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Laranjeira C, Querido A, Sousa P, Dixe MA. Assessment and Psychometric Properties of the 21-Item Depression Anxiety Stress Scale (DASS-21) among Portuguese Higher Education Students during the COVID-19 Pandemic. Eur J Investig Health Psychol Educ 2023; 13:2546-2560. [PMID: 37998067 PMCID: PMC10670895 DOI: 10.3390/ejihpe13110177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Revised: 10/20/2023] [Accepted: 10/30/2023] [Indexed: 11/25/2023] Open
Abstract
The COVID-19 pandemic has caused substantial disruptions in the lives of higher education students, with detrimental repercussions for academic performance and overall mental health. Therefore, we aimed to evaluate the prevalence of depression, anxiety, and stress symptoms among Portuguese higher education students during the first wave of the coronavirus pandemic and investigate DASS-21's psychometric characteristics and whether it functions effectively during a pandemic. A convenience sampling procedure was used to recruit 1522 participants (75.1% women and 79.2% undergraduate students) for this cross-sectional research. Participants completed an e-survey created using DASS-21. The results revealed a considerable prevalence of symptoms of depression [≥10] (N = 434, 28.5%), anxiety [≥7] (N = 551, 36.2%), and stress [≥11] (N = 544, 35.7%). Confirmatory factor analysis (CFA) revealed the scale's three-factor structure, which matched the three DASS-21 subscales. Subsequently, the heterotrait-monotrait (HTMT) correlation ratio evaluated the scale's discriminant validity, which was relatively good. Cronbach's alpha measured the internal consistency of the DASS subscales, which was excellent (Cronbach's α > 0.90). DASS-21 was shown to be a reliable and appropriate measure for assessing students' mental health. Furthermore, DASS-21 is recommended for use by academics and healthcare professionals in measuring students' psychological distress. Further validation studies of this scale are needed with larger and more representative samples.
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Affiliation(s)
- Carlos Laranjeira
- School of Health Sciences, Polytechnic University of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal; (A.Q.); (M.A.D.)
- Centre for Innovative Care and Health Technology (ciTechCare), Rua de Santo André—66–68, Campus 5, Polytechnic University of Leiria, 2410-541 Leiria, Portugal;
- Comprehensive Health Research Centre (CHRC), University of Évora, 7000-801 Évora, Portugal
| | - Ana Querido
- School of Health Sciences, Polytechnic University of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal; (A.Q.); (M.A.D.)
- Centre for Innovative Care and Health Technology (ciTechCare), Rua de Santo André—66–68, Campus 5, Polytechnic University of Leiria, 2410-541 Leiria, Portugal;
- Center for Health Technology and Services Research (CINTESIS), NursID, University of Porto, 4200-450 Porto, Portugal
| | - Pedro Sousa
- Centre for Innovative Care and Health Technology (ciTechCare), Rua de Santo André—66–68, Campus 5, Polytechnic University of Leiria, 2410-541 Leiria, Portugal;
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), Polo A, Av. Bissaya Barreto, 3004-011 Coimbra, Portugal
| | - Maria Anjos Dixe
- School of Health Sciences, Polytechnic University of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal; (A.Q.); (M.A.D.)
- Centre for Innovative Care and Health Technology (ciTechCare), Rua de Santo André—66–68, Campus 5, Polytechnic University of Leiria, 2410-541 Leiria, Portugal;
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Alfarajat L, Alnjadat R, Salem A, Alnawafleh A, Hadid LA. Psychological impact of COVID-19 among undergraduate students in Jordan: A cross-sectional study. Health Sci Rep 2023; 6:e1476. [PMID: 37575204 PMCID: PMC10416708 DOI: 10.1002/hsr2.1476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2023] [Revised: 07/06/2023] [Accepted: 07/23/2023] [Indexed: 08/15/2023] Open
Abstract
Background Psychopathology could be brought on by an immune system disruption triggered by an infection. Psychiatric residual effects have been noted following prior coronavirus outbreaks. Method This study is a cross-sectional study that examined the psychopathological influence of the COVID-19 pandemic among survivor students compared to students who have never been diagnosed as positive COVID-19 patients (i.e., healthy students). Further, the study identified the relationship between sociodemographic profiles and mental health. To examine the significance of psychological health differences we used the DASS-21, to measure depression, anxiety, and stress scales. There were seven questions to assess each dimension within the psychological scales. The respondents were selected randomly via online sources and completed the online self-reporting questionnaire between August 23 and October 2, 2021. Results A total of 750 students completed the online questionnaire, with 677 participants (90.27% of those originally surveyed) included in the final analysis of this study. The mean score of the stress scale for healthy students (M = 16.88, SD = 12.3, N = 537) demonstrated a significantly lower mean compared to COVID-19 survival students (M = 21.7, SD = 11.01, N = 140), t(675) = -4.22, p < 0.001. The mean of the depression scale for healthy students (M = 16.18, SD = 11.94) demonstrated significantly lower mean compared to COVID-19 survival students (M = 20.91, SD = 11. 90), t(675) = -4.18, p < 0.001. The mean of the anxiety scale for healthy students (M = 12.50, SD = 10.72) demonstrated significantly lower mean compared to COVID-19 survival students (M = 19.43, SD = 11. 25), t(675) = -6.74, p < 0.001. Conclusion University students who were infected with COVID-19 had a traumatic experience, and thus developed psychological symptoms greater than students with no history of this infection.
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Affiliation(s)
- Loai Alfarajat
- Irbid University CollegeAl‐Balqa Applied UniversityAmmanJordan
| | - Rafi Alnjadat
- Irbid University CollegeAl‐Balqa Applied UniversityAmmanJordan
| | - Aziza Salem
- Nursing school, Kingdome of Saudi ArabiaTabuk UniversityTabukSaudi Arabia
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Cao CH, Liao XL, Jiang XY, Li XD, Chen IH, Lin CY. Psychometric evaluation of the depression, anxiety, and stress scale-21 (DASS-21) among Chinese primary and middle school teachers. BMC Psychol 2023; 11:209. [PMID: 37452365 PMCID: PMC10349442 DOI: 10.1186/s40359-023-01242-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Accepted: 06/30/2023] [Indexed: 07/18/2023] Open
Abstract
BACKGROUND Teachers in high-stress roles face increasing psychological distress such as anxiety and depression, underscoring the need for validated assessment instruments. Given the current absence of a comprehensive, designated, and time-efficient scale capable of evaluating depression, anxiety, and stress among the teacher population, the Depression, Anxiety, and Stress Scale-21 (DASS-21) presents itself as a promising alternative. Despite the widespread application of the DASS-21 for assessing psychological distress across various populations, its validity among teachers, along with questions about its factor structure and its potential property of time equivalence, remain unverified. This study endeavors to address these considerations by investigating the psychometric properties of the DASS-21 specifically within the population of Chinese primary and middle school teachers. METHODS Cross-sectional (n = 9,030) and longitudinal surveys (n = 1,642) were conducted using a non-probability sampling method. In addition to the DASS-21, the Chinese version of Chinese Teachers' Job Burnout Questionnaire (CTJBO) was utilized to evaluate the criterion validity of this scale. Three different approaches, namely confirmatory factor analysis, Rasch analysis, and network analysis, were employed to evaluate internal reliability, construct validity, as well as time invariance of the DASS-21. RESULTS The DASS-21 demonstrated a high degree of internal consistency (Cronbach's α > 0.85) as well as excellent convergent validity, despite poor discriminant validity as determined by average variance extracted. Confirmatory factor analysis and network analysis further supported convergent validity. The three-factor structure outperformed one- and two-factor alternatives, establishing time invariance. Rasch analysis at the item level identified six inappropriate items within the anxiety and stress subscales, which were subsequently removed. Network analysis presented a better revised network. Regression analysis with emotional exhaustion as the criterion provided logical and accurate results. CONCLUSION The DASS-21 was found to be a reliable and valid tool for measuring the mental health of teachers over time. To assess the instrument's psychometric properties, a combination of confirmatory factor analysis, Rasch analysis, and network analysis was utilized, which proved effective and is recommended for evaluating contentious instruments. Based on the results of the study, researchers and healthcare professionals are recommended to use the DASS-21 for assessing teachers' psychological distress. However, certain items identified in the study may need to be removed to enhance the instrument's appropriateness for this specific population.
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Affiliation(s)
- Cui-Hong Cao
- Faculty of Education, Qufu Normal University, Qufu, 273165 China
- School of Foreign languages, Shandong Women’s University, Jinan, 250300 China
| | - Xiao-Ling Liao
- Faculty of Education, Jiangxi Science and Technology Normal University, Nanchang, 330031 China
| | - Xing-Yong Jiang
- Yangan Primary School of Qionglai City, Qionglai, 611535 China
| | - Xu-Dong Li
- Gaogeng Nine-year School, Qionglai, 611533 China
| | - I-Hua Chen
- Chinese Academy of Education Big Data, Qufu Normal University, Qufu, 273165 China
| | - Chung-Ying Lin
- Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, 701401 Taiwan, ROC
- Biostatistics Consulting Center, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University, Tainan, 701401 Taiwan, ROC
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Tan C, Wang J, Cao G, He Y, Yin J, Chu Y, Geng Z, Li L, Qiu J. Psychological changes in athletes infected with Omicron after return to training: fatigue, sleep, and mood. PeerJ 2023; 11:e15580. [PMID: 37337583 PMCID: PMC10276985 DOI: 10.7717/peerj.15580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Accepted: 05/25/2023] [Indexed: 06/21/2023] Open
Abstract
Background This study aims to analyze the changes of approximately 1 month in fatigue, sleep, and mood in athletes after returning to training following infection with the COVID-19 Omicron strain and provide recommendations for returning to training after infection. Methods Two hundred and thirty professional athletes who had returned to training after being infected with COVID-19 in December 2022 were recruited to participate in three tests conducted from early January 2023. The second test was completed approximately 1 week after the first, and the third was completed about 2 weeks after the second. Each test consisted of completing scales and the exercise-induced fatigue measure. The scales included a visual analog scale, the Athens Insomnia Scale for non-clinical application, and the Depression-Anxiety-Stress scale. The exercise task was a six-minute stair climb test, and athletes evaluated subjective fatigue levels before and after exercise using another Visual Analog Scale and the Karolinska Sleepiness Scale. Results After returning to training, athletes' physical fatigue decreased initially but increased as training progressed. Cognitive fatigue did not change significantly. The exercise task led to elevated levels of physical fatigue after a longer duration of training. Sleep quality problems decreased rapidly after the start of training but remained stable with prolonged training. Depression levels continued to decline, while anxiety levels only reduced after a longer duration of training. Stress levels decreased rapidly after the start of training but did not change with prolonged training. Conclusion Athletes who return to training after recovering from COVID-19 experience positive effects on their fatigue, sleep, and mood. It is important to prioritize anxiety assessment and interventions during the short period after returning and to continue monitoring fatigue levels and implementing recovery interventions over a longer period of time.
