Problem

Mental well-being can be conceptualized as two intersecting continua: mental illness (presence/absence of psychopathology) and mental health (flourishing/languishing). Together, mental illness and mental health combine to form an individual's complete mental health status (CMHS). The purpose of this study was to examine if CMHS is associated with adherence to the guidelines for moderate-to-vigorous physical activity (MVPA; 60 min), sleep (8–10 h) and recreational screen time (ST; ≤2 h) represented in the Canadian 24-h Movement Guidelines for Children and Youth (“Guidelines”) in adolescents.

Methods

This study reports cross-sectional student-level data from Year 6 (2017–18) of the COMPASS study. Canadian secondary school students (grades 9–12) completed questionnaires assessing their movement behaviours, flourishing/languishing (F/L), and high/low depressive symptoms (+DS/-DS). Students were classified into one of four CMHS groups: F/-DS, F/+DS, L/-DS, L/+DS. Generalized linear models were used to compare adherence to the guidelines between groups.

Results

A total of 29,133 students (49.8% female, M_age = 15.3yrs) were included. For ST and sleep, youth classified as L/+DS were less likely to meet Guidelines than youth categorized as L/-DS, F/+DS, and F/-DS. For MVPA, youth categorized as L/+DS were less likely to meet Guidelines than youth categorized as F/-DS or F/+DS. Individuals classified as L/-DS were less likely to meet the MVPA guidelines compared to L/+DS (ps < .0001).

Conclusion

This is the first study examining relationships between CMHS and Guideline adherence. CMHS was associated with both ST and sleep. Youth who self-report flourishing were more likely to achieve MVPA guidelines irrespective of depressive symptoms. Such findings reinforce the need for research considering both mental health and mental illness when examining associations with movement behaviours in youth.

中文翻译：

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全面了解心理健康状况，并与青年人的体育锻炼，看电影的时间和睡眠有关

问题

可以将心理健康概念化为两个相交的连续体：精神疾病（存在/不存在精神病理学）和精神健康（蓬勃发展/疲软）。精神疾病和精神健康共同构成一个人的完整精神健康状况（CMHS）。这项研究的目的是检查CMHS是否与遵守中度至剧烈身体活动（MVPA; 60分钟），睡眠（8-10 h）和娱乐性筛查时间（ST;≤2h）的准则有关代表了《加拿大青少年儿童24小时运动指南》（“指南”）。

方法

本研究报告了COMPASS研究第6年（2017-18年）的横断面学生水平数据。加拿大中学生（9至12年级）完成了问卷调查，以评估他们的运动行为，旺盛/疲倦（F / L）和高/低抑郁症状（+ DS / -DS）。学生被分为四个CMHS组之一：F / -DS，F / + DS，L / -DS，L / + DS。使用广义线性模型比较两组之间对指南的依从性。

结果

总共包括29,133名学生（女性49.8％，M_年龄 = 15.3年）。对于ST和睡眠，分类为L / + DS的年轻人比分类为L / -DS，F / + DS和F / -DS的年轻人更不可能符合准则。对于MVPA，归类为L / + DS的年轻人比归类为F / -DS或F / + DS的年轻人更不符合准则。分类为L / -DS个体不太可能满足MVPA准则相比L / + DS（p小号<0.0001）。

结论

这是第一项研究CMHS与准则遵循之间关系的研究。CMHS与ST和睡眠均相关。自我报告蓬勃发展的青年人更容易达到MVPA准则，而与抑郁症状无关。这些发现加强了在研究青年与运动行为的关联时需要同时考虑心理健康和精神疾病的研究需求。