RT journal article
T1 Drastic Reductions in Mental Well-Being Observed Globally During the COVID-19 Pandemic: Results From the ASAP Survey
A1 Wilke, Jan
A1 Hollander, Karsten
A1 Mohr, Lisa
A1 Edouard, Pascal
A1 Fossati, Chiara
A1 González-Gross, Marcela
A1 Sánchez Ramírez, Celso
A1 Laiño, Fernando
A1 Tan, Benedict
A1 Pillay, Julian David
A1 Pigozzi, Fabio
A1 Jiménez Pavón, David
A1 Sattler, Matteo C.
A1 Jaunig, Johannes
A1 Zhang, Mandy
A1 van Poppel, Mireille
A1 Heidt, Christoph
A1 Willwacher, Steffen
A1 Vogt, Lutz
A1 Verhagen, Evert
A1 Hespanhol, Luiz
A1 Tenforde, Adam S.
A2 Didáctica de la Educación FísicaPlástica y Musical
K1 coronavirus
K1 WHO-5
K1 SF-36
K1 psychological health
K1 pain
K1 lockdowns
AB Most countries affected by the COVID-19 pandemic have repeatedly restricted public life to control the contagion. However, the health impact of confinement measures is hitherto unclear. We performed a multinational survey investigating changes in mental and physical well-being (MWB/PWB) during the first wave of the pandemic. A total of 14,975 individuals from 14 countries provided valid responses. Compared to pre-restrictions, MWB, as measured by the WHO-5 questionnaire, decreased considerably during restrictions (68.1 +/- 16.9 to 51.9 +/- 21.0 points). Whereas 14.2% of the participants met the cutoff for depression screening pre-restrictions, this share tripled to 45.2% during restrictions. Factors associated with clinically relevant decreases in MWB were female sex (odds ratio/OR = 1.20, 95% CI: 1.11-1.29), high physical activity levels pre-restrictions (OR = 1.29, 95% CI 1.16-1.42), decreased vigorous physical activity during restrictions (OR = 1.14, 95% CI: 1.05-1.23), and working (partially) outside the home vs. working remotely (OR = 1.29, 95% CI: 1.16-1.44/OR = 1.35, 95% CI: 1.23-1.47). Reductions, although smaller, were also seen for PWB. Scores in the SF-36 bodily pain subscale decreased from 85.8 +/- 18.7% pre-restrictions to 81.3 +/- 21.9% during restrictions. Clinically relevant decrements of PWB were associated with female sex (OR = 1.62, 95% CI: 1.50-1.75), high levels of public life restrictions (OR = 1.26, 95% CI: 1.18-1.36), and young age (OR = 1.10, 95% CI: 1.03-1.19). Study findings suggest lockdowns instituted during the COVID-19 pandemic may have had substantial adverse public health effects. The development of interventions mitigating losses in MWB and PWB is, thus, paramount when preparing for forthcoming waves of COVID-19 or future public life restrictions.
PB FRONTIERS MEDIA SA
SN 2296-858X
YR 2021
FD 2021-03
LK http://hdl.handle.net/10498/24932
UL http://hdl.handle.net/10498/24932
LA eng
NO DJ-P is supported by a grant from the Spanish Ministry of Science and Innovation-MINECO (RYC-2014-16938). The research fellowship of KH was funded by the German Research Foundation (Grant no. HO 6214/2-1).
DS Repositorio Institucional de la Universidad de Cádiz
RD 21-sep-2026