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Affiliation(s)
- Chenhao Tan
- Shanghai Research Institute of Sports Science (Shanghai Anti-Doping Agency), Shanghai, China
| | - Jinhao Wang
- Shanghai Research Institute of Sports Science (Shanghai Anti-Doping Agency), Shanghai, China
| | - Guohuan Cao
- Shanghai Research Institute of Sports Science (Shanghai Anti-Doping Agency), Shanghai, China
| | - Yelei He
- Shanghai Research Institute of Sports Science (Shanghai Anti-Doping Agency), Shanghai, China
| | - Jun Yin
- Shanghai Research Institute of Sports Science (Shanghai Anti-Doping Agency), Shanghai, China
| | - Yudan Chu
- Shanghai Research Institute of Sports Science (Shanghai Anti-Doping Agency), Shanghai, China
| | | | - Longji Li
- Shanghai University of Sport, Shanghai, China
| | - Jun Qiu
- Shanghai Research Institute of Sports Science (Shanghai Anti-Doping Agency), Shanghai, China
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Malele L, Noorbhai H. Prevalence and associated factors with mental health symptoms among semi-professional cricket players after the resumption of sporting activities following an extensive lockdown. SOUTH AFRICAN JOURNAL OF SPORTS MEDICINE 2023; 35:v35i1a15058. [PMID: 38249760 PMCID: PMC10798613 DOI: 10.17159/2078-516x/2023/v35i1a15058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2024] Open
Abstract
Background Mental health of cricket players has been a topic of debate for a considerable time across the globe. Objectives The purpose of this study was to investigate the prevalence of mental health symptoms among semi-professional male cricket players experienced during COVID-19, as well as the relationship between age and the Depression, Anxiety, Stress Scale (DASS-21) sub-scale. Methods Mental health symptoms were assessed among cricket players (n = 90) using the following instruments, respectively: Depression, Anxiety, Stress Scale - 21 (DASS - 21); Athlete Burnout Questionnaire (ABQ) and Satisfaction with Life Scale (SWLS). Descriptive (means ± standard deviations) and inferential (Spearman's correlations) statistics were calculated using SPSS (IBM Version 27.0) at a significance level of p < 0.05. Results The study reported that 5.6% (n = 5) of cricketers believed life was futile, and 10% (n = 9) thought they were useless most of the time. However, on the anxiety sub-scale, 27% (n = 24) of cricketers indicated low confidence. In addition, 23% (n = 21) of cricketers reported being stressed. Spearman's correlations revealed a positive and significant association between the DASS-21 sub-scales and that cricketers' DASS-21 sub-scale symptoms are unrelated to age. Conclusion The study found that there were moderate levels of anxiety, a reduced sense of achievement and a neutral feeling towards satisfaction with life. Reducing mental health symptoms would extend the playing careers of cricket players. De-stigmatising mental health may result in more robust and accurate self-reports of mental health illness among elite athletes, which can enable sustainable change.
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Affiliation(s)
- L Malele
- Department of Sport and Movement Studies, Faculty of Health Sciences, University of Johannesburg, South Africa
| | - H Noorbhai
- Department of Sport and Movement Studies, Faculty of Health Sciences, University of Johannesburg, South Africa
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Mascaro L, Drummond SPA, Leota J, Boardman JM, Hoffman D, Rajaratnam SMW, Aidman E, Facer-Childs ER. Cognitive fitness modulates gender differences in sleep and mental health among competitive athletes under chronic stress. Front Physiol 2023; 14:1118822. [PMID: 36969596 PMCID: PMC10031072 DOI: 10.3389/fphys.2023.1118822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Accepted: 02/23/2023] [Indexed: 03/11/2023] Open
Abstract
Objectives: Mental fitness is increasingly considered a key component of an athlete’s competitive arsenal. Active domains of mental fitness include cognitive fitness, sleep, and mental health; and these domains can differ between men and women athletes. Our study investigated the associations of cognitive fitness and gender to sleep and mental health, and the interaction between cognitive fitness and gender on sleep and mental health, in competitive athletes during the COVID-19 pandemic.Methods: 82 athletes competing at levels from regional/state to international (49% women, M-age = 23.3 years) completed measures of self-control, intolerance of uncertainty, and impulsivity (together representing constructs of cognitive fitness), items about sleep (total sleep time, sleep latency, and mid-sleep time on free days) and a measure of mental health (depression, anxiety, and stress).Results: Women athletes reported lower self-control, higher intolerance of uncertainty, and higher positive urgency impulsivity compared with men athletes. Women reported sleeping later, but this gender difference disappeared after controlling for cognitive fitness. Women athletes—after controlling for cognitive fitness—reported higher depression, anxiety, and stress. Across genders, higher self-control was associated with lower depression, and lower intolerance of uncertainty was associated with lower anxiety. Higher sensation seeking was associated with lower depression and stress, and higher premeditation was associated with greater total sleep time and anxiety. Higher perseverance was associated with higher depression for men—but not women—athletes.Conclusion: Women athletes in our sample reported poorer cognitive fitness and mental health compared to men athletes. Most cognitive fitness factors protected competitive athletes under chronic stress, but some exposed them to poorer mental health. Future work should examine the sources of gender differences. Our findings suggest a need to develop tailored interventions aimed at improving athlete wellbeing, with a particular focus on women athletes.
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Affiliation(s)
- Luis Mascaro
- Turner Institute for Brain and Mental Health, Monash University, Melbourne, VIC, Australia
- School of Psychological Sciences, Monash University, Melbourne, VIC, Australia
| | - Sean P. A. Drummond
- Turner Institute for Brain and Mental Health, Monash University, Melbourne, VIC, Australia
- School of Psychological Sciences, Monash University, Melbourne, VIC, Australia
| | - Josh Leota
- Turner Institute for Brain and Mental Health, Monash University, Melbourne, VIC, Australia
- School of Psychological Sciences, Monash University, Melbourne, VIC, Australia
| | - Johanna M. Boardman
- Turner Institute for Brain and Mental Health, Monash University, Melbourne, VIC, Australia
- School of Psychological Sciences, Monash University, Melbourne, VIC, Australia
| | - Daniel Hoffman
- Turner Institute for Brain and Mental Health, Monash University, Melbourne, VIC, Australia
- School of Psychological Sciences, Monash University, Melbourne, VIC, Australia
- St Kilda Football Club, Australian Football League, Melbourne, VIC, Australia
| | - Shantha M. W. Rajaratnam
- Turner Institute for Brain and Mental Health, Monash University, Melbourne, VIC, Australia
- School of Psychological Sciences, Monash University, Melbourne, VIC, Australia
| | - Eugene Aidman
- Defence Science & Technology Group, Edinburgh, SA, Australia
- School of Biomedical Sciences & Pharmacy, University of Newcastle, Newcastle, NSW, Australia
| | - Elise R. Facer-Childs
- Turner Institute for Brain and Mental Health, Monash University, Melbourne, VIC, Australia
- School of Psychological Sciences, Monash University, Melbourne, VIC, Australia
- St Kilda Football Club, Australian Football League, Melbourne, VIC, Australia
- Danny Frawley Centre for Health and Wellbeing, Melbourne, VIC, Australia
- *Correspondence: Elise R. Facer-Childs,
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Mental Health Status and Coping among Portuguese Higher Education Students in the Early Phase of the COVID-19 Pandemic. Eur J Investig Health Psychol Educ 2023; 13:429-439. [PMID: 36826216 PMCID: PMC9955937 DOI: 10.3390/ejihpe13020032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Revised: 02/07/2023] [Accepted: 02/08/2023] [Indexed: 02/12/2023] Open
Abstract
Globally, the COVID-19 outbreak had an adverse effect on higher education students' mental health and psychological well-being. This study aims to assess the prevalence of stress, anxiety, depression and associated factors in a sample of students in the early phase of the COVID-19 pandemic and determine the predictive effect of mental health status on coping. The sample was collected between March and July 2020 and included 392 higher education students in Portugal. An online cross-sectional study was conducted using a survey that included an information form, the Depression, Anxiety, and Stress Scale, and the Brief Resilient Coping Scale. The prevalence of mild-to-extremely severe depression, anxiety and stress was 24.2%, 32.7% and 33.4%, respectively. About 60% of the sample had poor coping abilities. Masters students, participants older than 30 years and female participants had significantly greater resilient coping compared to undergraduate students and younger and male participants (p < 0.05). Resilient coping correlated negatively with depression, anxiety and stress. The regression analysis showed that age together with overall levels of depression, anxiety and stress explained 16.9% of the variance in coping. The results should inform the implementation of interventions to mitigate the impact of psychological distress and promote mental health.
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Zorn J, Vollrath S, Matits L, Schönfelder M, Schulz SVW, Jerg A, Steinacker JM, Bizjak DA. Relationship between physical performance and perception of stress and recovery in daily life post COVID-19-An explorative study. PLoS One 2023; 18:e0285845. [PMID: 37186604 PMCID: PMC10184944 DOI: 10.1371/journal.pone.0285845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Accepted: 05/02/2023] [Indexed: 05/17/2023] Open
Abstract
INTRODUCTION COVID-19 is a multi-systemic disease which can target the lungs and the cardiovascular system and can also affect parts of the brain for prolonged periods of time. Even healthy athletes without comorbidities can be psychologically affected long-term by COVID-19. OBJECTIVE This study aimed to investigate athletes' perceived mental stress and recovery levels in daily life, and their maximal aerobic power, at three different time points, post COVID-19. METHODS In total, 99 athletes (62.6% male), who had been infected by COVID-19, filled out the Recovery Stress Questionnaire for Athletes (REST-Q-Sport) and completed cardiopulmonary exercise testing (endpoint maximal aerobic power output (Pmax)) at the initial screening (t1: 4 months after infection). Follow-up assessments occurred three (t2, n = 37) and seven months after t1 (t3, n = 19). RESULTS Subgroup means from the Recovery category were significantly below the reference value of four at all three time points, except "General Recovery" (3.76 (± 0.96), p = 0.275, d = 0.968) at t3."Overtiredness" (2.34 (± 1.27), p = 0.020, r = 0.224) was significantly above the reference value of two at t1, while all other Stress subgroups were not significantly different from the reference value or were significantly below the maximum threshold of two at t1, t2 and t3. Spearman's ρ revealed a negative association between Pmax and the subcategories of stress (ρ = -0.54 to ρ = -0.11, p < 0.050), and positive correlations between Pmax and "Somatic Recovery" (ρ = 0.43, p < 0.001) and "General Recovery" (ρ = 0.23, p = 0.040) at t1. Pmax (t1: 3.83 (± 0.99), t2: 3.78 (± 1.14), β = 0.06, p < 0.003) increased significantly from t1 to t2. In addition, REST-Q-Sport indicated a decrease in "Sleep" (t2 = 2.35 (± 0.62), t3 = 2.28(± 0.61), β = -0.18, p < 0.023) at t3, when compared to t2. CONCLUSION The perceived recovery seems to be negatively affected in post COVID-19 athletes. Physical performance post COVID-19 correlates with both "Emotional and Somatic Stress" and "Somatic and General Recovery", indicating potential mental and physical benefits of exercise. While it is evident that COVID-19, like other viral infections, may have an influence on physical performance, monitoring stress and recovery perceptions of athletes is critical to facilitate their return-to-sports, while minimizing long-term COVID-19 induced negative effects like the athletic objective and subjective perceived recovery and stress levels.
