Reducing Anxiety and Enhancing Mindfulness in College Students During COVID-19 Through WeActive and WeMindful Interventions

Overview

Journal Healthcare (Basel)

Specialty Health Services

Date 2024 Feb 10

PMID 38338259

Authors

Logan T Harrison

Michele W Marenus

Weiyun Chen

Affiliations

Soon will be listed here.

Abstract

Objective: The purpose of this study was to examine the immediate and short-term, sustained effects of two virtual interventions, WeActive, an aerobic and resistance training program, and WeMindful, a mindful exercise, in reducing anxiety and improving mindfulness among college students during the COVID-19 pandemic.

Methods: Participants were 60 students from a large Midwestern university who were randomly assigned to either the WeActive group ( = 36) or the WeMindful group ( = 24). The WeActive group participated in two virtual 30 min aerobic and resistance training sessions per week (WeActive) and the WeMindful group participated in two virtual 30 min mindful exercise sessions per week for eight weeks. All participants completed the Generalized Anxiety Disorder scale and the Five Facet Mindfulness Questionnaire through Qualtrics at three time points: one week prior to (pre-test), one week after (post-test), and six weeks after (follow-up) the intervention.

Results: A repeated-measures ANOVA revealed a significant main effect of time on anxiety ( = 7.51, = 0.036, = 0.001) in both groups. WeActive significantly decreased anxiety scores between the pre-test and follow-up ( 2.7, = 0.027) and post-test and follow-up ( = 3.1, = 0.007), and WeMindful significantly decreased anxiety scores between the post-test and follow-up (t = 0.641, = 0.028). For mindfulness, there was a significant main effect of time in both groups ( = 3.91, = 0.009, = 0.025), where only WeMindful significantly increased mindfulness from the pre-test to follow-up ( -2.7, = 0.025).

Conclusions: Anxiety decreased significantly in both the WeActive and WeMindful groups and mindfulness increased significantly in the WeMindful group. Furthermore, the decrease in anxiety was sustained in a short-term period following the end of the intervention.

References

Hallgren M, Nguyen T, Herring M, McDowell C, Gordon B, Stubbs B . Associations of physical activity with anxiety symptoms and disorders: Findings from the Swedish National March Cohort. Gen Hosp Psychiatry. 2019; 58:45-50. DOI: 10.1016/j.genhosppsych.2019.03.001. View

Pascoe M, Thompson D, Ski C . Yoga, mindfulness-based stress reduction and stress-related physiological measures: A meta-analysis. Psychoneuroendocrinology. 2017; 86:152-168. DOI: 10.1016/j.psyneuen.2017.08.008. View

Dean E . Anxiety. Nurs Stand. 2016; 30(46):15. DOI: 10.7748/ns.30.46.15.s17. View

Favieri F, French M, Casagrande M, Chen E . Physical activity interventions have a moderate effect in increasing physical activity in university students-a meta-analysis. J Am Coll Health. 2022; 71(9):2823-2834. DOI: 10.1080/07448481.2021.1998070. View

Hayes S, Rye S, DiSipio T, Yates P, Bashford J, Pyke C . Exercise for health: a randomized, controlled trial evaluating the impact of a pragmatic, translational exercise intervention on the quality of life, function and treatment-related side effects following breast cancer. Breast Cancer Res Treat. 2012; 137(1):175-86. DOI: 10.1007/s10549-012-2331-y. View

Joseph R, Durant N, Benitez T, Pekmezi D . Internet-Based Physical Activity Interventions. Am J Lifestyle Med. 2014; 8(1):42-68. PMC: 4103664. DOI: 10.1177/1559827613498059. View

Tsafou K, Lacroix J, van Ee R, Vinkers C, De Ridder D . The relation of trait and state mindfulness with satisfaction and physical activity: A cross-sectional study in 305 Dutch participants. J Health Psychol. 2016; 22(10):1221-1232. DOI: 10.1177/1359105315624748. View

Baer R, Smith G, Hopkins J, Krietemeyer J, Toney L . Using self-report assessment methods to explore facets of mindfulness. Assessment. 2006; 13(1):27-45. DOI: 10.1177/1073191105283504. View

Cook S, Wellman C . Chronic stress alters dendritic morphology in rat medial prefrontal cortex. J Neurobiol. 2004; 60(2):236-48. DOI: 10.1002/neu.20025. View

10.

Schuch F, Bulzing R, Meyer J, Vancampfort D, Firth J, Stubbs B . Associations of moderate to vigorous physical activity and sedentary behavior with depressive and anxiety symptoms in self-isolating people during the COVID-19 pandemic: A cross-sectional survey in Brazil. Psychiatry Res. 2020; 292:113339. PMC: 7384423. DOI: 10.1016/j.psychres.2020.113339. View

11.

Marenus M, Murray A, Friedman K, Sanowski J, Ottensoser H, Cahuas A . Feasibility and Effectiveness of the Web-Based WeActive and WeMindful Interventions on Physical Activity and Psychological Well-Being. Biomed Res Int. 2021; 2021:8400241. PMC: 8519690. DOI: 10.1155/2021/8400241. View

12.

Tang Y, He W . Meta-analysis of the relationship between university students' anxiety and academic performance during the coronavirus disease 2019 pandemic. Front Psychol. 2023; 14:1018558. PMC: 10043227. DOI: 10.3389/fpsyg.2023.1018558. View

13.

Clemente F, Nikolaidis P, Martins F, Mendes R . Physical Activity Patterns in University Students: Do They Follow the Public Health Guidelines?. PLoS One. 2016; 11(3):e0152516. PMC: 4811432. DOI: 10.1371/journal.pone.0152516. View

14.

Spitzer R, Kroenke K, Williams J, Lowe B . A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006; 166(10):1092-7. DOI: 10.1001/archinte.166.10.1092. View

15.

Son C, Hegde S, Smith A, Wang X, Sasangohar F . Effects of COVID-19 on College Students' Mental Health in the United States: Interview Survey Study. J Med Internet Res. 2020; 22(9):e21279. PMC: 7473764. DOI: 10.2196/21279. View

16.

Ahmad A, Rustam F, Saad E, Siddique M, Lee E, Mansilla A . Analyzing preventive precautions to limit spread of COVID-19. PLoS One. 2022; 17(8):e0272350. PMC: 9401132. DOI: 10.1371/journal.pone.0272350. View

17.

Gould E, Cameron H, Daniels D, Woolley C, McEwen B . Adrenal hormones suppress cell division in the adult rat dentate gyrus. J Neurosci. 1992; 12(9):3642-50. PMC: 6575731. View

18.

Murray A, Marenus M, Cahuas A, Friedman K, Ottensoser H, Kumaravel V . The Impact of Web-Based Physical Activity Interventions on Depression and Anxiety Among College Students: Randomized Experimental Trial. JMIR Form Res. 2022; 6(4):e31839. PMC: 9015744. DOI: 10.2196/31839. View

19.

Chen H, Tsai C, Wu Y, Lin K, Lin C . Randomised controlled trial on the effectiveness of home-based walking exercise on anxiety, depression and cancer-related symptoms in patients with lung cancer. Br J Cancer. 2014; 112(3):438-45. PMC: 4453645. DOI: 10.1038/bjc.2014.612. View

20.

Silverman M, Deuster P . Biological mechanisms underlying the role of physical fitness in health and resilience. Interface Focus. 2014; 4(5):20140040. PMC: 4142018. DOI: 10.1098/rsfs.2014.0040. View