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      COVID-19, Psychological Well-being and Physical Activity Levels in Older Adults during the Nationwide Lockdown in Spain

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Highlights

          • We aimed to assess the mental status of older adults during the COVID-19 epidemic, exploring whether meeting the World Health Organization global recommendations on physical activity for health was associated with it.

          • Our results showed that older adults who meet the global recommendations on vigorous and moderate-vigorous physical activity had higher resilience, positive affect, and lower depressive symptoms.

          • This is the first quantitative verification of a link between engagement in vigorous and moderate-vigorous physical activity and resilience, positive affect, and depressive symptoms in older adults within the COVID-19 restrictions.

          Abstract

          Objectives

          The novel coronavirus disease (COVID-19) has forced nationwide lockdowns in many countries. As a result, most of the Spanish population had to self-isolate at home. The physical and psychological consequences of this unexpected scenario could be particularly worrisome for people older than 60 years. This study is aimed to examine the psychological well-being of older adults during the home isolation due to the COVID-19 pandemic and to investigate whether meeting the World Health Organization's global recommendations on physical activity (PA) for health is associated with their resilience, affect, and depressive symptoms.

          Design, setting, and participants

          In this cross-sectional study, a total of 483 citizens whose ages ranged from 60 to 92 years (overall sample: M=65.49, SD=5.14) were recruited via a snowball sampling strategy to answer to an online questionnaire.

          Measurements

          The four instruments used were The Connor-Davidson CD-RISC resilience scale, The Positive and Negative Affect Schedule, the six-item self-report scale of Depressive Symptoms, and The international Physical Activity Questionnaire.

          Results

          Results showed that older adults who regularly engaged in vigorous (VPA) and moderate-vigorous physical activity (MVPA) during the quarantine reported higher scores in resilience (Locus, Self-efficacy, and Optimism), positive affect, and lower in depressive symptoms.

          Conclusion

          These finding are the first quantitative evidence pointing toward a link between engagement in VPA and/or MVPA and resilience, positive affect, and depressive symptoms within the COVID-19 restrictions in Spain. Acknowledging these associations may be important in developing health promotion programs for older people during the remaining period of confinement or future ones.

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          Most cited references32

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          Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC).

          Resilience may be viewed as a measure of stress coping ability and, as such, could be an important target of treatment in anxiety, depression, and stress reactions. We describe a new rating scale to assess resilience. The Connor-Davidson Resilience scale (CD-RISC) comprises of 25 items, each rated on a 5-point scale (0-4), with higher scores reflecting greater resilience. The scale was administered to subjects in the following groups: community sample, primary care outpatients, general psychiatric outpatients, clinical trial of generalized anxiety disorder, and two clinical trials of PTSD. The reliability, validity, and factor analytic structure of the scale were evaluated, and reference scores for study samples were calculated. Sensitivity to treatment effects was examined in subjects from the PTSD clinical trials. The scale demonstrated good psychometric properties and factor analysis yielded five factors. A repeated measures ANOVA showed that an increase in CD-RISC score was associated with greater improvement during treatment. Improvement in CD-RISC score was noted in proportion to overall clinical global improvement, with greatest increase noted in subjects with the highest global improvement and deterioration in CD-RISC score in those with minimal or no global improvement. The CD-RISC has sound psychometric properties and distinguishes between those with greater and lesser resilience. The scale demonstrates that resilience is modifiable and can improve with treatment, with greater improvement corresponding to higher levels of global improvement. Copyright 2003 Wiley-Liss, Inc.
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            The psychological impact of the COVID-19 epidemic on college students in China

            Highlights • Methods of guiding students to effectively and appropriately regulate their emotions during public health emergencies and avoid losses caused by crisis events have become an urgent problem for colleges and universities. Therefore, we investigated and analyzed the mental health status of college students during the epidemic for the following purposes. (1) To evaluate the mental situation of college students during the epidemic; (2) to provide a theoretical basis for psychological interventions with college students; and (3) to provide a basis for the promulgation of national and governmental policies.
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              The ASA's Statement onp-Values: Context, Process, and Purpose

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                Author and article information

                Contributors
                Journal
                Am J Geriatr Psychiatry
                Am J Geriatr Psychiatry
                The American Journal of Geriatric Psychiatry
                Published by Elsevier Inc. on behalf of American Association for Geriatric Psychiatry.
                1064-7481
                1545-7214
                22 August 2020
                22 August 2020
                Affiliations
                [0001]University of Oviedo
                Author notes
                [* ]Corresponding autor: Alejandro Carriedo carriedoalejandro@ 123456uniovi.es
                Article
                S1064-7481(20)30447-4
                10.1016/j.jagp.2020.08.007
                7443087
                32919872
                884fa8a7-ee65-420c-82fb-e8e1e96871b2
                © 2020 Published by Elsevier Inc. on behalf of American Association for Geriatric Psychiatry.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 1 May 2020
                : 12 August 2020
                : 17 August 2020
                Categories
                Article

                home-isolation,quarantine,vigorous physical activity,mental health,mental well-being

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