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Affiliation(s)
- Jule Zorn
- Department of Medicine, Division of Sports and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Shirin Vollrath
- Department of Medicine, Division of Sports and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Lynn Matits
- Department of Medicine, Division of Sports and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
- Division of Clinical & Biological Psychology, Institute of Psychology and Education, Ulm University, Ulm, Germany
| | - Martin Schönfelder
- Department of Sport and Health Science, Division of Exercise Biology, Technical University Munich, Munich, Germany
| | - Sebastian V W Schulz
- Department of Medicine, Division of Sports and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Achim Jerg
- Department of Medicine, Division of Sports and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Jürgen M Steinacker
- Department of Medicine, Division of Sports and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Daniel A Bizjak
- Department of Medicine, Division of Sports and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
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Mihic N, Abascal J, Chicharro JL, Segura F, Huurman S, de Aysa BN, Bouza E, Bouza E. Impact and control of the COVID pandemic in an elite sports club: Real Madrid. REVISTA ESPANOLA DE QUIMIOTERAPIA : PUBLICACION OFICIAL DE LA SOCIEDAD ESPANOLA DE QUIMIOTERAPIA 2023; 36:59-64. [PMID: 36336951 PMCID: PMC9910681 DOI: 10.37201/req/072.2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The incidence and risk factors for poor outcome in patients with COVID are well known, as are the protective measures in high-risk populations. In contrast, the epidemiological and clinical behavior of this disease in the population of elite athletes who are the paradigm of good health is poorly understood. Data on COVID in athletes are scarce and have focused preferentially on the consequences on sports performance of confinement measures and on the pathophysiological risks of infected athletes. Real Madrid is a large elite sports institution with facilities in the City of Madrid where 600 athletes train daily. The incidence of COVID during a study period of 671 days of observation in athletes, professional or amateur, working in the institution has been 0,74 per 1,000 days of exposure. The disease has been asymptomatic or oligosymptomatic in all athletes and did not require any hospital admissions. The different teams did not have to suspend any of its sportive commitments for COVID during the study period and there was no evidence of outbreaks of internal transmission between members of the different teams.
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Affiliation(s)
- Niko Mihic
- Director Medical Services. Real Madrid C.F. Madrid. Spain
| | | | | | | | | | | | - Emilio Bouza
- Eméritus Professor of Medicine. Universidad Complutense. Department of Clinical Microbiology and Infectious Diseases. Hospital General Universitario Gregorio Marañón, Department of Medicine. Universidad Complutense, CIBERES. Ciber de Enfermedades Respiratorias. Madrid. Spain,Correspondence: Prof. Emilio Bouza. MD, PhD, Servicio de Microbiología y E. Infecciosas Hospital General Universitario, Gregorio Marañón Dr. Esquerdo 46, - 28007. Madrid. Spain E mail:
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Corona VF, Gualano MR, Rossi MF, Valz Gris A, Amantea C, Moscato U, Ricciardi W. Psychological and Mental Sequelae in Elite Athletes with Previous SARS-CoV-2 Infection: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16377. [PMID: 36554259 PMCID: PMC9778344 DOI: 10.3390/ijerph192416377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 12/02/2022] [Accepted: 12/04/2022] [Indexed: 06/17/2023]
Abstract
During the COVID-19 pandemic, many athletes from several sporting disciplines were infected with the SARS-CoV-2. The aim of this systematic review is to summarize the current scientific evidence on the psychological sequelae and mental health of elite athletes who have been infected by the virus. The review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement; three databases were searched: PubMed, ISI Web of Knowledge, and Scopus. The initial search resulted in 2420 studies; after duplicate removal and screening by title and abstract, 41 articles were screened by full-text. A total of four eligible articles were included in the review. All included articles measured depression and anxiety in athletes who had suffered from COVID-19, while in three papers levels of stress were measured. Overall, the only two questionnaires used in more than one study were the DASS-21 and the APSQ. In our systematic review, we highlighted that mental and psychological health in elite athletes has the same importance as physical health. This statement suggests that these examinations should be introduced and performed during the competitive sports' medical examinations conducted at the start of the sporting season, which currently consists only of the examination of physical parameters. Due to lack of studies on the topic, the results of our review show that mental health in athletes with a history of SARS-CoV-2 infection is an issue that requires more investigation, considering the evidence of clinical consequences. The importance of post-infection psychological sequelae is significant in assessing possible repercussions on the athletes' sporting performance.
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Affiliation(s)
- Valerio Flavio Corona
- Department of Life Sciences and Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
| | - Maria Rosaria Gualano
- School of Medicine, UniCamillus-Saint Camillus International University of Health Sciences, 00131 Rome, Italy
- Leadership in Medicine Research Center, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
- Center for Global Health Research and Studies, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
| | - Maria Francesca Rossi
- Department of Life Sciences and Public Health, Section of Occupational Health, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
| | - Angelica Valz Gris
- Department of Life Sciences and Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
| | - Carlotta Amantea
- Department of Life Sciences and Public Health, Section of Occupational Health, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
| | - Umberto Moscato
- Center for Global Health Research and Studies, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
- Department of Life Sciences and Public Health, Section of Occupational Health, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
| | - Walter Ricciardi
- Department of Life Sciences and Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
- Leadership in Medicine Research Center, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
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11
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Paucsik M, Leys C, Marais G, Baeyens C, Shankland R. Self‐compassion and savouring buffer the impact of the first year of the COVID‐19 on PhD students' mental health. Stress Health 2022; 38:891-901. [PMID: 35286765 PMCID: PMC9111133 DOI: 10.1002/smi.3142] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Revised: 03/07/2022] [Accepted: 03/08/2022] [Indexed: 12/16/2022]
Abstract
Doctoral students face many challenges that were reinforced by COVID-19-related lockdowns. We assessed this impact over 1 year on doctoral students' depression, anxiety, stress, well-being, and doctoral engagement. We also investigated the potential protective role of self-compassion and savouring on mental health, well-being, and doctoral engagement. A total of 134 PhD students from several French universities responded to the three-time points of this longitudinal study. The results showed a significant increase in depression, anxiety and stress and a significant decrease in well-being and doctoral engagement during the first year of the pandemic. Self-compassion and savouring predicted lower levels of depression, anxiety, and stress, and higher levels of well-being over time. Savouring alone predicted higher doctoral engagement over time. This study reveals the significant impact of the pandemic year on the mental health of doctoral students, and the relevance of self-compassion and savouring as psychological resources to cope with adversity.
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Affiliation(s)
- Marine Paucsik
- Univ. Grenoble Alpes, Univ. Savoie Mont Blanc, LIP/PC2SGrenobleFrance
| | | | - Gabriel Marais
- Univ. Lyon 1CNRSLaboratoire de Biométrie et Biologie EvolutiveVilleurbanneFrance
| | - Céline Baeyens
- Univ. Grenoble Alpes, Univ. Savoie Mont Blanc, LIP/PC2SGrenobleFrance
| | - Rebecca Shankland
- Grenoble Ecole de ManagementGrenobleFrance,Univ. Lumière Lyon 2, Laboratory DIPHE (Development, Individual, Processes, Handicap, Education)BronFrance
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12
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Denerel N, Lima Y. Competing against COVID-19: what about the mental health problems of athletes with disabilities? PHYSICIAN SPORTSMED 2022; 50:546-552. [PMID: 34961402 DOI: 10.1080/00913847.2021.2022967] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
OBJECTIVES Although there is growing interest in athletes' mental health (MH), there is a paucity of research exploring MH in athletes with disabilities (AWD). The purpose of this study was to evaluate the impact of the COVID-19 pandemic on the psychological state of AWD. MATERIALS AND METHODS An online survey including demographic questions, SARS-CoV-2-related questions, and standardized scales assessing depression, anxiety, stress, coronavirus anxiety (CAS), and nonspecific psychological distress was distributed to AWD. RESULTS A total of 362 athletes (183 AWD) participated in the study (response rate 31.2%). AWD infected with SARS-CoV-2 reported higher depression, anxiety, and CAS scores than AWD not infected with SARS-CoV-2 (Z = -2.10, ES = 0.15 Z = -3.45, ES = 0.25; Z = -2.43, ES = 0.18; respectively). Female AWD reported higher anxiety scores compared to males (Z = -2.25, ES = 0.16). Depression (Z = -2.80, ES = 0.20), stress (Z = -2.12, ES = 0.15) and K-10 (Z = -2.02, ES = 0.14 scores of individual sport AWD were higher than team sports AWD. CONCLUSION MH problems in AWD were associated with a wide range of variables such as being infected with SARS-CoV-2, female gender, competing in an individual sport, and having performance concerns. In light of these results, MH assessment should be undertaken for AWD to ensure appropriate and timely intervention.
