Physical activity and depression symptoms in women with chronic illness and the mediating role of health-related quality of life

McIntyre, E; Lauche, R; Frawley, J; Sibbritt, D; Reddy, P; Adams, J

Physical activity and depression symptoms in women with chronic illness and the mediating role of health-related quality of life

McIntyre, E

Lauche, R

Frawley, J

Sibbritt, D

Reddy, P

Adams, J

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Publication Type:: Journal Article
Citation:: Journal of Affective Disorders, 2019, 252 pp. 294 - 299
Issue Date:: 2019-06-01

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Field	Value	Language
dc.contributor.author	McIntyre, E https://orcid.org/0000-0002-3970-9979	en_US
dc.contributor.author	Lauche, R https://orcid.org/0000-0002-4171-7935	en_US
dc.contributor.author	Frawley, J https://orcid.org/0000-0001-6037-0140	en_US
dc.contributor.author	Sibbritt, D https://orcid.org/0000-0003-3561-9447	en_US
dc.contributor.author	Reddy, P https://orcid.org/0000-0002-0709-9352	en_US
dc.contributor.author	Adams, J https://orcid.org/0000-0002-9901-5717	en_US
dc.date.available	2021-08-12T19:01:01Z
dc.date.issued	2019-06-01	en_US
dc.identifier.citation	Journal of Affective Disorders, 2019, 252 pp. 294 - 299	en_US
dc.identifier.issn	0165-0327	en_US
dc.identifier.uri	http://hdl.handle.net/10453/132626
dc.description.abstract	© 2019 Background: The aim of this study was to determine the impact of physical activity on depression symptom severity in women 45 years and older with a chronic illness diagnosis, and explore relations between physical activity and psychological and health-related characteristics predicting depression symptoms. Methods: 1932 women diagnosed with one of five chronic illnesses: asthma, depression, diabetes, osteoarthritis, or osteoporosis participated in a sub-study of the 45 and Up Study—a cross-sectional study of people aged 45 years and older. The survey included items measuring demographics, depression symptoms, health-related quality of life (HRQoL), health-related hardiness, sleep quality, and health behaviours, such as physical activity. Results: A multiple regression model explained 43% of the variance in depression symptoms (R 2 = 0.43, F (18) = 61.72, p <.001); intensity of physical activity was a significant predictor of depression symptoms (p <.001), and HRQoL was found to explain the most variance (B = −10.00) in depression symptoms. Mediation analysis confirmed that HRQoL partially mediated the relation between physical activity and depression symptoms; however, the effect was very small. Limitations: Cross-sectional data and self-report measures limit the implications of the findings. Conclusion: Women with chronic illness engaging in more vigorous physical activity had less severe depression symptoms. Findings suggest that improving HRQoL is critical to the prevention and management of depression symptoms in women with chronic illness. Psychological and health-related factors that influence HRQoL, such as sleep quality and health-related hardiness, are important clinical considerations for health practitioners.	en_US
dc.relation	http://purl.org/au-research/grants/arc/DP140100238
dc.relation	http://purl.org/au-research/grants/arc/FT140100195
dc.relation.ispartof	Journal of Affective Disorders	en_US
dc.relation.isbasedon	10.1016/j.jad.2019.04.057	en_US
dc.rights	info:eu-repo/semantics/embargoedAccess
dc.subject.classification	Psychiatry	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Chronic Disease	en_US
dc.subject.mesh	Exercise	en_US
dc.subject.mesh	Cross-Sectional Studies	en_US
dc.subject.mesh	Depression	en_US
dc.subject.mesh	Quality of Life	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Self Report	en_US
dc.title	Physical activity and depression symptoms in women with chronic illness and the mediating role of health-related quality of life	en_US
dc.type	Journal Article
utslib.citation.volume	252	en_US
utslib.for	1701 Psychology	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	11 Medical and Health Sciences	en_US
utslib.for	17 Psychology and Cognitive Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Faculty of Business/Management Discipline
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	open_access	*
pubs.publication-status	Published	en_US
pubs.volume	252	en_US

Abstract:

© 2019 Background: The aim of this study was to determine the impact of physical activity on depression symptom severity in women 45 years and older with a chronic illness diagnosis, and explore relations between physical activity and psychological and health-related characteristics predicting depression symptoms. Methods: 1932 women diagnosed with one of five chronic illnesses: asthma, depression, diabetes, osteoarthritis, or osteoporosis participated in a sub-study of the 45 and Up Study—a cross-sectional study of people aged 45 years and older. The survey included items measuring demographics, depression symptoms, health-related quality of life (HRQoL), health-related hardiness, sleep quality, and health behaviours, such as physical activity. Results: A multiple regression model explained 43% of the variance in depression symptoms (R 2 = 0.43, F (18) = 61.72, p <.001); intensity of physical activity was a significant predictor of depression symptoms (p <.001), and HRQoL was found to explain the most variance (B = −10.00) in depression symptoms. Mediation analysis confirmed that HRQoL partially mediated the relation between physical activity and depression symptoms; however, the effect was very small. Limitations: Cross-sectional data and self-report measures limit the implications of the findings. Conclusion: Women with chronic illness engaging in more vigorous physical activity had less severe depression symptoms. Findings suggest that improving HRQoL is critical to the prevention and management of depression symptoms in women with chronic illness. Psychological and health-related factors that influence HRQoL, such as sleep quality and health-related hardiness, are important clinical considerations for health practitioners.

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http://hdl.handle.net/10453/132626