To the Editor:
During the current COVID-19 outbreak situation, many psychological problems are experienced by many people worldwide, that is, anxiety, stress, depression, frustration, burnout, boredom, and even cabin fever.1–6 These psychological problems are, of course, alarming to daily activities, especially for patients with COVID-19 after recovery. If it is not treated immediately, it will become a big enough problem, which various diseases can attack because of decreased immunity.7,8
To reduce these psychological problems, there is a form of therapy that is very easy and can be done by everyone, regardless of age, sex, religion, etc, namely, cycling therapy.9 According to Moore et al,9 cycling therapy can make the body fitter because it can create static movements in the body, resulting in smooth circulation of blood from the brain to the rest of the body. This, in turn, can help the brain produce more endorphins than usual.10 Basically, endorphins can help increase the body's immunity and make life happier, but they will also reduce anxiety, stress, depression, frustration, burnout, boredom, and even cabin fever that is experienced.6,10–12
When doing cycling therapy, you can also listen to music that you love.13 This can further help the brain to produce other hormones, such as dopamine, oxytocin, and serotonin.14–16
On the basis of the above writing, mental health workers, such as counselors, psychologists, psychiatrists, nurses, doctors, and social workers can invite everyone worldwide to start this cycling therapy so that everyone can reduce their psychological problems, especially for patients with COVID-19 after recovery. Everyone can have good mental and physical health amid this COVID-19 outbreak that does not know when it will end.
Dominikus David Biondi Situmorang
Department of Guidance and Counseling
Atma Jaya Catholic University of Indonesia
Jakarta, Indonesia
david.biondi@atmajaya.ac.id
Ifdil Ifdil
Department of Guidance and Counseling
Universitas Negeri Padang
West Sumatra, Indonesia
ifdil@konselor.org
Caroline Lisa Setia Wati
Henny Christine Mamahit
Yohanes Markus Papu
Department of Guidance and Counseling
Atma Jaya Catholic University of Indonesia
Jakarta, Indonesia
Footnotes
The authors have no conflicts of interest to disclose.
Contributor Information
Dominikus David Biondi Situmorang, Email: david.biondi@atmajaya.ac.id.
Ifdil Ifdil, Email: ifdil@konselor.org.
Caroline Lisa Setia Wati, Email: caroline.lisa@atmajaya.ac.id.
Henny Christine Mamahit, Email: henny.christine@atmajaya.ac.id.
Yohanes Markus Papu, Email: yohanes.papu@atmajaya.ac.id.
REFERENCES
- 1.Cullen W, Gulati G, Kelly BD. Mental health in the COVID-19 pandemic. QJM. 2020;113(5):311–312. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Duan L, Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. Lancet Psychiatry. 2020;7(4):300–302. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Ifdil I Fadli RP Suranata K, et al. Online mental health services in Indonesia during the COVID-19 outbreak. Asian J Psychiatr. 2020;51:102153. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Situmorang DDB. Online/cyber counseling services in the COVID-19 outbreak: are they really new? J Pastoral Care Counsel. 2020;74(3):166–174. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Situmorang DDB. The issues of transference and countertransference in online/cyber counseling during COVID-19 outbreak. Asian J Psychiatr. 2020;54:102427. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Situmorang DDB. Is music therapy effective in cabin fever recovery? Addict Disord Treat. 2021;in press. [Google Scholar]
- 7.Tay MZ Poh CM Rénia L, et al. The trinity of COVID-19: immunity, inflammation and intervention. Nat Rev Immunol. 2020;20(6):363–374. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Ni L Ye F Cheng ML, et al. Detection of SARS-CoV-2-specific humoral and cellular immunity in COVID-19 convalescent individuals. Immunity. 2020;52(6):971–977. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Moore N, Houghton J, Lyle S. Slow-cycling therapy-resistant cancer cells. Stem Cells Dev. 2012;21(10):1822–1830. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Situmorang DDB. Using TikTok app for therapy and sharing happiness in COVID-19 outbreak. Addict Dis Their Treat. 2021;in press. [Google Scholar]
- 11.Ringenbach SDR Holzapfel SD Mulvey GM, et al. The effects of assisted cycling therapy (ACT) and voluntary cycling on reaction time and measures of executive function in adolescents with Down syndrome. J Intellect Disabil Res. 2016;60(11):1073–1085. [DOI] [PubMed] [Google Scholar]
- 12.Holzapfel SD Ringenbach SD Mulvey GM, et al. Improvements in manual dexterity relate to improvements in cognitive planning after assisted cycling therapy (ACT) in adolescents with Down syndrome. Res Dev Disabil. 2015;45:261–270. [DOI] [PubMed] [Google Scholar]
- 13.Situmorang DDB. Music therapy for the treatment of patients with COVID-19: psychopathological problems intervention and well-being improvement. Infect Dis Clin Pract. 2021;29(3):e198. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Situmorang DDB, Mulawarman M, Wibowo ME. Comparison of the effectiveness of CBT group counseling with passive vs active music therapy to reduce millennials academic anxiety. Int J Psychol Educ Stud. 2018;5(3):51–62. [Google Scholar]
- 15.Raglio A, Oasi O. Music and health: what interventions for what results? Front Psychol. 2015;6:230. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Tarr B, Launay J, Dunbar RI. Music and social bonding: “self-other” merging and neurohormonal mechanisms. Front Psychol. 2014;5:1096. [DOI] [PMC free article] [PubMed] [Google Scholar]