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Affiliation(s)
- Nevzad Denerel
- Sports Medicine Department, Faculty of Health Sciences, Eastern Mediterranean University, Nicosia, Cyprus
| | - Yavuz Lima
- Sports Medicine Department, Balıkesir Atatürk City Hospital, Turkey
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13
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Psychometric evaluation of the Depression Anxiety Stress Scale 8 among women with chronic non-cancer pelvic pain. Sci Rep 2022; 12:20693. [PMID: 36450770 PMCID: PMC9712382 DOI: 10.1038/s41598-022-15005-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2021] [Accepted: 06/16/2022] [Indexed: 12/05/2022] Open
Abstract
Psychiatric comorbidity and abusive experiences in chronic pelvic pain (CPP) conditions may prolong disease course. This study investigated the psychometrics of the Depression Anxiety Stress Scale 8 (DASS-8) among women with CPP (N = 214, mean age = 33.3 ± 12.4 years). The DASS-8 expressed excellent fit, invariance across age groups and menopausal status, good know-group validity (differentiating women with psychiatric comorbidity from those without comorbidity: U = 2018.0, p = 0.001), discriminant validity (HTMT ratios < 0.85), excellent reliability (alpha = 0.90), adequate predictive and convergent validity indicated by strong correlation with the DASS-21 (r = 0.94) and high values of item-total correlations (r = 0.884 to 0.893). In two-step cluster analysis, the DASS-8 classified women into low- and high-distress clusters (n = 141 and 73), with significantly higher levels of distress, pain severity and duration, and physical symptoms in cluster 2. The DASS-8 positively correlated with pain severity/duration, subjective symptoms of depression/anxiety, experiences of sexual assault, fatigue, headache severity, and collateral physical symptoms (e.g., dizziness, bloating, fatigue etc.) at the same level expressed by the parent scale and the DASS-12, or even greater. Accordingly, distress may represent a target for early identification of psychiatric comorbidity, CPP severity, experiences of sexual assault, and collateral physical complaints. Therefore, the DASS-8 is a useful brief measure, which may detect mental distress symptoms among women with CPP.
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14
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Gegenfurtner A. Bifactor exploratory structural equation modeling: A meta-analytic review of model fit. Front Psychol 2022; 13:1037111. [PMID: 36389589 PMCID: PMC9643583 DOI: 10.3389/fpsyg.2022.1037111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Accepted: 10/06/2022] [Indexed: 12/03/2022] Open
Abstract
Multivariate behavioral research often focuses on latent constructs—such as motivation, self-concept, or wellbeing—that cannot be directly observed. Typically, these latent constructs are measured with items in standardized instruments. To test the factorial structure and multidimensionality of latent constructs in educational and psychological research, Morin et al. (2016a) proposed bifactor exploratory structural equation modeling (B-ESEM). This meta-analytic review (158 studies, k = 308, N = 778,624) aimed to estimate the extent to which B-ESEM model fit differs from other model representations, including confirmatory factor analysis (CFA), exploratory structural equation modeling (ESEM), hierarchical CFA, hierarchical ESEM, and bifactor-CFA. The study domains included learning and instruction, motivation and emotion, self and identity, depression and wellbeing, and interpersonal relations. The meta-analyzed fit indices were the χ2/df ratio, the comparative fit index (CFI), the Tucker-Lewis index (TLI), the root mean square error of approximation (RMSEA), and the standardized root mean squared residual (SRMR). The findings of this meta-analytic review indicate that the B-ESEM model fit is superior to the fit of reference models. Furthermore, the results suggest that model fit is sensitive to sample size, item number, and the number of specific and general factors in a model.
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15
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Ali AM, Alameri RA, Hendawy AO, Al-Amer R, Shahrour G, Ali EM, Alkhamees AA, Ibrahim N, Hassan BH. Psychometric evaluation of the depression anxiety stress scale 8-items (DASS-8)/DASS-12/DASS-21 among family caregivers of patients with dementia. Front Public Health 2022; 10:1012311. [PMID: 36388286 PMCID: PMC9641276 DOI: 10.3389/fpubh.2022.1012311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Accepted: 09/26/2022] [Indexed: 01/27/2023] Open
Abstract
Patients with dementia express a set of problematic and deteriorating symptoms, along with self-care dependency. Over time, the mental health of family caregivers of persons with dementia may be affected, putting them at a high risk for psychopathology, which may be associated with endangered wellbeing of people with dementia. This cross-sectional instrumental design study examined the psychometric properties of the Depression Anxiety Stress Scale 8-items (DASS-8), DASS-12, and DASS-21 in a convenient sample of 571 caregivers from northern Italy and southern Switzerland (mean age = 53 years, SD = 12, range = 24-89 years). A bifactor structure of the three measures had the best fit; some items of the DASS-12/DASS-21 failed to load on their domain-specific factors. The three-factor structure was invariant across various groups (e.g., gender and education), expressed adequate reliability and convergent validity, and had strong positive correlation with the three-item UCLA Loneliness Scale (UCLALS3). Distress scores did not differ among carers of different types of dementia (Alzheimer's disease vs. other types, e.g., vascular dementia). However, distress scores were significantly high among female individuals, adult children caregivers, those caring for dependent patients, and those who received help with care. For 54.9 and 38.8% of the latter, care was provided by relatives and health professionals, respectively. Since the DASS-8 expresses adequate psychometrics comparable with the DASS-21, it may be used as a brief measure of distress in this population.
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Affiliation(s)
- Amira Mohammed Ali
- Department of Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria University, Alexandria, Egypt
| | - Rana Ali Alameri
- Fundamentals of Nursing Department, College of Nursing, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Amin Omar Hendawy
- Department of Animal and Poultry Production, Faculty of Agriculture, Damanhour University, Damanhour, Egypt
| | - Rasmieh Al-Amer
- Faculty of Nursing, Isra University, Amman, Jordan
- School of Nursing and Midwifery, Western Sydney University, Penrith, NSW, Australia
| | - Ghada Shahrour
- Jordan University of Science and Technology, Faculty of Nursing, Irbid, Jordan
| | - Esraa M. Ali
- Department of Basic and Educational Sciences, Faculty of Education for Early Childhood, Alexandria University, Alexandria, Egypt
| | - Abdulmajeed A. Alkhamees
- Department of Medicine, Unayzah College of Medicine and Medical Sciences, Qassim University, Unayzah, Saudi Arabia
| | - Nashwa Ibrahim
- Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Mansoura University, Mansoura, Egypt
| | - Bothaina Hussein Hassan
- Department of Nursing, College of Applied Medical Sciences, King Faisal University, Al-Ahsa, Saudi Arabia
- Department of Gerontological Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt
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16
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Effects of Transcranial Direct Current Stimulation on Sleep in Athletes: A Protocol of a Randomized Controlled Trial. J Clin Med 2022; 11:jcm11195883. [PMID: 36233749 PMCID: PMC9571881 DOI: 10.3390/jcm11195883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Revised: 09/28/2022] [Accepted: 10/02/2022] [Indexed: 11/16/2022] Open
Abstract
Background: Sleep disturbances are common among athletes. There is recently a growing interest in improving sleep quality by using noninvasive brain stimulation techniques such as transcranial direct current stimulation (tDCS). We hypothesized that bilateral dorsolateral prefrontal cortex anodal tDCS could improve sleep in different sports athletes. A randomized controlled trial is to be conducted to test this hypothesis. Methods: Eighty-four athletes are selected based on specific eligibility criteria and randomly allocated to the intervention or control group. Each participant will receive a 20-min session of bilateral anodal tDCS with an intensity of 1.5 mA (0.057 mA/cm2) in density 3 times a week for 2 weeks. The tDCS current will be delivered only for 30 seconds in the control group. This study’s outcome is a set of subjective and objective sleep parameters. Conclusion: This study assessed the effect of a novel tDCS protocol represented by bilateral anodal stimulation and may result in important advances in sleep management among athletes. Because of the high incidence and impact of athletes’ poor sleep quality, it is particularly important to explore effective interventions. Trial Registration: ClinicalTrials.gov: NCT05318352.
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Yılmaz Koğar E, Koğar H. Using a bifactor exploratory structural equation modeling framework to examine the factor structure of the Depression Anxiety and Stress Scales-21. CURRENT PSYCHOLOGY 2022; 42:1-15. [PMID: 36090912 PMCID: PMC9443651 DOI: 10.1007/s12144-022-03710-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/26/2022] [Indexed: 11/29/2022]
Abstract
This study proposed an improved representation of the DASS-21 factor structure developed by Lovibond and Lovibond in Behaviour Research and Therapy, 33, 335-342 (1995) using bifactor exploratory structural equation modeling (bifactor ESEM). This research was conducted by reference to 521 Turkish adults (45.3% females; M age = 27.86, SD = 8.23). The bifactor ESEM findings indicated a strong general factor of negative affect underlying responses to all DASS-21 items but also that despite the presence of three specific factors (depression, anxiety, and stress), the depression subscale explained a high degree of variance and could be considered to constitute a specific factor. The results obtained from this study show that there is a common factor associated with DASS-21 scales, the total score of DASS-21 can be identified as a measure of general negative affect, and the bifactor ESEM structure of DASS-21 ensures measurement invariance across genders.
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Affiliation(s)
- Esin Yılmaz Koğar
- Department of Educational Sciences, Nigde Omer Halisdemir University, Nigde, Turkey
| | - Hakan Koğar
- Department of Educational Sciences, Akdeniz University, Antalya, Turkey
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18
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Mental Health Condition among University Students of Bangladesh during the Critical COVID-19 Period. J Clin Med 2022; 11:jcm11154617. [PMID: 35956231 PMCID: PMC9369879 DOI: 10.3390/jcm11154617] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Revised: 08/04/2022] [Accepted: 08/05/2022] [Indexed: 11/16/2022] Open
Abstract
Bangladesh's education sector has been in a state of flux since COVID-19. During the pandemic, all university campuses were closed. There was a mental health issue among the students. This study aims to examine the mental health condition and the determinants that contribute to adverse mental health conditions among university students of Bangladesh. A survey was performed online among university students in Bangladesh, in mid-June 2020 when averaging 3345 affected cases of the population daily. The convenience sampling technique was used and the survey gathered data from 365 university students. The relationship between general information and Depression, Anxiety, and Stress Scale 21 (DASS-21) subscales of university students was determined. The questionnaire was administered to respondents during the pandemic, which ensured fast replies. Linear regression models were used for statistical analysis. University students indicated normal levels of depression (30.41%), anxiety (43.29%), and stress (47.40%). However, a disproportionate number of extremely depressed, anxious, and stressed university students suggested a mental health status of concern. There were significant connections between the individual's opinion of social satisfaction, mental health concerns, and the present location's safety with an undesirable mental health condition. Female students were shown to be much more anxious and stressed than male students. Capital Dhaka city students were more depressed and anxious than students outside of Dhaka. Financial and psychological support for students may help mitigate the psychological impact. Authorities should make effective efforts to reduce mental health problems among these students. This research may aid organizations, health care providers, and social workers in their attempts to prepare for and respond to pandemics.
