Alsulaiman Sultana H, Abu-Saris Raghib
Health Sciences Research Center (HSRC), Princess Noura Bint Abdulrahman University, Riyadh, SAU.
Epidemiology and Biostatistics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.
Cureus. 2021 Nov 9;13(11):e19413. doi: 10.7759/cureus.19413. eCollection 2021 Nov.
Introduction Psychological disorders are one of the leading causes of disability globally. Evidence suggests the positive role of physical activity on physical and mental health in various countries. However, a limited number of studies have been done in Saudi Arabia to investigate the association between physical activity and psychological health, especially among women. Objectives The objective of the study was to identify the prevalence of depression, stress, anxiety, and physical activity as well as examine the association between depression, anxiety, stress, and social support in relation to physical activity among Saudi women at Princess Nourah Bint Abdulrahman University (PNU). Methods A total of 712 Saudi students and staff from PNU, with a mean (SD) age of 20.59(5.30), voluntarily completed an electronic-based questionnaire, which included three validated scales in the Arabic language: The Depression, Anxiety and Stress Scale - 21 Items (DASS-21), Global Physical Activity Questionnaire (GPAQ), and Medical Outcomes Study (MOS) social support. Results The results of this cross-sectional study showed that the prevalence of depression, anxiety, and stress were 24%, 31%, and 22.1%, respectively. Levels of physical activity were not associated with psychological disorders while sedentary time was strongly correlated with depression, anxiety, and stress (p<0.001). Emotional support, affectionate support, and positive social interaction were negatively correlated with depression (p<0.05). Conclusion The findings indicate that stress, depression, and anxiety were relatively common among Saudi females, especially among young ages, and that social support was a significant protective factor of depression. Community-based psychological health prevention programs and social support groups are needed to address these issues. The second major finding was that 51% of the participants were insufficiently active and 61% were having a sedentary lifestyle. Depression, anxiety, and stress scores are strongly correlated with sedentary time, which highlights the need for establishing a national policy that encourages active living and discourages sedentary behavior.
引言
心理障碍是全球残疾的主要原因之一。有证据表明,体育活动在各国对身心健康具有积极作用。然而,沙特阿拉伯开展的旨在调查体育活动与心理健康之间关联的研究数量有限,尤其是针对女性的研究。
目的
本研究的目的是确定沙特努拉·本·阿卜杜勒拉赫曼公主大学(PNU)的沙特女性中抑郁症、压力、焦虑症的患病率以及体育活动情况,并研究抑郁症、焦虑症、压力与社会支持之间关于体育活动的关联。
方法
共有712名来自PNU的沙特学生和教职员工自愿填写了一份电子问卷,他们的平均(标准差)年龄为20.59(5.30)岁。问卷包含三个经过验证的阿拉伯语量表:21项抑郁、焦虑和压力量表(DASS - 21)、全球体育活动问卷(GPAQ)以及医学结局研究(MOS)社会支持量表。
结果
这项横断面研究的结果显示,抑郁症、焦虑症和压力症的患病率分别为24%、31%和22.1%。体育活动水平与心理障碍无关,而久坐时间与抑郁症、焦虑症和压力症密切相关(p<0.001)。情感支持、关爱支持和积极的社会互动与抑郁症呈负相关(p<0.05)。
结论
研究结果表明,压力、抑郁和焦虑在沙特女性中较为普遍特别是在年轻女性中,并且社会支持是抑郁症的一个重要保护因素。需要开展基于社区的心理健康预防项目和社会支持团体来解决这些问题。第二个主要发现是,51%的参与者体育活动不足,61%的人有久坐的生活方式。抑郁、焦虑和压力得分与久坐时间密切相关,这凸显了制定一项鼓励积极生活方式、不鼓励久坐行为的国家政策的必要性。