Kinesiology Theses and Dissertations
Permanent URI for this collectionhttp://hdl.handle.net/1903/2784
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Item Associations between Classical Music, Physical Activity and Symptoms of Depression in Older Adults during the COVID-19 Pandemic(2023) Arnold-Nedimala, Naomi A; Smith, J Carson; Kinesiology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Background: The initial lockdown in March 2020 due to COVID-19 rattled the residents of North America as normalcy came to a standstill, freedom was stripped away, and people were forced to adapt to new restrictions and regulations, simply to survive. The elderly population was greatly affected by the lockdown as it prohibited those living in assisted living facilities to physically interact with family and friends highlighting the need to identify protective behaviors against mental health and depression. The neurological benefits of listening to classical music is an emerging area of research. A few studies suggest the positive outcomes of listening to classical music in reducing symptoms of depression. Additionally, while the cardiovascular benefits of exercise are well known, the impact of exercise on affect continues to be an emerging area of research. Purpose: The purpose of this study is to understand the efficacy of listening to classical music in attenuating symptoms of depression in older adults (50 – 90+) utilizing data collected from 3 separate time points during the COVID-19 pandemic, and to determine if physical activity is associated with providing additional benefit to lowering symptoms of depression Methods: A survey including the Geriatric Depression Scale (GDS), the Physical Activity Scale for the Elderly (PASE), and questions about listening to music (classical, Broadway, Christian music), and the frequency of listening to music was generated and distributed to people living in the United States and Canada immediately following the initial COVID-19 lockdown in April 2020. Informed consent was obtained prior to completing the survey, and participants who were interested in receiving a follow-up survey were asked to provide their email addresses. The follow-up surveys were generated 4-months (August 2020) and one year (April 2021) after the initial survey. Results: At the initial onset of the COVID-19 lockdown in April 2020, significant associations were observed between classical music listening (CML) and lower symptoms of depression, physical activity (PA) and lower symptoms of depression, music listening frequency, and lower symptoms of depression. In August 2020 and April 2021, significant associations were found between physical activity and lower symptoms of depression. However, no associations were observed between classical music listening and lower symptoms of depression, and music listening frequency and lower symptoms Additionally, significant associations were observed between age and lower symptoms of depression, sex, and lower symptoms of depression at all three time points. Conclusion: The results from our study suggest that there is an association between classical music listening and symptoms of depression, physical activity and symptoms of depression, music listening frequency and symptoms of depression in older adults (50+) during the early stages of the COVID-19 pandemic (April 2020). Additionally, the association between physical activity and symptoms of depression was maintained throughout the first year of the pandemic as supported by the data collected in August 2020 (4 months) and April 2021 (12-months).Item Will there be a season? The impact of COVID-19 on anxiety within NCAA student athletes compared to non-athlete university students(2021) Peterman, Kirsten; Smith, J. Carson; Kinesiology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)COVID-19 triggered psychological stress. College aged students and student athletes are among those vulnerable to mental health. The purpose of this study was to compare anxiety and potential moderators between student athletes and non-athlete students during the pandemic. Data were retrieved using survey methodology via Qualtrics. Student/athlete status was not related to anxiety (p=0.503). CF (p=<0.001), FFC (p=<0.001), and TFC (p=0.016) were associated with anxiety. There were no differences in coping between groups, however, greater TFC was related to greater anxiety in non-athlete students (p=< 0.001). Communication from AD’s (p=0.010) and teammates (p=0.033), as well as access to resources (p=0.036) were associated with anxiety in student athletes. Communication from coaches did not impact anxiety (p=0.545). Overall, anxiety during the pandemic was high. FFC may act as a protective factor, whereas TFC may worsen anxiety. Social support, access, and communication are crucial in times of uncertainty.Item EXERCISE IS MEDICINE? A CRITICAL