Jarbin et al.’s (2021) study highlight the potential benefits of a group exercise program for young patients with persistent major depression. When evaluating the exercise program’s impact on depressive symptoms in the long-term, there was a statistically significant (p < .001) reduction in scores of both the Quick Inventory of Depressive Symptomatology (QIDS-A) clinician-administered and self-reported versions. Further, when comparing baseline to one-year follow-up, the metric used to measure wellbeing found a statistically significant (p = .011) improvement in participants’ wellbeing. However, the authors share an important consideration involving the challenges associated with transitioning from group-based exercise programs to independently directed exercise. This challenge can limit participation in exercise, thus hindering the benefits of exercise. One of the potential reasons for this observed challenge could be due to environmental barriers associated with exercise, including the distance to gyms and gym costs (Glowacki et al., 2017; Monteiro et al., 2020). These environmental barriers can make it quite challenging for young people with persistent depression to exercise independently.

中文翻译：

---

了解和减轻重度抑郁症患者在过渡到独立运动时面临的环境障碍

Jarbin 等人 (2021) 的研究强调了团体锻炼计划对患有持续性重度抑郁症的年轻患者的潜在益处。在评估锻炼计划对抑郁症状的长期影响时，临床医生管理的抑郁症状快速清单 (QIDS-A) 和自我报告版本的得分均显着降低 ( p < .001) . 此外，在将基线与一年的随访进行比较时，用于衡量幸福感的指标发现具有统计学意义（p= .011) 改善参与者的幸福感。然而，作者分享了一个重要的考虑因素，涉及与从基于小组的锻炼计划过渡到独立指导的锻炼相关的挑战。这一挑战会限制锻炼的参与，从而阻碍锻炼的好处。观察到这一挑战的潜在原因之一可能是与运动相关的环境障碍，包括到健身房的距离和健身房的成本（Glowacki 等人，2017 年；Monteiro 等人，2020 年）。这些环境障碍会使患有持续抑郁症的年轻人独立锻炼变得相当具有挑战性。