Danijela Kuna1, Ivana Duvnjak1, Iva Sklempe Kokic1
1Josip Juraj Strossmayer University of Osijek, Faculty of Kinesiology Osijek, Osijek, Croatia
Levels of Distress and Physical Activity of Adolescents during the Covid-19 Pandemic
Sport Mont 2023, 21(1), 79-85 | DOI: 10.26773/smj.230213
Abstract
The importance of physical activity, as one of the crucial resources for maintaining and improving physical health, was diminished during the Covid-19 pandemic. Except for the impact it has on physical health, physical activity may have various psychological benefits, especially during the development period of adolescence. The current findings of physical activity show that adolescents are more physically inactive during the pandemic than usual. Also, there are increasingly negative psychological outcomes in adolescents. The purpose of this study was to explore the levels of physical activity, negative affectivity, coping and preoccupation with the pandemic in an adolescent sample. The study involved 2409 adolescents (53.5% girls, 46.5% boys) from elementary and high schools aged 10 to 19. The Depression, Anxiety and Stress Scale (DASS-21) was applied, and information about levels of physical activity, coping and preoccupation with pandemic and isolation measures were collected. Participants answered on a Likert-type scale. Findings of this research show that on average male adolescents are more likely to engage in physical activities than females. Also, a relation of physical inactivity distress and preoccupation was obtained for adolescent girls. No similar finding was found for males. However, very high physical activity (five or more times a week) was a protective factor for coping and preoccupation with coronavirus infection. The conclusion of this research indicates that levels of physical activity have a different effect on male and female adolescents during the Covid-19 pandemic. It can be concluded that female adolescents that are less physically active are more at risk of depression, anxiety and stress.
Keywords
distress, negative affectivity, levels of physical activity, Covid-19
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References
Asmundson, G.J.G., Fetzner, M.G., DeBoer, L.B., Powers, M.B., Otto, M.W., & Smits, J.A.J. (2013). Let’s get physical: A contemporary review of the anxiolytic effects of exercise for anxiety and its disorders. Depression and Anxiety, 30, 362-373. https://doi.org/10.1002/da.22043
Bajramovic, I., Redzepagic, S., Bjelica, D., Krivokapic, D., Jeleskovic, E., & Likic, S. (2020). Level of active lifestyle and exercise approach among sports-active female students of the University of Sarajevo during the Covid-19 pandemic. Journal of Anthropology of Sport and Physical Education, 4 (4), 33-36. https://doi.org/10.26773/jaspe.181006
Biddle, S.J., & Asare, M. (2011). Physical activity and mental health in children and adolescents: a review of reviews. British Journal of Sports Medicine, 45(11), 886-895. https://doi.org/10.1136/bjsports-2011-090185
Biddle, S.J.H., & Mutrie, N. (2007). Psychology of physical activity: Determinants, well-being & interventions. Abingdon: Routledge. https://doi.org/10.4324/9780203019320
Bogdan, A., Ajduković, D., Ajduković, M., Apostolovski, D., Bacinger Klobučarić, B., & Bandić, I. (2020). Koronavirus i mentalno zdravlje: Psihološki aspekti, savjeti i preporuke. Hrvatska psihološka komora, Zagreb. http://psiholoskakomora. hr/static/documents/HPK-Koronavirus_i_mentalno_zdravlje.pdf
Boreham, C., & Riddoch, C. (2001). The physical activity, fitness and health of children. Journal of Sports Sciences, 19, 915-929. https://doi.org/10.1080/026404101317108426
Brière, F.N., Yale-Soulière, G., Gonzalez-Sicilia, D., Harbec, M.J., Morizot, J., Janosz, M., & Pagani, L.S. (2018). Prospective associations between sport participation and psychological adjustment in adolescents. Journal of Epidemiology and Community Health, 72(7), 575-581. https://doi.org/10.1136/jech-2017-209656
Bungić, M., & Barić, R. (2009). Tjelesno vježbanje i neki aspekti psihološkog zdravlja. Hrvatski Športsko Medicinski Vjesnik,, 24(2), 65-75.