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19
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Sun Y, Dai H, Wang P, Zhang X, Cui D, Huang Y, Zhang J, Xiang T. Will People Accept a Third Booster Dose of the COVID-19 Vaccine? A Cross-Sectional Study in China. Front Public Health 2022; 10:914950. [PMID: 35903387 PMCID: PMC9315287 DOI: 10.3389/fpubh.2022.914950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Accepted: 06/13/2022] [Indexed: 11/17/2022] Open
Abstract
Objective The coronavirus disease 2019 (COVID-19) vaccines are considered to be an effective way to prevent the spread of the infection. Our previous study has shown that about 75% of healthcare workers (HCWs) in China were willing to receive the vaccine when it became available. Here, we examined the acceptance of a third booster dose among Chinese people and identified the influencing factors. Methods A cross-sectional online survey was conducted and the snowball sampling method was utilized. An online questionnaire was provided to all the participants in the form of a quick response (QR) code. The questionnaire included general demographic information, views on vaccines, the General Health Questionnaire-12 (GHQ-12), and the Depression, Anxiety, and Stress Scale-21 (DASS-21). The univariate analysis was done between all the variables and our dependent variable. Then, we used the multivariate logistic regression model to examine the influencing factors of the third booster dose acceptance. Results We collected 1,062 complete answers. Of these, 90.39% (n = 960) declared that they would accept the booster dose. Knowing more about the vaccine and recognizing the efficacy of vaccines were significantly associated with greater acceptance of the booster dose. People willing to take the booster dose had better psychological health. A belief that the booster dose could prevent severe infection caused by COVID-19 and enhance the effectiveness of the first two doses were the main contributing factors to vaccine acceptance. Vaccine hesitancy was mainly due to a low perceived risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and rapid mutation of SARS-CoV-2. Conclusion This study revealed that Chinese people were very receptive to the third booster dose, which is an inspiring result. More positive attitudes regarding COVID-19 vaccination were supported by its efficacy and few side effects.
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20
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Relationship between Psychological Distress, Basic Psychological Needs, Anxiety, Mental Pressure, and Athletic Burnout of Chinese College Football Athletes during the COVID-19 Pandemic. SUSTAINABILITY 2022. [DOI: 10.3390/su14127100] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
The rapid spread of the COVID-19 pandemic in early 2020 poses a significant threat to mental health, which may lead to psychological stress in a number of individuals. Athlete burnout is a common psychological phenomenon that has a negative influence on their sports career. The main purpose of this study was to evaluate the relationship between psychological distress and athletic burnout among Chinese college football athletes during the COVID-19 pandemic, and the mediating role of basic psychological needs, anxiety and mental pressure. In an online cross-sectional survey conducted in February 2022, the team coaches sent an electronic questionnaire to college football athletes. Participants completed questionnaires on relevant variables. Pearson correlation analysis and mediation effect analysis were carried out by using SPSS software and its plug-in process V3.3. The study included 672 participants and the results showed that: (1) psychological distress, basic psychological needs, anxiety, mental pressure and athletic burnout were significantly pairwise correlated, (2) mental pressure, anxiety and basic psychological needs play a mediating role between psychological distress and athletic burnout respectively, and (3) basic psychological needs and anxiety, basic psychological needs and mental pressure, anxiety and mental pressure, as well as mental pressure, anxiety and basic psychological needs respectively play a chain mediating role between psychological distress and athletic burnout. In conclusion, psychological distress during the COVID-19 pandemic is an important factor leading to athletic burnout among Chinese college football athletes and may further affect the level of athletic burnout through basic psychological needs, anxiety and mental pressure. The government and schools should strengthen the recognition of these factors in order to improve the situation of athletic burnout among Chinese college football athletes.
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21
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Yew JM, Kueh YC, Norsa’adah B, Leong FW, Tang HY, Kuan G. A Path Model of the Relationship between Mood, Exercise Behavior, Coping, and Mental Health among Malaysians during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19105939. [PMID: 35627485 PMCID: PMC9141255 DOI: 10.3390/ijerph19105939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Revised: 05/07/2022] [Accepted: 05/09/2022] [Indexed: 12/01/2022]
Abstract
The purpose of this study was to examine the relationship between the mood, physical activity, coping, and mental health of Malaysians during the COVID-19 pandemic. A cross-sectional study was conducted via an online survey, with self-administered questionnaires. The respondents were recruited using snowball sampling techniques. The Brunel Mood Scale (BRUMS), the Exercise Regulations in Exercise-3 (BREQ-3), the Brief Coping Orientation of Problem Experienced (Brief COPE), and the Depression, Anxiety, and Stress Scale (DASS-21) were used. A path analysis was conducted on the data. A total of 842 people participated in the survey. The mean age of participants was 22 years (interquartile range = 6) and 24.0% were male. The final path model fitted the data well, with a comparative fit index of 0.998, a Tucker–Lewis index of 0.988, a standardized root mean square residual of 0.001, and a root mean square error of approximation of 0.072. In this study, there were significant path relationships between mood, exercise behavior, coping, and mental health. Additionally, it was demonstrated that the variables of mood, exercise behavior, and coping have both direct and indirect effects on mental health. The results also suggested that utilizing appropriate coping skills, exercise behavior, and positive mood can directly lower levels of depression, anxiety and stress, and that appropriate coping skills and positive mood can directly affect exercise behavior.
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Affiliation(s)
- Jing Mun Yew
- Biostatistics and Research Methodology Unit, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia; (J.M.Y.); (B.N.)
| | - Yee Cheng Kueh
- Biostatistics and Research Methodology Unit, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia; (J.M.Y.); (B.N.)
- Correspondence: (Y.C.K.); (G.K.)
| | - Bachok Norsa’adah
- Biostatistics and Research Methodology Unit, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia; (J.M.Y.); (B.N.)
| | - Foo Weng Leong
- Department of Psychiatry, RCSI-UCD Malaysia Campus 4, Jalan Sepoy Lines, Georgetown 10450, Penang, Malaysia;
| | - Heen Yeong Tang
- Access Hitech Automation Sdn. Bhd., Batu Maung 11960, Penang, Malaysia;
| | - Garry Kuan
- Exercise and Sports Science Programme, School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia
- Correspondence: (Y.C.K.); (G.K.)
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22
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Jia L, Carter MV, Cusano A, Li X, Kelly JD, Bartley JD, Parisien RL. The Effect of the COVID-19 Pandemic on the Mental and Emotional Health of Athletes: A Systematic Review. Am J Sports Med 2022:3635465221087473. [PMID: 35413208 DOI: 10.1177/03635465221087473] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic has caused the cancellation or postponement of virtually every sporting event, resulting in training disruptions, income loss, and career uncertainties for athletes around the world. At present, the effect of the COVID-19 pandemic on the mental and emotional health of athletes is not well understood. PURPOSE To investigate the effect of the COVID-19 pandemic on the mental and emotional health of athletes and to identify risk factors associated with poor mental health outcomes. STUDY DESIGN Systematic review; Level of evidence, 4. METHODS The PubMed, Embase, and Cochrane Library databases were searched to identify all articles reporting on athletes' mental and emotional health during the COVID-19 pandemic. Articles were selected based on relevant inclusion and exclusion criteria. Study characteristics, athlete demographics, and COVID-19 mental health data (sex-, type of sport-, and level of play-specific differences) were collected from each included article and analyzed. RESULTS A total of 35 studies were included in the final analysis, comprising athletes around the world and across numerous sports and levels of play. Most studies utilized at least 1 validated mental health questionnaire and assessed for outcomes such as depression, anxiety, stress, motivation, and athletic identity. Overall, athletes reported worse mental and emotional health during the COVID-19 pandemic, although these effects were attenuated by home training programs and quarantine training camps. Female sex and more elite levels of play were associated with an increased risk for poor mental health outcomes. Type of sport was associated with mixed results, with individual and team sports carrying different increased risks for poor mental and emotional health. Nearly all studies recommended the need for increased psychological support of athletes during the COVID-19 pandemic. CONCLUSION The effect of the COVID-19 pandemic on the mental and emotional health of athletes is complex and multifaceted. Increased social interactions with coaches and teammates, continued access to training facilities and mental health professionals, and active utilization of healthy coping mechanisms can improve mental health outcomes for athletes in the era of COVID-19.
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Affiliation(s)
- Lori Jia
- Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Michael V Carter
- Drexel University College of Medicine, Philadelphia, Pennsylvania, USA
| | | | - Xinning Li
- Boston University School of Medicine, Boston, Massachusetts, USA
| | - John D Kelly
- University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | | | - Robert L Parisien
- Department of Orthopaedic Surgery and Sports Medicine, Mount Sinai, New York, New York, USA
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Um B, Bardhoshi G. Psychometric Evaluation of the Depression Anxiety Stress Scales-21 (DASS-21) in Senior Games Athletes. MEASUREMENT AND EVALUATION IN COUNSELING AND DEVELOPMENT 2022. [DOI: 10.1080/07481756.2022.2051189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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24
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Jaenes JC, Alarcón D, Trujillo M, Méndez-Sánchez MDP, León-Guereño P, Wilczyńska D. A Moderated Mediation Model of Wellbeing and Competitive Anxiety in Male Marathon Runners. Front Psychol 2022; 13:800024. [PMID: 35432105 PMCID: PMC9011145 DOI: 10.3389/fpsyg.2022.800024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Accepted: 02/11/2022] [Indexed: 11/13/2022] Open
Abstract
Running marathons is an increasingly popular activity with an ever-increasing number of events and participants. Many participants declare that they pursue a variety of goals by running, namely, the maintenance of good health, the development of strength and improvement of fitness, the management of emotions, and the achievement of resilience and psychological wellbeing (PWB). The research has examined marathon running, like many other sports, and has studied various factors that reduce athletic performance, such as the experience of anxiety, and that enhance such performance, such as an increase in general wellbeing. This article reports the results of a study on the experience of competitive anxiety among 238 male marathon runners who participated in Seville's (Spain) 26th Marathon race on February 23, 2020, and investigates the relationship between anxiety and key dimensions of wellbeing as measured by the Spanish-adapted 20-item PWB Scale. We hypothesized that participating athletes who rated high on the dimensions of PWB would experience lower levels of competitive anxiety with respect to this race. We also proposed that PWB would function as a mediating factor with respect to the experience of anxiety. The results show, as hypothesized, that marathon running enhances wellbeing and reduces anxiety. The data showed significant negative correlations between four of five wellbeing dimensions and the three types of anxiety measured, namely, somatic anxiety, worry, and concentration-impairing anxiety. Other findings supported our hypothesis that wellbeing, as measured, functions as a mediating factor for the moderation of competitive anxiety. Generalization of these findings is limited by the fact that the low number of female participants recruited did not permit valid statistical analyses in this respect. It is known that both anxiety and wellbeing are subjects to variation by gender. The future inclusion of male and female subjects in equivalent studies will undoubtedly add valuable information concerning the dynamics of anxiety and wellbeing. The implications of these findings and the limitations of the study will be discussed.
