Effects of mindful and non‐mindful exercises on people with depression: A systematic review
Abstract
Purpose An emerging body of evidence has shown the therapeutic effect of both mindful and non-mindful physical exercises on the treatment of depression. The purpose of this study is to examine the effectiveness of mindful and non-mindful physical exercises as an intervention in managing depression or depressive symptoms based on a systematic literature review. Methods Our review was conducted among five electronic databases to identify randomized controlled trials (RCTs), which tested the effects of mindful or/and non-mindful physical exercises on depression. Studies were classified according to the baseline depression status of participants and its relation to allocation concealment, blinding at outcome assessment, follow-up, and whether intention to treat analysis was employed. Results The results based on 12 RCTs indicated that both the mindful and non-mindful physical exercises were effective in their short-term effect in reducing depression levels or depressive symptoms. However, most of studies had methodological problems that only small sample size was used, and the maintenance effects of physical exercise were not reported. Specific comparisons between RCTs on mindful and non-mindful exercises were not performed because of the limitations on the designs. Conclusions We recommend that more well-controlled studies have to be conducted in the future to address the short- and long-term effects of physical exercise on alleviating depression. Efforts should be focused on un…
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Qigong (Baduanjin) is similar to mindfulness-based therapy in regulating emotion and fostering purposeful attention.
“Qigong (Baduanjin), as one type of ME, has been widely accepted as similar to mindfulness-based therapy in regulating one ' s emotion and fostering purposeful attention by experts [18 -20].”
Cites
What is meant by intention to treat analysis? Survey of published randomised controlled trials
Hollis, S., & Campbell, F. (1999) · BMJ · doi:10.1136/bmj.319.7211.670 · Cited by 2,160 · see citing works
The Functioning and Well-being of Depressed Patients: Results From the Medical Outcomes Study
Wells, K. B. (1989) · JAMA · doi:10.1001/jama.1989.03430070062031 · Cited by 2,130 · see citing works
Effects of exercise training on older patients with major depression
Blumenthal, J. A., Babyak, M. A., Moore, K. A., Craighead, W. E., Herman, S., Khatri, P., Waugh, R., Napolitano, M. A., Forman, L. M., Appelbaum, M., et al. (1999) · Archives of Internal Medicine · doi:10.1001/archinte.159.19.2349 · Cited by 1,277 · 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
Lawlor, D. A., & Hopker, S. W. (2001) · BMJ · doi:10.1136/bmj.322.7289.763 · Cited by 995 · see citing works
A meta-analysis of the effects of cognitive therapy in depressed patients
Gloaguen, V., Cottraux, J., Cucherat, M., & Blackburn, I.-M. (1998) · Journal of Affective Disorders · doi:10.1016/s0165-0327(97)00199-7 · Cited by 809 · see citing works
Effect of Exercise on Depression
NORTH, T. C., McCULLAGH, P., & TRAN, Z. V. (1990) · Exercise and Sport Sciences Reviews · doi:10.1249/00003677-199001000-00016 · Cited by 657 · 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
Effects of aerobic exercise on depression: a controlled study.
Martinsen, E. W., Medhus, A., & Sandvik, L. (1985) · BMJ · doi:10.1136/bmj.291.6488.109 · Cited by 289 · see citing works
Martinsen, E. W., Hoffart, A., & Solberg, Ø. (1989) · Comprehensive Psychiatry · doi:10.1016/0010-440x(89)90057-6 · Cited by 250 · see citing works
Carnethon, M. R. (2003) · American Journal of Epidemiology · doi:10.1093/aje/kwg172 · Cited by 244 · see citing works
Ormel, J. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820220009001 · Cited by 216 · see citing works
Effect of a qigong exercise programme on elderly with depression
Tsang, H. W. H., Fung, K. M. T., Chan, A. S. M., Lee, G., & Chan, F. (2006) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.1582 · Cited by 204 · see citing works
Self-citationTreatment of Depression in General Practice
Johnson, D. A. W. (1973) · BMJ · doi:10.1136/bmj.2.5857.18 · Cited by 133 · see citing works
Cognitive behavior therapy for depression? Choose horses for courses
Parker, G., Roy, K., & Eyers, K. (2003) · American Journal of Psychiatry · doi:10.1176/appi.ajp.160.5.825 · Cited by 71 · see citing works
Meeks, T. W., & Wetherell, J. L. (2007) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v68n1001 · Cited by 58 · see citing works
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Physical exercise intervention in depressive disorders: Meta‐analysis and systematic review
Josefsson, T., Lindwall, M., & Archer, T. (2014) · Scandinavian Journal of Medicine & Science in Sports · doi:10.1111/sms.12050 · Cited by 483 · 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
Lavretsky, H., Alstein, L. L., Olmstead, R. E., Ercoli, L. M., Riparetti-Brown, M., St. Cyr, N., & Irwin, M. R. (2011) · The American Journal of Geriatric Psychiatry · doi:10.1097/jgp.0b013e31820ee9ef · Cited by 268 · see citing works
Mindfulness-Based Stress Reduction for Treating Low Back Pain: A Systematic Review and Meta-analysis
Anheyer, D., Haller, H., Barth, J., Lauche, R., Dobos, G., & Cramer, H. (2017) · Annals of Internal Medicine · doi:10.7326/m16-1997 · Cited by 197 · see citing works
Mindfulness-based stress reduction for low back pain. A systematic review
Cramer, H., Haller, H., Lauche, R., & Dobos, G. (2012) · BMC Complementary and Alternative Medicine · doi:10.1186/1472-6882-12-162 · Cited by 193 · see citing works
“interventions include mindful exercise [13] and acceptance and commitment therapy [14] that do not necessarily include formal meditation practice.”
