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新型冠状病毒肺炎疫情期间西班牙全国封锁期间老年人的心理健康和身体活动水平。

COVID-19, Psychological Well-being and Physical Activity Levels in Older Adults During the Nationwide Lockdown in Spain.

机构信息

University of Oviedo, Oviedo, Asturias, Spain.

University of Oviedo, Oviedo, Asturias, Spain.

出版信息

Am J Geriatr Psychiatry. 2020 Nov;28(11):1146-1155. doi: 10.1016/j.jagp.2020.08.007. Epub 2020 Aug 22.


DOI:10.1016/j.jagp.2020.08.007
PMID:32919872
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7443087/
Abstract

OBJECTIVE: The novel coronavirus disease (COVID-19) has forced nationwide lockdowns in many countries. As a result, most of the Spanish population had to self-isolate at home. The physical and psychological consequences of this unexpected scenario could be particularly worrisome for people older than 60 years. This study is aimed to examine the psychological well-being of older adults during the home isolation due to the COVID-19 pandemic and to investigate whether meeting the World Health Organization's global recommendations on physical activity (PA) for health is associated with their resilience, affect, and depressive symptoms. DESIGN, SETTING, AND PARTICIPANTS: In this cross-sectional study, a total of 483 citizens whose ages ranged from 60 to 92 years (overall sample: M = 65.49, SD = 5.14) were recruited via a snowball sampling strategy to answer to an online questionnaire. MEASUREMENTS: The four instruments used were The Connor-Davidson CD-RISC resilience scale, The Positive and Negative Affect Schedule, the six-item self-report scale of Depressive Symptoms, and The international Physical Activity Questionnaire. RESULTS: Results showed that older adults who regularly engaged in vigorous (VPA) and moderate-vigorous physical activity (MVPA) during the quarantine reported higher scores in resilience (Locus, Self-efficacy, and Optimism), positive affect, and lower in depressive symptoms. CONCLUSION: These finding are the first quantitative evidence pointing toward a link between engagement in VPA and/or MVPA and resilience, positive affect, and depressive symptoms within the COVID-19 restrictions in Spain. Acknowledging these associations may be important in developing health promotion programs for older people during the remaining period of confinement or future ones.

摘要

目的:新型冠状病毒病(COVID-19)迫使许多国家实施全国性封锁。因此,大多数西班牙人不得不在家中自我隔离。这种意外情况的身体和心理后果对于 60 岁以上的人来说可能特别令人担忧。本研究旨在检查 COVID-19 大流行期间老年人在家隔离期间的心理健康状况,并调查是否符合世界卫生组织关于健康的身体活动(PA)的全球建议与他们的适应力、情感和抑郁症状相关。

设计、设置和参与者:在这项横断面研究中,共招募了 483 名年龄在 60 至 92 岁之间的公民(总体样本:M=65.49,SD=5.14),他们通过雪球抽样策略回答在线问卷。

测量:使用的四个仪器是 Connor-Davidson CD-RISC 适应力量表、积极和消极情感量表、六项自我报告抑郁症状量表和国际身体活动问卷。

结果:结果表明,在隔离期间经常进行剧烈(VPA)和中度剧烈身体活动(MVPA)的老年人在适应力(定位、自我效能和乐观)、积极情感方面得分较高,而在抑郁症状方面得分较低。

结论:这些发现是定量证据首次表明,在西班牙 COVID-19 限制期间,参与剧烈和/或中度剧烈身体活动与适应力、积极情感和抑郁症状之间存在联系。在剩余的禁闭期或未来的禁闭期内,承认这些关联可能对为老年人制定健康促进计划很重要。

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COVID-19, Psychological Well-being and Physical Activity Levels in Older Adults During the Nationwide Lockdown in Spain.

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[10]
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本文引用的文献

[1]
The Mental Health Benefits of Physical Activity in Older Adults Survive the COVID-19 Pandemic.

Am J Geriatr Psychiatry. 2020-6-30

[2]
The impact of physical activity on psychological health during Covid-19 pandemic in Italy.

Heliyon. 2020-6-24

[3]
Mental Health Problems during the COVID-19 Pandemics and the Mitigation Effects of Exercise: A Longitudinal Study of College Students in China.

Int J Environ Res Public Health. 2020-5-25

[4]
A longitudinal study on the mental health of general population during the COVID-19 epidemic in China.

Brain Behav Immun. 2020-4-13

[5]
Hopelessness, helplessness and resilience: The importance of safeguarding our trainees' mental wellbeing during the COVID-19 pandemic.

Nurse Educ Pract. 2020-3-31

[6]
Psychological Impact of the COVID-19 Pandemic on Health Care Workers in Singapore.

Ann Intern Med. 2020-8-18

[7]
People with Suspected COVID-19 Symptoms Were More Likely Depressed and Had Lower Health-Related Quality of Life: The Potential Benefit of Health Literacy.

J Clin Med. 2020-3-31

[8]
Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study.

Brain Behav Immun. 2020-3-30

[9]
The psychological impact of the COVID-19 epidemic on college students in China.

Psychiatry Res. 2020-3-20

[10]
Physical exercise as therapy to fight against the mental and physical consequences of COVID-19 quarantine: Special focus in older people.

Prog Cardiovasc Dis. 2020

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