None listed
Conditions
Brief summary
The proposed study will investigate the efficacy of a tailored 10 week CBT program with minimal exercise intervention vs combined CBT and novel exercise intervention. Depression is a common mental illness, affecting up to 1 in 7 Australians in their lifetime with the third highest burden of all diseases in Australia (i.e. total impact of disease measured by financial cost, mortality, morbidity and other indicators) and the number one cause of non-fatal disablity in Australia. Research has shown that inidividuals who are overweight or obese have higher rates of depression than normal weight peers and that individuals who are depressed are more likely to be overweight or obese than non-depressed peers. The use of exercise has proven to be an effective intervention for depression although a limited number of studies have been performed using a RCT.
Interventions
Individual Cognitive Behaviour Therapy administered by post-graduate students completing their Master of Clinical Psychology supervised by a Clinical Psychologist 1x1.5-2hrs per week for 10 weeks targeting issues common in depression and overweight/obesity (e.g. self-efficacy, withdrawal, body image, eating behaviours) with concurrent semi-structured physical exercise program of 45 minutes 3x per week for 10 weeks administered by trained 4th Year Exercise Science students. Adherence to treatment is monitored via audio/visual recordings for fidelity check to ensure treatment program is followed. Participant adherence will be monitored by therapist/trainer (record of attendance).
Sponsors
Study design
Eligibility
Inclusion criteria
1. DSM Diagnosis of depression 2. Overweight or Obese (BMI: 25-35) 3. Willing and able to participate in exercise intervention 4. Older than 18 years of age, younger than 45 years of age. 5. Stable use of antidepressents (at least 3 weeks on regular dose) 6. No current engagement in therapy and willingness to postpone new therapy for the duration of participation 7. If female, must not be pregnant or attempting to become pregnant. 8. Understand written and spoken English (a conversational level of english is all that is required)
Exclusion criteria
1. Specific psychological disorders (Psychosis, Personality Disorder or Bipolar Disorders - either ICD-10 or DSM) 2. Previous cardiovascular incident (e.g. heart attack, stroke) 3. Current cardiovascular disease (i.e. CHD) 4. Serious or unstable medical conditions (other than obesity) 5. Substance dependence requiring rehabilitation/detoxification 6. Current suicidal ideation or recent attempt (previous 24months)