دانلود مقاله تاثیر ورزش و مهارت های تنظیمی بر سلامت روان در طول همه گیری COVID-19
چکیده
مقدمه
مطالب و روش ها
نتایج
بحث
نتیجه گیری
منابع
Abstract
Introduction
Materials and methods
Results
Discussion
Conclusions
References
چکیده
زمینه
سلول های مرتبط با کووید-19 تهدیدی برای سلامت روان هستند. ما میزان شیوع علائم افسردگی، اضطراب عمومی و بی خوابی را در بزرگسالان آلمانی بررسی کردیم. علاوه بر این، ما ارتباط رفتار ورزشی با علائم خاص اختلال را بررسی کردیم و ارزیابی کردیم که آیا مهارت‌های تنظیم تأثیر خاص تأثیر ورزش را بر کاهش علائم افزایش می‌دهد یا خیر.
مواد و روش ها
داده‌های مبتنی بر نظرسنجی مقطعی جمع‌آوری‌شده در طول اولین قرنطینه ارائه شده است: 4268 بزرگسال پرسش‌نامه‌هایی را در مورد سلامت روان، رفتار ورزش و عوامل سبک زندگی مرتبط با کووید تکمیل کردند. پیامد اولیه افسردگی (PHQ-9)، پیامدهای ثانویه اضطراب فراگیر (PHQ-D) و کیفیت خواب (PSQI) بود. تجزیه و تحلیل رگرسیون خطی چندگانه برای بررسی ارتباط رفتار ورزشی با نتایج انجام شد.
نتایج
تجزیه و تحلیل منجر به افزایش علائم پریشانی روانی (موارد احتمالی اختلال افسردگی: 31.2٪، اختلال اضطراب: 7.5٪، اختلال خواب: 43.0٪) شد. تغییر به سمت ورزش کمتر در طول قرنطینه به طور قابل توجهی با سطوح بالاتر افسردگی (t=5.269؛ β=0.077، p<.001)، اضطراب (t=3.397؛ β=0.055، p<.001) و بی خوابی (t) مرتبط بود. =3.466؛ β=0.058؛ p<.001). تنظیم تأثیر مرتبط با فعالیت بدنی (PA) تأثیر ورزش را بر سلامت روان افزایش داد.
نتیجه
نتایج حاکی از تقاضا برای اقداماتی است که حفظ ورزش را در طول یک بیماری همه گیر ترویج می کند و مقررات تأثیر مرتبط با PA را برای بهینه سازی اثرات ورزش بر سلامت روان بهبود می بخشد.
توجه! این متن ترجمه ماشینی بوده و توسط مترجمین ای ترجمه، ترجمه نشده است.
Abstract
Background
COVID-19-related confinements pose a threat to mental health. We investigated prevalence rates of symptoms of depression, generalized anxiety and insomnia in German adults. Furthermore, we explored associations of exercise behavior with disorder-specific symptoms and assessed whether specific affect regulation skills enhance the effect of exercise on symptom alleviation.
Methods
Cross-sectional survey-based data collected during the first lockdown is presented: 4268 adults completed questionnaires on mental health, exercise behavior and Covid-related lifestyle factors. Primary outcome was depression (PHQ-9), secondary outcomes generalized anxiety (PHQ-D) and sleep quality (PSQI). Multiple linear regression analyses were performed to examine the association of exercise behavior with the outcomes.
Results
Analyses resulted in elevated symptoms of psychological distress (probable cases of depressive disorder: 31.2%, anxiety disorder: 7.5%, sleeping disorder: 43.0%). A change towards less exercise during the lockdown was significantly associated with higher levels of depression (t=5.269; β=0.077, p<.001), anxiety (t=3.397; β=0.055, p<.001) and insomnia (t=3.466; β=0.058; p<.001). Physical activity (PA)-related affect regulation enhanced the effect of exercise on mental health.
Conclusion
Results suggest a demand for measures which promote the maintenance of exercise during a pandemic and improve PA-related affect regulation to optimize effects of exercise on mental health.
Introduction
In March 2020, the coronavirus disease 2019 (COVID-19) had reached all countries of the Western world (Bönisch et al., 2020). To prevent the spread of the virus, Germany followed the recommendations issued by the World Health Organization to enforce restrictions on public life and to promote self-isolation (WHO, 2020): On March 16th, 2020, all federal states declared a shutdown of non-essential businesses. As of March 22, 2020, public gatherings of more than two persons not living in the same household were banned resulting in a (partial) lockdown (22 March - 19 April, with relaxed restrictions extended until 26 April) (Gostin and Wiley, 2020; Robert Koch Institute, 2020).
While implementing restrictive measures are vital to contain the virus, they also heavily affect daily life and impact mental health (Brooks et al., 2020). A growing body of recent studies investigating the psychological impact of Covid-19 have reported an increase in depressive and anxiety symptoms, as well as an impaired sleep quality in the general population compared to pre-pandemic times (Vindegaard and Benros, 2020). These findings are concerning, as mental illnesses explain 4.9% of overall disability-adjusted life years (DALYS, Global Burden of Disease Collaborative Network, 2019). Apart from the fear of infection, this increase of mental distress may be attributed to financial hardship (Rajani et al., 2016; Richardson et al., 2017), job insecurity (Kim et al., 2019) and unemployment (Stauder, 2019; Theodossiou, 1998) due to the economic consequences of the pandemic. In addition, short-time work, working remotely and the ban of social gatherings might have led to isolation, loss of social support, daily structure, and positive reinforcement (Paul et al., 2009; Santini et al., 2020).
Conclusions
To the best of our knowledge, this is the first study reporting how COVID-19-related confinements affect mental health in Germany with a special focus on PA-related affect regulation as moderator of the relationship between exercise training and depression, anxiety and sleeping quality. Our study clearly shows that the pandemic had a high impact on mental health resulting in elevated levels of symptoms for depression, anxiety and insomnia. Prolonged periods of lockdowns and curfews with limited possibilities to exercise can pose a significant challenge to remain physically active. A stable amount of exercise and specifically exercise in combination with PA-related affect regulation might yet attenuate the negative mental health consequences.
Socio-demographics
Gender
Female
Age (years)
Relationship status
In a relationship
Single
Education
Master or above
Vocational training or bachelor
High school
Secondary school or below
Exercise behavior