title: Autonomous motivation is associated with the maintenance stage of behaviour change in people with affective disorders.
abstract: The present study examined whether in people with affective disorders motives for adopting and maintaining physical activity recommendations (as formulated by the self-determination theory) differed across the stages of behaviour change (identified by the transtheoretical model). A total of 165 (105♀) persons (45.6±14.2years) with affective disorders [major depressive disorder (n=96) or bipolar disorder (n=69)] completed the Behavioural Regulation in Exercise Questionnaire-2 and the Patient-centred Assessment and Counselling for Exercise questionnaire. Discriminant and multivariate analyses demonstrated that persons with affective disorders at the early stages of change have less autonomous and more controlled physical activity motives than those at the later stages. Our results suggest that autonomous motivation may have an important role to play in the maintenance of health recommendations in persons with affective disorders. Longitudinal and intervention studies should be designed in people with affective disorders to identify the causal pathways between motives for maintaining health recommendations, effective changes in health behaviour and physical and mental health outcomes.
authors.affiliation: KU Leuven - University of Leuven Department of Rehabilitation Sciences, Leuven, Belgium; UPC KU Leuven, Campus Kortenberg, Kortenberg, Belgium. Electronic address: davy.vancampfort@uc.kortenberg.be.
authors.forename: Davy
authors.initials: D
authors.lastname: Vancampfort
authors.affiliation: Psychiatrisch Ziekenhuis Duffel, Capri UA, Duffel, Belgium.
authors.forename: Herman
authors.initials: H
authors.lastname: Moens
authors.affiliation: Psychotherapeutisch Centrum Rustenburg, Brugge, Belgium.
authors.forename: Tomas
authors.initials: T
authors.lastname: Madou
authors.affiliation: Psychiatrisch Centrum Bethanië, Zoersel, Belgium.
authors.forename: Tanja
authors.initials: T
authors.lastname: De Backer
authors.affiliation: Psychiatrisch Ziekenhuis Sint-Alexius, Grimbergen, Belgium.
authors.forename: Veerle
authors.initials: V
authors.lastname: Vallons
authors.affiliation: Psychiatrisch Ziekenhuis Asster, Sint-Truiden, Belgium.
authors.forename: Peter
authors.initials: P
authors.lastname: Bruyninx
authors.affiliation: Psychiatrisch centrum Gent-Sleidinge, Belgium.
authors.forename: Sarah
authors.initials: S
authors.lastname: Vanheuverzwijn
authors.affiliation: Openbaar Psychiatrisch Ziekenhuis Geel, Geel, Belgium.
authors.forename: Cindy Teixeira
authors.initials: CT
authors.lastname: Mota
authors.affiliation: Department of Physiotherapy, University of Birmingham, School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
authors.forename: Andy
authors.initials: A
authors.lastname: Soundy
authors.affiliation: KU Leuven - University of Leuven Department of Rehabilitation Sciences, Leuven, Belgium; UPC KU Leuven, Campus Kortenberg, Kortenberg, Belgium.
authors.forename: Michel
authors.initials: M
authors.lastname: Probst
mesh_terms: D000328:Adult; D001714:Bipolar Disorder / Q000523:psychology*; D003865:Major Depressive Disorder / Q000523:psychology*; D015444:Exercise / Q000523:psychology*; D005260:Female; D015438:Health Behavior; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000523:psychology*; D009042:Motivation; D026684:Personal Autonomy; D011795:Surveys and Questionnaires
keywords: Bipolar disorder; Depression; Exercise; Physical activity