Simjanoski Mario, de Azevedo Cardoso Taiane, Wollenhaupt-Aguiar Bianca, Pfaffenseller Bianca, De Boni Raquel B, Balanzá-Martínez Vicent, Frey Benicio N, Minuzzi Luciano, Kapczinski Flavio
Neuroscience Graduate Program, McMaster University, Hamilton, Canada.
Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Canada.
Am J Lifestyle Med. 2022 May 30;17(2):181-193. doi: 10.1177/15598276221102097. eCollection 2023 Mar-Apr.
The aim of our study was to investigate the association between lifestyle behaviors and symptoms of depression and anxiety during the COVID-19 pandemic in Canada. A web survey was conducted between July 3-August 3, 2020, across Canada. The main outcomes considered were a positive screening for depression, as evaluated by the PHQ-2 and positive screening for anxiety, as evaluated by the GAD-7. Lifestyle behaviors were assessed using the Short Multidimensional Lifestyle Inventory Evaluation-Confinement (SMILE-C), an instrument adapted for lifestyle behaviors during the COVID-19 pandemic. The total sample size included 404 participants, of which 24.3% had a positive screen for depression, 20.5% for anxiety, and 15.5% for both. We found significant differences in SMILE-C scores between individuals with a positive and individuals with a negative screen for depression ( < .001). Likewise, there were significant differences in SMILE-C scores between individuals with a positive and individuals with a negative screen for anxiety ( < .001). We found an association between unhealthy lifestyle behaviors and symptoms of depression and anxiety during the COVID-19 lockdown in Canada. The findings highlight the importance of lifestyle medicine (LM) education and targeted lifestyle interventions to promote healthy behaviors and help reduce the burden of mental disorders.
我们研究的目的是调查加拿大在新冠疫情期间生活方式行为与抑郁和焦虑症状之间的关联。2020年7月3日至8月3日在加拿大全国范围内开展了一项网络调查。主要研究结果包括通过PHQ - 2评估的抑郁筛查呈阳性，以及通过GAD - 7评估的焦虑筛查呈阳性。使用简短多维生活方式量表评估 - 隔离版（SMILE - C）来评估生活方式行为，该量表是为适应新冠疫情期间的生活方式行为而编制的。总样本量包括404名参与者，其中24.3%的抑郁筛查呈阳性，20.5%的焦虑筛查呈阳性，15.5%的抑郁和焦虑筛查均呈阳性。我们发现抑郁筛查呈阳性者与呈阴性者之间的SMILE - C得分存在显著差异（<0.001）。同样，焦虑筛查呈阳性者与呈阴性者之间的SMILE - C得分也存在显著差异（<0.001）。我们发现在加拿大新冠疫情封锁期间，不健康的生活方式行为与抑郁和焦虑症状之间存在关联。这些研究结果凸显了生活方式医学（LM）教育以及有针对性的生活方式干预对于促进健康行为和帮助减轻精神障碍负担的重要性。
