, A., & Berk, M. (2012) · BMC Medicine · doi:10.1186/1741-7015-10-149 · Cited by 235 · see citing works
Self-citationCaldwell, T. M., Rodgers, B., Jorm, A. F., Christensen, H., Jacomb, P. A., Korten, A. E., & Lynskey, M. T. (2002) · Addiction · doi:10.1046/j.1360-0443.2002.00092.x · Cited by 203 · see citing works
Surveillance for ocular hypertension: an evidence synthesis and economic evaluation.
Burr, J., Botello-Pinzon, P., Takwoingi, Y., Hernández, R., Vazquez-Montes, M., Elders, A., Asaoka, R., Banister, K., van der Schoot, J., Fraser, C., et al. (2012) · Health Technology Assessment · doi:10.3310/hta16290 · Cited by 180 · see citing works
Maes, M., Ruckoanich, P., Chang, Y. S., Mahanonda, N., & Berk, M. (2011) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2010.06.008 · Cited by 169 · see citing works
Self-citationNutrient intakes and the common mental disorders in women
Jacka, F. N., Maes, M., Pasco, J. A., Williams, L. J., & Berk, M. (2012) · Journal of Affective Disorders · doi:10.1016/j.jad.2012.02.018 · Cited by 149 · see citing works
Self-citationBaker, A. L., Kavanagh, D. J., Kay‐Lambkin, F. J., Hunt, S. A., Lewin, T. J., Carr, V. J., & Connolly, J. (2010) · Addiction · doi:10.1111/j.1360-0443.2009.02757.x · Cited by 146 · see citing works
The effects of physical activity in the acute treatment of bipolar disorder: A pilot study
Ng, F., Dodd, S., & Berk, M. (2007) · Journal of Affective Disorders · doi:10.1016/j.jad.2006.11.014 · Cited by 113 · see citing works
Self-citationDietary intake of fish and PUFA, and clinical depressive and anxiety disorders in women
Jacka, F. N., Pasco, J. A., Williams, L. J., Meyer, B. J., Digger, R., & Berk, M. (2013) · British Journal of Nutrition · doi:10.1017/s0007114512004102 · Cited by 106 · see citing works
Self-citationChalder, M., Wiles, N., Campbell, J., Hollinghurst, S., Searle, A., Haase, A., Taylor, A., Fox, K., Baxter, H., Davis, M., et al. (2012) · Health Technology Assessment · doi:10.3310/hta16100 · Cited by 71 · see citing works
Barriers to treatment among members of a mental health advocacy group in South Africa
Seedat, S., Stein, D. J., Berk, M., & Wilson, Z. (2002) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-002-0577-0 · Cited by 39 · see citing works
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Malhi, G. S., Bassett, D., Boyce, P., Bryant, R., Fitzgerald, P. B., Fritz, K., Hopwood, M., Lyndon, B., Mulder, R., Murray, G., et al. (2015) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867415617657 · Cited by 842 · see citing works
“In sum, although research is limited, there is strong clinical consensus that the highly prevalent and highly impairing depressive phase of BD should be managed in a comprehensive biopsychosocial manner (Berk et al., 2013; Malhi et al., 2012b), and adjunctive structured psychological interventions should be offered to…”
BackgroundInfluentialBauer, M., Severus, E., Köhler, S., Whybrow, P. C., Angst, J., Möller, H.-J., & on behalf of the Wfsbp Task Force on Treatment Guidelines for Unipolar Depressive Disorders (2015) · The World Journal of Biological Psychiatry · doi:10.3109/15622975.2014.1001786 · Cited by 199 · see citing works
Gudmundsson, P., Lindwall, M., Gustafson, D. R., Östling, S., Hällström, T., Waern, M., & Skoog, I. (2015) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12419 · Cited by 60 · see citing works
A call to action: Exercise as treatment for patients with mental illness
Stanton, R., Rosenbaum, S., Kalucy, M., Reaburn, P., & Happell, B. (2015) · Australian Journal of Primary Health · doi:10.1071/py14054 · Cited by 38 · see citing works
“For example, Berk et al. (2013) recently reported that people with depression view exercise as a highly regarded yet underutilised self-management strategy.”
Background
- Authors
- Berk, M., Sarris, J., Coulson, C. E., & Jacka, F. N.
- Affiliations
- Barwon Health (AU)
- The University of Melbourne (AU)
- Deakin University (AU)
- Corresponding author
- Berk, M.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2013-04-16
- Volume
- 127
- Issue
- s443
- Pages
- 38-54
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- OpenAlex
- W1971420048
- Cited by
- 111
- References
- 32
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 9 · 2023: 12 · 2022: 7 · 2021: 8 · 2020: 7 · 2019: 7 · 2018: 10 · 2017: 4 · 2016: 5 · 2015: 11 · 2014: 17 · 2013: 10
- FWCI
- 1.81
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- Minerva Access (University of Melbourne) (submittedVersion)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Health Professions › General Health Professions › Health and Lifestyle Studies
- Keywords
- major depressive disorder, lifestyle modification, physical activity, exercise therapy, diet, smoking, alcohol consumption, substance abuse, risk factors for depression, depression prevention
- MeSH terms
- Alcohol Drinking, Depressive Disorder, Major, Major Depressive Disorder, Exercise Therapy, Feeding Behavior, Humans, Life Style, Motor Activity, Risk Factors, Smoking, Behavior Control, Risk Reduction Behavior
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