OBJECTIVE To evaluate the longitudinal associations between self-reported physical activity and anxiety and depression symptom severity in adults with long-term physical disabilities. METHOD A secondary analysis of data from a United States-based longitudinal survey study of community-dwelling adults with 1 of 4 potential long-term physical disabilities (multiple sclerosis, muscular dystrophy, spinal cord injury, postpoliomyelitis syndrome). The first time point (T1) for the current study was completed by 1,594 participants. The second survey (T2) was sent 1 year later, and the third (T3) was sent 3 years later; each were completed by 1,380 and 1,218 participants, respectively. At each time point, participants completed a measure of physical activity (Godin Leisure Time Exercise Questionnaire) and Patient-Reported Outcomes Measurement System short forms evaluating depression and anxiety severity. RESULTS Mixed growth curve models showed greater quantities of physical activity were associated with decreases in both depression (χ2(2) = 84.01, p < .001) and anxiety (χ2(2) = 21.66, p < .001) symptom severity over the 4-year period. However, while greater quantities of moderate (anxiety z = -2.24, p < .05; depression z = -5.48, p < .001) and strenuous (anxiety z = -2.59, p < .05; depression z = -3.90, p < .001) physical activity were significantly associated with decreases in negative affect, mild physical activity was not. CONCLUSION The current study provides evidence that physical activity is longitudinally associated with anxious and depressive symptoms in adults with long-term physical disabilities. Future research should examine the quantities and intensities of physical activity necessary to impart psychological benefits. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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患有长期身体残疾的成年人的体育活动，焦虑和抑郁之间的纵向联系。

目的评估长期身体残疾的成年人自我报告的体育活动与焦虑和抑郁症状严重程度之间的纵向关系。方法对来自美国的一项纵向调查研究的数据进行二次分析，该研究对社区居民的潜在长期肢体残疾（多发性硬化症，肌营养不良症，脊髓损伤，脊髓灰质炎后综合症）进行了研究，该成年人具有4种潜在长期身体残疾中的1种。1,594名参与者完成了本研究的第一个时间点（T1）。第二次调查（T2）在1年后发送，第三次调查（T3）在3年后发送；分别由1,380名和1,218名参与者完成。在每个时间点 参与者完成了一项体育活动量度（Godin休闲时间运动问卷）和病人报告的结果测量系统，用于评估抑郁和焦虑严重程度。结果混合增长曲线模型显示，在整个运动过程中，抑郁症（χ2（2）= 84.01，p <.001）和焦虑症（χ2（2）= 21.66，p <.001）症状严重程度的降低与体力活动的增加有关。 4年期限。然而，虽然大量的中度（焦虑症z = -2.24，p <.05；抑郁症z = -5.48，p <.001）和剧烈运动（焦虑症z = -2.59，p <.05；抑郁症z = -3.90， p <.001）体育活动与负面影响的减少显着相关，而轻度体育活动则没有。结论当前的研究提供了证据，证明体育锻炼与患有长期身体残疾的成年人的焦虑和抑郁症状纵向相关。未来的研究应检查赋予心理益处所必需的身体活动的数量和强度。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。