Associations between mild depression and anxiety and physical inactivity among school-going Ugandan adolescents aged 14 to 17 years.

IF 0.3 Q4 PSYCHOLOGY, CLINICAL

Journal of Child and Adolescent Mental Health Pub Date : 2024-04-18 DOI:10.2989/17280583.2023.2288969

J. Mugisha, T. Van Damme, D. Vancampfort

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引用次数: 0

Abstract

Objective: The aim of this cross-sectional study was to investigate associations between physical activity levels and emotional and behavioural problems in school-going adolescents aged 14 to 17 years in Uganda.Methods: Two-hundred and five adolescents [median (interquartile range) age = 16.0 (1.0) years; female = 61.9%] completed the interviewer-administered Strengths and Difficulties Questionnaire (SDQ), Patient Health Questionnaire-9 (PHQ-9), the Generalised Anxiety Disorder-7 questionnaire (GAD-7), and the Physical Activity Vital Sign (PAVS) measure. Spearman's rho correlations and Mann-Whitney U-tests were applied.Results: Among 205 adolescents, 97.1% were physically inactive (PAVS < 420min/week), while 64.4% reported either mild depressive (PHQ-9 ≥ 5) or anxiety (GAD-7 ≥ 5) symptoms. Higher PAVS scores correlated significantly with lower SDQ emotional problems (ρ = -0.23, p < 0.001), lower PHQ-9 (ρ = -0.26, p < 0.001), and lower GAD-7 (ρ = -0.22, p < 0.001) scores. Those with emotional problems (SDQ ≥ 5) (n = 86) were significantly less physically active than those without (n = 119) [30.0 (62.5) versus 60.0 (105.0) min/week, p < 0.001]. Those with depressive symptoms (PHQ-9 ≥ 5) were significantly less physically active than those without [35.0 (70.0) versus 60.0 (120.0) min/week, p < 0.001].Conclusion: Physical inactivity and mental health problems are related important public health concerns in school-going adolescents in low-income countries such as Uganda. The efficacy and effectiveness of school-based mental health literacy programs, including physical activity promotion, should be explored in these low-resource settings.

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乌干达 14 至 17 岁在校青少年中轻度抑郁和焦虑与缺乏运动之间的关系。

研究目的这项横断面研究旨在调查乌干达 14 至 17 岁在校青少年的体育锻炼水平与情绪和行为问题之间的关系：215名青少年[年龄中位数（四分位数间距）=16.0 (1.0)岁；女性=61.9%]完成了由访问者主持的优势与困难问卷（SDQ）、患者健康问卷-9（PHQ-9）、广泛性焦虑症-7问卷（GAD-7）和体力活动生命体征（PAVS）测量。采用斯皮尔曼 rho 相关性检验和曼-惠特尼 U 检验：在 205 名青少年中，97.1% 的人缺乏体育锻炼（PAVS < 420 分钟/周），64.4% 的人有轻度抑郁（PHQ-9 ≥ 5）或焦虑（GAD-7 ≥ 5）症状。较高的 PAVS 分数与较低的 SDQ 情绪问题 (ρ = -0.23, p < 0.001)、较低的 PHQ-9 (ρ = -0.26, p < 0.001) 和较低的 GAD-7 (ρ = -0.22, p < 0.001) 分数显著相关。有情绪问题（SDQ ≥ 5）者（n = 86）的体育锻炼时间明显少于无情绪问题者（n = 119）[30.0 (62.5) 分钟/周对 60.0 (105.0) 分钟/周，p < 0.001]。有抑郁症状（PHQ-9 ≥ 5）者的体育活动量明显少于无抑郁症状者[35.0 (70.0) 对 60.0 (120.0) 分钟/周，P < 0.001]：在乌干达等低收入国家，缺乏运动和心理健康问题是在校青少年的重要公共卫生问题。在这些资源匮乏的环境中，应该对包括促进体育锻炼在内的校本心理健康扫盲项目的功效和效果进行探索。

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来源期刊

Journal of Child and Adolescent Mental Health PSYCHOLOGY, CLINICAL-

CiteScore

3.60

自引率

0.00%

发文量

期刊介绍： The Journal of Child & Adolescent Mental Health publishes papers that contribute to improving the mental health of children and adolescents, especially those in Africa. Papers from all disciplines are welcome. It covers subjects such as epidemiology, mental health prevention and promotion, psychotherapy, pharmacotherapy, policy and risk behaviour. The journal contains review articles, original research (including brief reports), clinical papers in a "Clinical perspectives" section and book reviews. The Journal is published in association with the South African Association for Child and Adolescent Psychiatry and Allied Professions (SAACAPAP).