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与 COVID-19 大流行期间心理困扰和身体活动相关的因素。

Factors Associated with Psychological Distress and Physical Activity During the COVID-19 Pandemic.

机构信息

Anis Sfendla, PhD, is a Professor, Higher Institute of Nursing Professions and Health Techniques, Errachidia, and a Member, Abdelmalek Essaâdi University, Tetouan; and Fatine Hadrya, PhD, is a Professor, Unit of Epidemiology and Biomedical Sciences, High Institute of Health Sciences, Hassan 1st University, Settat, and a Member, Laboratory of Genetics and Biometry, Faculty of Sciences, Ibn Tofail University, Kenitra; all in Morocco.

出版信息

Health Secur. 2020 Dec;18(6):444-453. doi: 10.1089/hs.2020.0062. Epub 2020 Sep 18.

Abstract

In Morocco, as in many countries, COVID-19 spread nationwide causing a public health emergency. Strict quarantine measures implemented as a result of the pandemic have disrupted many aspects of people's lives, triggering psychological distress. A total of 256 participants were recruited through a convenience sample. Data were collected through snowball sampling, an assessment of distress symptoms using the Brief Symptoms Inventory, and an assessment of leisure-time physical activity using the Godin-Shephard Leisure-Time Physical Activity Questionnaire. Bivariate and multivariate analyses were performed. Significant changes in paranoid ideation ( = -2.45,  = .01) and interpersonal sensitivity ( = -2.01,  = .04) dimensions were noted between those who were and those who were not authorized to leave their homes during quarantine. Similarly, for physical activity, significant changes in depression ( = -2.15,  = .03), anxiety ( = -2.13,  = .03), interpersonal sensitivity ( = -1.95,  = .05), and somatization ( = -2.11,  = .03) were reported among the insufficiently active group compared with the more physically active group. From multiple regression analysis, variables correlated with general distress were type of quarantine, gender, age, education level, chronic disease, and smoking ( = .80). With some variables, leisure-time physical activity domains appeared to be associated only with interpersonal sensitivity and somatization. Having to leave one's home during the outbreak was linked to distress, especially symptoms like suspiciousness, hostility, fearful thoughts of losing autonomy, and feelings of inadequacy, uneasiness, and discomfort during interpersonal interactions. Individuals who were moderately or sufficiently active physically reported less psychological distress.

摘要

在摩洛哥,与许多国家一样,COVID-19 疫情在全国范围内蔓延,引发了公共卫生紧急事件。由于疫情实施的严格隔离措施扰乱了人们生活的许多方面,引发了心理困扰。通过便利抽样共招募了 256 名参与者。通过滚雪球抽样收集数据,使用 Brief Symptom Inventory 评估困扰症状,使用 Godin-Shephard 休闲时间体力活动问卷评估休闲时间体力活动。进行了双变量和多变量分析。在隔离期间被授权和未被授权离开家的人之间,偏执观念( = -2.45,  = .01)和人际敏感( = -2.01,  = .04)维度发生了显著变化。同样,对于体力活动,在不活跃组与更活跃组之间,抑郁( = -2.15,  = .03)、焦虑( = -2.13,  = .03)、人际敏感( = -1.95,  = .05)和躯体化( = -2.11,  = .03)方面也有显著变化。多元回归分析表明,与一般困扰相关的变量是隔离类型、性别、年龄、教育水平、慢性疾病和吸烟( = .80)。对于一些变量,休闲时间体力活动领域似乎仅与人际敏感和躯体化有关。在疫情期间必须离开家与困扰有关,尤其是可疑、敌对、失去自主性的恐惧想法、以及在人际互动中感到不足、不安和不适等症状。身体上适度或充分活跃的人报告的心理困扰较少。

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