Reduction in physical activity significantly increases depression and anxiety in the perinatal period: a longitudinal study based on a self-report digital assessment tool

Background: Emerging evidence suggests that Indigenous children have higher physical activity levels that non-Indigenous children, yet little is known of the factors that influence these levels or how they may be optimized. This study examines correlates of achieving ≥1 hour/day of physical activity among Indigenous Australian children aged 8–13 years. Methods: Data were collected through parental self-report in the Longitudinal Study of Indigenous Children. Proportions of children achieving ≥1 hour/day physical activity, approximating the Australian aerobic physical activity recommendations, were calculated, and associations with sociodemographic, family composition, and movement-related factors were quantified using multiple logistic regression analyses. Results: Half of the 1233 children achieved ≥1 hour/day physical activity. Children from families with low parental education and unemployment, remote residence, low socioeconomic status, and without a father in the household were more likely to meet the recommendations. Achieving ≥1 hour/day of physical activity was also associated with low levels of playing electronic games and total screen time. Conclusions: Sociodemographic correlates of physical activity among Indigenous Australian children run counter to those typically found in non-Indigenous Australian children. Further longitudinal examination of the predictors of these associations would provide a greater understanding of Indigenous physical activity determinants, to inform strategies to facilitate participation.

Download Full-text

A Systematic Review of Interventions to Increase Physical Activity Among American Indian and Alaska Native Older Adults

The Gerontologist ◽

10.1093/geront/gnab020 ◽

2021 ◽

Author(s):

Maja Pedersen ◽

Kari Jo Harris ◽

Blakely Brown ◽

Keith Anderson ◽

Jordan P Lewis

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Older Adults ◽

American Indians ◽

Urban Areas ◽

Protective Factor ◽

Assessment Tool ◽

Indigenous Communities ◽

Self Report ◽

Culture Centered

Abstract Background and Objectives Physical activity (PA) is a powerful protective factor known to reduce risk for chronic conditions across the lifespan. PA levels are lower among American Indians and Alaska Natives (AIANs) when compared with other racial/ethnic groups and decrease with age. This evidence justifies a synthesis of current intervention research to increase PA levels among AIANs. This systematic review examines completed interventions to increase PA among AIAN older adults and considers recommended practices for research with Indigenous communities. Research Design and Methods The systematic review was designed in accordance with the PRISMA statement for systematic review protocols and reporting guidelines. Electronic databases PubMed, Web of Science, and PsycINFO were searched for academic literature. Trials investigating interventions to increase PA among AIAN adults ages 50+ were eligible. The Quality Assessment Tool for Quantitative Studies was used to evaluate the quality of evidence. Results Three published trials were identified, including one group-level, clinic-based and two individual-level, home-based interventions. All were 6-weeks in duration, took place in urban areas, and used self-report PA measures. Findings indicated an overall increase in PA levels, improved PA-related outcomes, and improved psychosocial health among participants. None described a community-engaged or culture-centered research strategies. Discussion and Implications The narrow yet promising evidence represents a need for expanded research and a call to action for using culture-centered strategies. An advanced understanding of cultural and contextual aspects of PA may produce more impactful interventions, supporting health and mobility across the lifespan.

Download Full-text

Screening for Depression and Anxiety Disorders from Pregnancy to Postpartum with the EPDS and STAI

The Spanish Journal of Psychology ◽

10.1017/sjp.2014.7 ◽

2014 ◽

Vol 17 ◽

Cited By ~ 48

Author(s):

Iva Tendais ◽

Raquel Costa ◽

Ana Conde ◽

Bárbara Figueiredo

Keyword(s):

Anxiety Disorders ◽

Depression Scale ◽

Perinatal Period ◽

Self Report ◽

Screening Tools ◽

Depression And Anxiety ◽

Second Stage ◽

Screening Performance ◽

Pregnancy And Postpartum ◽

Dsm Iv

AbstractThe Edinburgh Postnatal Depression Scale (EPDS) and the State Anxiety Inventory (STAI-S) are widely used self-report measures that still need to be further validated for the perinatal period. The aim of this study was to examine the screening performance of the EPDS and the STAI-S in detecting depressive and anxiety disorders at pregnancy and postpartum. Women screening positive on EPDS (EPDS ≥ 9) or STAI-S (STAI-S ≥ 45) during pregnancy (n = 90), as well as matched controls (n = 58) were selected from a larger study. At 3 months postpartum, 99 of these women were reassessed. At a second stage, women were administered a clinical interview to establish a DSM-IV-TR diagnosis. Receiver operator characteristics (ROC) analysis yielded areas under the curve higher than .80 and .70 for EPDS and STAI-S, respectively. EPDS and STAI-S optimal cut-offs were found to be lower at postpartum (EDPS = 7; STAI-S = 34) than during pregnancy (EPDS = 9; STAI-S = 40). EPDS and STAI-S are reasonably valid screening tools during pregnancy and the postpartum.

