Rowland Georgia, Hindman Emily, Hassmén Peter, Radford Kylie, Draper Brian, Cumming Robert, Daylight Gail, Garvey Gail, Delbaere Kim, Broe Tony
Southern Cross University, School of Health and Human Sciences, Australia.
Abcare, Australia.
Int Psychogeriatr. 2023 May;35(5):259-269. doi: 10.1017/S1041610221000132. Epub 2021 Mar 15.
Indigenous Australians experience higher levels of psychological distress compared to the general population. Physical activity is a culturally acceptable approach, associated with reduction of depressive symptoms. The protective properties of physical activity for depressive symptoms are yet to be evaluated in older Indigenous Australians.
A two-phase study design comprised of a qualitative thematic analysis following a quantitative regression and moderation analysis.
Firstly, a total of 336 Indigenous Australians aged 60 years and over from five NSW areas participated in assessments on mental health, physical activity participation, and childhood trauma. Secondly, a focus group of seven Indigenous Australians was conducted to evaluate barriers and facilitators to physical activity.
Regression and moderation analyses examined links between depression, childhood trauma, and physical activity. Thematic analysis was conducted exploring facilitators and barriers to physical activity following the focus group.
Childhood trauma severity and intensity of physical activity predicted depressive symptoms. Physical activity did not affect the strength of the relationship between childhood trauma and depression. Family support and low impact activities facilitated commitment to physical activity. In contrast, poor mental health, trauma, and illness acted as barriers.
Physical activity is an appropriate approach for reducing depressive symptoms and integral in maintaining health and quality of life. While situational factors, health problems and trauma impact physical activity, accessing low-impact group activities with social support was identified to help navigate these barriers.
与普通人群相比，澳大利亚原住民经历着更高水平的心理困扰。体育活动是一种在文化上可接受的方法，与抑郁症状的减轻相关。体育活动对澳大利亚老年原住民抑郁症状的保护作用尚未得到评估。
一项两阶段研究设计，包括在定量回归和调节分析之后进行的定性主题分析。
首先，来自新南威尔士州五个地区的336名60岁及以上的澳大利亚原住民参与了心理健康、体育活动参与和童年创伤的评估。其次，对七名澳大利亚原住民进行了焦点小组访谈，以评估体育活动的障碍和促进因素。
回归和调节分析检验了抑郁、童年创伤和体育活动之间的联系。在焦点小组访谈之后进行了主题分析，探索体育活动的促进因素和障碍。
童年创伤的严重程度和体育活动强度可预测抑郁症状。体育活动并未影响童年创伤与抑郁之间关系的强度。家庭支持和低强度活动促进了对体育活动的坚持。相比之下，心理健康不佳、创伤和疾病成为了障碍。
体育活动是减轻抑郁症状的合适方法，也是维持健康和生活质量不可或缺的一部分。虽然情境因素、健康问题和创伤会影响体育活动，但通过社会支持参与低强度团体活动有助于克服这些障碍。
