Association of depression, physical activity levels and general psychological health among physical therapy students of Rawalpindi and Islamabad.
Abstract
Objective: To determine the association of depression, physical activity (PA) levels and general psychological health among physical therapy students of Rawalpindi and Islamabad.
Methodology: This was a cross-sectional study conducted among students of physiotherapy department at Rawalpindi and Islamabad Institutions, from August 2015 to January 2016. Five hundred students were recruited using non-probability convenient sampling. The data was collected through a questionnaire that comprised of demographic information, Beck Depression Inventory-II (BDI-II), General Health Questionnaire-12(GHQ-12) and Rapid Assessment of Physical Activity (RAPA). The data were analyzed using SPSS version 20 and correlation analysis was performed to see the relationship amongst depression, PA and general psychological health.
Results: Majority of the students (42.6%) had mild depression. However, 64.8% students had no psychological distress. Moreover, 33.4% of the students were involved in aerobic activities and majority of them (37.6%) were not doing any activities to improve flexibility and increase muscle strength. There was an inverse correlation between RAPA and BDI-II (p<0.001) and a positive association between RAPA and GHQ-12 (p<0.001).
Conclusion: The study concluded that majority of the students had mild depression but their general psychological health was not affected as they were involved in routine physical activity. The result of this study provides evidence that there is a negative relation between physical activity and depression and a positive relation between physical activity and general psychological health.
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References
Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman RK, Gutin B, et al. Evidence based physical activity for school-age youth. J Pediatr 2005; 146(6):732-7. DOI: https://doi.org/10.1016/j.jpeds.2005.01.055
Ströhle A. Physical activity, exercise, depression and anxiety disorders. J Neural Transm 2009; 116(6):777. DOI: https://doi.org/10.1007/s00702-008-0092-x
Organization WH. Global recommendations on physical activity for health. Geneva, Switzerland. WHO. 2010.
Blair SN. and Morris JN. Healthy hearts—and the universal benefits of being physically active: physical activity and health. Ann Epidemiol 2009; 19(4):253-6. DOI: https://doi.org/10.1016/j.annepidem.2009.01.019
Morgan WP. and Goldston SE. Exercise and mental health. Taylor & Francis 2013;13.
Bitonte RA, DeSanto DJ. Mandatory Physical Exercise for the Prevention of Mental Illness in Medical Students. Mental Illness 2014; 6(2):5549. DOI: https://doi.org/10.4081/mi.2014.5549
Mirowsky J. and Ross CE. Social causes of psychological distress: Transaction Publishers; 2003.
Sterling M. General health questionnaire–28 (GHQ-28). Journal of physiotherapy 2011; 57(4):259. DOI: https://doi.org/10.1016/S1836-9553(11)70060-1
Khan MS, Mahmood S, Badshah A, Ali SU. and Jamal Y. Prevalence of depression, anxiety and their associated factors among medical students in Karachi, Pakistan. Journal-Pakistan Medical Association 2006; 56(12):583.
Al-Eisa E. and Melam GR. Association between physical activity and psychological status among Saudi female students. BMC Psychiatry 2014; 14:238. DOI: https://doi.org/10.1186/s12888-014-0238-3.
Taliaferro LA, Rienzo BA, Pigg RM, Miller MD. and Dodd VJ. Associations Between Physical Activity and Reduced Rates of Hopelessness, Depression, and Suicidal Behavior Among College Students. J Am Coll Health 2009; 57(4):427-36. DOI: https://doi.org/10.3200/JACH.57.4.427-436.
Deepthi R, Ashakiran S, Akhilesh TV and Reddy M. Good Mental Health Status of Medical Students: Is There A Role for Physical Activity? Journal of Krishna Institute of Medical Sciences University 2015; 1(4):55-63.
World Health Organization. Overview of Rehabilitation Services in Health System Perspective. 2017 [cited 2019 February]; Available from: http://www.who.int/disabilities/care/1130-Pakistan.pdf?ua=1
Tanveer F, Ahmad A, Adeel M and Afzal A. Association of physical activity and satisfaction with life among DPT students of Azra Naheed Medical College, Lahore, Pakistan. Rawal Med J 2017; 42(4):518-21.
Jensen GM, Gwyer J, Shepard KF. and Hack LM. Expert Practice in Physical Therapy. Physical Therapy 2000; 80(1):28-43. DOI: https://doi.org/10.1093/ptj/80.1.28
Hussain A, Shoukat E. and Zafar H. Level and Factors Responsible for Depression among Doctor of Physical Therapy Students in Islamabad. J Riphah Coll of Rehab Sci 2013; 1(1):7-12.
Ahmadi J, Kamel M. and Bayoumi A. Dubai Medical College students’ scores on the Beck Depression Inventory. Iranian Red Crescent Med J 2008; 2008(3):169-72.
Tucker B, Jones S, Mandy A. and Gupta R. Physiotherapy students' sources of stress, perceived course difficulty, and paid employment: Comparison between Western Australia and United Kingdom. Physiother Theory Pract 2006; 22(6):317-28. DOI: : https://doi.org/10.1080/09593980601059550
Wattanapisit A, Fungthongcharoen K, Saengow U. and Vijitpongjinda S. Physical activity among medical students in Southern Thailand: a mixed methods study. BMJ Open 2016; 6(9):e013479. DOI: http://doi.org/10.1136/bmjopen-2016-013479
Walsh JM, Feeney C, Hussey J. and Donnellan C. Sources of stress and psychological morbidity among undergraduate physiotherapy students. Physiotherapy 2010; 96(3):206-12. DOI: http://doi.org/10.1016/j.physio.2010.01.005
Jerstad SJ, Boutelle KN, Ness KK. and Stice E. Prospective reciprocal relations between physical activity and depression in female adolescents. Journal of consulting and clinical psychology 2010; 78(2):268. DOI: http://doi.org/10.1037/a0018793
Kim YS, Park YS, Allegrante JP, Marks R, Ok H, Ok Cho K, et al. Relationship between physical activity and general mental health. Preventive medicine 2012; 55(5):458-63. DOI: https://doi.org/10.1016/j.ypmed.2012.08.021
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