Download Full-text

Remote Assessment of Depression Using Digital Biomarkers From Cognitive Tasks

Frontiers in Psychology ◽

10.3389/fpsyg.2021.767507 ◽

2021 ◽

Vol 12 ◽

Author(s):

Regan L. Mandryk ◽

Max V. Birk ◽

Sarah Vedress ◽

Katelyn Wiley ◽

Elizabeth Reid ◽

...

Keyword(s):

Assessment Tool ◽

Spatial Working Memory ◽

Memory Task ◽

Multiple Regression Model ◽

Self Report ◽

Cognitive Tasks ◽

Control Group ◽

Digital Assessment ◽

And Gender ◽

Digital Biomarkers

We describe the design and evaluation of a sub-clinical digital assessment tool that integrates digital biomarkers of depression. Based on three standard cognitive tasks (D2 Test of Attention, Delayed Matching to Sample Task, Spatial Working Memory Task) on which people with depression have been known to perform differently than a control group, we iteratively designed a digital assessment tool that could be deployed outside of laboratory contexts, in uncontrolled home environments on computer systems with widely varying system characteristics (e.g., displays resolution, input devices). We conducted two online studies, in which participants used the assessment tool in their own homes, and completed subjective questionnaires including the Patient Health Questionnaire (PHQ-9)—a standard self-report tool for assessing depression in clinical contexts. In a first study (n = 269), we demonstrate that each task can be used in isolation to significantly predict PHQ-9 scores. In a second study (n = 90), we replicate these results and further demonstrate that when used in combination, behavioral metrics from the three tasks significantly predicted PHQ-9 scores, even when taking into account demographic factors known to influence depression such as age and gender. A multiple regression model explained 34.4% of variance in PHQ-9 scores with behavioral metrics from each task providing unique and significant contributions to the prediction.

Download Full-text

Dimensionality and Reliability Assessment of the Pain Patient Profile Questionnaire

European Journal of Psychological Assessment ◽

10.1027/1015-5759.24.1.22 ◽

2008 ◽

Vol 24 (1) ◽

pp. 22-26 ◽

Cited By ~ 1

Author(s):

Brian E. McGuire ◽

Michael J. Hogan ◽

Todd G. Morrison

Keyword(s):

Self Report ◽

Pain Patient ◽

Fit Indices ◽

Depression And Anxiety ◽

Oblique Rotation ◽

Pain Experience ◽

Patient Profile ◽

Adequate Representation ◽

Pain Patients ◽

Report Measure

Abstract. Objective: To factor analyze the Pain Patient Profile questionnaire (P3; Tollison & Langley, 1995 ), a self-report measure of emotional distress in respondents with chronic pain. Method: An unweighted least squares factor analysis with oblique rotation was conducted on the P3 scores of 160 pain patients to look for evidence of three distinct factors (i.e., Depression, Anxiety, and Somatization). Results: Fit indices suggested that three distinct factors, accounting for 32.1%, 7.0%, and 5.5% of the shared variance, provided an adequate representation of the data. However, inspection of item groupings revealed that this structure did not map onto the Depression, Anxiety, and Somatization division purportedly represented by the P3. Further, when the analysis was re-run, eliminating items that failed to meet salience criteria, a two-factor solution emerged, with Factor 1 representing a mixture of Depression and Anxiety items and Factor 2 denoting Somatization. Each of these factors correlated significantly with a subsample's assessment of pain intensity. Conclusion: Results were not congruent with the P3's suggested tripartite model of pain experience and indicate that modifications to the scale may be required.

