TY - JOUR
T1 - Within-day bidirectional associations between physical activity and affect
T2 - A real-time ambulatory study in persons with and without depressive and anxiety disorders
AU - Difrancesco, Sonia
AU - Penninx, Brenda W. J. H.
AU - Merikangas, Kathleen R.
AU - van Hemert, Albert M.
AU - Riese, Harriëtte
AU - Lamers, Femke
N1 - Funding Information: The analytical work was financially supported by Innovative Medicines Initiative 2 Joint undertaking under Grant Agreement No. 115902. The infrastructure for the NESDA study ( www.nesda.nl ) is funded through the Geestkracht program of the Netherlands Organization for Health Research and Development (ZonMw, Grant Number 10‐000‐1002) and financial contributions by participating universities and mental health care organizations (VU University Medical Center, GGZ inGeest, Leiden University Medical Center, Leiden University, GGZ Rivierduinen, University Medical Center Groningen, University of Groningen, Lentis, GGZ Friesland, GGZ Drenthe, Rob Giel Onderzoekscentrum). This work was supported by (or in part by) the Intramural Research Program of the National Institute of Mental Health (K.R.M., ZIAMH002954). Publisher Copyright: © 2022 The Authors. Depression and Anxiety published by Wiley Periodicals LLC.
PY - 2022/12
Y1 - 2022/12
N2 - Background: Ambulatory assessments offer opportunities to study physical activity level (PAL) and affect at the group and person-level. We examined bidirectional associations between PAL and affect in a 3-h timeframe and evaluated whether associations differ between people with and without current or remitted depression/anxiety. Methods: Two-week ecological momentary assessment (EMA) and actigraphy data of 359 participants with current (n = 93), remitted (n = 176), or no (n = 90) Composite International Diagnostic Interview depression/anxiety diagnoses were obtained from the Netherlands Study of Depression and Anxiety. Positive affect (PA) and negative affect (NA) were assessed by EMA 5 times per day. Average PAL between EMA assessments were calculated from actigraphy data. Results: At the group-level, higher PAL was associated with subsequent higher PA (b = 0.109, p <.001) and lower NA (b = −0.043, p <.001), while higher PA (b = 0.066, p <.001) and lower NA (b = −0.053, p <.001) were associated with subsequent higher PAL. The association between higher PAL and subsequent lower NA was stronger for current depression/anxiety patients than controls (p =.01). At the person-level, analyses revealed heterogeneity in bidirectional associations. Conclusions: Higher PAL may improve affect, especially among depression/anxiety patients. As the relationships vary at the person-level, ambulatory assessments may help identify who would benefit from behavioral interventions.
AB - Background: Ambulatory assessments offer opportunities to study physical activity level (PAL) and affect at the group and person-level. We examined bidirectional associations between PAL and affect in a 3-h timeframe and evaluated whether associations differ between people with and without current or remitted depression/anxiety. Methods: Two-week ecological momentary assessment (EMA) and actigraphy data of 359 participants with current (n = 93), remitted (n = 176), or no (n = 90) Composite International Diagnostic Interview depression/anxiety diagnoses were obtained from the Netherlands Study of Depression and Anxiety. Positive affect (PA) and negative affect (NA) were assessed by EMA 5 times per day. Average PAL between EMA assessments were calculated from actigraphy data. Results: At the group-level, higher PAL was associated with subsequent higher PA (b = 0.109, p <.001) and lower NA (b = −0.043, p <.001), while higher PA (b = 0.066, p <.001) and lower NA (b = −0.053, p <.001) were associated with subsequent higher PAL. The association between higher PAL and subsequent lower NA was stronger for current depression/anxiety patients than controls (p =.01). At the person-level, analyses revealed heterogeneity in bidirectional associations. Conclusions: Higher PAL may improve affect, especially among depression/anxiety patients. As the relationships vary at the person-level, ambulatory assessments may help identify who would benefit from behavioral interventions.
KW - actigraphy
KW - anxiety disorders
KW - depressive disorders
KW - ecological momentary assessment
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85141455026&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/36345264
UR - http://www.scopus.com/inward/record.url?scp=85141455026&partnerID=8YFLogxK
U2 - https://doi.org/10.1002/da.23298
DO - https://doi.org/10.1002/da.23298
M3 - Article
C2 - 36345264
SN - 1091-4269
VL - 39
SP - 922
EP - 931
JO - Depression and anxiety
JF - Depression and anxiety
IS - 12
ER -