Mental Health and Physical Activity最新文献

{"title":"Compositional contributions and time reallocation of 24-hour movement behaviours and health-related quality of life among regional Australian children","authors":"Gunchmaa Nyam,&nbsp;Natalie Lander,&nbsp;Ana Maria Contardo Ayala,&nbsp;Jo Salmon,&nbsp;Claudia Strugnell","doi":"10.1016/j.mhpa.2025.100721","DOIUrl":"10.1016/j.mhpa.2025.100721","url":null,"abstract":"<div><h3>Introduction</h3><div>Compositional associations between 24-h movement behaviours (physical activity [PA], sedentary behaviour [SED], and sleep) and children's health related quality of life (HRQoL) are unknown. This study aimed to use compositional data analysis (CoDA) to explore the relationship between device-measured 24-h movement behaviours and children's HRQoL. Hypothetically reallocating time in 24-h movement behaviours and children's HRQoL were also explored.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 268 primary school children (8–11 years) in South-West Victoria, Australia. Wrist-worn ActiGraph GT3X accelerometers assessed movement behaviours, and HRQoL was self-reported. CoDA was used to examine associations between movement behaviours and HRQoL, and an isotemporal substitution analysis explored hypothetical changes in HRQoL when reallocating 10 and 30 min between behaviours.</div></div><div><h3>Results</h3><div>On average, children spent 45.7 % of their day sedentary, 27.2 % in sleep, 22.1 % in light-intensity PA (LPA), and 4.9 % in moderate-to-vigorous PA (MVPA). A greater proportion of sleep relative to SED was positively associated with HRQoL (β = 11.274, 95 % CI 5.456–17.093). Spending more time in MVPA relative to SED and LPA was related to higher HRQoL (β = 11.399, 95 % CI 5.201–117.593); and LPA findings were mixed. Reallocating 10 min from SED, LPA and sleep to MVPA was associated with a higher HRQoL score (β = 1.56; 95 % CI 1.11, 2.01).</div></div><div><h3>Conclusions</h3><div>Findings suggest that a greater proportion of MVPA, sleep, and lower SED were positively associated with HRQoL. Future interventions should prioritise reducing SED and promoting MVPA and sleep within the 24-hr movement behaviours.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100721"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do levels of physical activity differ by anxiety and depressive symptom status in persons with multiple sclerosis?","authors":"Petra Šilić,&nbsp;Ariel Kidwell-Chandler,&nbsp;Robert W. Motl","doi":"10.1016/j.mhpa.2025.100720","DOIUrl":"10.1016/j.mhpa.2025.100720","url":null,"abstract":"<div><div>Physical inactivity, anxiety, and depression are prevalent among persons with multiple sclerosis (MS). Anxiety and depressive symptoms impact a range of outcomes and may be differentially associated with levels of physical activity in MS. This study examined the independent and combined effects of anxiety and depressive symptom status on device-measured physical activity levels in persons with MS. This study was a secondary analysis of data from two combined studies of 440 persons with MS who completed the Hospital Anxiety and Depression Scale (HADS) and wore an accelerometer for 7 days as a measure of physical activity. The participants were divided into four subgroups of elevated and non-elevated anxiety and depressive symptom status. We examined the effects of anxiety and depressive symptoms on physical activity using 2-way analysis of covariance controlling for demographic and clinical covariates that differed among symptoms groups. There were statistically significant interactions for anxiety and depressive symptoms on light physical activity (LPA), moderate-to-vigorous physical activity (MVPA), and daily step count, after controlling for covariates. The subgroup with elevated anxiety and non-elevated depression had significantly higher levels of LPA, MVPA, and daily steps than the other three symptom subgroups. Persons with MS who have elevated anxiety and non-elevated depression had higher levels of physical activity than the other three symptom subgroups, and this may be explained by the action dispositions as theorized within the circumplex model of mood and emotion.