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Affiliation(s)
- Jose C. Jaenes
- Department of Social Anthropology, Basic Psychology and Public Health, Pablo de Olavide University, Seville, Spain
| | - David Alarcón
- Department of Social Anthropology, Basic Psychology and Public Health, Pablo de Olavide University, Seville, Spain
| | - Manuel Trujillo
- Grossman School of Medicine, New York University, New York, NY, United States
| | | | - Patxi León-Guereño
- Health, Physical Activity and Sports Science Laboratory (HealthPASS), Department of Physical Activity and Sports, Faculty of Education and Sports, University of Deusto, Bilbao, Spain
| | - Dominika Wilczyńska
- Department of Social Science, Gdańsk University of Physical Education and Sport, Gdańsk, Poland
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Diet Quality and Mental Health Status among Division 1 Female Collegiate Athletes during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182413377. [PMID: 34948985 PMCID: PMC8703292 DOI: 10.3390/ijerph182413377] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/30/2021] [Revised: 12/09/2021] [Accepted: 12/17/2021] [Indexed: 11/17/2022]
Abstract
The International Olympic Committee has identified mental health as a priority that significantly affects the physical health and safety of collegiate athletes. Interventions that improve diet quality have been shown to improve mental health in several populations. However, studies are needed to examine this relationship in female collegiate athletes, who have elevated risk of experiencing anxiety and depression symptoms, as well as dietary insufficiencies. In a quantitative, cross-sectional study, female student athletes at a U.S. university completed three mental health questionnaires: Depression Anxiety and Stress Scale (DASS-21), Athlete Psychological Strain Questionnaire (APSQ), and COVID Stress Scales (CSS). Each female athlete also completed a validated, web-based Diet History Questionnaire (DHQ-III) resulting in a Healthy Eating Index (HEI). Seventy-seven participants completed all survey information. HEI scores were consistently higher for athletes with poorer mental health. HEI scores were significantly positively associated with stress (p = 0.015), performance concerns (p = 0.048), CSS components of danger (p = 0.007), contamination (p = 0.006), and traumatic stress (p = 0.003). Although findings support statistically significant associations among dietary quality and mental health indicators, including broad symptom severity or stressors specific to athletics or COVID-19, these associations were in the opposite direction hypothesized. Possible reasons for results and suggestions for future research are discussed.
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Casali N, Cerea S, Moro T, Paoli A, Ghisi M. Just Do It: High Intensity Physical Activity Preserves Mental and Physical Health in Elite and Non-elite Athletes During COVID-19. Front Psychol 2021; 12:757150. [PMID: 34858284 PMCID: PMC8631504 DOI: 10.3389/fpsyg.2021.757150] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Accepted: 10/20/2021] [Indexed: 12/12/2022] Open
Abstract
Background: The COVID-19 pandemic forced most Italian athletes to cease their regular training activities, with possible consequences on both mental and physical health. The present study aimed at assessing changes in Physical Activity (PA) from pre- to lockdown, and examining the relationships among lockdown PA, quality of life (mental and physical health), motivation to exercise, psychological distress, intolerance of uncertainty, and body dissatisfaction. Methods: A total of 204 athletes of different sports (91 elite; 110 females; mean age = 22.55, SD = 5.76) answered an online survey investigating demographics, sport-related questions, PA (IPAQ-S), quality of life (SF-12), and psychological variables (BREQ-2, DASS-21, IUS-R, and EDI-3-Body dissatisfaction subscale). Results: Both elite and non-elite athletes significantly reduced their PA intensity and volume (p < 0.001). Elite athletes did not differ from non-elite in terms of total PA intensity and hours of training during lockdown (p > 0.05). Elite and individual athletes showed higher intrinsic motivation to exercise compared to non-elite and team sports (p < 0.01). Female athletes displayed higher distress, worse mental health, and higher body dissatisfaction than males (p < 0.05). Mediation models showed that vigorous PA positively affected both mental (p < 0.05) and physical (p < 0.001) health during lockdown, independently of distress and intolerance of uncertainty. Conclusion: The COVID-19 lockdown was taxing for athletes, particularly professionals; those who were able to practice PA at high intensity during lockdown reported better mental and physical health.
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Affiliation(s)
- Nicole Casali
- Memory & Learning Lab, Department of General Psychology, University of Padova, Padua, Italy
| | - Silvia Cerea
- Experimental Psychopathology Lab, Department of General Psychology, University of Padova, Padua, Italy
| | - Tatiana Moro
- Nutrition and Exercise Physiology Lab, Department of Biomedical Sciences, University of Padova, Padua, Italy
| | - Antonio Paoli
- Nutrition and Exercise Physiology Lab, Department of Biomedical Sciences, University of Padova, Padua, Italy
| | - Marta Ghisi
- Experimental Psychopathology Lab, Department of General Psychology, University of Padova, Padua, Italy
- Unità Operativa Complessa (UOC) Hospital Psychology, University-Hospital of Padova, Padua, Italy
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Pavlů D, Škripková A, Pánek D. The Effects of Elastic Band Exercises with PNF on Shooting Speed and Accuracy in Ball Hockey Players during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:11391. [PMID: 34769906 PMCID: PMC8583366 DOI: 10.3390/ijerph182111391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 10/26/2021] [Accepted: 10/28/2021] [Indexed: 11/17/2022]
Abstract
The coronavirus pandemic has affected life and left one of the strongest negative effects on sport. The aim of our study was to evaluate how a simple exercise performed with elastic resistance during the COVID-19 pandemic, when athletes cannot train, affects the basic shooting characteristics of ball hockey players. Extra-league ball hockey players (N = 30, age 19-37 years) were randomly divided into an experimental group, which performed elastic resistance exercises with Proprioceptive Neuromuscular Facilitation (PNF) elements for eight weeks, and a control group, which did not perform any exercises. Before the start of the experiment and after it was completed, the speed and accuracy of shooting were measured. In experimental group, there was no decrease after 8 weeks in the shooting speed, and in the control group, there was a statistically significant decrease. There was a deterioration in the accuracy of shooting in both groups; however, in the experimental group, the deterioration was not significant. The results show that even three simple exercises with elastic resistance according to the PNF concept performed 10 times per day for eight weeks can maintain the level of basic skills of ball hockey players-the speed and accuracy of shooting-even when no other training is performed.
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Affiliation(s)
- Dagmar Pavlů
- Faculty of Physical Education and Sport, Charles University, 16252 Prague, Czech Republic; (A.Š.); (D.P.)
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Ali AM, Alkhamees AA, Hori H, Kim Y, Kunugi H. The Depression Anxiety Stress Scale 21: Development and Validation of the Depression Anxiety Stress Scale 8-Item in Psychiatric Patients and the General Public for Easier Mental Health Measurement in a Post COVID-19 World. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:10142. [PMID: 34639443 PMCID: PMC8507889 DOI: 10.3390/ijerph181910142] [Citation(s) in RCA: 40] [Impact Index Per Article: 13.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Revised: 09/22/2021] [Accepted: 09/23/2021] [Indexed: 01/15/2023]
Abstract
Despite extensive investigations of the Depression Anxiety Stress Scales-21 (DASS-21) since its development in 1995, its factor structure and other psychometric properties still need to be firmly established, with several calls for revising its item structure. Employing confirmatory factor analysis (CFA), this study examined the factor structure of the DASS-21 and five shortened versions of the DASS-21 among psychiatric patients (N = 168) and the general public (N = 992) during the COVID-19 confinement period in Saudi Arabia. Multigroup CFA, Mann Whitney W test, Spearman's correlation, and coefficient alpha were used to examine the shortened versions of the DASS-21 (DASS-13, DASS-12, DASS-9 (two versions), and DASS-8) for invariance across age and gender groups, discriminant validity, predictive validity, item coverage, and internal consistency, respectively. Compared with the DASS-21, all three-factor structures of the shortened versions expressed good fit, with the DASS-8 demonstrating the best fit and highest item loadings on the corresponding factors in both samples (χ2(16, 15) = 16.5, 67.0; p = 0.420, 0.001; CFI = 1.000, 0.998; TLI = 0.999, 0.997; RMSEA = 0.013, 0.059, SRMR = 0.0186, 0.0203). The DASS-8 expressed configural, metric, and scalar invariance across age and gender groups. Its internal consistency was comparable to other versions (α = 0.94). Strong positive correlations of the DASS-8 and its subscales with the DASS-21 and its subscales (r = 0.97 to 0.81) suggest adequate item coverage and good predictive validity of this version. The DASS-8 and its subscales distinguished the clinical sample from the general public at the same level of significance expressed by the DASS-21 and other shortened versions, supporting its discriminant validity. Neither the DASS-21 nor the shortened versions distinguished patients diagnosed with depression and anxiety from each other or from other psychiatric conditions. The DASS-8 represents a valid short version of the DASS-21, which may be useful in research and clinical practice for quick identification of individuals with potential psychopathologies. Diagnosing depression/anxiety disorders may be further confirmed in a next step by clinician-facilitated examinations. Brevity of the DASS-21 would save time and effort used for filling the questionnaire and support comprehensive assessments by allowing the inclusion of more measures on test batteries.
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Affiliation(s)
- Amira Mohammed Ali
- Department of Behavioral Medicine, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo 187-8553, Japan; (H.H.); (Y.K.)
- Department of Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria University, Alexandria 21527, Egypt
| | - Abdulmajeed A. Alkhamees
- Department of Medicine, College of Medicine and Medical Sciences, Qassim University, Buraydah 52571, Al Qassim, Saudi Arabia;
| | - Hiroaki Hori
- Department of Behavioral Medicine, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo 187-8553, Japan; (H.H.); (Y.K.)
| | - Yoshiharu Kim
- Department of Behavioral Medicine, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo 187-8553, Japan; (H.H.); (Y.K.)
| | - Hiroshi Kunugi
- Department of Psychiatry, Teikyo University School of Medicine, Tokyo 173-8605, Japan;
- Department of Mental Disorder Research, National Institute of Neuroscience, National Center of Neurology and Psychiatry, Tokyo 187-8502, Japan
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Stressed and Not Sleeping: Poor Sleep and Psychological Stress in Elite Athletes Prior to the Rio 2016 Olympic Games. Int J Sports Physiol Perform 2021; 17:195-202. [PMID: 34548422 DOI: 10.1123/ijspp.2021-0117] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Revised: 05/04/2021] [Accepted: 05/27/2021] [Indexed: 11/18/2022]
Abstract
PURPOSE Psychological stress is reported to be an important contributor to reduced sleep quality and quantity observed in elite athletes. The purpose of this study was to explore the association between psychological stress and sleep and to identify if specific aspects of sleep are disturbed. METHODS One hundred thirty-one elite athletes (mean [SD], male: n = 46, age 25.8 [4.1] y; female: n = 85, age 24.3 [3.9] y) from a range of sports completed a series of questionnaires in a 1-month period approximately 4 months before the 2016 Rio Olympic Games. Questionnaires included the Pittsburgh Sleep Quality Index; Recovery-Stress Questionnaire; Depression, Anxiety, and Stress Scale (DASS 21); and Perceived Stress Scale (PSS). RESULTS Regression analysis identified the PSS and DASS stress as the main variables associated with sleep. A PSS score of 6.5 or higher was associated with poor sleep. In addition, a PSS score lower than 6.5 combined with a DASS stress score higher than 4.5 was also associated with poor sleep. Univariate analyses on subcomponents of the Pittsburgh Sleep Quality Index confirmed that PSS is associated with lower sleep quality (t99 = 2.40, P = .018), increased sleep disturbances (t99 = 3.37, P = .001), and increased daytime dysfunction (t99 = 2.93, P = .004). DASS stress was associated with increased sleep latency (t94 = 2.73, P = .008), increased sleep disturbances (t94 = 2.25, P = .027), and increased daytime dysfunction (t94 = 3.58, P = .001). CONCLUSIONS A higher stress state and higher perceived stress were associated with poorer sleep, in particular increased sleep disturbances and increased daytime dysfunction. Data suggest that relatively low levels of psychological stress are associated with poor sleep in elite athletes.
