Lifestyle management of unipolar depression.
Title
Lifestyle management of unipolar depression.
Publication type
Journal Article
Year of Publication
2013
Authors
Journal
Acta psychiatrica Scandinavica. Supplementum
Issue
443
Pagination
38 - 54
Date published
2013
ISBN
16005473 (ISSN)
Keywords
Alcohol Drinking, behavior control, Depressive Disorder, Major, drinking behavior, Exercise Therapy, feeding behavior, Food Habits, human, Humans, kinesiotherapy, Life Style, lifestyle, major depression, methodology, Motor Activity, psychological aspect, review, risk factor, Risk Factors, risk reduction, Risk Reduction Behavior, smoking
Abstract
To be used in conjunction with 'Pharmacological management of unipolar depression' [Malhi et al. Acta Psychiatr Scand 2013;127(Suppl. 443):6-23] and 'Psychological management of unipolar depression' [Lampe et al. Acta Psychiatr Scand 2013;127(Suppl. 443):24-37]. To provide clinically relevant recommendations for lifestyle modifications in depression, derived from a literature review. A search of pertinent literature was conducted up to August 2012 in the area of lifestyle factors and depression. A narrative review was then conducted. There is evidence that level of physical activity plays a role in the risk of depression, and there is a large and validated evidence base for exercise as a therapeutic modality. Smoking and alcohol and substance misuse appear to be independent risk factors for depression, while the new epidemiological evidence supports the contention that diet is a risk factor for depression; good quality diets appear protective and poor diets increase risk. Lifestyle modification, with a focus on exercise, diet, smoking and alcohol, may be of substantial value in reducing the burden of depression in individuals and the community.