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000134844 0247_ $$2doi$$a10.1007/s00787-017-1071-2
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000134844 0247_ $$2ISSN$$a1433-5719
000134844 0247_ $$2ISSN$$a1435-165X
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000134844 037__ $$aDKFZ-2018-00634
000134844 041__ $$aeng
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000134844 1001_ $$aWunram, Heidrun Lioba$$b0
000134844 245__ $$aWhole body vibration added to treatment as usual is effective in adolescents with depression: a partly randomized, three-armed clinical trial in inpatients.
000134844 260__ $$aDarmstadt$$bSteinkopff$$c2018
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000134844 520__ $$aThere is growing evidence for the effectiveness of exercise in the treatment of adult major depression. With regard to adolescents, clinical trials are scarce. Due to the inherent symptoms of depression (lack of energy, low motivation to exercise), endurance training forms could be too demanding especially in the first weeks of treatment. We hypothesized that an easy-to-perform passive muscular training on a whole body vibration (WBV) device has equal anti-depressive effects compared to a cardiovascular training, both administered as add-ons to treatment as usual (TAU). Secondly, we presumed that both exercise interventions would be superior in their response, compared to TAU. In 2 years 64 medication-naïve depressed inpatients aged 13-18, were included. Both exercise groups fulfilled a supervised vigorous training for 6 weeks. Depressive symptoms were assessed by self-report ('Depressions Inventar für Kinder und Jugendliche'-DIKJ) before intervention and after weeks 6, 14 and 26. Compared to TAU, both groups responded earlier and more strongly measured by DIKJ scores, showing a trend for the WBV group after week 6 (p = 0.082). The decrease became statistically significant for both intervention groups after week 26 (p = 0.037 for ergometer and p = 0.042 for WBV). Remission rates amounted to 39.7% after week 6 and 66% after week 26, compared to 25% after week 26 in TAU. These results provide qualified support for the effectiveness of exercise as add-on treatment for medication-naïve depressed adolescents. The present results are limited by the not randomized control group.
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000134844 7001_ $$aHamacher, Stefanie$$b1
000134844 7001_ $$aHellmich, Martin$$b2
000134844 7001_ $$aVolk, Maxi$$b3
000134844 7001_ $$aJänicke, Franziska$$b4
000134844 7001_ $$aReinhard, Franziska$$b5
000134844 7001_ $$aBloch, Wilhelm$$b6
000134844 7001_ $$0P:(DE-He78)d05b24af674d8ef2c455634434b67770$$aZimmer, Philipp$$b7$$udkfz
000134844 7001_ $$aGraf, Christine$$b8
000134844 7001_ $$aSchönau, Eckhard$$b9
000134844 7001_ $$aLehmkuhl, Gerd$$b10
000134844 7001_ $$aBender, Stephan$$b11
000134844 7001_ $$aFricke, Oliver$$b12
000134844 773__ $$0PERI:(DE-600)1463026-6$$a10.1007/s00787-017-1071-2$$gVol. 27, no. 5, p. 645 - 662$$n5$$p645 - 662$$tEuropean child & adolescent psychiatry$$v27$$x1018-8827$$y2018
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