Physical Activity Regulates the Symptoms of Psychological Distress in Graduates During the COVID-19 Pandemic

Ronaldo Aparecido da Silva

doi:10.46642/efd.v27i290.3338

Ronaldo Aparecido da Silva University of São Paulo (USP) https://publons.com/researcher/AHD-3043-2022 https://orcid.org/0000-0003-1237-3595

DOI: https://doi.org/10.46642/efd.v27i290.3338

Resumen

Introducción: La pandemia de COVID-19 provocó un aumento a nivel mundial de problemas de salud mental como la ansiedad y la depresión. Objetivo: Investigar el impacto de la actividad física en los síntomas de ansiedad y depresión en estudiantes universitarios de educación física durante la pandemia de COVID-19. Métodos: Se realizaron evaluaciones de corto y mediano plazo a 121 estudiantes de licenciatura en educación física. Los estudiantes respondieron la Escala de Ansiedad y Depresión Hospitalaria (HADS) y el Cuestionario de Ansiedad Estado Rasgo (STAI) para medir los niveles de síntomas de ansiedad y depresión; también se verificó el nivel de actividad física (NAF) mediante el Cuestionario Internacional de Actividad Física (IPAQ). Las evaluaciones se realizaron en dos tiempos: 30 a 40 días o Corto Plazo (CP) y 120 a 130 días o Mediano Plazo (MP) después de iniciado el distanciamiento social. Resultados: Cerca del 52,9% y 59,5% de los estudiantes no presentaron síntomas de ansiedad a CP y MP, respectivamente. La mayoría de los estudiantes de grado, 74,4% y 66,9%, no presentaron síntomas de depresión en CP y MP, respectivamente. Más del 50% de los alumnos lograron mantener la NAF en ambos momentos. Conclusión: El mantenimiento de la salud mental durante la pandemia se pudo preservar con actividad física regular.

Palabras clave: Ansiedad, Depresión, COVID-19, Pandemia, Actividad física

Referencias

Biaggio, A.M.B., & Natalício, L. (1979). Manual para o Inventário de Ansiedade Traço-Estado (IDATE). Centro Editor de Psicologia Aplicada-CEPA.

Center of Disease Control and Prevential (CDC) (2020). Social Distancing. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/social-distancing.html

Dean, J., & Keshavan, M. (2017).The neurobiology of depression: An integrated view. Asian J Psychiatr, 27, 101-111. https://doi.org/10.1016/j.ajp.2017.01.025

Dubovsky, S.L., Ghosh, B.M., Serotte, J.C., & Cranwell, V. (2021). Psychotic Depression: Diagnosis, Differential Diagnosis, and Treatment. Psychother Psychosom, 90(3), 160-177. https://doi.org/10.1159/000511348

Freitas, PD, Silva, AG, Ferreira, PG, DA Silva, A., Salge, JM, Carvalho-Pinto, RM, Cukier, A., Brito, CM, Mancini, MC, & Carvalho, CRF (2018). Exercise Improves Physical Activity and Comorbidities in Obese Adults with Asthma. Med Sci Sports Exerc, 50(7), 1367-1376. https://doi.org/10.1249/MSS.0000000000001574

Freitas, M., & Pitanga, F.J.G. (2013). Prevalência e fatores associados à inatividade física em adultos na cidade de Lauro de Freitas-Bahia-Brasil. In: H.J.C. Campos, & F.J.G. Pitanga (orgs.). Práticas investigativas em atividade física e saúde (pp. 79-102). EDUFBA. https://www.jstor.org/stable/10.7476/9788523212209.1?seq=4

Freitas, PD, Ferreira, PG, Silva, AG, Stelmach, R., Carvalho-Pinto, RM, Fernandes, FL, Mancini, MC, Sato, MN, Martins, MA, & Carvalho, CRF (2017). The Role of Exercise in a Weight-Loss Program on Clinical Control in Obese Adults with Asthma. A Randomized Controlled Trial. Am J Respir Crit Care Med, 195(1), 32-42. https://doi.org/10.1164/rccm.201603-0446OC

Goethals, L., Barth, N., Guyot, J., Hupin, D., Celarier, T., & Bongue, B. (2020). Impact of Home Quarantine on Physical Activity Among Older Adults Living at Home During the COVID-19 Pandemic: Qualitative Interview Study. JMIR Aging, 3(1), e19007. https://doi.org/10.2196/19007

Guzmán, J.E.O., & Duarte, A.C.V. (2020). Beneficios de la práctica regular de actividad física y sus efectos sobre la salud para enfrentar la pandemia por Covid-19: una revisión sistemática. Revista del Centro de Investigación de la Universidad La Salle, 14(53), 105-132.http://doi.org/10.26457/recein.v14i53.2679

Health Quality Ontario (HQO) (2017). Psychotherapy for Major Depressive Disorder and Generalized Anxiety Disorder: A Health Technology Assessment. Ontario Health Technology Assessment Service, 17(15), 1-167. https://pubmed.ncbi.nlm.nih.gov/29213344/

Huang, Y., & Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Research, 288, 112954. http://doi.org/10.1016/j.psychres.2020.112954

