Key result
Cognitive behavior therapy combined with physical exercise significantly reduced depression (SMC -0.34), anxiety (SMC -0.18), and fatigue (SMC -0.96) compared to controls in adults with chronic diseases, but did not show greater efficacy than either intervention alone.
Why the study?
Does cognitive behavior therapy combined with physical exercise improve depression, anxiety, fatigue, and pain in adults with chronic illness compared to each condition alone?
Meta-Analysis
Does cognitive behavior therapy combined with physical exercise improve depression, anxiety, fatigue, and pain in adults with chronic illness compared to each condition alone?
Cognitive behavior therapy combined with exercise improves depression, anxiety, and fatigue in adults with chronic diseases, but does not provide an additive benefit over either intervention alone.
Combined CBT-exercise offers no additive benefit over either alone; confirms efficacy versus controls but challenges synergy assumptions in chronic disease.
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Bernard et al. (2018) conducted a meta-analysis in Chronic diseases. Cognitive behavior therapy combined with physical exercise (CBTEx) vs. Usual care, wait-list, active control, CBT alone, or physical exercise alone was evaluated on Depression (SMC -0.34, 95% CI -0.53; -0.14). Cognitive behavior therapy combined with physical exercise significantly reduced depression (SMC -0.34), anxiety (SMC -0.18), and fatigue (SMC -0.96) compared to controls in adults with chronic diseases, but did not show greater efficacy than either intervention alone.
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