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100720"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of physical activity interventions on the core symptoms of ADHD in adults: A systematic review and meta-analysis","authors":"Maria Dahlberg ,&nbsp;Terhi Vessonen ,&nbsp;Jonatan Finell ,&nbsp;Patrik Söderberg ,&nbsp;Pirjo Aunio ,&nbsp;Anssi Vanhala ,&nbsp;Johan Korhonen","doi":"10.1016/j.mhpa.2025.100725","DOIUrl":"10.1016/j.mhpa.2025.100725","url":null,"abstract":"<div><div>While physical activity interventions have been shown to reduce symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD) in children and adolescents, less is known about their effects in adults. This systematic review and meta-analysis examined the effectiveness of both acute and chronic physical activity interventions in reducing the core symptoms of ADHD in adults and explored potential moderators, including outcome type (self-reports, neurocognitive tests, and motor activity), and activity type (cardio and mind-body exercises). A comprehensive database search identified 13 eligible studies, yielding 98 effect sizes from 312 participants aged 18–54. A three-level meta-analysis was conducted to account for nested data structure, and considerable heterogeneity was observed, with both within- and between-study variance. Results indicated that acute interventions produced a small but significant reduction in ADHD symptoms (<em>g</em> = −0.191), whereas chronic interventions did not reach significance. No significant moderation effects were found for outcome type or activity type. Subgroup analyses in the acute dataset showed significant symptom reduction for neurocognitive tests and motor activity, as well as for cardio exercises. In the chronic dataset, total intervention duration in weeks predicted symptom reduction. These findings suggest that cardio exercises may offer immediate benefits for adults with ADHD, and that sustained engagement in physical activity may be beneficial as well. While the number of studies was limited and the methodological quality generally low, the findings offer preliminary insights into the potential of physical activity interventions for adults with ADHD. Continued research with more rigorous designs is needed to strengthen the evidence base.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100725"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving health behaviors and symptoms in youth with mental health disorders: The GamerFit RCT","authors":"April Bowling ,&nbsp;Alyssa Button ,&nbsp;Robbie Beyl ,&nbsp;James Slavet ,&nbsp;Tara Daly ,&nbsp;Peyton Murray ,&nbsp;Phillip Nauta ,&nbsp;Amanda E. Staiano","doi":"10.1016/j.mhpa.2025.100722","DOIUrl":"10.1016/j.mhpa.2025.100722","url":null,"abstract":"<div><h3>Objective</h3><div>We tested GamerFit, a theory-based health coaching and exergaming intervention delivered via mHealth app for feasibility and preliminary efficacy to improve physical activity (PA), sleep, perceptions of barriers and support, and mental health outcomes in youth with heterogeneous/comorbid mental health disorders (HCMHD).</div></div><div><h3>Methods</h3><div>A convenience sample of youth ages 13–17 with HCMHD were recruited via clinical referral, listservs, and media platforms. The primary outcome of feasibility was assessed relative to the original intervention, which was not delivered via mHealth app. Groupings were randomized 1:1 to the 12-wk GamerFit intervention arm (GamerFit) or active comparator arm (AC) using single-blind design to assess preliminary efficacy. GamerFit participants used the mHealth app and a Fitbit™ to follow a progressive exergaming and gamified step program. AC participants were given PA/sleep tips and Fitbit™ to track PA/sleep. Intervention feasibility was assessed for the GamerFit group using process data and parental/participant report; PA duration/intensity (actigraphy, self-report), sleep duration/quality (actigraphy, self-report), sleep hygiene, perceptions of social support, self-regulation, positive/negative affect, and global quality of life were measured at wks 0, 12 and 16. Mixed effects linear models were used to account for the repeated measures correlation over time with an unstructured covariance matrix. The covariates in the model included the main effect for time and treatment as well as the interaction of these effects.</div></div><div><h3>Results</h3><div>62 participants were randomized (15.0 ± 1.5 avg age, 24 % female-identifying, 21 % non-white, 74 % on medication). GamerFit averaged 88 % coaching attendance, 34.8 min/wk exergaming, and 8033 steps/day, exceeding the original intervention's feasibility benchmarks for coaching attendance and steps per day, but not exergaming minutes per week. Parental/participant acceptability/accessibility was high. Days/wk of PA increased significantly in GamerFit vs. AC (diff 2.0 ± 0.9, 95 % CI, p = 0.04). GamerFit significantly improved sleep hygiene, sleep quality, barriers to exercise, emotional and informational support, affect, and reduced unhealthy days; AC did not. GamerFit showed clinically meaningful improvements on all self-regulation sub-scales; AC did not.