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Adolescents’ Long-Term Experiences of Manageability, Comprehensibility, and Meaningfulness of a Group-Based Exercise Intervention for Depression

Author

Listed:
  • Sara Reinodt

    (School of Health and Welfare, Halmstad University, SE-30118 Halmstad, Sweden)

  • Emma Haglund

    (Spenshult Research and Development Centre, SE-30274 Halmstad, Sweden
    Section of Rheumatology, Department of Clinical Sciences, Lund University, SE-22242 Lund, Sweden
    Department of Environmental and Biosciences, School of Business, Innovation and Sustainability, Halmstad University, SE-30118 Halmstad, Sweden)

  • Ann Bremander

    (Spenshult Research and Development Centre, SE-30274 Halmstad, Sweden
    Section of Rheumatology, Department of Clinical Sciences, Lund University, SE-22242 Lund, Sweden
    Department of Environmental and Biosciences, School of Business, Innovation and Sustainability, Halmstad University, SE-30118 Halmstad, Sweden
    Department of Regional Health Research, University of Southern Denmark, DK-5230 Odense, Denmark)

  • Håkan Jarbin

    (Child and Adolescent Psychiatry, Department of Clinical Sciences Lund, Lund University, SE-22184 Lund, Sweden
    Child and Adolescent Psychiatry, Region Halland, SE-30185 Halmstad, Sweden)

  • Ingrid Larsson

    (Spenshult Research and Development Centre, SE-30274 Halmstad, Sweden
    Section of Rheumatology, Department of Clinical Sciences, Lund University, SE-22242 Lund, Sweden
    Department of Health and Care, School of Health and Welfare, Halmstad University, SE-30118 Halmstad, Sweden)

Abstract

Physical exercise is a potentially effective treatment for adolescents with mild to moderate depression. However, there is a lack of long-term follow-ups to reveal adolescents’ experiences of exercise as a treatment for depression. The salutogenic concept of sense of coherence (SOC), comprising the domains manageability, comprehensibility, and meaningfulness is important to understand behaviour change. This study aimed to describe adolescents’ long-term experiences of manageability, comprehensibility, and meaningfulness of a group-based exercise intervention for depression. Fourteen adolescents with persistent depression were recruited from a psychiatric outpatient clinic and interviewed one year after participating in a 14-week moderate to vigorous exercise intervention for depression. An abductive qualitative content analysis was conducted, based on the three SOC domains manageability, comprehensibility, and meaningfulness. The results revealed that participation in the intervention was made manageable by a supportive environment, including: the intervention design, togetherness with peer group, and encouragement from adults. The comprehensibility of the intervention emerged through the insights regarding health benefits of exercise and the aim of the intervention. Meaningfulness was achieved through improved health behaviour, well-being and self-esteem, along with strengthened belief in the future and increased commitment to everyday life. The group-based exercise intervention was experienced as manageable, comprehensible, and meaningful.

Suggested Citation

  • Sara Reinodt & Emma Haglund & Ann Bremander & Håkan Jarbin & Ingrid Larsson, 2022. "Adolescents’ Long-Term Experiences of Manageability, Comprehensibility, and Meaningfulness of a Group-Based Exercise Intervention for Depression," IJERPH, MDPI, vol. 19(5), pages 1-14, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:5:p:2894-:d:762227
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    References listed on IDEAS

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    1. Evelina Sunesson & Emma Haglund & Ann Bremander & Håkan Jarbin & Ingrid Larsson, 2021. "Adolescents’ Experiences of Facilitators for and Barriers to Maintaining Exercise 12 Months after a Group-Based Intervention for Depression," IJERPH, MDPI, vol. 18(10), pages 1-11, May.
    2. Ida Laudańska-Krzemińska & Jana Krzysztoszek & Mariusz Naczk & Ewa Gajewska, 2020. "Physical Activity, Physical Fitness and the Sense of Coherence—Their Role in Body Acceptance among Polish Adolescents," IJERPH, MDPI, vol. 17(16), pages 1-14, August.
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