Idade, Ansiedade, Estresse e Depressão Associados a Problemas Alimentares durante a COVID-19

Conteúdo do artigo principal

José Roberto Andrade do Nascimento Junior
Gabriel Lucas Morais Freire
Marina Pereira Gonçalves
Daniel Vicentini de Oliveira
José Fernando Vila Nova de Moraes
Yara Lucy Fidelix

Resumo

Este estudo transversal baseado na web investigou a associação de idade, sexo e sintomas de depressão, ansiedade e estresse com problemas alimentares (PAs) em adultos brasileiros durante a pandemia da coronavirus disease 2019 (Covid-19). Um total de 715 participantes (237 homens e 478 mulheres) foram recrutados em todas as regiões do Brasil. Os instrumentos utilizados foram a Escala de Depressão, Ansiedade e Estresse – 21 (Depression, Anxiety and Stress Scale-21 [Dass-21]) e o Teste de Atitudes Alimentares – 26 (Eating Attitudes Test – 26 [EAT-26]). A análise dos dados foi realizada por meio de teste t independente, correlação de Pearson e análise de regressão múltipla. A regressão múltipla mostrou que a pontuação total na Dass-21 contribuiu positivamente para PAs em homens (β = 0,17, p < 0,01) e mulheres (β = 0,22, p < 0,001). Os dados mostraram que as mulheres apresentaram mais sintomas em todas as variáveis (p < 0.001). Assim, os sintomas da Dass-21 foram associados a comportamentos de risco para PAs em adultos brasileiros durante a pandemia da Covid-19.

Downloads

Não há dados estatísticos.

Detalhes do artigo

Seção
Artigos

Referências

Antunes, R., Frontini, R., Amaro, N., Salvador, R., Matos, R., Morouço, P., & Rebelo-Gonçalves, R. (2020). Exploring lifestyle habits, physical activity, anxiety and basic psychological needs in a sample of Portuguese adults during COVID-19. International Journal of Environmental Research and Public Health, 17(12), 4360. https://doi.org/10.3390/ijerph17124360

Ato, M., López-García, J. J., & Benavente, A. (2013). Un sistema de clasificación de los diseños de investigación en psicología. Anales de Psicología, 29(3), 1038–1059. http://dx.doi.org/10.6018/analesps.29.3.178511

Bighetti, F., Santos, C. B., Santos, J. E., & Ribeiro, R. P. (2004). Tradução e validação do Eating Attitudes Test em adolescentes do sexo feminino de Ribeirão Preto, São Paulo. Jornal Brasileiro de Psiquiatria, 53(6), 339–346. https://pesquisa.bvsalud.org/portal/resource/pt/lil-403090

Bobo, E., Lin, L., Acquaviva, E., Caci, H., Franc, N., Gamon, L., Picot, M. C., Pupier, F., Speranza, M., Falissard, B., & Purper-Ouakil, D. (2020). Comment les enfants et adolescents avec le trouble déficit d’attention/hyperactivité (TDAH) vivent-ils le confinement durant la pandémie COVID-19? L’Encéphale, 46(3S), S85–S92. https://doi.org/10.1016/j.encep.2020.05.011

Boswell, R. G., & Kober, H. (2016). Food cue reactivity and craving predict eating and weight gain: A meta-analytic review. Obesity Reviews, 17(2), 159–177. https://doi.org/10.1111/obr.12354

Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. The Lancet, 395(10227), 912–920. https://doi.org/10.1016/S0140-6736(20)30460-8

Casagrande, M., Favieri, F., Tambelli, R., & Forte, G. (2020). The enemy who sealed the world: Effects quarantine due to the COVID-19 on sleep quality, anxiety, and psychological distress in the Italian population. Sleep Medicine, 75, 12–20. https://doi.org/10.1016/j.sleep.2020.05.011

Choi, E. P. H., Hui, B. P. H., & Wan, E. Y. F. (2020). Depression and anxiety in Hong Kong during COVID-19. International Journal of Environmental Research and Public Health, 17(10), 3740. https://doi.org/10.3390/ijerph17103740

Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159. https://doi.org/10.1037//0033-2909.112.1.155

Cooper, M., Reilly, E. E., Siegel, J. A., Coniglio, K., Sadeh-Sharvit, S., Pisetsky, E. M., & Anderson, L. M. (2020). Eating disorders during the COVID-19 pandemic and quarantine: An overview of risks and recommendations for treatment and early intervention. Eating Disorders, 30(1), 54–76. https://doi.org/10.1080/10640266.2020.1790271

Cullen, W., Gulati, G., & Kelly, B. D. (2020). Mental health in the COVID-19 pandemic. QJM: An International Journal of Medicine, 113(5), 311–312. https://doi.org/10.1093/qjmed/hcaa110

Davis, C., Ng, K. C., Oh, J. Y., Baeg, A., Rajasegaran, K., & Chew, C. S. E. (2020). Caring for children and adolescents with eating disorders in the current Coronavirus 19 pandemic: A Singapore perspective. Journal of Adolescent Health, 67(1), 131–134. https://doi.org/10.1016/j.jadohealth.2020.03.037

Fakari, F. R., & Simbar, M. (2020). Coronavirus pandemic and worries during pregnancy: A letter to editor. Archives of Academic Emergency Medicine, 8(1), e21. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075675/

Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191. https://doi.org/10.3758/bf03193146

Fernández-Aranda, F., Casas, M., Claes, L., Bryan, D. C., Favaro, A., Granero, R., Gudiol, C., Jiménez-Murcia, S., Karwautz, A., Le Grange, D., Menchón, J. M., Tchanturia, K., & Treasure, J. (2020). COVID-19 and implications for eating disorders. European Eating Disorders Review, 28(3), 239–245. https://doi.org/10.1002/erv.2738

Garner, D. M., Olmsted, M. P., Bohr, Y., & Garfinkel, P. E. (1982). The eating attitudes test: Psychometric features and clinical correlates. Psychological Medicine, 12(4), 871–878. https://doi.org/10.1017/s0033291700049163

González-Sanguino, C., Ausín, B., Castellanos, M. Á., Saiz, J., López-Gómez, A., Ugidos, C., & Muñoz, M. (2020). Mental health consequences during the initial stage of the 2020 coronavirus pandemic (COVID-19) in Spain. Brain, Behavior, and Immunity, 87, 172–176. https://doi.org/10.1016/j.bbi.2020.05.040

Hair, J. F., Risher, J. J., Sarstedt, M., & Ringle, C. M. (2019). When to use and how to report the results of PLS-SEM. European Business Review, 31(1), 2–24. https://doi.org/10.1108/EBR-11-2018-0203

Huang, Y., & Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: A web-based cross-sectional survey. Psychiatry Research, 288, 112954. https://doi.org/10.1016/j.psychres.2020.112954

Jung, S. J., & Jun, J. Y. (2020). Mental health and psychological intervention amid COVID-19 outbreak: Perspectives from South Korea. Yonsei Medical Journal, 61(4), 271–272. https://doi.org/10.3349/ymj.2020.61.4.271

Liem, A., Sit, H. F., Arjadi, R., Patel, A. R., Elhai, J. D., & Hall, B. J. (2020). Ethical standards for telemental health must be maintained during the COVID-19 pandemic. Asian Journal of Psychiatry, 53, 102218. https://doi.org/10.1016/j.ajp.2020.102218

Malta, M., Cardoso, L. O., Bastos, F. I., Magnanini, M. M. F., & Silva, C. M. F. P. d. (2010). Iniciativa STROBE: Subsídios para a comunicação de estudos observacionais. Revista de Saúde Pública, 44(3), 559–565. https://doi.org/10.1590/s0034-89102010000300021

