The effect of exercise and affect regulation skills on mental health during the COVID-19 pandemic: A cross-sectional survey

Rösel, Inka; Bauer, Leonie Louisa; Seiffer, Britta; Deinhart, Clara; Atrott, Beatrice; Sudeck, Gorden; Hautzinger, Martin; Wolf, Sebastian

doi:10.1016/j.psychres.2022.114559

Cited by 31 publications

(16 citation statements)

References 70 publications

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“…On one hand, patients with a depression status were reported to be less likely to adopt healthy lifestyle, including being less physically active, consuming more alcohol, having poor diet, and failing to maintain healthy body weight [29]. On the other hand, unhealthy lifestyle can also have negative impact on mental health, thus mental health is viewed as a mediator between healthy lifestyle and health outcomes [30]. However, it is not clear whether there is a mediation and joint association of healthy lifestyle and mental health on mortality among cancer survivors.…”

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confidence: 99%

Combined lifestyle, mental health, and mortality in US cancer survivors: a national cohort study

et al. 2022

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Background Adopting healthy lifestyles and staying mentally health are two cost-effective modifiable strategies that cancer survivors can implement in self-management. We aimed to evaluate the independent, mediation, interaction, and joint associations of combined lifestyle and mental health with mortality in cancer survivors. Methods We performed a cohort study including 3145 cancer survivors from National Health and Nutrition Examination Survey (2005–2018). A healthy lifestyle score was constructed based on post-diagnosis body mass index, physical activity, diet, smoking, and drinking. Post-diagnosis mental health was assessed by Patient Health Questionnaire (PHQ-9). Hazard ratios (HRs) and 95% confidence intervals (CIs) for all-cause, cancer, and non-cancer mortality were computed using Cox proportional hazards regression models. Results After 20,900 person-years of follow-up (median, 6.3 years), cancer survivors with higher lifestyle score had decreased mortality, independent of mental health. Compared to participants with lower lifestyle score (0–1), HRs (95% CIs) for all-cause and non-cancer mortality among those with higher lifestyle score (3–5) were 0.68 (0.52–0.89) and 0.69 (0.56–0.85), respectively. 6.2–10.3% of the associations were mediated by mental health. Similar trends were observed among participants categorized by mental health, those with better mental health had lower mortality, independent of lifestyle. Participants with better mental health benefited more from adopting healthy lifestyles, and vice versa. Combinations of higher healthy lifestyle score and better mental health were associated with significant decreased mortality, the lowest mortality was seen in participants with highest healthy lifestyle score and concurrently with best mental health. Conclusions For the first time, in this cohort study with a nationally representative sample of US cancer survivors, we comprehensively explored the complex associations of lifestyle, mental health, and mortality. Evidence derived from this study may give much confidence to cancer survivors and healthcare providers that, changing one’s lifestyle and/or staying mentally healthy after cancer diagnosis can improve survival.

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confidence: 99%

Combined lifestyle, mental health, and mortality in US cancer survivors: a national cohort study

et al. 2022

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“…Although not statistically signi cant, these ndings may re ect an increase in anxiety because of the effects of COVID-19. With decreased physical activity, the mental health of the general population was affected by the COVID-19 lockdown, leading to reduced psychological well-being and increased depression, anxiety, and insomnia [13,14]. A study conducted six months after the lockdown revealed that student athletes were less affected by COVID-19 than general students, reporting higher mental health scores on the Psychological General Well-Being Index-Short version [15].…”

Section: Discussionmentioning

confidence: 99%

Differences in Mental Health Characteristics of Athletes in Japanese Outpatient Clinics Pre- and Post-covid-19: a Cross-sectional Observational Study