Hurtado, A.F.V., Ramos, O.A., Jacome, S.J., & Meza, M.M. (2020). Actividad física y ejercicio en tiempos de COVID-19. CES Med, 34, 51-58. https://doi.org/10.21615/cesmedicina.34.COVID-19.6

Jiménez-Pavón, D., Carbonell-Baeza, A., & Lavie, C.J. (2020). Physical exercise as therapy to fight against the mental and physical consequences of COVID-19 quarantine: Special focus in older people. Prog Cardiovasc Dis, 63(3), 386-388. http://doi.org/10.1016/j.pcad.2020.03.009

Karbownik, MS, Paul, E., Nowicka, M., Nowicka, Z., Kowalczyk, RP, Kowalczyk, E., & Pietras, T. (2019). Knowledge about dietary supplements and trust in advertising them: Development and validation of the questionnaires and preliminary results of the association between the constructs. PLoS One, 14(6), e0218398. http://doi.org/10.1371/journal.pone.0218398

Khurshid, Z., Asiri, F.Y.I., & Al Wadaani, H. (2020). Human Saliva: Non-Invasive Fluid for Detecting Novel Coronavirus (2019-nCoV). Int J Environ Res Public Health, 17(7), 2225. http://doi.org/10.3390/ijerph17072225

Larios-Navarro, A., Bohórquez-Rivero, J., Naranjo-Bohórquez, J., & Sáenz-López, J. (2020). Psychological impact of social isolation on the comorbid patient: on the subject of the COVID-19 pandemic. Impacto psicológico del aislamiento social en el paciente comórbido: a propósito de la pandemia COVID-19. Revista Colombiana de Psiquiatria, 49(4), 227-228. http://doi.org/10.1016/j.rcp.2020.07.002

Levitan, MN, Chagas, MH, Crippa, JA, Manfro, GG, Hetem, LA, Andrada, NC, Salum, GA, Isolan, L., Ferrari, MC, & Nardi, AE (2011). Diretrizes da Associação Médica Brasileira para o tratamento do transtorno de ansiedade social Braz J Psychiatry, 33(3), 292-302. http://doi.org/10.1590/s1516-44462011000300014

Leal, P.C., Goes, T.C., da Silva, L.C.F., & Teixeira-Silva, F. (2017). Trait vs. state anxiety in different threatening situations. Trends Psychiatry Psychother, 39(3), 147-157. http://doi.org/10.1590/2237-6089-2016-0044

Loureiro, L.M.J., & Gameiro, M.G.H. (2011). Interpretação crítica dos resultados estatísticos: para lá da significância estatística. Revista de Enfermagem, 3, 151-162. http://dx.doi.org/10.12707/RIII1009

Marcolino, J.A.M., Suzuki, F.M., Alli, L.A.C., Gozzani, J.L., & Mathias, L.A.S.T. (2007). Medida da Ansiedade e da Depressão em Pacientes no Pré-Operatório. Estudo Comparativo. Rev Bras Anestesiol, 57(2), 157-166. https://doi.org/10.1590/S0034-70942007000200004

Matsudo, S., Araújo, T., Matsudo, V., Andrade, D., Andrade, E., Oliveira, LC, & Braggion, G. (2012). Questionário Internacional de Atividade Física (IPAQ): estudo de validade e reprodutibilidade no Brasil. Rev. Bras. Ativ. Fís. Saúde, 6(2), 5-18. https://doi.org/10.12820/rbafs.v.6n2p5-18

Maugeri, G., Castrogiovanni, P., Battaglia, G., Pippi, R., D'Agata, V., Palma, A., Di Rosa, M., & Musumeci, G. (2020). The impact of physical activity on psychological health during Covid-19 pandemic in Italy. Heliyon, 6(6), e04315. https://doi.org/10.1016/j.heliyon.2020.e04315

Mendes, FA, Gonçalves, RC, Nunes, MP, Saraiva-Romanholo, BM, Cukier, A., Stelmach, R., Jacob-Filho, W., Martins, MA, & Carvalho, CRF (2010). Effects of aerobic training on psychosocial morbidity and symptoms in patients with asthma: a randomized clinical trial. Chest, 138(2), 331-7. https://doi.org/10.1378/chest.09-2389

Ministério da Educação (MEC). MEC autoriza ensino a distância em cursos presenciais. http://portal.mec.gov.br/busca-geral/12-noticias/acoes-programas-e-projetos-637152388/86441

Ministério da Saúde (2020a). Brasil confirma primeiro caso da doença. https://www.saude.gov.br/noticias/agencia-saude/46435-brasil-confirma-primeiro-caso-de-novo-coronavirus

Ministério da Saúde (2020b). Coronavírus. https://www.saude.gov.br/noticias/agencia-saude/46887-coronavirus-218-223-casos-confirmados-e-84-970-recuperados

Ministério da Saúde (2020c). Saúde anuncia orientações para evitar a disseminação do coronavírus. https://www.saude.gov.br/noticias/agencia-saude/46540-saude-anuncia-orientacoes-para-evitar-a-disseminacao-do-coronavirus

