Are lower levels of physical activity and self-rated fitness associated with higher levels of psychological distress in Croatian young adults? A cross-sectional study

Štefan, Lovro; Sporiš, Goran; Krističević, Tomislav

doi:10.7717/peerj.4700

Cited by 16 publications

(28 citation statements)

References 40 publications

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“…Our study results on active leisure-time physical activity during the COVID-19 pandemic are in line with previous study findings that insufficient physical activity is linked to higher psychological distress. 42 Previously published studies also support the effects of training and physical activity on negative symptoms, such as depression, anxiety, sleep dysfunction, and perceived stress in different settings. 13,14,16,17,41,[43][44][45] Physical activity can be incorporated into cognitive behavior therapy and can improve mental health during the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 80%

Factors Associated with Psychological Distress and Physical Activity During the COVID-19 Pandemic

Sfendla

Hadrya

2020

Health Security

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In Morocco, as in many countries, COVID-19 spread nationwide causing a public health emergency. Strict quarantine measures implemented as a result of the pandemic have disrupted many aspects of people's lives, triggering psychological distress. A total of 256 participants were recruited through a convenience sample. Data were collected through snowball sampling, an assessment of distress symptoms using the Brief Symptoms Inventory, and an assessment of leisure-time physical activity using the Godin-Shephard Leisure-Time Physical Activity Questionnaire. Bivariate and multivariate analyses were performed. Significant changes in paranoid ideation (z =-2.45, P = .01) and interpersonal sensitivity (z =-2.01, P = .04) dimensions were noted between those who were and those who were not authorized to leave their homes during quarantine. Similarly, for physical activity, significant changes in depression (z =-2.15, P = .03), anxiety (z =-2.13, P = .03), interpersonal sensitivity (z =-1.95, P = .05), and somatization (z =-2.11, P = .03) were reported among the insufficiently active group compared with the more physically active group. From multiple regression analysis, variables correlated with general distress were type of quarantine, gender, age, education level, chronic disease, and smoking (R 2 = .80). With some variables, leisure-time physical activity domains appeared to be associated only with interpersonal sensitivity and somatization. Having to leave one's home during the outbreak was linked to distress, especially symptoms like suspiciousness, hostility, fearful thoughts of losing autonomy, and feelings of inadequacy, uneasiness, and discomfort during interpersonal interactions. Individuals who were moderately or sufficiently active physically reported less psychological distress.

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Section: Discussionmentioning

confidence: 80%

Factors Associated with Psychological Distress and Physical Activity During the COVID-19 Pandemic

Sfendla

Hadrya

2020

Health Security

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“…These two factors also need particular attention when designing intervention to promote students’ mental health as proved by previous studies [ 33 – 36 ]. Moreover, lifestyle habits such as body weight control [ 37 ], exercise [ 38 , 39 ] and stopping smoking [ 40 , 41 ] might improve mental health among some students.…”

Section: Discussionmentioning

confidence: 99%

The association between depressive symptoms and self-rated health among university students: a cross-sectional study in France and Japan