Margis, R., Picon, P., Cosner, A. F., & Silveira, R. D. O. (2003). Relação entre estressores, estresse e ansiedade. Revista de Psiquiatria do Rio Grande do Sul, 25(Suppl 1), 65–74. https://doi.org/10.1590/S0101-81082003000400008

Martins, B. G., Silva, W. R. d., Maroco, J., & Campos, J. A. D. B. (2019). Escala de Depressão, Ansiedade e Estresse: Propriedades psicométricas e prevalência das afetividades. Jornal Brasileiro de Psiquiatria, 68(1), 32–41. https://doi.org/10.1590/0047-2085000000222

Mengin, A., Allé, M. C., Rolling, J., Ligier, F., Schroder, C., Lalanne, L., Berna, F., Jardri, R., Vaiva, G., Geoffroy, P. A., Brunault, P., Thibaut, F., Chevance, A., & Giersch, A. (2020). Conséquences psychopathologiques du confinement. L’Encéphale, 46(3S), S43–S52. https://doi.org/10.1016/j.encep.2020.04.007

Mukaka, M. M. (2012). Statistics corner: A guide to appropriate use of correlation coefficient in medical research. Malawi Medical Journal, 24(3), 69–71. https://pubmed.ncbi.nlm.nih.gov/23638278/

Muñoz-Navarro, R., Cano-Vindel, A., Schmitz, F., Cabello, R., & Fernández-Berrocal, P. (2020). Emotional distress and associated sociodemographic risk factors during the COVID-19 outbreak in Spain. medRxiv. https://doi.org/10.1101/2020.05.30.20117457

Nunes, M. A., Camey, S., Olinto, M. T. A., & Mari, J. J. (2005). The validity and 4-year test-retest reliability of the Brazilian version of the Eating Attitudes Test-26. Brazilian Journal of Medical and Biological Research, 38(11), 1655–1662. https://doi.org/10.1590/S0100-879X2005001100013

Odriozola-González, P., Planchuelo-Gómez, Á., Irurtia, M. J., & Luis-García, R. de. (2020). Psychological effects of the COVID-19 outbreak and lockdown among students and workers of a Spanish university. Psychiatry Research, 290, 113108. https://doi.org/10.1016/j.psychres.2020.113108

Ozamiz-Etxebarria, N., Dosil-Santamaria, M., Picaza-Gorrochategui, M., & Idoiaga-Mondragon, N. (2020). Niveles de estrés, ansiedad y depresión en la primera fase del brote del COVID-19 en una muestra recogida en el norte de España. Cadernos de Saúde Pública, 36(4), e00054020. https://doi.org/10.1590/0102-311x00054020

Papandreou, C., Arija, V., Aretouli, E., Tsilidis, K. K., & Bulló, M. (2020). Comparing eating behaviours, and symptoms of depression and anxiety between Spain and Greece during the COVID-19 outbreak: Cross-sectional analysis of two different confinement strategies. European Eating Disorders Review: The Journal of the Eating Disorders Association, 28(6), 836–846. https://doi.org/10.1002/erv.2772

Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., & Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity, 88, 901–907. https://doi.org/10.1016/j.bbi.2020.05.026

Phillipou, A., Meyer, D., Neill, E., Tan, E. J., Toh, W. L., Van Rheenen, T. E., & Rossell, S. L. (2020). Eating and exercise behaviors in eating disorders and the general population during the COVID-19 pandemic in Australia: Initial results from the COLLATE project. International Journal of Eating Disorders, 53(7), 1158–1165. https://doi.org/10.1002/eat.23317

Puccio, F., Fuller-Tyszkiewicz, M., Ong, D., & Krug, I. (2016). A systematic review and meta-analysis on the longitudinal relationship between eating pathology and depression. International Journal of Eating Disorders, 49(5), 439–454. https://doi.org/10.1002/eat.22506

Qiu, J., Shen, B., Zhao, M., Wang, Z., Xie, B., & Xu, Y. (2020). A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: Implications and policy recommendations. General Psychiatry, 33(2), e100213. https://doi.org/10.1136/gpsych-2020-100213