EXAMINATION OF THE PROMOTION OF EXERCISE FOR MENTAL HEALTHCARE(2018) Maier, Julie; Jette, Shannon L; Kinesiology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Increasingly, physical activity is being promoted as a way to prevent or treat a range of chronic health conditions, including mental illness. In this dissertation, I utilize an ecological framework and draw upon feminist theories to explore why it is that physical activity is being used as a form of (mental health) therapy in this current moment, as well as the benefits and shortcomings of physical activity in preventing or treating mental illness. In particular, I focus on the ways in which gendered discourses and norms shape the physical activity experiences of women with mental illness. The project entails three separate, yet related, phases: 1) Extensive review of popular and academic literature to contextualize the “exercise is medicine” movement; 2) Assessment of the American College of Sports Medicine and American Medical Association’s “Exercise is Medicine” initiative; and 3) In-depth qualitative interviews with women with obsessive compulsive disorder (OCD). The results of my three empirical examinations suggest that physical activity can be a beneficial form of mental health treatment, or a valued part of one’s life and identity more generally. However, too often the limits to physical activity’s effectiveness in treating particular mental illnesses is downplayed, as is attention to the potential harms that can come from being physically active. At times, exercise is even positioned as a “cure”, or superior to psychopharmaceuticals in treating mental illnesses, such as depression. Such enthusiasm toward exercise’s potential therapeutic value can be seen to be, in part, the result of the current neoliberal, healthist moment in which individual responsibility, hard work, and natural remedies are valued over that which is considered easy, quick, or synthetic (Crawford, 1980, Lupton, 1995, Fullagar, 2017). This is not to suggest that physical activity cannot play a vital role in helping people with mental illness, but better messages and more resources are needed to make it accessible, safe, and meaningful to this population. I conclude the dissertation by providing suggestions as to how this can be accomplished.Item FUNCTIONAL CONNECTIVITY PATTERNS ASSOCIATED WITH AGING, PHYSICAL ACTIVITY, AND GENETIC RISK FOR ALZHEIMER’S DISEASE IN HEALTHY HUMAN BRAIN NETWORKS.(2017) Chirles, Theresa Jeanne; Smith, Carson J; Kinesiology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Leisure time physical activity (PA) and exercise training help to improve and maintain cognitive function in healthy older adults and in adults with the APOE-ε4 allele, a genetic risk for Alzheimer’s Disease (AD). Earlier work finding increased functional connectivity in the Default Mode Network (DMN) after a 12-week walking intervention in 16 older adults with mild cognitive impairment is presented in Chapter 3. The primary dissertation study investigating differences in brain function depending on PA level and genetic risk for AD prior to changes in cognition is presented in Chapters 4-6. Useable resting state and anatomical MRI scans were collected from 69 healthy adults (22-51 years) as well as saliva for APOE genotyping (carriers defined as homozygotes or heterozygotes of the ɛ4 allele) and responses to the Paffenbarger Physical Activity Questionnaire (High PA >1500 kcal, Low PA <1500 kcal per week). The following network measures of functional connectivity were calculated: global efficiency; node strength of Default Mode Network (DMN) and Fronto-Parietal Network (FPN) hubs and hippocampal subsections; and long-range connectivity of the medial prefrontal cortex (mPFC) and posterior cingulate cortex (PCC) in the DMN. Multiple linear regression analysis revealed statistically significant results for the long-range connectivity of the left PCC, a prominent hub of the DMN, and left mPFC. The differences in projected trajectories of the connectivity are potentially reflective of the compensatory time-course in our participants based on interactions of PA level and APOE status. The Low PA non-carriers had a positive slope indicating increased connectivity with age while carriers and non-carriers in the High PA category had horizontal aging trajectories. PA is associated with cognitive reserve (CR), a term describing the protection and adaptation of cognitive processes through neural efficiency and compensation mechanisms, and it is possible the Low PA non-carriers exhibited compensatory increases in connectivity of the left mPFC-PCC earlier than High PA study participants due to lower levels of CR. The promising findings that rs-fMRI can be used as an early detection of brain changes sensitive to PA levels and APOE-ɛ4 status are critical to the research and treatment of AD.