Hülya YELTEPE ERCAN, İlhan L. YARGIÇ, CENGİZ KARAGÖZOĞLU

Alkol ve madde bağımlılığı tedavisi gören yetişkinlerde düzenli egzersizin kaygı, depresyon ve yaşam kalitesine etkisi

Amaç: Bu çalışmanın amacı, aerobik ve kuvvet egzersizlerinin, alkol ve madde bağımlılığı tedavisi gören yetişkinlerin anksiyete, depresyon ve yaşam kaliteleri üzerindeki etkisini belirlemektir. Yöntem: Yarı deneysel desende yapılan bu araştırmada, çalışmanın başında ve sonunda katılımcıların depresyon, anksiyete ve yaşam kaliteleri ölçülerek, egzersiz ve kontrol grupları arasındaki fark karşılaştırılmıştır. Katılımcıların aerobik kapasitedeki değişikliklerini belirlemek için 'The Bruce Treadmill Test' kullanılarak tahmini maksimum VO2maksimal kuvveti belirlemek için de dört-altı tekrar submaksimal kuvvet testi uygulanmıştır. Katılımcıların dinlenik nabız ve kan basınçları izlenmiştir. Bulgular: Çalışmanın sonunda egzersiz grubu katılımcılarının kaygı düzeylerinde kontrol grubuna göre anlamlı derecede düşüş saptanmıştır. Depresyon düzeyinin, egzersiz grubu katılımcılarında kontrol grubundakilere göre daha düşük olduğu görülmekle birlikte, bu düşüş istatistiksel olarak anlamlı bulunmamıştır. Egzersiz grubunda yaşam kalitesi ölçeğinin alt bileşenlerinden fiziksel işlevsellik, genel sağlık ve canlılık ölçeklerinde ön testlere göre anlamlı derecede iyileşme görüldüğü bulunmuştur. Ayrıca egzersiz grubunda aerobik kapasitesi ve kuvvette de anlamlı bir artış saptanmıştır. Sonuç: Bu çalışma sonucunda egzersizin, bağımlılarda anksiyete düzeyini düşürmede etkili olduğu ve depresyonda düşüş ve yaşam kalitesinde artış gibi pozitif yönde değişiklikleri desteklediği görülmüştür. Bu araştırma, orta şiddette aerobik egzersiz ile birlikte kuvvet egzersizlerinin tedavi gören yetişkin alkol ve madde bağımlılarının anksiyete, depresyon ve yaşam kalitelerine etkisini inceleyen Türkiye'de yapılmış ilk çalışmalardan birisidir. (Anadolu Psikiyatri Derg 2016; 17(1):33-41)

The effects of regular exercise on anxiety, depression and quality of life in adult alcohol and drug dependents in addiction treatment

Objective: The purpose of this study was to examine the effects of moderate-intensity aerobic and strength exercises on anxiety, depression, and quality of life of individuals with alcohol and substance addiction disorder during addiction treatment. Methods: This is a quasi-experimental design research. Depression, anxiety and quality of life of participants were assessed at baseline and at the end of the study and compared the difference between exercise and control group. The Bruce Treadmill Test was used to measure the predicted maxVO2 to examine the changes in aerobic capacity and the four to six repetition submaximal strength test was used to measure the predicted one repetition maximal strength of the participants in the exercise group. Resting heart rate and blood pressure were also monitored. Results: Anxiety scores of exercisers was significantly lower than control group at the end of the study. Depression level of exercisers was also lower than control group but the difference was insignificant. Significant improvement has been found in the physical functioning, general health and vitality scores on subscales of quality of life of exercise group at the end of the study. A significant increase has been found in aerobic capacity and strength in the exercise group after the exercise intervention. Conclusions: This study is one of the first to examine the effects of both moderate-intensity aerobic and strength exercises on anxiety, depression and quality of life in adult alcohol and drug dependents' in addiction treatment in Turkey. (Anatolian Journal of Psychiatry 2016; 17(1):33-41)

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