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受冲突相关创伤影响的平民的心理健康、心理韧性与身体活动:一项横断面研究。

Mental Health, Resilience, and Physical Activity in Civilians Affected by Conflict-Related Trauma: A Cross-Sectional Study.

作者信息

Joseph Gili

机构信息

Science Faculty, Kibbutzim College of Education, 149 Derech Namir, Tel-Aviv 62507, Israel.

出版信息

Healthcare (Basel). 2025 Jul 23;13(15):1781. doi: 10.3390/healthcare13151781.


DOI:10.3390/healthcare13151781
PMID:40805817
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12345707/
Abstract

: Mass casualty events in conflict-affected regions can lead to the displacement of civilians and are often accompanied by substantial psychological and emotional impact on those affected. While physical activity is known to support mental health, the ways in which it relates to anxiety, resilience, and well-being in conflict-affected populations are still being explored. Objective: This study examined the associations among physical activity, anxiety, resilience, and well-being in evacuees from a conflict-affected zone. We hypothesized that higher levels of intense physical activity would be associated with higher levels of resilience and well-being and lower levels of anxiety. : In this cross-sectional study, 107 evacuees completed an online survey in December 2023. The questionnaire assessed the frequency and intensity of physical activity, generalized anxiety, resilience, and well-being. Participants were categorized by weekly total physical activity levels. Data was analyzed using ANOVA, Pearson correlations, and multiple linear regression. : Evacuees engaging in more than three hours of vigorous-intensity physical activity exhibited significantly higher resilience and better well-being compared to those with lower activity levels. Although not statistically significant, the data suggested a possible pattern of lower anxiety among evacuees engaging in higher levels of physical activity. Regression analysis identified higher resilience and lower anxiety as significant predictors of greater mental well-being. Additionally, residing in a community exposed to a higher number of traumatic events was associated with reduced well-being. The overall model explained a substantial portion of the variance in mental well-being. : Physical activity, especially intense exercise, is associated with improved mental health and resilience among evacuees, supporting its inclusion in interventions for trauma-affected populations.

摘要

受冲突影响地区的大规模伤亡事件可能导致平民流离失所,并且常常给受影响者带来巨大的心理和情感冲击。虽然体育活动已知有助于心理健康,但体育活动与受冲突影响人群的焦虑、恢复力和幸福感之间的关系仍在探索之中。目的:本研究调查了来自冲突影响地区的撤离者的体育活动、焦虑、恢复力和幸福感之间的关联。我们假设高强度体育活动水平越高,恢复力和幸福感水平越高,焦虑水平越低。在这项横断面研究中,107名撤离者于2023年12月完成了一项在线调查。问卷评估了体育活动的频率和强度、广泛性焦虑、恢复力和幸福感。参与者按每周总的体育活动水平进行分类。数据采用方差分析、Pearson相关性分析和多元线性回归进行分析。与体育活动水平较低的撤离者相比,进行超过三小时剧烈强度体育活动的撤离者表现出显著更高的恢复力和更好的幸福感。虽然无统计学意义,但数据表明体育活动水平较高的撤离者中焦虑水平可能较低。回归分析确定较高的恢复力和较低的焦虑是更大心理健康水平的显著预测因素。此外,居住在经历更多创伤事件的社区与幸福感降低有关。总体模型解释了心理健康水平差异的很大一部分。体育活动,尤其是剧烈运动,与撤离者心理健康和恢复力的改善相关,支持将其纳入针对受创伤人群的干预措施中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ef7/12345707/0200c185b15a/healthcare-13-01781-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ef7/12345707/dd4a559a971c/healthcare-13-01781-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ef7/12345707/0200c185b15a/healthcare-13-01781-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ef7/12345707/dd4a559a971c/healthcare-13-01781-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ef7/12345707/0200c185b15a/healthcare-13-01781-g002.jpg

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本文引用的文献

[1]
Resilience and coping during protracted conflict: a comparative analysis of general and evacuees populations.

Isr J Health Policy Res. 2024-10-3

[2]
Calling for an immediate release of captive children in Gaza.

Lancet. 2023-12-2

[3]
Role of Physical Activity on Mental Health and Well-Being: A Review.

Cureus. 2023-1-7

[4]
The Beneficial Effect of the First COVID-19 Lockdown on Undergraduate Students of Education: Prospective Cohort Study.

JMIR Form Res. 2022-2-23

[5]
Effects of exercise on symptoms of anxiety in primary care patients: A randomized controlled trial.

J Affect Disord. 2022-1-15

[6]
The Role of Exercise in Management of Mental Health Disorders: An Integrative Review.

Annu Rev Med. 2021-1-27

[7]
More habitual physical activity is linked to the use of specific, more adaptive cognitive reappraisal strategies in dealing with stressful events.

Stress Health. 2020-8

[8]
Physical activity and depression: Towards understanding the antidepressant mechanisms of physical activity.

Neurosci Biobehav Rev. 2019-10-2

[9]
Physical activity and anxiety: A perspective from the World Health Survey.

J Affect Disord. 2017-1-15

[10]
Exercise as a treatment for depression: A meta-analysis adjusting for publication bias.

J Psychiatr Res. 2016-6

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