Cao, W., Fang, Z., Hou, G., Han, M., Xu, X., Dong, J., & Zheng, J. (2020). The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research, 287, 112934. https://doi.org/10.1016/j.psychres.2020.112934
Caroppo, E., Mazza, M., Sannella, A., Marano, G., Avallone, C., Claro, A. E., ... & Sani, G. (2021). Will nothing be the same again?: changes in lifestyle during COVID-19 pandemic and consequences on mental health. International Journal of Environmental Research and Public Health, 18(16), 8433. https://doi.org/10.3390/ijerph18168433
Cattuzzo, M.T., Dos Santos Henrique, R., Ré, A.H., de Oliveira, I.S., Melo, B.M., de Sousa Moura, M., de Araújo, R.C., & Stodden, D. (2016). Motor competence and health related physical fitness in youth: A systematic review. Journal of Science and Medicine in Sport, 19(2), 123–129. https://doi.org/10.1016/j.jsams.2014.12.004
Chekroud, S.R., Gueorguieva, R., Zheutlin, A.B., Paulus, M., Krumholz, H.M., Krystal, J.H., & Chekroud, A.M. (2018). Association between physical exercise and mental health in 1· 2 million individuals in the USA between 2011 and 2015: A cross-sectional study. The Lancet Psychiatry, 5(9), 739-746. https://doi.org/10.1016/S2215-0366(18)30227-X
Chen, F., Zheng, D., Liu, J., Gong, Y., Guan, Z., & Lou, D. (2020). Depression and anxiety among adolescents during COVID-19: A cross-sectional study. Brain, Behavior, and Immunity, 88, 36-38. https://doi.org/10.1016/j.bbi.2020.05.061
Cheval, B., Sivaramakrishnan, H., Maltagliati, S., Fessler, L., Forestier, C., Sarrazin, P., ... & Boisgontier, M.P. (2021). Relationships between changes in self-reported physical activity, sedentary behaviour and health during the coronavirus (COVID-19) pandemic in France and Switzerland. Journal of Sports Sciences, 39(6), 699-704. https://doi.org/10.1080/02640414.2020.1841396
Currie, C., Zanotti, C., Morgan, A., Currie, D., De Looze, M., Roberts, C., ... & Barnekow, V. (2012). Social determinants of health and well-being among young people. Health Behaviour in School-aged Children (HBSC) study: International report from the 2009/2010 survey. Copenhagen, WHO Regional Office for Europe.
Delisle, T.T., Werch, C.E., Wong, A.H., Bian, H., & Weiler, R. (2010). Relationship between frequency and intensity of physical activity and health behaviors of adolescents. Journal of School Health, 80(3), 134-140. https://doi.org/10.1111/j.1746-1561.2009.00477.x
Deng, C.H., Wang, J.Q., Zhu, L.M., Liu, H.W., Guo, Y., Peng, X.H., ... & Xia, W. (2020). Association of web-based physical education with mental health of college students in Wuhan during the COVID-19 outbreak: Cross-sectional survey study. Journal of Medical Internet Research, 22(10), e21301. https://doi.org/10.2196/preprints.21301
Duan, L., Shao, X., Wang, Y., Huang, Y., Miao, J., Yang, X., & Zhu, G. (2020). An investigation of mental health status of children and adolescents in china during the outbreak of COVID-19. Journal of Affective Disorders, 275, 112-118. https://doi.org/10.1016/j.jad.2020.06.029
Dubey, S., Biswas, P., Ghosh, R., Chatterjee, S., Dubey, M. J., Chatterjee, S., ... & Lavie, C. J. (2020). Psychosocial impact of COVID-19. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 14(5), 779-788. https://doi.org/10.1016/j.dsx.2020.05.035
Duncan, S.C., Duncan, T.E., Strycker, L.A., & Chaumeton, N.R. (2007). A cohort-sequential latent growth model of physical activity from ages 12 to 17 years. Annals of Behavioral Medicine, 33(1), 80-89. https://doi.org/10.1207/s15324796abm3301_9
Edwardson, C.L., Gorely, T., Pearson, N., & Atkin, A. (2013). Sources of activity-related social support and adolescents’ objectively measured after-school and weekend physical activity: Gender and age differences. Journal of Physical Activity and Health, 10(8), 1153-1158. https://doi.org/10.1123/jpah.10.8.1153
Ellis, W.E., Dumas, T.M., & Forbes, L.M. (2020). Physically isolated but socially connected: Psychological adjustment and stress among adolescents during the initial COVID-19 crisis. Canadian Journal of Behavioural Science, 52(3), 177-187. https://doi.org/10.1037/cbs0000215
Gianfredi, V., Blandi, L., Cacitti, S., Minelli, M., Signorelli, C., Amerio, A., & Odone, A. (2020). Depression and objectively measured physical activity: a systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 17(10), 3738. https://doi.org/10.3390/ijerph17103738
Grošić, V., & Filipčić, I. (2019). Tjelesna aktivnost u poboljšanju psihičkog zdravlja. Medicus, 28(2), 197-203.