BackgroundImprovement in physiological and psychological parameters after 6months of yoga practice
Rocha, K. K. F., Ribeiro, A. M., Rocha, K. C. F., Sousa, M. B. C., Albuquerque, F. S., Ribeiro, S., & Silva, R. H. (2012) · Consciousness and Cognition · doi:10.1016/j.concog.2012.01.014 · Cited by 163 · see citing works
Psycho-physical and neurophysiological effects of qigong on depressed elders with chronic illness
Tsang, H. W. H., Tsang, W. W. N., Jones, A. Y. M., Fung, K. M. T., Chan, A. H. L., Chan, E. P., & Au, D. W. H. (2013) · Aging & Mental Health · doi:10.1080/13607863.2012.732035 · Cited by 107 · see citing works
Self-citationDanucalov, M. A. D., Kozasa, E. H., Ribas, K. T., Galduróz, J. C. F., Garcia, M. C., Verreschi, I. T. N., Oliveira, K. C., Romani de Oliveira, L., & Leite, J. R. (2013) · Evidence-Based Complementary and Alternative Medicine · doi:10.1155/2013/513149 · Cited by 80 · see citing works
Vollbehr, N. K., Bartels-Velthuis, A. A., Nauta, M. H., Castelein, S., Steenhuis, L. A., Hoenders, H. J. R., & Ostafin, B. D. (2018) · PLOS ONE · doi:10.1371/journal.pone.0204925 · Cited by 69 · see citing works
Lu, C., Zou, L., Becker, B., D. Griffiths, M., Yu, Q., Chen, S.-T., Demetrovics, Z., Jiao, C., Chi, X., Chen, A., et al. (2020) · International Journal of Mental Health Promotion · doi:10.32604/ijmhp.2020.014419 · Cited by 42 · see citing works
- Authors
- Tsang, H. W. H., Chan, E. P., & Cheung, W. M.
- Affiliations
- Hong Kong Polytechnic University (HK)
- University of Hong Kong (HK)
- Corresponding author
- Tsang, Hector W. H.
- Venue
- British Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2008-09
- Volume
- 47
- Issue
- 3
- Pages
- 303-322
- ISSN
- 0144-6657 (ISSN-L)
- 2044-8260
- OpenAlex
- W2042971640
- Cited by
- 110
- References
- 16
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 4 · 2023: 4 · 2022: 5 · 2021: 6 · 2020: 5 · 2019: 2 · 2018: 5 · 2017: 5 · 2016: 8 · 2015: 7 · 2014: 8 · 2013: 17 · 2012: 11
- FWCI
- 0.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
- PolyU Institutional Research Archive (Hong Kong Polytechnic University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- depression, physical activity, depressive symptoms, exercise therapy, randomized controlled trials, methodological quality, maintenance effects
- MeSH terms
- Adult, Aged, Breathing Exercises, Dance Therapy, Depressive Disorder, Female, Follow-Up Studies, Humans, Male, Middle Aged, Placebos, Research, Research Design, Yoga, Exercise, Randomized Controlled Trials as Topic, Treatment Outcome, Sample Size, Meditation, Tai Ji, Control Groups
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