Juliana Di Loreto 11433452Article Annotations (Summaries)Lindwall, M., Gerber, M., Jonsdottir, I. H., Börjesson, M., & Ahlborg, G., Jr. (2014). The relationships of change in physical activity with change in depression, anxiety, and burnout: A longitudinal study of Swedish healthcare workers. Health Psychology, 33(11), 1309-1318. doi:http://dx.doi.org/10.1037/a0034402Purpose: The purpose of this study was the examine whether intraindividual changes in physical activity and how there were associated with intraindividual changes in mental health over course of 6 years using 4 measurement-time points. These perspectives were taken from both between-person and within-person. The purpose was clearly stated at the beginning of the article labeled as objective. Hypothesis: The hypotheses of this article are clearly noted at the very end of the introduction. The first hypothesis states; the starting levels of physical activity is associated with starting levels of all three mental health variables measured. The second hypothesis states; how the change in physical activity is associated with a correlated change in all three mental health variables on a between-person level. The third hypothesis states; how occasion-specific changes in physical activity will be associated with occasion-specific changes in all three aspects of the mental health variables, demonstrating a coupled change. Methods: Participants: 6,000 people were studied. 5,300 were healtcare workers and 700 were social insurance workers from the region of Västra Götaland, Sweden. Variables measured: examines the relationship between psychosocial stress and stress-related health problems that are among employees in the public service sector. Design/Procedure: the criteria for inclusion was that the employee’s had to have been employed for at least one full year and or working half that time. The social insurance workers did not have to participate in the final follow up, as the subpopulation is not included in the present study. Each of the participants were asked to complete scales that directly related to occupational burnout, perceived stress, symptoms of mental disorders, and level of physical activity. Two reminders were given for the participants to rate themselves, perceiving their health to be good or bad. To assess physical activity the, 4-level Saltin Grimby Physical Activity Level Scale, was used and the dictation was made between the amount of time or type of exercise a participant engages in. Burnout was measured by using the Shirom–Melamed Burnout Questionnaire (SMBQ), where the participants self-measured and reported symptoms related to feelings of physical, emotional, and cognitive exhaustion that they experienced from chronic exposer to stress. Another way to measure self-reported symptoms was by the use of the Hospitals Anxiety and Depression scale (HADS). In order to compare completers and non-completers, the Chi-squared test and t-tests were used.Results: the results showed that burnout and physical activity progressive change over time. The evidence provided from the between-person and within-person perspectives suggest that the potential role of physical activity also prevents other stress-related syndromes that play into physical activity. Overall, these results offer the information necessary on the understanding of the complex and dynamic associations between physical activity and mental health and its course over time.Conclusion/Discussion: the changes in physical activity were linked with changes in depression, anxiety, and burnout over a period of time. Current and previous levels of activity need to be considered that are connected to mental health within this population as a prevention of work. Comment: I thought that this article was very thorough and provided factual information and understanding. I thought that it was easy to follow and was very interesting as I was able to understand all of the direct points. One thing that I can take away from this article is that it is very important that changes in physical activity is something that needs to be considered in preventive work that is linked to mental health within this population. Mental health is not something to be afraid of, raise awareness.