Heaney, J.L., Carroll, D., & Phillips, A.C. (2014). Physical activity, life events stress, cortisol, and DHEA: Preliminary findings that physical activity may buffer against the negative effects of stress. Journal of Aging and Physical Activity, 22(4), 465-473. https://doi.org/10.1123/JAPA.2012-0082
Imran, N., Zeshan, M., & Pervaiz, Z. (2020). Mental health considerations for children & adolescents in COVID-19 Pandemic. Pakistan Journal of Medical Sciences, 36(COVID19-S4), S67. https://doi.org/10.12669/pjms.36.COVID19-S4.2759
Jiao, W.Y., Wang, L.N., Liu, J., Fang, S.F., Jiao, F.Y., Pettoello-Mantovani, M., & Somekh, E. (2020). Behavioral and emotional disorders in children during the COVID-19 epidemic. The Journal of Pediatrics, 221, 264-266. https://doi.org/10.1016/j.jpeds.2020.03.013
Jureša, V., Musil, V., Majer, M., & Petrović, D. (2010). Prehrana i tjelesna aktivnost kao čimbenici rizika od srčanožilnih bolesti u školske djece i mladih. Medicus, 19, 35-40.
Kline, R. B. (2015). Principles and practice of structural equation modelling. Guilford publications.
Lee, J. (2020). Mental health effects of school closures during COVID-19. The Lancet Child & Adolescent Health, 4(6), 421. https://doi.org/10.1016/S2352-4642(20)30109-7
Lovibond, P.F., & Lovibond, S.H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335-343. https://doi.org/10.1016/0005-7967(94)00075-U
Mandolesi, L., Polverino, A., Montuori, S., Foti, F., Ferraioli, G., Sorrentino, P., & Sorrentino, G. (2018). Effects of physical exercise on cognitive functioning and wellbeing: Biological and psychological benefits. Frontiers in Psychology, 9, 509. https://doi.org/10.3389/fpsyg.2018.00509
Meherali, S., Punjani, N., Louie-Poon, S., Abdul Rahim, K., Das, J.K., Salam, R.A., & Lassi, Z.S. (2021). Mental health of children and adolescents amidst CoViD-19 and past pandemics: A rapid systematic review. International Journal of Environmental Research and Public Health, 18(7), 3432. https://doi.org/10.3390/ijerph18073432
Moljord, I.E.O., Eriksen, L., Moksnes, U.K., & Espnes, G.A. (2011). Stress and happiness among adolescents with varying frequency of physical activity. Perceptual and Motor Skills, 113(2), 631-646. https://doi.org/10.2466/02.06.10.13.PMS.113.5.631-646
Norman, G.J., Nutter, S.K., Ryan, S., Sallis, J.F., Calfas, K. ., & Patrick, K. (2006). Community design and access to recreational facilities as correlates of adolescent physical activity and body-mass index. Journal of Physical Activity and Health, 3(s1), 118-128. https://doi.org/10.1123/jpah.3.s1.s118
Pavić Šimetin, I., Žehaček Živković, M., Belavić, A., Ištvanović, A., Mayer, D., Musić Milanović, S., & Pejnović Franelić, I. (2020). Istraživanje o zdravstvenom ponašanju učenika–HBSC 2017/2018: Osnovni pokazatelji zdravlja i dobrobiti učenika i učenica u Hrvatskoj. Hrvatski zavod za javno zdravstvo. Retrieved from: https://www.hzjz.hr/wp-content/uploads/2020/05/HBSC_2018_HR.pdf