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Davila-Torres DM, Vilcas-Solís GE, Rodríguez-Vásquez M, Calizaya-Milla YE, Saintila J. Eating habits and mental health among rugby players of the Peruvian pre-selection during the second quarantine due to the COVID-19 pandemic. SAGE Open Med 2021; 9:20503121211043718. [PMID: 34504708 PMCID: PMC8423319 DOI: 10.1177/20503121211043718] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2021] [Accepted: 08/15/2021] [Indexed: 11/23/2022] Open
Abstract
Objectives: Social isolation during the COVID-19 pandemic impacts the mental health and
diet of populations. Aim: The aim of the study was to evaluate whether the eating habits and mental
health status of the rugby players of the Peruvian pre-selection were
affected by the second quarantine of the COVID-19 pandemic. Methods: A cross-sectional study was carried out through a pre-structured online
survey in 74 players, 42 men (56.8%) and 32 women (43.2%). The mean age was
20.5 ± 4.4 years. Participants completed a validated food frequency
questionnaire and depression, anxiety, and stress scale-21 (DASS-21). Results: 58.1% of the respondents reported that their dietary intake remained the same
or increased. 58.3% of the players experienced anxiety, among which 26.4%
reported moderate and severe symptoms. A greater proportion of participants
<20 years old reported depression compared to those ⩾20 years (68.6% vs
31.4%, p = 0.010). Those who reported inadequate food
intake were more likely to report depressive symptoms (p =
0.006). Conclusion: These findings reaffirm the need to implement programs of psychological
support and nutritional counseling among athletes to reduce negative
symptoms and better face mental health and dietary challenges in these times
of crisis.
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Affiliation(s)
- Diego M Davila-Torres
- Escuela de Nutrición Humana, Facultad de Ciencias de la Salud, Universidad Peruana Unión, Lima, Perú
| | - Gabriela E Vilcas-Solís
- Escuela de Nutrición Humana, Facultad de Ciencias de la Salud, Universidad Peruana Unión, Lima, Perú
| | - Mery Rodríguez-Vásquez
- Escuela de Nutrición Humana, Facultad de Ciencias de la Salud, Universidad Peruana Unión, Lima, Perú
| | - Yaquelin E Calizaya-Milla
- Escuela de Nutrición Humana, Facultad de Ciencias de la Salud, Universidad Peruana Unión, Lima, Perú.,Grupo de Investigación en Nutrición y Estilo de Vida (GINEV), Escuela de Nutrición Humana, Universidad Peruana Unión, Lima, Perú
| | - Jacksaint Saintila
- Escuela de Nutrición Humana, Facultad de Ciencias de la Salud, Universidad Peruana Unión, Lima, Perú.,Grupo de Investigación en Nutrición y Estilo de Vida (GINEV), Escuela de Nutrición Humana, Universidad Peruana Unión, Lima, Perú
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31
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Batalla-Gavalda A, Cecilia-Gallego P, Revillas-Ortega F, Beltran-Garrido JV. Variations in the Mood States during the Different Phases of COVID-19's Lockdown in Young Athletes. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18179326. [PMID: 34501913 PMCID: PMC8430794 DOI: 10.3390/ijerph18179326] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Revised: 08/22/2021] [Accepted: 09/01/2021] [Indexed: 11/17/2022]
Abstract
The pandemic caused by SARS-CoV-2 led to a situation of home lockdown. Competitions, training, and sports activities were canceled for much of this period. This situation could have affected the physical and mental health and the mood states of young athletes. The aim of the study was to evaluate the variations in the mood states of young athletes of a highly competitive level during the different phases of lockdown in. The mood states of 45 Spanish youth athletes confined during the 10-week lockdown due to the COVID-19 pandemic -19 were assessed, using the Spanish-translated version of the POMS questionnaire, at the start of the home lockdown and at the start and at the end of the partial lockdown. The Total Mood Disturbance scores at week 10 were lower than those obtained in week 1 (pBonferroni = 0.031). The depression scores at week 6 (pBonferroni = 0.048) and at week 10 (pBonferroni < 0.001) were lower than those obtained in week 1. The confusion scores at week 10 were lower than those obtained in week 1 (pBonferroni = 0.002). These variations differed between team and individual sports. In conclusion, the lockdown produced changes in the young athletes’ mood states that should be considered when trying to optimize their physical and mental performance.
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Affiliation(s)
- Abraham Batalla-Gavalda
- EUSES Escola Universitària de la Salut i l’Esport, Rovira i Virgili University, 43870 Tarragona, Spain; (A.B.-G.); (P.C.-G.)
| | - Pau Cecilia-Gallego
- EUSES Escola Universitària de la Salut i l’Esport, Rovira i Virgili University, 43870 Tarragona, Spain; (A.B.-G.); (P.C.-G.)
- Centre de Tecnificació Terres de l’Ebre, 43870 Tarragona, Spain;
| | - Fernando Revillas-Ortega
- Centre de Tecnificació Terres de l’Ebre, 43870 Tarragona, Spain;
- Psicosport—Serveis de Psicologia de l’Esport, 43500 Tortosa, Spain
| | - Jose Vicente Beltran-Garrido
- EUSES Escola Universitària de la Salut i l’Esport, Rovira i Virgili University, 43870 Tarragona, Spain; (A.B.-G.); (P.C.-G.)
- Correspondence:
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Buckley GL, Hall LE, Lassemillante ACM, Belski R. Disordered eating & body image of current and former athletes in a pandemic; a convergent mixed methods study - What can we learn from COVID-19 to support athletes through transitions? J Eat Disord 2021; 9:73. [PMID: 34167589 PMCID: PMC8223527 DOI: 10.1186/s40337-021-00427-3] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Accepted: 06/08/2021] [Indexed: 12/26/2022] Open
Abstract
BACKGROUND The COVID-19 pandemic has seen worsened mental health as a result of lockdowns, isolation and changes to sociocultural functioning. The postponement of the Tokyo 2020 Olympics is representative of global cancellations of sporting events, reduced facility access and support restrictions that have affected both current and former athlete's psychological wellbeing. This study aimed to determine whether current (n = 93) and former (n = 111) athletes experienced worsened body image, relationship with food or eating disorder symptomatology during acute COVID-19 transitions. METHODS The study was a Convergent Mixed Methods design whereby qualitative content analysis was collected and analysed simultaneously with quantitative cross-sectional data using the EAT-26 and self-report COVID-19 questions. Data were collected from April until May 2020 to capture data pertaining to transitions related to the pandemic and included individuals across 41 different individual and team sports from club to international competition levels. RESULTS There was a surge in disordered eating in current and former athletes as a result of the early COVID-19 response. Eating disorders were suggested to occur in 21.1% of participants (18% current athletes n = 17, 25% former athletes (n = 26). There was a significant difference between males and females (p = 0.018, r = 0.17), but interestingly no differences between groups from individual vs team sports, type of sporting category (endurance, antigravitational, ball sport, power, technical and aesthetic) or level of competition (club, state, national or international). 34.8% (n = 69) self-reported worsened body image and 32.8% (n = 65) self-reported a worsened food relationship directly from COVID-19. Qualitative analysis indicated that disordered eating occurred predominantly in the form of body preoccupation, inhibitory food control, fear of body composition changes and binge eating. CONCLUSIONS This study indicates that transitions in COVID-19 have worsened food-body relationships in current and former athletes and must be treated as an at-risk time for eating disorder development. We suggest that resources are allocated appropriately to assist athletes to foster psychologically positive food and body relationships through COVID-19 transitions. This study makes practice suggestions in supporting athletes to manage control, seek support, adapt and accept change and promote connection and variety through athletic transitions.
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Affiliation(s)
- Georgina Louise Buckley
- Department of Nursing and Allied Health, Swinburne University of Technology, John St, Hawthorn, Victoria 3122 Australia
- Charles Perkins Centre, Inside Out Institute, Sydney University, John Hopkins Drive, Camperdown, New South Wales 2050 Australia
| | | | - Annie-Claude M. Lassemillante
- Department of Nursing and Allied Health, Swinburne University of Technology, John St, Hawthorn, Victoria 3122 Australia
| | - Regina Belski
- Department of Nursing and Allied Health, Swinburne University of Technology, John St, Hawthorn, Victoria 3122 Australia
- Department of Dietetics, Human Nutrition and Sport, LaTrobe University, Bundoora, Victoria 3083 Australia
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Sun Y, Chen X, Cao M, Xiang T, Zhang J, Wang P, Dai H. Will Healthcare Workers Accept a COVID-19 Vaccine When It Becomes Available? A Cross-Sectional Study in China. Front Public Health 2021; 9:664905. [PMID: 34095068 PMCID: PMC8172770 DOI: 10.3389/fpubh.2021.664905] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2021] [Accepted: 04/27/2021] [Indexed: 01/08/2023] Open
Abstract
Objective: The Coronavirus disease 2019 (COVID-19) vaccine is currently available. This timely survey was conducted to provide insight into on the willingness of healthcare workers (HCWs)to receive the vaccine and determine the influencing factors. Methods: This was a cross-sectional online survey. An online questionnaire was provided to all participants and they were asked if they would accept a free vaccine. The questionnaire gathered general demographic information, and included the General Health Questionnaire (GHQ-12); Myers-Briggs Type Indicator questionnaire (MBTI); Depression, Anxiety, and Stress Scales (DASS-21); and the 12-item Short Form Health Survey (SF-12). The data were collected automatically and electronically. Univariate analysis was done between all the variables and our dependent variable. Multivariable logistic regression models were employed to examine and identify the associations between the acceptance of the COVID-19 vaccine with the associated variables. Results: We collected 505 complete answers. The participants included 269 nurses (53.27%), 206 clinicians (40.79%), 15 administrative staff (2.97%), and 15 other staff (2.97%). Of these, 76.63% declared they would accept the vaccine. The major barriers were concerns about safety, effectiveness, and the rapid mutation in the virus. Moreover, four factors were significantly associated with the willingness to receive the vaccine: (a) “understanding of the vaccine” (odds ratio (OR):2.322; 95% confidence interval [CI]: 1.355 to 3.979); (b) “worried about experiencing COVID-19” (OR 1.987; 95% CI: 1.197–3.298); (c) “flu vaccination in 2020” (OR 4.730; 95% CI: 2.285 to 9.794); and (d) “living with elderly individuals” (OR 1.928; 95% CI: 1.074–3.462). Conclusions: During the vaccination period, there was still hesitation in receiving the vaccine. The results will provide a rationale for the design of future vaccination campaigns and education efforts concerning the vaccine.
