Abstract：
OBJECTIVE: This study analysed the longitudinal associations of physical fitness and affect with depression, anxiety and life satisfaction at 2- and 5-year follow-up.
METHODS: In 312 adult women with fibromyalgia, physical fitness was measured by performance-based tests and affect, depression, anxiety and life satisfaction were self-reported using the Positive and Negative Affect Schedule (PANAS), Beck Depression Inventory-second edition (BDI-II), State Trait Anxiety Inventory-I (STAI) and Satisfaction with Life Scale (SWLS), respectively. We conducted sequential linear regression analyses adjusted for baseline levels of depression, anxiety, life satisfaction, age, body fat percentage and education.
RESULTS: At the 2-year follow-up, all the associations under study were significant. At the 5-year follow-up, a number of associations remained significant. First, lowering negative affect was independently associated with lower depression, anxiety and higher life satisfaction (β\'s from 0.14 to 0.31). Second, favourable changes in positive affect were independently associated with lower anxiety (β = 0.21) and higher life satisfaction (β = 0.28). Third, enhancing physical fitness was related to higher life satisfaction (β = 0.16).
CONCLUSIONS: Reductions in negative affect were associated with more favourable depression, anxiety and life satisfaction at the 2- and 5-year follow-up. Improvements in positive affect were associated with more favourable anxiety and life satisfaction and enhancements in physical fitness were associated with higher life satisfaction. If corroborated in clinical-experimental research, these findings may guide the development of interventions that are tailored to the levels of physical fitness, affect and the outcome of interest (i.e. depression, anxiety or life satisfaction) in women with fibromyalgia.
METHODS: In 312 adult women with fibromyalgia, physical fitness was measured by performance-based tests and affect, depression, anxiety and life satisfaction were self-reported using the Positive and Negative Affect Schedule (PANAS), Beck Depression Inventory-second edition (BDI-II), State Trait Anxiety Inventory-I (STAI) and Satisfaction with Life Scale (SWLS), respectively. We conducted sequential linear regression analyses adjusted for baseline levels of depression, anxiety, life satisfaction, age, body fat percentage and education.
RESULTS: At the 2-year follow-up, all the associations under study were significant. At the 5-year follow-up, a number of associations remained significant. First, lowering negative affect was independently associated with lower depression, anxiety and higher life satisfaction (β\'s from 0.14 to 0.31). Second, favourable changes in positive affect were independently associated with lower anxiety (β = 0.21) and higher life satisfaction (β = 0.28). Third, enhancing physical fitness was related to higher life satisfaction (β = 0.16).
CONCLUSIONS: Reductions in negative affect were associated with more favourable depression, anxiety and life satisfaction at the 2- and 5-year follow-up. Improvements in positive affect were associated with more favourable anxiety and life satisfaction and enhancements in physical fitness were associated with higher life satisfaction. If corroborated in clinical-experimental research, these findings may guide the development of interventions that are tailored to the levels of physical fitness, affect and the outcome of interest (i.e. depression, anxiety or life satisfaction) in women with fibromyalgia.
摘要：
目的：本研究分析了体质与抑郁的纵向关联，2年和5年随访时的焦虑和生活满意度。
方法：在312名患有纤维肌痛的成年女性中，体能是通过基于表现的测试和影响来衡量的，抑郁症,焦虑和生活满意度使用积极和消极影响时间表(PANAS)进行自我报告，贝克抑郁量表-第二版(BDI-II)，状态特质焦虑量表-I(STAI)和生活满意度量表(SWLS)，分别。我们进行了校正基线抑郁水平的序贯线性回归分析，焦虑,生活满意度,年龄,身体脂肪百分比和教育。
结果：在2年的随访中，研究中的所有关联均显著.在5年的随访中，一些协会仍然很重要。首先,降低负面情绪与降低抑郁独立相关，焦虑和更高的生活满意度(β从0.14到0.31)。第二,积极情感的有利变化与较低的焦虑(β=0.21)和较高的生活满意度(β=0.28)独立相关.第三，增强身体素质与较高的生活满意度有关（β=0.16）。
结论：负面影响的减少与更有利的抑郁症有关，2年和5年随访时的焦虑和生活满意度。积极情感的改善与更有利的焦虑和生活满意度相关，而身体健康的增强与更高的生活满意度相关。如果在临床实验研究中得到证实，这些发现可能会指导制定适合身体健康水平的干预措施，影响和兴趣的结果(即抑郁，焦虑或生活满意度）患有纤维肌痛的女性。
方法：在312名患有纤维肌痛的成年女性中，体能是通过基于表现的测试和影响来衡量的，抑郁症,焦虑和生活满意度使用积极和消极影响时间表(PANAS)进行自我报告，贝克抑郁量表-第二版(BDI-II)，状态特质焦虑量表-I(STAI)和生活满意度量表(SWLS)，分别。我们进行了校正基线抑郁水平的序贯线性回归分析，焦虑,生活满意度,年龄,身体脂肪百分比和教育。
结果：在2年的随访中，研究中的所有关联均显著.在5年的随访中，一些协会仍然很重要。首先,降低负面情绪与降低抑郁独立相关，焦虑和更高的生活满意度(β从0.14到0.31)。第二,积极情感的有利变化与较低的焦虑(β=0.21)和较高的生活满意度(β=0.28)独立相关.第三，增强身体素质与较高的生活满意度有关（β=0.16）。
结论：负面影响的减少与更有利的抑郁症有关，2年和5年随访时的焦虑和生活满意度。积极情感的改善与更有利的焦虑和生活满意度相关，而身体健康的增强与更高的生活满意度相关。如果在临床实验研究中得到证实，这些发现可能会指导制定适合身体健康水平的干预措施，影响和兴趣的结果(即抑郁，焦虑或生活满意度）患有纤维肌痛的女性。