Pearson, N., Atkin, A.J., Biddle, S.J., Gorely, T., & Edwardson, C. (2009). Patterns of adolescent physical activity and dietary behaviours. International Journal of Behavioral Nutrition and Physical Activity, 6(1), 1-7. https://doi.org/10.1186/1479-5868-6-45
Qiu, J., Shen, B., Zhao, M., Wang, Z., Xie, B., & Xu, Y. (2020). A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: Implications and policy recommendations. General Psychiatry, 33(2), e100213. https://doi.org/10.1136/gpsych-2020-100213
Ravens-Sieberer, U., Kaman, A., Erhart, M., Devine, J., Schlack, R., & Otto, C. (2022). Impact of the COVID-19 pandemic on quality of life and mental health in children and adolescents in Germany. European Child & Adolescent Psychiatry, 31(6), 879-889. https://doi.org/10.1007/s00787-021-01726-5
Rhodes, R.E., Janssen, I., Bredin, S.S., Warburton, D.E., & Bauman, A. (2017). Physical activity: Health impact, prevalence, correlates and interventions. Psychology & Health, 32(8), 942-975. https://doi.org/10.1080/08870446.2017.1325486
Rodriguez-Ayllon, M., Cadenas-Sánchez, C., Estévez-López, F., Muñoz, N.E., Mora-Gonzalez, J., Migueles, J.H., ... & Esteban-Cornejo, I. (2019). Role of physical activity and sedentary behavior in the mental health of preschoolers, children and adolescents: a systematic review and meta-analysis. Sports Medicine, 49(9), 1383-1410. https://doi.org/10.1007/s40279-019-01099-5
Sallis, J.F. (1993). Epidemiology of physical activity and fitness in children and adolescents. Critical Reviews in Food Science and Nutrition, 33(4-5), 403-408. https://doi.org/10.1080/10408399309527639
Śniadach, J., Szymkowiak, S., Osip, P., & Waszkiewicz, N. (2021). Increased depression and anxiety disorders during the COVID-19 pandemic in children and adolescents: a literature review. Life, 11(11), 1188. https://doi.org/10.3390/life11111188
World Health Organization (2013). Transforming and scaling up health professionals’ education and training: World Health Organization guidelines 2013. World Health Organization.
Wright, L.J., Williams, S.E., & Veldhuijzen van Zanten, J.J. (2021). Physical activity protects against the negative impact of coronavirus fear on adolescent mental health and well-being during the COVID-19 pandemic. Frontiers in Psychology, 12, 580511. https://doi.org/10.3389/fpsyg.2021.580511
Zhang, Y., Zhan, N., Zou, J., Xie, D., Liu, M., & Geng, F. (2022). The transmission of psychological distress and lifestyles from parents to children during COVID-19. Journal of Affective Disorders, 303, 74-81. https://doi.org/10.1016/j.jad.2022.02.007
Zhou, S.J., Zhang, L.G., Wang, L.L., Guo, Z.C., Wang, J.Q., Chen, J.C., ... & Chen, J.X. (2020). Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. European Child & Adolescent Psychiatry, 29(6), 749-758. https://doi.org/10.1007/s00787-020-01541-4
Živčić-Bećirević, I., Smojver-Ažić, S., Martinac Dorčić, T., & Birovljević, G. (2021). Izvori stresa, depresivnost i akademsko funkcioniranje studenata za vrijeme pandemije COVID-19. Društvena istraživanja: časopis za opća društvena pitanja, 30(2), 291-312. https://doi.org/10.5559/di.30.2.06