</div></div><div><h3>Conclusions</h3><div>GamerFit shows promise to improve health behaviors and outcomes among youth with HCMHD. An effectiveness RCT should take place in a more racially/ethnically diverse population.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100722"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145319651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of varied acute exercise intensities on working memory in young adults with elevated self-reported attention deficit symptoms: a randomized cross-over controlled trial using fNIRS","authors":"Muyang Huan ,&nbsp;Xiaoying Peng ,&nbsp;Hua Wu ,&nbsp;Changshuang He ,&nbsp;Huan Huang ,&nbsp;Lei Shi ,&nbsp;Minghui Quan","doi":"10.1016/j.mhpa.2025.100724","DOIUrl":"10.1016/j.mhpa.2025.100724","url":null,"abstract":"<div><h3>Background and aims</h3><div>Attention-deficit/hyperactivity disorder (ADHD) is a common and treatable disorder. However, ADHD is often underdiagnosed in adults. As a result, there is a certain number of undiagnosed adults with potential ADHD. Working memory impairment may be at the root of attention deficit symptoms that negatively affect life, education, and career. Therefore, this study aimed to investigate the effects of acute exercise of different intensities on working memory in young people with elevated self-reported attention deficit symptoms.</div></div><div><h3>Methods and analysis</h3><div>This study employed a randomized crossover design, in which subjects received three interventions (moderate-intensity continuous training (MICT), high-intensity interval training (HIIT), and inactive condition) in a randomized order. Before, 15, and 45 min after each intervention, the subjects were administered the N-back task and functional near-infrared spectroscopy measurements.</div></div><div><h3>Result</h3><div>(1) Compared to the inactive condition, HIIT significantly improved 2-back accuracy rate (<em>t</em> = 2.91, <em>p</em> = 0.01) and 2-back reaction time (<em>t</em> = −3.29, <em>p</em> &lt; 0.01) 15 min after exercise, whereas MICT significantly reduced 2-back reaction time (<em>t</em> = −2.75, <em>p</em> = 0.01). (2) Compared to the inactive condition, at 15 min post-exercise, HIIT significantly increased HbO concentration of L DLPFC in the 2-back tasks (<em>t</em> = 2.60, <em>p</em> = 0.01), and MICT significantly increased HbO concentration in the 1-back task (<em>t</em> = 2.46, <em>p</em> = 0.017). In addition, HIIT significantly increased the HbO concentration of L DLPFC in the 1-back task compared to MICT (<em>t</em> = 3.15, <em>p</em> &lt; 0.01).</div></div><div><h3>Conclusion</h3><div>Both HIIT and MICT immediately improve working memory in people with elevated self-reported attention deficit symptoms, which may be explained by the fact that acute exercise increases the activation of L DLPFC.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100724"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145360985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ecological momentary assessment of physical activity and affective responses in healthy adults: a scoping review","authors":"Benoit Plante ,&nbsp;Paule Miquelon ,&nbsp;Pier-Olivier Caron","doi":"10.1016/j.mhpa.2025.100728","DOIUrl":"10.1016/j.mhpa.2025.100728","url":null,"abstract":"<div><h3>Background</h3><div>Affective experiences, including emotions and moods, are central to well-being. Physical activity (PA) is linked to improved mood, but the acute relationship between objectively measured PA and affect in daily life remains underexplored. Ecological Momentary Assessment (EMA) minimizes biases of retrospective reports and captures real-time effects. This scoping review synthesizes studies using EMA and accelerometers to examine the acute (within 30 min) effects of PA on positive and negative affect in healthy adults, highlighting methodological diversity and future research needs.</div></div><div><h3>Methods</h3><div>A systematic search of MEDLINE, CINAHL, PsycINFO, and SportDiscus identified studies involving healthy adults that used EMA, accelerometer-based PA measures, and assessed acute PA effects on affect. Data extraction followed the CREMAS protocol, focusing on sample characteristics, PA and affect measures, compliance rates, and moderators.</div></div><div><h3>Results</h3><div>From 208 identified studies, 14 met the inclusion criteria. Studies varied in sample size, accelerometer placement, affect measurement scales, prompt frequency, and compliance, complicating comparisons. PA was consistently linked to increased arousal; findings for valence and positive affect were mixed. Negative affect tended to decrease after PA, but results were inconsistent. Several studies explored moderators, such as competence, autonomy, and social context.