Drastic Reductions in Mental Well-Being Observed Globally During the COVID-19 Pandemic: Results From the ASAP Survey

Frontiers in Medicine

article

Jan Wilke¹  Julian David Pillay²  Fabio Pigozzi³  David Jimenez-Pavon⁴  Matteo C. Sattler⁶  Johannes Jaunig⁶  Mandy Zhang⁷  Mireille van Poppel⁶  Christoph Heidt⁸  Steffen Willwacher⁹  Lutz Vogt¹  Karsten Hollander^1,11  Evert Verhagen^1,13  Luiz Hespanhol^1,14  Adam S. Tenforde^1,12  Lisa Mohr¹  Pascal Edouard^1,15  Chiara Fossati³  Marcela González-Gross^1,17  Celso Sánchez Ramírez^1,18  Fernando Laiño^1,19  Benedict Tan⁷ 

[1] Department of Sports Medicine, Goethe University Frankfurt;Department of Basic Medical Sciences, Durban University of Technology;Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”;Exercise is Medicine Spain;MOVE-IT Research Group, Department of Physical Education, Faculty of Education Sciences, University of Cádiz;Institute of Human Movement Science, Sport and Health, University of Graz;Department of Sport and Exercise Medicine, Changi General Hospital;Department of Orthopedics, University Children's Hospital Basel, University of Basel;School of Human Movement and Nutrition Sciences, The University of Queensland;Institute of Biomechanics and Orthopaedics, German Sport University Cologne;Faculty of Medicine, Medical School Hamburg;Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Harvard Medical School, United States;Amsterdam Collaboration on Health and Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, University Medical Centers—Vrije Universiteit Amsterdam;Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo (UNICID);Inter-University Laboratory of Human Movement Science (LIBM EA 7424), University of Lyon, University Jean Monnet;Department of Clinical and Exercise Physiology, Sports Medicine Unity, Faculty of Medicine, University Hospital of Saint-Etienne;ImFine Research Group, Department of Health and Human Performance, Universidad Politécnica de Madrid;School of Physical Activity Sciences, University of Santiago de Chile;Fundación Instituto Superior de Ciencias de la Salud

关键词: coronavirus;    WHO-5;    SF-36;    psychological health;    pain;    lockdowns;   

DOI  :  10.3389/fmed.2021.578959

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

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.

【 授权许可】

CC BY