Beneficios del ejercicio físico para la salud mental en pacientes drogodependientes

  1. Giménez Meseguer, Jorge
  2. Tortosa Martínez, Juan
Revista:
Revista española de drogodependencias

ISSN: 0213-7615

Año de publicación: 2018

Número: 43

Páginas: 62-74

Tipo: Artículo

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Otras publicaciones en: Revista española de drogodependencias

Resumen

El presente estudio tuvo como objetivo evaluar los efectos del ejercicio físico en la salud mental (estrés, ansiedad y depresión) en pacientes drogodependientes en proceso de rehabilitación. Para la presente investigación se contó con 37 pacientes drogodependientes pertenecientes a Proyecto Hombre Alicante y se formaron dos grupos. Un grupo experimental (n=18) que realizaron un programa de condición física (resistencia aeróbica y fuerza-resistencia) de 12 semanas de duración y un grupo control (n=19), que siguieron con su tratamiento convencional, sin realizar ejercicio físico. Se realizaron medidas cuantitativas pre y post en salud mental, mediante la escala DASS 21 (The Depression, Anxiety, Stress Scale) y en condición física (Six-Minute Walk Test, Timed Get Up and Go Test y Chair Stand Test) en los dos grupos. Al finalizar el programa, el grupo experimental mostró una mejora estadísticamente significativa respecto al grupo control en las variables estrés (F(1, 35)= 5.03; p= 0.03; π2 = 0.12), ansiedad (F(1, 35)= 5.48; p= 0.02; π2 = 0.13) y DASS21 total (F(1, 35)= 4.92; p= 0.03; π2 = 0.12). Los resultados de este estudio muestran la importancia del ejercicio físico como medio de mejora de la salud mental de los pacientes drogodependientes y como método coadyuvante en el tratamiento de rehabilitación de drogodependencias.