Yamaguchi,

Kitahara,

Sato

et al. 2023

Preprint

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Background Mental health disorders and symptoms in athletes have received increasing attention in recent decades, with the COVID-19 pandemic intensifying the psychological distress of athletes. While there have been numerous studies on athletes’ visits to mental health clinics in other countries, no study has been conducted on this topic in Japan. Therefore, this study investigated the differences in characteristics between athletes who visited mental health outpatient clinics before and after the COVID-19 pandemic. Methods A cross-sectional observational survey was conducted using data used from Keio University General Hospital and three affiliated mental clinics. Our sample comprised 88 athletes who had visited various healthcare facilities between 2018 and 2022. The independent variable was the timing of their outpatient mental health clinic visits—either pre- or post-COVID-19. The primary outcome was the F classification based on the International Statistical Classification of Diseases and Related Health Problems 10th Revision. We collected data on clinical psychiatric diagnoses, age, sex, referral pathway, and sports-related details like the type, level of contact, whether individual or team sport, involvement duration, and athletic competition level. Results Overall, 86 athletes (37 before COVID-19 and 49 after COVID-19) were included in the study. No significant differences were found between the pre- and post-COVID-19 groups overall. However, subgroup analyses revealed a significant increase in anxiety-related disorders among female athletes and an increase in the participation of male athletes in individual sports in the post-COVID-19 group compared to the pre-COVID-19 group. Conclusion The increased anxiety among female athletes and the increased participation in individual sports among male athletes suggest that these groups should be a high-priority target for early intervention and prevention strategies. This study contributes to our understanding of how COVID-19 has affected the mental health of athletes seeking medical treatment in Japan, and it highlights which segments of the Japanese athlete population may be more vulnerable to mental health issues in the post-COVID-19 era. This study also provides valuable insights for practitioners on how to target specific segments of the athlete population for the implementation of interventions aimed at mitigating the development of mental health issues after COVID-19.

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“…Such a result, although limited in term of point increase on the specific subscales, may represent an encouraging cue to highlight, especially considering that our subject, being a young woman, a student, an oncological patient, and a competitive athlete, fell under all the socio-demographical categories most negatively impacted by the pandemic. Noteworthy, the aforementioned characteristics are well-demonstrated to be strongly related to depression and anxiety symptoms development [ 1 , 10 , 11 , 12 , 13 ]. In particular, concerning the depression state worsening, we could also hypothesize that individual session training, even though necessary to more quickly achieve the main goals and to minimize COVID-19 contagion risk, represents a methodological approach not easily accepted and appreciated by a young team sport athlete [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…Growing and recent evidence of COVID-19’s psychological impact highlighted an increase in depressive and anxiety symptoms along with impaired sleep quality in the general population, and mostly in women, students, and younger adults, compared to pre-pandemic times [ 1 ]. The World Health Organization preventive measures [ 2 ], by limiting social interaction, promoting self-isolation and temporary closing sports facilities, heavily affected daily life and negatively impacted mental/physical health and training habits, hence raising sedentary behaviors [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Adapted Physical Activity Protocol for Lower Limb Functional and Strength Recovery in a Young Athlete with Cutaneous Melanoma: Feasibility and Efficacy during COVID-19 Pandemic

Carretti

Mirandola

Germano

et al. 2022

IJERPH

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Adapted physical activity (APA) can improve psychophysical wellbeing and quality of life (QoL) in cancer survivors, a vulnerable population requiring a global management, especially during the recent pandemic. On this basis, we investigated for the first time the impact of a tailored APA intervention on a melanoma-affected 18-year-old female athlete to counteract treatment sequelae and promote lower limb functional and strength recovery. Patient was evaluated at baseline and post-protocol by a test battery focusing on mobility, muscle strength measured by dynamometry, and lower limb girths assessed at specific anatomical points. Moreover, health-related QoL, depression/anxiety, psychological distress and pain intensity were evaluated by Functional Assessment of Cancer Therapy–Melanoma (FACT-M), Hospital Anxiety and Depression Scale (HADS), distress thermometer, and numerical rating scale (NRS) questionnaires, respectively. An almost doubled up increase in lower limb strength, along with hip mobility improvement, and post-surgical edema and pain reduction were observed following the protocol. Concerning the QoL assessment, a moderate post-intervention improvement in physical and emotional wellbeing was detected, while depression state worsened though remaining within the normality range. Our findings show that a specialist-supervised structured APA protocol based on a patient-centered multidisciplinary approach may represent an effective strategy to recover functional and psychophysical efficiency, thus promoting a quick return to daily life activities and offering a concrete chance of resuming competitive sport practice.

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The effect of exercise and affect regulation skills on mental health during the COVID-19 pandemic: A cross-sectional survey

Cited by 31 publications

References 70 publications

Combined lifestyle, mental health, and mortality in US cancer survivors: a national cohort study

Combined lifestyle, mental health, and mortality in US cancer survivors: a national cohort study

Differences in Mental Health Characteristics of Athletes in Japanese Outpatient Clinics Pre- and Post-covid-19: a Cross-sectional Observational Study

Adapted Physical Activity Protocol for Lower Limb Functional and Strength Recovery in a Young Athlete with Cutaneous Melanoma: Feasibility and Efficacy during COVID-19 Pandemic

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