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Affiliation(s)
- Yufang Sun
- Emergency Department, The Third People's Hospital of Chengdu, The Affiliated Hospital of Southwest Jiaotong University, The Second Affiliated Hospital Chengdu Clinical College of Chongqing Medical University, Chengdu, China
| | - Xiaohong Chen
- Emergency Department, The Third People's Hospital of Chengdu, The Affiliated Hospital of Southwest Jiaotong University, The Second Affiliated Hospital Chengdu Clinical College of Chongqing Medical University, Chengdu, China
| | - Min Cao
- Emergency Department, The Third People's Hospital of Chengdu, The Affiliated Hospital of Southwest Jiaotong University, The Second Affiliated Hospital Chengdu Clinical College of Chongqing Medical University, Chengdu, China
| | - Tao Xiang
- Emergency Department, The Third People's Hospital of Chengdu, The Affiliated Hospital of Southwest Jiaotong University, The Second Affiliated Hospital Chengdu Clinical College of Chongqing Medical University, Chengdu, China
| | - Jimei Zhang
- Emergency Department, The Third People's Hospital of Chengdu, The Affiliated Hospital of Southwest Jiaotong University, The Second Affiliated Hospital Chengdu Clinical College of Chongqing Medical University, Chengdu, China
| | - Ping Wang
- Emergency Department, The Third People's Hospital of Chengdu, The Affiliated Hospital of Southwest Jiaotong University, The Second Affiliated Hospital Chengdu Clinical College of Chongqing Medical University, Chengdu, China
| | - Hang Dai
- Emergency Department, The Third People's Hospital of Chengdu, The Affiliated Hospital of Southwest Jiaotong University, The Second Affiliated Hospital Chengdu Clinical College of Chongqing Medical University, Chengdu, China
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Ambroży T, Rydzik Ł, Obmiński Z, Klimek AT, Serafin N, Litwiniuk A, Czaja R, Czarny W. The Impact of Reduced Training Activity of Elite Kickboxers on Physical Fitness, Body Build, and Performance during Competitions. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:4342. [PMID: 33923913 PMCID: PMC8073118 DOI: 10.3390/ijerph18084342] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 04/15/2021] [Accepted: 04/17/2021] [Indexed: 11/16/2022]
Abstract
Background: Kickboxing is a combat sport where athletes require constant supervision of a coach. The outbreak of the pandemic caused by SARS-CoV-2 has led to a crisis in many sectors, including sport. Global efforts to limit the spread of the pathogen resulted in temporary lockdowns that limited sporting activity, thus deteriorating athletes' physical fitness. Methods: The participants included 20 kickboxers competing at the international level. Their physical fitness was evaluated based on the test developed by the International Committee on the Standardization of Physical Fitness Test (ICSPFT) and their body build was assessed using Tanita BC601 body composition monitor and a body height meter. Differences between physical fitness before the COVID-19 outbreak and during the pandemic after re-opening sports facilities were evaluated. Results: Temporary closing of sports clubs has led to the increase in body mass of the participants by 2.65 kg on average and significantly deteriorated physical fitness. Conclusions: Temporary closing of sports clubs and restrictions on physical activity aimed at containing the spread of COVID-19 caused a significant reduction in physical fitness and increased body mass of the participants. This is likely to cause worse performance in the nearest competitions and have a negative impact on the athletes' health status and immunity to diseases.
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Affiliation(s)
- Tadeusz Ambroży
- Institute of Sports Sciences, University of Physical Education, 31-571 Krakow, Poland;
| | - Łukasz Rydzik
- Institute of Sports Sciences, University of Physical Education, 31-571 Krakow, Poland;
| | - Zbigniew Obmiński
- Department of Endocrinology, Institute of Sport-National Research Institute, 01-982 Warsaw, Poland;
| | - Andrzej T. Klimek
- Department of Physiology and Biochemistry, Faculty of Physical Education and Sport, University of Physical Education in Kraków, 31-571 Kraków, Poland;
| | - Natalia Serafin
- Faculty of Physical Education and Sport, Institute of Social Sciences, University of Physical Education in Krakow, 31-571 Kraków, Poland;
| | - Artur Litwiniuk
- Faculty of Physical Education and Health in Biała Podlaska, Józef Piłsudski University of Physical Education, 00-809 Warsaw, Poland;
| | - Robert Czaja
- College of Medical Sciences, Institute of Physical Culture Studies, University of Rzeszow, 35-310 Rzeszów, Poland; (R.C.); (W.C.)
| | - Wojciech Czarny
- College of Medical Sciences, Institute of Physical Culture Studies, University of Rzeszow, 35-310 Rzeszów, Poland; (R.C.); (W.C.)
- Department of Sports Kinanthropology, Faculty of Sports, Universtiy of Presov, 080-01 Prešov, Slovakia
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35
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Wang C, Tee M, Roy AE, Fardin MA, Srichokchatchawan W, Habib HA, Tran BX, Hussain S, Hoang MT, Le XT, Ma W, Pham HQ, Shirazi M, Taneepanichskul N, Tan Y, Tee C, Xu L, Xu Z, Vu GT, Zhou D, Koh BJ, McIntyre RS, Ho C, Ho RC, Kuruchittham V. The impact of COVID-19 pandemic on physical and mental health of Asians: A study of seven middle-income countries in Asia. PLoS One 2021; 16:e0246824. [PMID: 33571297 PMCID: PMC7877638 DOI: 10.1371/journal.pone.0246824] [Citation(s) in RCA: 225] [Impact Index Per Article: 75.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2020] [Accepted: 01/27/2021] [Indexed: 01/02/2023] Open
Abstract
The coronavirus disease (COVID-19) pandemic has impacted the economy, livelihood, and physical and mental well-being of people worldwide. This study aimed to compare the mental health status during the pandemic in the general population of seven middle income countries (MICs) in Asia (China, Iran, Malaysia, Pakistan, Philippines, Thailand, and Vietnam). All the countries used the Impact of Event Scale–Revised (IES-R) and Depression, Anxiety and Stress Scale (DASS-21) to measure mental health. There were 4479 Asians completed the questionnaire with demographic characteristics, physical symptoms and health service utilization, contact history, knowledge and concern, precautionary measure, and rated their mental health with the IES-R and DASS-21. Descriptive statistics, One-Way analysis of variance (ANOVA), and linear regression were used to identify protective and risk factors associated with mental health parameters. There were significant differences in IES-R and DASS-21 scores between 7 MICs (p<0.05). Thailand had all the highest scores of IES-R, DASS-21 stress, anxiety, and depression scores whereas Vietnam had all the lowest scores. The risk factors for adverse mental health during the COVID-19 pandemic include age <30 years, high education background, single and separated status, discrimination by other countries and contact with people with COVID-19 (p<0.05). The protective factors for mental health include male gender, staying with children or more than 6 people in the same household, employment, confidence in doctors, high perceived likelihood of survival, and spending less time on health information (p<0.05). This comparative study among 7 MICs enhanced the understanding of metal health in the general population during the COVID-19 pandemic.
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Affiliation(s)
- Cuiyan Wang
- Institute of Cognitive Neuroscience, Faculty of Education, Huaibei Normal University, Huaibei, China
| | - Michael Tee
- College of Medicine, University of the Philippines, Manila, Philippines
| | | | - Mohammad A. Fardin
- Department of Psychology, Zahedan Branch, Islamic Azad University, Zahedan, Iran
| | - Wandee Srichokchatchawan
- College of Public Health Sciences, Chulalongkorn University, a member of Thailand One Health University Network (THOHUN), Bangkok, Thailand
| | - Hina A. Habib
- Institute of Clinical Psychology, University of Karachi, Karachi, Pakistan
| | - Bach X. Tran
- Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States of America
| | | | - Men T. Hoang
- Institute for Global Health Innovations, Duy Tan University, Da Nang, Vietnam
| | - Xuan T. Le
- Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam
| | - Wenfang Ma
- Institute of Cognitive Neuroscience, Faculty of Education, Huaibei Normal University, Huaibei, China
| | - Hai Q. Pham
- Faculty of Medicine, Duy Tan University, Da Nang, Vietnam
| | - Mahmoud Shirazi
- Department of Psychology, University of Sistan and Baluchestan, Zahedan, Iran
| | - Nutta Taneepanichskul
- College of Public Health Sciences, Chulalongkorn University, a member of Thailand One Health University Network (THOHUN), Bangkok, Thailand
| | - Yilin Tan
- Institute of Cognitive Neuroscience, Faculty of Education, Huaibei Normal University, Huaibei, China
| | - Cherica Tee
- College of Medicine, University of the Philippines, Manila, Philippines
| | - Linkang Xu
- Institute of Cognitive Neuroscience, Faculty of Education, Huaibei Normal University, Huaibei, China
| | - Ziqi Xu
- Institute of Cognitive Neuroscience, Faculty of Education, Huaibei Normal University, Huaibei, China
| | - Giang T. Vu
- Center of Excellence in Evidence-based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City, Vietnam
| | - Danqing Zhou
- Institute of Cognitive Neuroscience, Faculty of Education, Huaibei Normal University, Huaibei, China
| | - Bernard J. Koh
- Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Roger S. McIntyre
- Mood Disorders Psychopharmacology Unit, University Health Network, University of Toronto, Toronto, Canada
| | - Cyrus Ho
- Department of Psychological Medicine, National University Health System, Singapore, Singapore
| | - Roger C. Ho
- Institute for Health Innovation and Technology (iHealthtech), Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
- * E-mail:
| | - Vipat Kuruchittham
- Southeast Asia One Health University Network (SEAOHUN), Chiang Mai, Thailand
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