Anxiety, Depression, Depressive Symptoms
Conditions
Keywords
hydrotherapy, depression, anxiety
Brief summary
Objective: To compare the effectiveness between aquatic exercises (water aerobics versus Watsu) versus control groups, for improving the outcomes of depression, anxiety, stress, sleep quality, functionality, cognition and quality of life in patients with depression.
Detailed description
Introduction: Considered as the 21st century disease, depression is a silent disease that stands out for its high prevalence and high morbidity, leading to serious consequences. With treatments made in aquatic environment, among them the Water aerobics and Watsu. Objective: To compare the effectiveness between aquatic exercises versus Watsu and versus control group, for improving the outcomes of depression, anxiety, stress, sleep quality, functionality, cognition and quality of life in patients with depression. Methods: This study will be a randomized clinical trial, which will last for two months with a follow-up of one month. All participants will be assessed using specific questionnaires for each outcome and an Improvement Perception Scale (MS). Seventy eight (78) patients with a medical diagnosis of depression, aged 18 to 60 years, who will be allocated to three groups (26 patients for each group) will be treated. GROUP 1: Aquatic exercises (aerobic and resistance), collective session, twice a week lasting 50 min; GROUP 2: Watsu (water shiatsu), individual session, twice a week lasting 50 min; Group 3: control, people with depression. Statistical analysis: Normality distribution will be by Shapiro-Wilk test. For comparisons of the means between and within the outcome groups will be used through Generalized Estimation Equations, with its own syntax, linear distribution and, when necessary, multiple comparisons will be performed using the Bonferroni test to identify differences. Will be calculated for comparisons between the final and initial moments and initial follow-up in each group, statistics such as: mean difference (95% CI), standard deviation of the difference, effect size (Cohen's d). The statistical significance adopted was 5% and the analyzes were performed using the statistical programs SPSS 22.0 and R 3.2.4. The intention-to-treat analysis will be performed.
Interventions
OTHERAquatic Exercises
twice a week, lasting 50 minutes, for two months.
OTHERWatsu
twice a week, lasting 50 minutes, for two months.
Sponsors
Universidade Federal do vale do São Francisco
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Intervention model description
Watsu, Aquatic Exercises, Control
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Age between 18 and 60 years old; * Sedentary and who have not had physical therapy and physical activity in the last three months; * Clinical and cognitive conditions for performing pool activities and moderate aerobic exercise; * Who have not undergone high complexity surgical procedures in the last six months; no neuro-musculosqueletal diseases; * No contraindications to exercise; such as: urinary and / or fecal incontinence and dermatological diseases; * Individuals with a medical diagnosis of depression.
Exclusion criteria
* If they have up to three absences during the intervention period; * If they have any adverse effects, such as: allergy or dermatitis; * Unable to continue study due to change of address or hospitalization.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety | change anxiety at 8 weeks and follow-up at 12 weeks | Beck Anxiety Inventory (better 0-63 worse points) |
| Depression | change depression at 8 weeks and follow-up at 12 weeks | Beck Depression Inventory (better 0-63 worse points) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life Questionnaire | change quality of live at 8 weeks and follow-up at 12 weeks | 12-Item Short-Form Health Survey (SF-12) (worse 0 - better 100) |
| Sleep Quality | change sleep quality at 8 weeks and follow-up at 12 weeks | Pittsburgh Sleep Quality Index (PSQI) (better 0 - worse 21) |
| Cognitive | change cognitive at 8 weeks and follow-up at 12 weeks | Montreal Cognitive Assessment (MOCA) (worse 0 - better 30) |
| Functionally | change functionally at 8 weeks and follow-up at 12 weeks | Six-minute Walk Test (6m-WT) |
| Life Style Scale | change life style at 8 weeks and follow-up at 12 weeks | Fantastic Life Style Scale (worse 0 - better 100) |
| Stress | change stress at 8 weeks and follow-up at 12 weeks | Depression, Anxiety and Stress Scale (DASS-21) (better 0 - worse \>34) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Improvement Perception | pos (8 week) | Improvement Perception Scale (0-7) |
Countries
Brazil
Contacts
Primary ContactRodrigo GS Carvalho, PhD
Backup ContactRodrigo GS Carvalho, Phd
Outcome results
None listed