et al. 2020

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Background Depressive disorders in University students have risen dramatically in the past few decades to the extent that students’ mental health has become a current global public health priority. Obtaining information from University students about their mental health is challenging because of potential embarrassment of disclosing one’s concerns and fear of stigmatization. Self-rated health might be a good solution to evaluate mental health state by a simple and neutral indicator. The aim of the study is to investigate the association between depressive symptoms and self-rated health by sex among University students in France and Japan. Methods A cross-sectional study was conducted by using two large cohorts of students aged ≥18 years (n = 5655 in Bordeaux, France and n = 17,148 in Kyoto, Japan). Depressive symptoms (PHQ-2 scale), Likert scale of self-rated health, socio-demographic characteristics and health habits were collected through self-administered questionnaires. Multivariate logistic regression models were performed to describe the association between depressive symptoms and other variables including self-rated health, stratified by sex. Results A high score of PHQ-2 (high depressive symptoms) was associated with poor self-rated health in both cohorts independently of all other variables (OR 2.82, 95%CI 1.99–4.01 in France, OR 7.10, 95%CI 5.76–8.74 in Japan). Although the prevalence of depressive symptoms between sexes was different in French students (males 15.4%, females 25.0%, p < 0.001), it was similar in Japanese students (males 3.5%, females 3.3%, p = 0.466), who reported less depressive symptoms than French students. The association between depressive symptoms and poor self-rated health was greater in Japanese females (OR 12.40, 95%CI 7.74–20.00) than in males (OR 6.30, 95%CI 4.99–7.95), whereas the strength of the association was almost similar in French students (OR 2.17, 95%CI 0.86–5.47 in males, OR 2.98, 95%CI 2.03–4.38 in females). Conclusions Depressive symptoms were associated with self-rated health among University students in both countries with slightly differences in sex. Self-rated health would be a simple, reliable and universal indicator for healthcare professionals and University staff to identify students at risk of depression.

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“…Moreover, lifestyle habits such as body weight control [35], exercise [36,37] and stopping smoking [38,39] might improve mental health among some students.…”

Section: Discussionmentioning

confidence: 99%

The Association between Depressive Symptoms and Self-Rated Health among University Students: A Cross-Sectional Study in France and Japan

Ishida

Montagni

Matsuzaki

et al. 2020

Preprint

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Background: Depressive disorders in University students have risen dramatically in the past few decades to the extent that students’ mental health has become a current global public health priority. Obtaining information from University students about their mental health is challenging because of potential embarrassment of disclosing one’s concerns and fear of stigmatization. Self-rated health might be a good solution to evaluate mental health state by a simple and neutral indicator. The aim of the study is to investigate the association between depressive symptoms and self-rated health by sex among University students in France and Japan. Methods: A cross-sectional study was conducted by using two large cohorts of students aged ≥18 years (n=5,655 in Bordeaux, France and n=17,148 in Kyoto, Japan). Depressive symptoms (PHQ-2 scale), Likert scale of self-rated health, socio-demographic characteristics and health habits were collected through self-administered questionnaires. Multivariate logistic regression models were performed to describe the association between depressive symptoms and other variables including self-rated health, stratified by sex. Results: A high score of PHQ-2 (high depressive symptoms) was associated with poor self-rated health in both cohorts independently of all other variables (OR 2.82, 95%CI 1.99-4.01 in France, OR 7.10, 95%CI 5.76-8.74 in Japan). Although the prevalence of depressive symptoms between sexes was different in French students (males 15.4%, females 25.0%, p<0.001), it was similar in Japanese students (males 3.5%, females 3.3%, p=0.466), who reported less depressive symptoms than French students. The association between depressive symptoms and poor self-rated health was greater in Japanese females (OR 12.40, 95%CI 7.74-20.00) than in males (OR 6.30, 95%CI 4.99-7.95), whereas the strength of the association was almost similar in French students (OR 2.17, 95%CI 0.86-5.47 in males, OR 2.98, 95%CI 2.03-4.38 in females). Conclusions: Depressive symptoms were associated with self-rated health among University students in both countries with slightly differences in sex. Self-rated health would be a simple, reliable and universal indicator for healthcare professionals and University staff to identify students at risk of depression.

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Are lower levels of physical activity and self-rated fitness associated with higher levels of psychological distress in Croatian young adults? A cross-sectional study

Cited by 16 publications

References 40 publications

Factors Associated with Psychological Distress and Physical Activity During the COVID-19 Pandemic

Factors Associated with Psychological Distress and Physical Activity During the COVID-19 Pandemic

The association between depressive symptoms and self-rated health among university students: a cross-sectional study in France and Japan

The Association between Depressive Symptoms and Self-Rated Health among University Students: A Cross-Sectional Study in France and Japan

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