Mota, J.A. (2019). Utilização do Google Forms na pesquisa acadêmica. Humanidades e Inovação, 6(12), 371-380. https://revista.unitins.br/index.php/humanidadeseinovacao/article/view/1106

O'Neill, C., & Dogra, S. (2020). Reducing Anxiety and Anxiety Sensitivity With High-Intensity Interval Training in Adults With Asthma. J Phys Act Health, 16, 1-5. https://doi.org/10.1123/jpah.2019-0521

Ozamiz-Etxebarria, N., Dosil-Santamaria, M., Picaza-Gorrochategui, M., & Idoiaga-Mondragon, N. (2020). Stress, anxiety, and depression levels in the initial stage of the COVID-19 outbreak in a population sample in the northern Spain. Cad Saúde Pública, 36(4), e00054020. https://doi.org/10.1590/0102-311X00054020

Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V.G., Papoutsi, E., Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav Immun, 88, 901-907. https://doi.org/10.1016/j.bbi.2020.05.026

Ritsner, M., Modai. I., & Ponizovsky, A. (2002). Assessing psychological distress in psychiatric patients: validation of the Talbieh Brief Distress Inventory. Compr Psychiatry, 43(3), 229-34. https://doi.org/10.1053/comp.2002.30800

Ruiz, A.L., Arcaño, K.D., & Pérez, D.Z. (2020). La psicología como ciencia en el afrontamiento a la COVID-19: apuntes generales. Anales de la Academia de Ciencias de Cuba, 10(2), e839. http://www.revistaccuba.sld.cu/index.php/revacc/article/view/839

Seok, C.B., Hamid, H.S.A., Mutang, J.A., & Ismail, R. (2018). Psychometric Properties of the State-Trait Anxiety Inventory (Form Y) among Malaysian University Students. Ustainability, 10(9), 3311. https://doi.org/10.3390/su10093311

Silva, R.A. (2022). O impacto da pandemia do Covid-19 na transposição forçada do curso de educação física presencial para educação a distância. Revista Comunicação & Educação, 27(1). In Press.

Silva, R.A., Rocco, P.D., Stelmach, R., Martins, M.A., & Carvalho, C.R.F. (2017). Asthmatics are physically active, but have low level of clinical control, aerobic fitness, and psychosocial morbidity. European Respiratory Journal, Suppl. 50(61). https://doi.org/10.1183/1393003.congress-2017.pa2001

Silva, RA, Rocco, PD, Stelmach, R., Oliveira, LMDS, Sato, MN, Cukier, A., & Carvalho, CRF (2022). Constant-load exercise versus high-intensity interval training on aerobic fitness in moderate to severe asthma: A RCT. J Allergy Clin Immunol Pract., S2213-2198(22)00533-5. https://doi.org/10.1016/j.jaip.2022.05.023

Spielberger, C.D. (1979). Preliminary Manual for the State-Trait Personality Inventory (STPI). Test Forms and Psychometric Data.

Varela, A., Pereira, A, Pereira, A., & Santos, J.C. (2017). Distress psicológico: contributos para a adaptação portuguesa do SQ-48. Psicologia, Saúde e Doenças, 18(2), 278-296. http://dx.doi.org/10.15309/17psd180201

Velastegui-Hernández, D., & Mayorga-Lascano, M. (2021). Estados de ánimo, ansiedad y depresión en estudiantes de medicina durante la crisis sanitaria Covid-19. Psicología Unemi, 5(9), 10-20. https://doi.org/10.29076/issn.2602-8379vol5iss9.2021pp10-20p

Vindegaard, N., & Benros, M.E. (2020). COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain, Behavior and Immunity, S0889-1591(20)30954-5. https://doi.org/10.1016/j.bbi.2020.05.048

Wang, C., Horby, P.W., Hayden, F.G., & Gao, G.F. (2020). A novel coronavirus outbreak of global health concern. Lancet, 395(10223), 470-473. https://doi.org/10.1016/S0140-6736(20)30185-9

Woods, JA, Hutchinson, NT, Powers, SK, Roberts, WO, Gomez-Cabrera, MC, Radak, Z., Berkes, I., Boros, A., Boldogh, I., Leeuwenburgh, C., Coelho-Júnior, HJ, Marzetti, E., Cheng, Y., Liu, J., Durstine, JL, Sun, J., & Ji, LL (2020). The COVID-19 pandemic and physical activity. Sports Med Health Sci, 2(2), 55-64. https://doi.org/10.1016/j.smhs.2020.05.006

World Health Organization (2020a). WHO Timeline - COVID-19. https://www.who.int/news-room/detail/27-04-2020-who-timeline---covid-19

World Health Organization (2020b). COVID-19: physical distancing. https://www.who.int/westernpacific/emergencies/covid-19/information/physical-distancing

World Health Organization (2020c). Brazil Situation. https://covid19.who.int/region/amro/country/br

World Health Organization (2020d). Physical activity. http://www.who.int/news-room/fact-sheets/detail/physical-activity

Zigmond, A.S., & Snaith, R.P. (1983). The hospital anxiety and depression scale. Acta Psychiatr Scand, 67(6), 61-70. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x