Rajkumar, R. P. (2020). COVID-19 and mental health: A review of the existing literature. Asian Journal of Psychiatry, 52, 102066. https://doi.org/10.1016/j.ajp.2020.102066

Smith, A. R., Zuromski, K. L., & Dodd, D. R. (2018). Eating disorders and suicidality: What we know, what we don’t know, and suggestions for future research. Current Opinion in Psychology, 22, 63–67. https://doi.org/10.1016/j.copsyc.2017.08.023

Souza, V. K. S., Silva, E. C. A., de Souza, G. S. F., Cordeiro, S. A., de Oliveira, J. C. S., da Silva, E. C. A., Barros, A. L. S., & Martins, A. C. S. (2018). Vigorexia o distúrbio da imagem corporal que assola o século XXI: Uma revisão da literatura. International Journal of Nutrology, 11(S 01), S24–S327. https://doi.org/10.1055/s-0038-1675112

Sprang, G., & Silman, M. (2013). Posttraumatic stress disorder in parents and youth after health-related disasters. Disaster Medicine and Public Health Preparedness, 7(1), 105–110. https://doi.org/10.1017/dmp.2013.22

Touyz, S., Lacey, H., & Hay, P. (2020). Eating disorders in the time of COVID-19. Journal of Eating Disorders, 8, Article 19. https://doi.org/10.1186/s40337-020-00295-3

Tsai, J., & Wilson, M. (2020). COVID-19: A potential public health problem for homeless populations. The Lancet Public Health, 5(4), e186–e187. https://doi.org/10.1016/S2468-2667(20)30053-0

Usher, K., Bhullar, N., & Jackson, D. (2020). Life in the pandemic: Social isolation and mental health. Journal of Clinical Nursing, 29(15–16), 2756–2757. https://doi.org/10.1111/jocn.15290

Vignola, R. C. B., & Tucci, A. M. (2014). Adaptation and validation of the depression, anxiety and stress scale (DASS) to Brazilian Portuguese. Journal of Affective Disorders, 155, 104–109. https://doi.org/10.1016/j.jad.2013.10.031

Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health, 17(5), 1729. https://doi.org/10.3390/ijerph17051729

White, R., Bebbington, P., Pearson, J., Johnson, S., & Ellis, D. (2000). The social context of insight in schizophrenia. Social Psychiatry and Psychiatric Epidemiology, 35, 500–507. https://doi.org/10.1007/s001270050271

World Health Organization. (2020a). Basic documents: Forty-ninth edition (including amendments adopted up to 31 May 2019). https://apps.who.int/gb/bd/pdf_files/BD_49th-en.pdf#page=6

World Health Organization. (2020b, March 18). Mental health and psychosocial considerations during the COVID-19 outbreak. https://www.who.int/docs/default-source/coronaviruse/mental-health-considerations.pdf

Yang, Y., Li, W., Zhang, Q., Zhang, L., Cheung, T., & Xiang, Y. T. (2020). Mental health services for older adults in China during the COVID-19 outbreak. The Lancet Psychiatry, 7(4), e19. https://doi.org/10.1016/S2215-0366(20)30079-1

Yao, J., Rao, J., Jiang, T., & Xiong, C. (2020). What role should teachers play in online teaching during the COVID-19 pandemic? Evidence from China. Science Insights Education Frontiers, 5(2), 517–524. https://ssrn.com/abstract=3565608

Zhai, Y., & Du, X. (2020). Mental health care for international Chinese students affected by the COVID-19 outbreak. The Lancet Psychiatry, 7(4), e22. https://doi.org/10.1016/S2215-0366(20)30089-4

Zhu, X., Ge, Y., Wu, T., Zhao, K., Chen, Y., Wu, B., Zhu, F., Zhu, B., & Cui, L. (2020). Co-infection with respiratory pathogens among COVID-2019 cases. Virus Research, 285, 198005. https://doi.org/10.1016/j.virusres.2020.198005