ArticleBehaviour research and therapy2023
An examination of bidirectional associations between physical activity and mood symptoms among individuals diagnosed and at risk for bipolar spectrum disorders.
Article in Behaviour research and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The effects of exercise on obsessive-compulsive disorder and bipolar disorder: a systematic review and meta-analysis.BMC psychiatry · 2026Pooled it
- Physical activity and mental health: a systematic review and best-evidence synthesis of mediation and moderation studies.The international journal of behavioral nutrition and physical activity · 2024Pooled it
- Social and circadian rhythm dysregulation and suicide: A systematic review and meta-analysis.Neuroscience and biobehavioral reviews · 2024Pooled it
- The dynamic influence of exercise on emotional state among people with a history of mood disorder.Psychiatry research · 2026Article
- Test of the reward/circadian rhythm dysregulation model of risk for bipolar spectrum disorders at a micro time scale using multilevel moderated mediation.Journal of psychopathology and clinical science · 2026Article
- Reward Sensitivity's Associations with Morningness-Eveningness and Other Circadian-Coupled Behavioral Phenomena: A Systematic Review and Meta-Analysis of Cross-Sectional and Prospective Relationships.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2026Article
- Sleep, Physical Activity, and Mood Among People Seeking Mental Health Care.JAMA network open · 2026Article
- Motivational regulations for exercise in Brazilian outpatients with bipolar disorder: An analysis based on the self-regulation theory.PloS one · 2026Article
- Circadian rhythm parameters differentiate euthymic, manic and depressive mood states in bipolar disorders - an explorative pilot study.International journal of bipolar disorders · 2025Article
- Understanding the moderating role of gender in physical activity enjoyment and mental well-being: evidence from university students' campus recreation participation.Frontiers in public health · 2025Article
- Gratitude and sleep disturbance in primary care patients: the mediating roles of health self-efficacy, health behaviors, and psychological distress.Frontiers in sleep · 2025Article
- Familial risk for depression is associated with reduced physical activity in young adults: evidence from a wrist-worn actigraphy study.Translational psychiatry · 2024Article
- Manic Residual Symptoms Also Deserve Attention: A Symptom Network Analysis of Residual Symptoms in Bipolar Disorder.Neuropsychiatric disease and treatment · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesActivation, a construct including energy and activity, is a central feature of Bipolar Spectrum Disorders (BSDs). Prior research found motor activity is associated with affect, and this relationship may be stronger for individuals with BSDs. The aims of this study were to investigate bidirectional relationships between physical activity and mood and evaluate whether bipolar risk status moderated potential associations.
methodsYoung adults at low-risk, high-risk, and diagnosed with BSD participated in a 20-day EMA study in which they wore an actiwatch to measure physical activity and sleep/wake cycles. They also reported depressive and hypo/manic symptoms three times daily. Multilevel linear models were estimated to examine how bipolar risk group moderated bidirectional relationships between physical activity and mood symptoms at within-day and between-day timescales.
resultsPhysical activity was significantly associated with subsequent mood symptoms at the within-day level. The relationship between physical activity and depressive symptoms was moderated by BSD risk group. An increase in physical activity resulted in a greater reduction of depressive symptoms for the BSD group compared to the low-risk and high-risk groups.
conclusionsInterventions targeting activity like behavioral activation may improve residual inter-episode mood symptoms.
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