</div></div><div><h3>Conclusions</h3><div>EMA is a valuable method for studying PA and affect dynamics in everyday life. However, methodological heterogeneity calls for more standardized protocols. Future research should improve transparency in reporting, explore additional moderators, and recruit more diverse samples to enhance generalizability<strong>.</strong></div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100728"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"OUTSIDE: OUTdoor Swimming as a nature-based Intervention for DEpression: a feasibility randomised controlled trial","authors":"Heather Massey ,&nbsp;Hannah Denton ,&nbsp;Amy Burlingham ,&nbsp;Mara Violato ,&nbsp;Anna-Marie Bibby-Jones ,&nbsp;Rebecca Cunningham ,&nbsp;Sandy Ciccognani ,&nbsp;Sam Robertson ,&nbsp;Anmol Jhans ,&nbsp;Jack Pollard ,&nbsp;Shuye Yu ,&nbsp;Clara Strauss","doi":"10.1016/j.mhpa.2025.100723","DOIUrl":"10.1016/j.mhpa.2025.100723","url":null,"abstract":"<div><h3>Introduction</h3><div>There is growing support for nature-based activities as potential effective interventions for depression. Randomized control trials (RCTs) to determine outdoor swimming benefits are needed. To inform the design of a full-scale trial, this feasibility study examines (1) participant recruitment, intervention and study engagement, (2) intervention and study safety, (3) participant experience and acceptability, (4) between-group mean difference estimates on measures of depression (primary clinical outcome), anxiety, wellbeing, mindfulness, self-compassion, health related quality of life and clinical resource use.</div></div><div><h3>Methods</h3><div>Participants with mild to moderate symptoms of depression were recruited and randomised to an 8-session outdoor swimming course plus usual care or usual care only. Swimming courses took place in three locations. Participants completed online or paper surveys at baseline (T0), immediately after the intervention (T1, 8 weeks post-randomisation) and follow up 8 weeks later (T2, 16 weeks post-randomisation). Serious adverse events were recorded. Qualitative data were collected to explore participant, coach and social prescriber experiences.</div></div><div><h3>Results</h3><div>87 participants (99 % target) were recruited. 79 % (95 % CI: 61 %–88 %) of the outdoor swimming arm completed the intervention (4+ sessions out of 8). Two unrelated serious adverse events occurred during the trial. Participants' experience was positive and identified five themes for future study design: Accessibility, Belonging, Facing challenges with support, Benefiting and enjoyment and Clarity of information. Overall data completeness at all time points (including withdrawals and drop-outs) was high (85 %). There were between-group differences in favour of the intervention arm with medium to large effects across all measures.</div></div><div><h3>Conclusions</h3><div>It is feasible to conduct a large-scale RCT to determine if an outdoor swimming course (in addition to usual care) can reduce symptoms of depression and is good value for money when compared to usual care alone.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100723"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145360986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical activity services for inpatients in secure mental health settings: what works, for whom, under what circumstances and why? A realist synthesis","authors":"Tobias Keel ,&nbsp;Katarzyna Machaczek ,&nbsp;Jo Howe ,&nbsp;James A. King ,&nbsp;Kieran Breen ,&nbsp;Florence Kinnafick","doi":"10.1016/j.mhpa.2025.100716","DOIUrl":"10.1016/j.mhpa.2025.100716","url":null,"abstract":"<div><h3>Background</h3><div>Physical activity (PA) has multiple benefits for people with severe mental illness (SMI). However, more research is needed to determine optimal delivery methods in secure inpatient settings. Realist synthesis, a theory-driven evidence review, has key methodological advantages for evaluating complex interventions and is well-suited to address the research-practice gap concerning the delivery of PA inpatient programmes. This realist synthesis explored ‘what works, for whom, under what circumstances, and why’ in enhancing PA engagement among inpatients with SMI in secure psychiatric settings.</div></div><div><h3>Methods</h3><div>We conducted a two-phase realist synthesis. We searched seven bibliographic databases and supplemented this with hand searches to identify grey and additional literature sources. No restrictions were applied to the types of articles included. A total of 65 sources of evidence contributed to the synthesis. The evidence was extracted, assessed and synthesised. Two programme theories, underpinned by six context-mechanism-outcome configurations, were developed.