the efficacy of exercise in reducing depressive symptoms among cancer survivors a meta-analysis运动在减少抑郁症状的疗效在癌症幸存者一个荟萃分析.pdf

The Efficacy of Exercise in Reducing Depressive Symptoms among Cancer Survivors: A Meta-Analysis 1,2 3 3 4 Justin C. Brown *, Tania B. Huedo-Medina , Linda S. Pescatello , Stacey M. Ryan , Shannon M. 5 3 3 6 3 Pescatello , Emily Moker , Jessica M. LaCroix , Rebecca A. Ferrer , Blair T. Johnson 1 Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America, 2 Institute for Translational Medicine and Therapeutics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America, 3 Center for Health, Intervention and Prevention, University of Connecticut, Storrs, Connecticut, United States of America, 4 Department of Physical Therapy, M.D. Anderson Cancer Center, Houston, Texas, United States of America, 5 Department of Psychology, Western New England College, Springfield, Massachusetts, United States of America, 6 Biobehavioral and Psychological Sciences, National Cancer Institute, Rockville, Maryland, United States of America Abstract Introduction: The purpose of this meta-analysis was to examine the efficacy of exercise to reduce depressive symptoms among cancer survivors. In addition, we examined the extent to which exercise dose and clinical characteristics of cancer survivors influence the relationship between exercise and reductions in depressive symptoms. Methods: We conducted a systematic search identifying randomized controlled trials of exercise interventions among adult cancer survivors, examining depressive symptoms as an outcome. We calculated effect sizes for each st