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@ARTICLE{Wunram:134844,
author = {H. L. Wunram and S. Hamacher and M. Hellmich and M. Volk
and F. Jänicke and F. Reinhard and W. Bloch and P.
Zimmer$^*$ and C. Graf and E. Schönau and G. Lehmkuhl and
S. Bender and O. Fricke},
title = {{W}hole body vibration added to treatment as usual is
effective in adolescents with depression: a partly
randomized, three-armed clinical trial in inpatients.},
journal = {European child $\&$ adolescent psychiatry},
volume = {27},
number = {5},
issn = {1018-8827},
address = {Darmstadt},
publisher = {Steinkopff},
reportid = {DKFZ-2018-00634},
pages = {645 - 662},
year = {2018},
abstract = {There 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.},
cin = {G210},
ddc = {610},
cid = {I:(DE-He78)G210-20160331},
pnm = {317 - Translational cancer research (POF3-317)},
pid = {G:(DE-HGF)POF3-317},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:29119301},
doi = {10.1007/s00787-017-1071-2},
url = {https://inrepo02.dkfz.de/record/134844},
}