Download Full-text

Participation in Organized Youth Sport as a Predictor of Adult Physical Activity: A 21-Year Longitudinal Study

Pediatric Exercise Science ◽

10.1123/pes.18.1.76 ◽

2006 ◽

Vol 18 (1) ◽

pp. 76-88 ◽

Cited By ~ 44

Author(s):

Risto Telama ◽

Xiaolin Yang ◽

Mirja Hirvensalo ◽

Olli Raitakari

Keyword(s):

Physical Activity ◽

Cardiovascular Risk ◽

Longitudinal Study ◽

High Activity ◽

Random Sample ◽

Youth Sport ◽

Physical Activity Participation ◽

Activity Participation ◽

Validated Questionnaire ◽

Young Finns Study

The aim of this study was to investigate how participation in organized competitive youth sport predicts adult physical activity. A random sample of 2,309 boys and girls ages 9–18 years participated in the Cardiovascular Risk in Young Finns Study in 1980, and 1,606 (70%) of them again in 2001. Physical activity was measured using a short, validated questionnaire. The results showed that participation in youth sport, and persistent participation in particular, significantly predicted adult physical activity. Participation in sport competitions increased the probability of high activity in adulthood more among males than females.

Download Full-text

Effect of mindfulness on physical activity in primary healthcare patients: a randomised controlled trial pilot study

Pilot and Feasibility Studies ◽

10.1186/s40814-021-00810-6 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Peter Nymberg ◽

Susanna Calling ◽

Emelie Stenman ◽

Karolina Palmér ◽

Eva Ekvall Hansson ◽

...

Keyword(s):

Physical Activity ◽

Study Design ◽

Controlled Trial ◽

Dropout Rate ◽

Activity Monitor ◽

Activity Level ◽

Self Report ◽

Ethical Review ◽

Mixed Effect ◽

Registration Number

Abstract Increased physical activity can have health benefits among inactive individuals. In Sweden, the healthcare system uses physical activity on prescription (PAP) to motivate patients to increase their physical activity level. Mindfulness may further heighten the internal motivation to engage in physical activity. However, previous research has not demonstrated clear evidence of such an association. Aim Examine the feasibility of the study design as a preparation for a full-scale study, and examine the differences, between three interventions, in change over time in physical activity levels and in related variables. Method Comparison between three different interventions in an ordinary primary health care setting: PAP, mindfulness, and a combination of PAP and mindfulness. Physical activity was measured with self-report and ACTi Graph GT1X activity monitor. Statistical analysis was performed with a mixed-effect model to account for repeated observations and estimate differences both within groups and between groups at 3- and 6-months follow-up. Results Between September 2016 and December 2018, a total of 88 participants were randomised into three groups. The total dropout rate was 20.4%, the attendance rate to the mindfulness courses (52% > 6 times) and the web-based mindfulness training (8% > 800 min) was low according to the stated feasibility criteria. Eleven participants were excluded from analysis due to low activity monitor wear time. Neither the activity monitor data nor self-reported physical activity showed any significant differences between the groups. Conclusion The study design needs adjustment for the mindfulness intervention design before a fully scaled study can be conducted. A combination of PAP and mindfulness may increase physical activity and self-rated health more than PAP or mindfulness alone. Trial registration ClinicalTrials.gov, registration number NCT02869854. Regional Ethical Review Board in Lund registration number 2016/404.

Download Full-text

Comparing Traumatic Brain Injury Symptoms Reported via Questionnaires Versus a Novel Structured Interview

Journal of the International Neuropsychological Society ◽

10.1017/s1355617721000278 ◽

2021 ◽

pp. 1-11

Author(s):

Natalie A. Emmert ◽

Georgia Ristow ◽

Michael A. McCrea ◽

Terri A. deRoon-Cassini ◽

Lindsay D. Nelson

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Response Bias ◽

Minnesota Multiphasic Personality Inventory ◽

Assessment Tool ◽

Symptom Burden ◽

Structured Interview ◽

Self Report ◽

Symptom Reporting ◽

Clinical Interviews

Abstract Objective: Mild traumatic brain injury (mTBI) symptoms are typically assessed via questionnaires in research, yet questionnaires may be more prone to biases than direct clinical interviews. We compared mTBI symptoms reported on two widely used self-report inventories and the novel Structured Interview of TBI Symptoms (SITS). Second, we explored the association between acquiescence response bias and symptom reporting across modes of assessment. Method: Level 1 trauma center patients with mTBI (N = 73) were recruited within 2 weeks of injury, assessed at 3 months post-TBI, and produced nonacquiescent profiles. Assessments collected included the SITS (comprising open-ended and closed-ended questions), Rivermead Post Concussion Symptoms Questionnaire (RPQ), Sport Concussion Assessment Tool-3 (SCAT-3) symptom checklist, and Minnesota Multiphasic Personality Inventory-2 Restructured Form True Response Inconsistency (TRIN-r) scale. Results: Current mTBI symptom burden and individual symptom endorsement were highly concordant between SITS closed-ended questions, the RPQ, and the SCAT-3. Within the SITS, participants reported significantly fewer mTBI symptoms to open-ended as compared to later closed-ended questions, and this difference was weakly correlated with TRIN-r. Symptom scales were weakly associated with TRIN-r. Conclusions: mTBI symptom reporting varies primarily by whether questioning is open- vs. closed-ended but not by mode of assessment (interview, questionnaire). Acquiescence response bias appears to play a measurable but small role in mTBI symptom reporting overall and the degree to which participants report more symptoms to closed- than open-ended questioning. These findings have important implications for mTBI research and support the validity of widely used TBI symptom inventories.

