挪威2019年冠状病毒病封锁期间身体活动的变化:心理韧性对心理健康的缓冲作用。

Change in Physical Activity During the Coronavirus Disease 2019 Lockdown in Norway: The Buffering Effect of Resilience on Mental Health.

作者信息

Anyan Frederick, Hjemdal Odin, Ernstsen Linda, Havnen Audun

机构信息

Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.

Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.

出版信息

Front Psychol. 2020 Dec 15;11:598481. doi: 10.3389/fpsyg.2020.598481. eCollection 2020.

Abstract

Imposition of lockdown restrictions during the coronavirus disease 2019 (COVID-19) pandemic was sudden and unprecedented and dramatically changed the life of many people, as they were confined to their homes with reduced movement and access to fitness training facilities. Studies have reported significant associations between physical inactivity, sedentary behavior, and common mental health problems. This study investigated relations between participants' reports of change in physical activity (PA; i.e., Reduced PA, Unchanged PA, or Increased PA) and levels of anxiety and depression symptoms during the COVID-19 pandemic lockdown in Norway in the time period from March 12, 2020 to June 15, 2020. The relations between age and gender and levels of anxiety and depression symptoms as well as how different levels of resilience influenced the relation between changes in PA and levels of anxiety and depression symptoms were also investigated. A cross-sectional survey design was used. Participants ( = 1,314; females = 31%) were members of an endurance sports organization aged between 18 and 81 years ( = 49 years; = 11.50 years). Participants completed the Resilience Scale for Adults and the Hospital Anxiety and Depression Scale and reported their changes in PA after lockdown restrictions were implemented on March 12, 2020. Regression analysis, independent samples -test, and two-way multivariate analysis of variance were conducted. Reduced PA was associated with a higher risk of anxiety and depression symptoms. Younger participants in Reduced PA and Unchanged PA subgroups scored significantly higher on levels of anxiety symptoms and significantly higher on depression symptoms in Unchanged PA subgroup. Females in Unchanged PA and Increased PA subgroups scored significantly higher on levels of anxiety symptoms, whereas no gender differences were found for depression symptoms. The main and interaction effects of change in PA and resilience were significantly associated with depression symptoms. For anxiety symptoms, only the main effect of resilience, but not PA, and the interaction effect were significant. Results further showed that resilience was an important factor that influenced the levels of change in PA. High levels of resilience were associated with lower anxiety and depression symptoms in Reduced, Unchanged, and Increased PA subgroups during the COVID-19 lockdown. Promoting PA while boosting resilience factors such as confidence in own ability and drawing on the social support of even reduced social networks or connections while under lockdown can protect against common mental health problems.

摘要

2019年冠状病毒病(COVID-19)大流行期间实施的封锁限制是突然且前所未有的,极大地改变了许多人的生活,因为他们被限制在家中,活动减少,且无法使用健身训练设施。研究报告了身体活动不足、久坐行为与常见心理健康问题之间存在显著关联。本研究调查了2020年3月12日至2020年6月15日挪威COVID-19大流行封锁期间,参与者报告的身体活动变化(即身体活动减少、不变或增加)与焦虑和抑郁症状水平之间的关系。还调查了年龄和性别与焦虑和抑郁症状水平之间的关系,以及不同水平的心理韧性如何影响身体活动变化与焦虑和抑郁症状水平之间的关系。采用了横断面调查设计。参与者(n = 1314;女性 = 31%)是一个耐力运动组织的成员,年龄在18至81岁之间(平均年龄 = 49岁;标准差 = 11.50岁)。参与者完成了成人心理韧性量表和医院焦虑抑郁量表,并报告了2020年3月12日实施封锁限制后他们的身体活动变化。进行了回归分析、独立样本t检验和双向多变量方差分析。身体活动减少与焦虑和抑郁症状风险较高相关。身体活动减少和不变亚组中的年轻参与者焦虑症状水平显著更高,身体活动不变亚组中的年轻参与者抑郁症状水平显著更高。身体活动不变和增加亚组中的女性焦虑症状水平显著更高,而抑郁症状未发现性别差异。身体活动变化和心理韧性的主效应及交互效应与抑郁症状显著相关。对于焦虑症状,只有心理韧性的主效应显著,身体活动的主效应不显著,交互效应显著。结果进一步表明,心理韧性是影响身体活动变化水平的一个重要因素。在COVID-19封锁期间,高水平的心理韧性与身体活动减少、不变和增加亚组中较低的焦虑和抑郁症状相关。在封锁期间,在促进身体活动的同时增强心理韧性因素,如对自身能力的信心,并利用即使减少的社交网络或联系中的社会支持,可以预防常见的心理健康问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94f3/7770128/994d190fdac9/fpsyg-11-598481-g001.jpg

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