Níveis de Estresse, Ansiedade, Depressão e Fatores Associados Durante a Pandemia de Covid-19 em Praticantes de Yoga

A pandemia do novo coronavírus (COVID-19) e a crise de saúde pública tem gerado estresse em toda a população. O presente estudo teve como objetivo examinar a prática de Yoga e a sua relação com os níveis de ansiedade, depressão e estresse durante a pandemia de COVID-19. O estudo foi baseado em um questionário on-line anônimo aplicado entre 19 e 26 de maio de 2020, com questões sociodemográficas, sobre a prática de Yoga durante a pandemia e a Escala de Ansiedade Depressão e Estresse (DASS-21). Duzentos e treze participantes completaram o questionário. No geral, foram observados 12,2%, 12,2% e 8,0% de sintomas severos para estresse, ansiedade e depressão, respectivamente. Na análise de regressão logística (expressos em odds ratio; intervalo de confiança de 95%), participantes mais velhos tiveram menores chances de apresentar sintomas severos de estresse (OR = 0,30; IC95%: 0,13 – 0,70) e depressão (OR = 0,34; IC95%: 0,12 - 0,92), enquanto o tabagismo aumentou as chances (OR = 7,71; IC95%: 2,36 - 25,21) de sintomas severos de ansiedade. Uma maior experiência na prática de Yoga reduz significativamente as chances de apresentar sintomas severos de estresse (OR = 0,34; IC95% 0,14 - 0,83) e ansiedade (OR = 0,37; IC95% = 0,15 - 0,91). Ademais, houve menores chances de apresentar sintomas severos de estresse em praticantes que realizam um maior número de sessão semanal durante a pandemia (OR = 0,09; IC95% = 0,01 - 0,88), e de sintomas depressivos para aqueles que conseguiram manter a frequência da prática em relação ao período antes da pandemia (OR = 0,23; IC95%: 0,06 - 0,84). Nossos dados observacionais sugerem que praticantes mais experientes e que realizam mais sessões semanal reportam menor impacto psicológico durante a pandemia por COVID-19.

Referências

Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet. 2020;395(10223):470-3.

Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta Biomed. 2020;91(1):157-60.

Ferguson NM, Laydon D, Nedjati-Gilani G, Imai N, Ainslie K, Baguelin M, et al. Impact of non-pharmaceutical interventions (NPIs) to reduce COVID-19 mortality and healthcare demand. Imperial College London. 2020 [citado 2020 jun 05]. Disponível em: https://www.imperial.ac.uk/media/imperial-college/medicine/sph/ide/gida-fellowships/Imperial-College-COVID19-NPI-modelling-16-03-2020.pdf.

Nussbaumer-Streit B, Mayr V, Dobrescu AI, Chapman A, Persad E, Klerings I, et al. Quarantine alone or in combination with other public health measures to control COVID-19: a rapid review. Cochrane Database Syst Rev. 2020;4(4):CD013574.

Matrajt L, Leung T. Evaluating the Effectiveness of Social Distancing Interventions to Delay or Flatten the Epidemic Curve of Coronavirus Disease. Emerg Infect Dis. 2020 [citado 2020 jun 05]. Disponível em: https://wwwnc.cdc.gov/eid/article/26/8/20-1093_article. [Epub ahead of print]

Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-20.

Huang Y, Zhao N. Chinese Mental Health Burden During the COVID-19 Pandemic. Asian J Psychiatr. 2020 [citado 2020 jun 05]. Disponível em: https://www.sciencedirect.com/science/article/pii/S1876201820301635. [Epub ahead of print]

Kazmi SSH, Hasan K, Talib S, Saxena S. COVID-19 and Lockdwon: A Study on the Impact on Mental Health. SSRN Electron J. 2020 [citado 2020 jun 05]. Disponível em: https://www.ssrn.com/abstract=3577515.

Ozamiz-Etxebarria, N, Dosil-Santamaria, Picaza-Gorrochategui, Idoiaga-Mondragon N. Stress, Anxiety, and Depression Levels in the Initial Stage of the COVID-19 Outbreak in a Population Sample in the Northern Spain. Cad Saude Publica. 2020;36(4):e00054020.

Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5):1729.

American College of Sports (ACSM). Staying active during the coronavirus pandemic. ACSM: United States. 2020. [citado 2020 jun 05]. Disponível em: https://www.exerciseismedicine.org/assets/page_documents/EIM_Rx%20for%20Health_%20Staying%20Active%20During%20Coronavirus%20Pandemic.pdf.

World Health Organization (WHO). Healthy At Home - Physical activity. WHO: Switzerland. 2020. [citado 2020 jun 05]. Disponível em: https://www.who.int/news-room/campaigns/connecting-the-world-to-combat-coronavirus/healthyathome/healthyathome---physical-activity

Cartwright T, Mason H, Porter A, Pilkington K. Yoga practice in the UK: a cross-sectional survey of motivation, health benefits and behaviours. BMJ open. 2020;10(1):e031848.

Yogananda P. A Yoga do Bhagavad Gita: Introdução à ciência indiana universal da realização divina. Los Angeles, CA (EUA): Self-Realization Fellowship; 2016.

Cramer H, Lauche R, Haller H, Steckhan N, Michalsen A, Dobos G. Effects of yoga on cardiovascular disease risk factors: a systematic review and meta-analysis. Int J Cardiol. 2014;173(2):170-83.

Kumar V, Jagannathan A, Philip M, Thulasi A, Angadi P, Raghuram N. Role of yoga for patients with type II diabetes mellitus: A systematic review and meta-analysis. Complement Ther Med. 2016;25:104-12.

Cramer H, Haller H, Klose P, Ward L, Chung VC, Lauche R. The risks and benefits of yoga for patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis. Clin Rehabil. 2019;33(12):1847-62.

Cramer H, Anheyer D, Saha FJ, Dobos G. Yoga for posttraumatic stress disorder–a systematic review and meta-analysis. BMC psychiatry. 2018;18(1):72.

Cramer H, Lauche R, Langhorst J, Dobos G. Yoga for depression: A systematic review and meta-analysis. Depress Anxiety. 2013;30(11):1068-83.

Buchanan EM, Scofield JE. Methods to detect low quality data and its implication for psychological research. Behav Res Methods. 2018;50(6):2586-96.

Vignola RCB, Tucci AM. Adaptation and validation of the depression, anxiety and stress scale (DASS) to Brazilian Portuguese. J Affect Disord. 2014;155:104-9.

Saadi TA, Addeen SZ, Turk T, Abbas F, Alkhatib M. Psychological distress among medical students in conflicts: A cross-sectional study from Syria. BMC Med Educ. 2017;17(1):173.

Moylan S, Jacka FN, Pasco JA, Berk M. How Cigarette Smoking May Increase the Risk of Anxiety Symptoms and Axiety Disorders: A Critical Review of Biological Pathways. Brain Behav. 2013;3(3):302-26.

Ross A, Friedmann E, Bevans M, Thomas S. National Survey of Yoga Practitioners: Mental and Physical Health Benefits. Complement Ther Med. 2013;21(4):313-23.

Benvenutti MJ, Alves ES, Michael S, Ding D, Stamatakis E, Edwards KM. A single session of hatha yoga improves stress reactivity and recovery after an acute psychological stress task-A counterbalanced, randomized-crossover trial in healthy individuals. Complement Ther Med. 2017;35:120-6.

Streeter CC, Jensen JE, Perlmutter RM, Cabral HJ, Tian H, Terhune DB, et al. Yoga Asana Sessions Increase Brain GABA Levels: A Pilot Study. J Altern Complement Med. 2007;13(4):419-26.

Jakhar J, Mehta UM, Ektare A, Vidyasagar PD, Varambally S, Thirthalli J, et al. Cortical Inhibition in Major Depression: Investigating the Acute Effect of Single-Session Yoga Versus Walking. Brain Stimul. 2019;12(6):1597-9.

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