Depression, Anxiety and Stress during COVID-19: Associations with Changes in Physical Activity, Sleep, Tobacco and Alcohol Use in Australian Adults
Depression, Anxiety and Stress during COVID-19: Associations with Changes in Physical Activity, Sleep, Tobacco and Alcohol Use in Australian Adults
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DOI：
10.3390/ijerph17114065
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发表时间：
2020-06-01
影响因子：
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通讯作者：
Vandelanotte, Corneel
中科院分区：
文献类型：
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作者：
Stanton, Robert;To, Quyen G.;Vandelanotte, Corneel
新型冠状病毒（COVID-19）对日常生活造成了巨大的变化，包括经济和健康影响。这些变化对我们的身心健康和健康行为的影响的证据是有限的。我们研究了澳大利亚自COVID-19爆发以来心理困扰与选定健康行为变化之间的关系。一项在线调查于2020年4月发布，包括抑郁、焦虑、压力、体力活动、睡眠、饮酒和吸烟的测量。该调查由1491名成年人完成（平均年龄50.5 ± 14.9岁，67%为女性）。自COVID-19疫情爆发以来，身体活动（48. 9%）、睡眠（40. 7%）、酒精（26. 6%）及吸烟（6. 9%）均出现负变化。在一个或多个心理困扰状态的得分显着较高的女性，和那些没有关系，在最低收入类别，年龄在18-45岁，或与慢性疾病。身体活动、睡眠、吸烟和饮酒的负面变化与更高的抑郁、焦虑和压力症状有关。应采用旨在采取或保持积极健康相关行为的健康促进战略，以解决大流行期间心理困扰增加的问题。需要不断评估与这一流行病有关的生活方式变化的影响。
The novel coronavirus (COVID-19) has enforced dramatic changes to daily living including economic and health impacts. Evidence for the impact of these changes on our physical and mental health and health behaviors is limited. We examined the associations between psychological distress and changes in selected health behaviors since the onset of COVID-19 in Australia. An online survey was distributed in April 2020 and included measures of depression, anxiety, stress, physical activity, sleep, alcohol intake and cigarette smoking. The survey was completed by 1491 adults (mean age 50.5 +/- 14.9 years, 67% female). Negative change was reported for physical activity (48.9%), sleep (40.7%), alcohol (26.6%) and smoking (6.9%) since the onset of the COVID-19 pandemic. Significantly higher scores in one or more psychological distress states were found for females, and those not in a relationship, in the lowest income category, aged 18-45 years, or with a chronic illness. Negative changes in physical activity, sleep, smoking and alcohol intake were associated with higher depression, anxiety and stress symptoms. Health-promotion strategies directed at adopting or maintaining positive health-related behaviors should be utilized to address increases in psychological distress during the pandemic. Ongoing evaluation of the impact of lifestyle changes associated with the pandemic is needed.