</div></div><div><h3>Results</h3><div>Programme theory one emphasises the crucial role of PA providers in implementing PA programmes. Deliverers must display relational and delivery competencies to earn the trust and confidence of service users (SUs). Building and nurturing these relationships is especially important for SUs who have had previous coercive experiences with mental health services. Programme theory two underscores the importance of providing deliberate (e.g. gym sessions) and incidental PA opportunities (e.g. fun and engaging ward activities) to ensure that all SUs can access daily activities, even if they do not wish to be formally active. Engagement in these opportunities should be voluntary, not mandatory. For SUs with negative past PA experiences, activities should be perceived as enjoyable, meaningful, and achievable to encourage their future participation.</div></div><div><h3>Conclusion and clinical implications</h3><div>This synthesis produced evidence-informed programme theories and underlying context-mechanism-outcome configurations that can inform the design, development, and delivery of PA programmes in inpatient healthcare settings.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100716"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145465335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Neurobiological mechanisms for the antidepressant effects of mind-body and physical exercises: A systematic review” [Mental Health and Physical Activity (2023) 100538]","authors":"Wen Sun ,&nbsp;Erin Yiqing Lu ,&nbsp;Cong Wang ,&nbsp;Hector Wing Hong Tsang","doi":"10.1016/j.mhpa.2025.100719","DOIUrl":"10.1016/j.mhpa.2025.100719","url":null,"abstract":"","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100719"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145617409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between depressive symptoms and sedentary behaviors in parent-child Dyads: Longitudinal effects within- and across- person","authors":"Maria Siwa ,&nbsp;Dominika Wietrzykowska ,&nbsp;Zofia Szczuka ,&nbsp;Ewa Kulis ,&nbsp;Monika Boberska ,&nbsp;Anna Banik ,&nbsp;Hanna Zaleskiewicz ,&nbsp;Paulina Krzywicka ,&nbsp;Nina Knoll ,&nbsp;Anita DeLongis ,&nbsp;Bärbel Knäuper ,&nbsp;Aleksandra Luszczynska","doi":"10.1016/j.mhpa.2025.100729","DOIUrl":"10.1016/j.mhpa.2025.100729","url":null,"abstract":"<div><h3>Aims</h3><div>Using cross-lagged panel analysis, this study tested the associations between sedentary behaviors and depressive symptoms among dyads of parents and their 9-15-year-old children. Both within-person and across-person effects were investigated.</div></div><div><h3>Methods</h3><div>Data from 203 dyads were collected at Time 1 (T1; baseline), Time 2 (T2; 8-month follow-up), and Time 3 (T3; 14-month follow-up). Parents/legal guardians were mostly women (86.7 %), aged 29–66 years. Depressive symptoms were assessed using the Patient Health Questionnaire-9 and sedentary time was measured with GT3X-BT accelerometers. Between T1 and T2, all dyads were enrolled in a healthy lifestyle education program, addressing definitions and patterns of sedentary behaviors, health consequences of sedentary behaviors, and strategies for interrupting sedentary bouts and minimizing overall sedentary time. Analyses controlled for age, gender, parental socioeconomic status and education level.</div></div><div><h3>Results</h3><div>Among children, more sedentary time at T1 was associated with more depressive symptoms at T2 (<em>B</em> = 0.197, <em>SE=0.078</em>). Depressive symptoms at T1 were related to more sedentary time at T2 (<em>B</em> = 0.192, <em>SE</em> = 0.058). Only one across-person indirect effect was found: more depressive symptoms among children at T1 were linked to more sedentary time among children at T2, and, in turn, to more parental depressive symptoms (<em>B</em> = 0.023; <em>SE</em> = 0.013) at T3.</div></div><div><h3>Conclusion</h3><div>The study provides preliminary evidence for both within-person and between-person associations linking children's depressive symptoms to their subsequent sedentary time, as well as to the sedentary time of their parents. These findings emphasize the need for family-based intervention approaches that address both sedentary behaviors and mental health.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100729"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145570933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}