Referencias bibliográficas

  • Agarwal, R.; Kumar A. y Lewis, J.E. (2015).A pilot feasibility and acceptability study of yoga/meditation on the quality of life and markers of stress in persons living with HIV who also use crack cocaine.The Journal of Alternative and Complementary Medicine, 21, (3), 152-158.
  • Borg, G.; Hassmen, P. y Langerstrom, M. (1985). Perceived exertion in relation to heart rate and blood lactate during arm and leg exercise. European Journal of Applied Physiology, 65, 679–685.
  • Brown, R.A.; Prince, M.A.; Minami, H. yAbrantes, AM. (2016). An exploratory analysis of changes in mood, anxiety and craving from pre to post-single sessions of exercise, over 12 weeks, among patients with alcohol dependence. Mental Health and Physical Activity, 11, 1–6.
  • Brownell, K.; Marlatt, G.; Lichtenstein, E. y Wilson, G. (1986). Understanding and preventing relapse. American Psychologist, 41, (7) 765–782.
  • Colledge, F.; Vogel, M.; Dürsteler-Macfarland, K.; Strom, J.; Schoen S.; Pühse, U.y Gerber, M. (2017). A pilot randomized trial of exercise as adjunct therapy in a heroin-assisted treatment setting.Journal of Substance Abuse Treatment,76, 49-57.
  • Daza, P.; Novy, D. M.; Stanley, M. A. y Averill, P. (2002). The Depression AnxietyStress Scale-21: Spanish translation and validation with a Hispanic sample. Journal of Psychopathology and Behavioral Assessment. 24, 195-205.
  • Devi, N.J.; Singh, T.B. y Subramanya, P. (2014). Effect of yoga on depression and quality of life in drug abusers. Inter-national Journal of Ayurveda and Pharma Research, 2, 61-66.
  • Enright, P.L. (2003). The six-minute walk test. Respiratory Care, 48, (8), 783-785.
  • Giesen, E.S.; Deimel, H. y Bloch, W. (2015). Clinical Exercise Interventions in Alcohol Use Disorders: A Systematic Review. Journal of Substance AbuseTreatment, 52, 1-9.
  • Giesen, E.S.; Zimmer P. y Bloch, W. (2016).Effects of an exercise program on physical activity level and quality of life in patients with severe alcohol dependence. Alcohol Treatment Quarterly, 34, 63–78.
  • Giménez-Meseguer, J.; Tortosa-Martínez, J. y Fernández-Valenciano, R. (2015). Benefits of exercise for the quality of life of drug dependent people. Journal of psychoactive drugs, 47, (5), 409-416.
  • Hallgren, M.; Romberg, K.; Bakshi, A.S. y Andréasson, S. (2014). Yoga as an adjunct treatment for alcohol dependence: a pilot study. Complementary Therapies in Medicine, 22, 441–445.
  • Hallgren, M.; Vancampfort, D.; Lundin, A. yStubbs, B. (2017). Exercise as treatment for alcohol use disorders: Systematic review and meta-analysis. British Journal of Sports Medicine, 0, 1-8.
  • Hodgins, D.; El-Guebaly, N.; Armstrong, S. y Dufour, M. (1999). Implications of depression on outcome from alcohol dependence: a 3-year prospective follow-up. Alcoholism: Clinical and Experimental Research, 23, (1), 151–157.
  • Huang, H.; Yang, F.; Yang, S.S.; Xiao, D. S.;Nie, A.H.; et al.; (2000). Influence of aerobic training on recovery of heroin addicts. Chinese Journal of Physical Therapy, 23, 267- 270.
  • Laudet, A. (2007). What does recovery mean to you? Lessons from the recovery experience for research and practice. Journal of Substance Abuse Treatment 33, (3), 243–256.
  • Li, M.; Chen, K. y Mo, Z. (2002). Use of qigong therapy in the detoxification of heroin addicts. Alternative therapies, 8,(1), 50-58.
  • Mamen, A.; Pallesen, S. y Martinsen, G. (2011). Changes in mental distress following individualized physical training in patients suffering from chemical dependence. European Journal of Sport Science 11, 269–276
  • Muller, A. y Clausen, T. (2014). Group exercise to improve quality of life among substance use disorder patients. Scandinavian Journal of Public Health, 1, 1-7.
  • National Institute on Drug Abuse (2014). Drugs, brains and behaviour: The science of addiction. Bethesda, Maryland:National Institute on Drug Abuse.
  • Palmer, J, Vacc, N. y Epstein, J. (1988). Adult inpatient alcoholics: physical exercise as a treatment intervention. Journal of Studies on Alcohol, 49, (5), 418–421.
  • Palmer, J.; Palmer, L.; Michiels, K. y Thigpen,B. (1995). Effects of type of exercise on depression in recovering substance abusers. Perceptual and Motor Skills, 80, (2),523–530.
  • Rawson, R. A, Chudzynski, J, Gonzales, R.;Mooney, L, Dickerson, D, Ang, A. yCooper, C. (2015). The impact of exercise on depression and anxiety symptoms among abstinent methamphetamine-dependent individuals in a residential treatment setting. Journal of Substance Abuse Treatment, 57, 36-40.
  • Riki, R.E. y Jones, C.J. (1999). Development and validation of a functional fitness tes tfor community-residing older adults. Journal of Aging and Physical Activity. 7,(1), 129-161.
  • Rimmele, U.; Zellweger, B.; Marti, B. et al.;(2007). Trained men show lower cortisol, heart rate and psychological responses to psychosocial stress compared with untrained men. Psychoneuroendocrinology, 32, (6), 627–635.
  • Sareen, S.; Kumari, V.; Gajebasia, K.S. y Gajebasia, N.K. (2007). Yoga: A tool for improving the quality of life in chronic pancreatitis. World Journal of Gastroenterology, 13, (3). 391-397.
  • Smelson, D.; Chen, K.W.; Ziedonis, D.;Andes, K.; Lennox, A.; et al.; (2013).A Pilot Study of Qigong for Reducing Cocaine Craving Early in Recovery. The Journal of Alternative and Complementary Medicine, 19, 97–101.
  • Steptoe, A.; Kimbell, J. y Basford, P. (1998).Exercise and the experience and appraisal of daily stressors: a naturalistic study. Journal of Behavioral Medicine, 21,363–374.
  • Trivedi, M. H.; Greer, T. L.; Rethorst, C. D.;Carmody, T. et al. (2017). Randomized controlled trial comparing exercise to health education for stimulant use disorder: Results from the CTN-0037STimulant reduction intervention using dosed exercise (STRIDE) study. Journal of Clinical Psychiatry, 78 (8), 1075-1082.
  • Vedamurthachar, A.; Janakiramaiah, N. ;Hedge, J.; Shetty, T.; Subbakrishna, D.;Sureshbabu, S.; et al.; (2006). Antidepressant efficacy and hormonal effects of Sudarshana Kriya Yoga (SKY) in alcohol dependent. Journal of Affective Disorders, 94, (1–3), 249–253.
  • Wang, D.; Wang, Y.; Wang, Y.; Li, R y Zhou,C. (2014). Impact of physical exercise on substance use disorders: A meta-analysis. Plos One, 9, (10), 1-15.
  • Zhuang, S.M.; An, S.H. y Zhao, Y. (2013).Yoga Effects on Mood and Quality of Life in Chinese Women Undergoing Heroin Detoxification, a Randomized Controlled Trial. Nursing Research, 62 ,260–268.
Fuente de los datos: Dialnet