Download Full-text

A comparison of the Remote Food Photography Method and the Automated Self-Administered 24-hour Dietary Assessment Tool for measuring full day dietary intake among school-aged children

British Journal Of Nutrition ◽

10.1017/s0007114521001951 ◽

2021 ◽

pp. 1-26

Author(s):

Traci A. Bekelman ◽

Corby K. Martin ◽

Susan L. Johnson ◽

Deborah H. Glueck ◽

Katherine A. Sauder ◽

...

Keyword(s):

Dietary Intake ◽

Energy Intake ◽

Mixed Model ◽

Linear Mixed Model ◽

Assessment Tool ◽

Dietary Assessment ◽

Ease Of Use ◽

Self Report ◽

Food Photography ◽

Photography Method

Abstract The limitations of self-report measures of dietary intake are well known. Novel, technology-based measures of dietary intake may provide a more accurate, less burdensome alternative to existing tools. The first objective of this study was to compare participant burden for two technology-based measures of dietary intake among school-age children: the Automated-Self Administered 24-hour Dietary Assessment Tool-2018 (ASA24-2018) and the Remote Food Photography Method (RFPM). The second objective was to compare reported energy intake for each method to the Estimated Energy Requirement for each child, as a benchmark for actual intake. Forty parent-child dyads participated in 2, 3-day dietary assessments: a parent proxy-reported version of the ASA24 and the RFPM. A parent survey was subsequently administered to compare satisfaction, ease of use and burden with each method. A linear mixed model examined differences in total daily energy intake (TDEI) between assessments, and between each assessment method and the EER. Reported energy intake was 379 kcal higher with the ASA24 than the RFPM (p=0.0002). Reported energy intake with the ASA24 was 231 kcal higher than the EER (p = 0.008). Reported energy intake with the RFPM did not differ significantly from the EER (difference in predicted means = −148 kcal, p = 0.09). Median satisfaction and ease of use scores were 5 out of 6 for both methods. A higher proportion of parents reported that the ASA24 was more time consuming than the RFPM (74.4% vs. 25.6%, p = 0.002). Utilization of both methods is warranted given their high satisfaction among parents.

Download Full-text

Effects of physical activity on cognitive function among patients with diabetes in China: a nationally longitudinal study

BMC Public Health ◽

10.1186/s12889-021-10537-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Anying Bai ◽

Liyuan Tao ◽

Jia Huang ◽

Jing Tao ◽

Jue Liu

Keyword(s):

Physical Activity ◽

Executive Function ◽

Longitudinal Study ◽

Cognitive Function ◽

Episodic Memory ◽

Age Groups ◽

Screening Tools ◽

Diabetic Patients ◽

Patients With Diabetes ◽

Lagged Dependent Variable

Abstract Background We aimed to examine the effect of physical activity on different cognitive domains among patients with diabetes. Methods We used two waves of data from the Chinese Health and Retirement Longitudinal Study (CHARLS, 2013–2015), a nationally representative dataset of Chinese population aged over 45. Total physical activity scores were calculated based on the International Physical Activity Questionnaire (IPAQ). Executive function and episodic memory were used as measures of cognitive function. We conducted lagged dependent variable models to explore the association between physical activity and cognitive function in full sample as well as two different age groups (45–65, ≥65). Results: 862 diabetic patients were included. We found that diabetic participants who had greater level of physical activity at baseline were associated with better episodic memory function in 2 years (p < 0.05). Moreover, physical activity was significantly associated with less decline in episodic memory in fully adjusted models, and the associations were stronger among patients aged 45–65 years (p < 0.05). No statistically significant association was found between physical activity and executive function in all age groups. Conclusions Physical activity may prevent some of the potential decline in episodic memory in diabetic patients. Clinicians and public health departments should strengthen the promotion of physical activity and develop early screening tools among diabetic participants to prevent the progression of cognitive impairment.

Download Full-text