Effect of exercise versus cognitive behavioural therapy or no intervention on anxiety, depression, fitness and quality of life in adults with previous methamphetamine dependency : a systematic review

Simple item page
dc.contributor.authorMorris, Linzetteen_ZA
dc.contributor.authorStander, Jessicaen_ZA
dc.contributor.authorEbrahim, Wardahen_ZA
dc.contributor.authorEksteen, Stephanieen_ZA
dc.contributor.authorMeaden, Orissa Annaen_ZA
dc.contributor.authorRas, Aneen_ZA
dc.contributor.authorWessels, Annemarieen_ZA
dc.date.accessioned2019-08-28T07:29:49Z
dc.date.available2019-08-28T07:29:49Z
dc.date.issued2019
dc.descriptionCITATION: Morris, L., et al. 2018. Effect of exercise versus cognitive behavioural therapy or no intervention on anxiety, depression, fitness and quality of life in adults with previous methamphetamine dependency : a systematic review. Addiction Science and Clinical Practice, 13:4, doi:10.1186/s13722-018-0106-4.
dc.descriptionThe original publication is available at https://ascpjournal.biomedcentral.com
dc.description.abstractBackground: Methamphetamine (MA) is a highly addictive psychostimulant used by approximately 52 million people worldwide. Chronic MA abuse leads to detrimental physiological and neurological changes, as well as increases in anxiety and depression, and decreases in overall fitness and quality of life. Exercise has been reported to possibly reverse physiological and neurological damage caused by previous MA use, and to reduce anxiety and depression in this population. The aim of this systematic review was to identify, clinically appraise and synthesise the available evidence for the effectiveness of exercise, compared to cognitive behavioural therapy (CBT), standard care or no intervention, on decreasing anxiety and depression and improving fitness and quality of life in previous MA users. Methods: Seven computerised databases were searched from inception to May 2017, namely Scopus, Cochrane Library, PubMed/MEDLINE, PEDro, CINAHL, and ScienceDirect. Search terms included exercise, methamphetamine, fitness measures, depression, anxiety and quality of life. Randomised and non-randomised controlled- or clinical trials and pilot studies, published in English, were considered for inclusion. Methodological quality was critically appraised according to the PEDro scale. Heterogeneity across studies regarding control groups and assessment intervals rendered meta analyses inappropriate for this review and results were thus described narratively using text and tables. Results: Two hundred and fifty-one titles were identified following the initial search, and 14 potentially-relevant titles were selected and the abstracts reviewed. Three studies (two randomised controlled trials and one quasi-experimental pilot) were included, with an average PEDro score of 6.66. Exercise resulted in significantly lower depression and anxiety scores versus CBT (p = 0.001). Balance also significantly improved following exercise versus standard care (p < 0.001); as did vital capacity, hand-grip and one-leg stand with eyes closed. There were significant changes in all subdivisions of the Quality of Life Scale Questionnaire (p < 0.05), except psychology (p = 0.227). Conclusions: Level II evidence suggests that exercise is effective in reducing anxiety and depression and improving fitness in previous MA users, and Level III-2 evidence suggests that exercise is beneficial for improving quality of life in this population. Overall recovery in previous MA dependents might be significantly enhanced by including exercise in the rehabilitation process. Further research is required to strengthen these conclusions and to inform policy and health systems effectively.en_ZA
dc.description.urihttps://ascpjournal.biomedcentral.com/articles/10.1186/s13722-018-0106-4
dc.description.versionPublisher's version
dc.format.extent12 pages ; illustrations
dc.identifier.citationMorris, L., et al. 2018. Effect of exercise versus cognitive behavioural therapy or no intervention on anxiety, depression, fitness and quality of life in adults with previous methamphetamine dependency : a systematic review. Addiction Science and Clinical Practice, 13:4, doi:10.1186/s13722-018-0106-4
dc.identifier.otherdoi:10.1186/s13722-018-0106-4
dc.identifier.urihttp://hdl.handle.net/10019.1/106388
dc.language.isoen_ZAen_ZA
dc.publisherBMC (part of Springer Nature)
dc.rights.holderAuthors retain copyright
dc.subjectMethamphetamine abuse -- Exercise therapyen_ZA
dc.subjectMethamphetamine abuse -- Cognitive therapyen_ZA
dc.subjectMethamphetamine abuse -- Rehabilitationen_ZA
dc.subjectSystematic reviews (Medical research)en_ZA
dc.titleEffect of exercise versus cognitive behavioural therapy or no intervention on anxiety, depression, fitness and quality of life in adults with previous methamphetamine dependency : a systematic reviewen_ZA
dc.typeArticleen_ZA
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
morris_effect_2018.pdf
Size:
825.77 KB
Format:
Adobe Portable Document Format
Description:
Download article
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Research Articles (Physiotherapy)