Predictors of mental well-being over the first lockdown period due to the COVID-19 pandemic in France. A repeated cross-sectional study

Frontiers in Public Health

Public Health

Elodie Zante¹  Frédéric Haesebaert²  Guillaume Barbalat³  Nicolas Franck³  Audrey Tanguy Melac⁴ 

[1] Centre Ressource de Réhabilitation Psychosociale, Centre hospitalier Le Vinatier, Bron, France;Centre Ressource de Réhabilitation Psychosociale, Centre hospitalier Le Vinatier, Bron, France;PSYR2, INSERM U1028, CNRS UMR 5292, CRNL, Université de Lyon, UCBL, Lyon, France;Centre Ressource de Réhabilitation Psychosociale, Centre hospitalier Le Vinatier, Bron, France;UMR 5229, CNRS and Université Claude Bernard Lyon 1, Université de Lyon, Lyon, France;Pôle Centre rive gauche, Centre hospitalier Le Vinatier, Bron, France;Health Data Department, Lyon University Hospital, Lyon, France;

关键词: COVID-19;    mental health;    well-being;    lockdown;    public health;   

DOI  :  10.3389/fpubh.2023.1234023

 received in 2023-06-03, accepted in 2023-08-07,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionNumerous studies have investigated the positive and negative effects of potential predictors of well-being during lockdowns due to COVID-19. Yet, little is known on whether these effects significantly changed with time spent in lockdown. In the current study, we described the association of mental well-being with a large number of background characteristics (e.g., socio-demographic or health-related factors), COVID-related factors, and coping strategies, over the duration of the first lockdown due to COVID-19 in France.MethodsA nationwide online survey was conducted over 7 of the 8 weeks of the 1st lockdown in France, i.e., from 25 March 2020 to 10 May 2020. The level of mental well-being was reported using the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS). We also measured various background characteristics (e.g., age, sex, education, health issues), COVID-related factors (e.g., health and economic risks, agreement with lockdown), and coping strategies. Our analytical strategy enabled us to disentangle effects aggregated over the study period from those that linearly vary with time spent in lockdown.ResultsOur final dataset included 18,957 participants. The level of mental well-being dropped gradually from the third to the eighth week of lockdown [49.7 (sd 7.9) to 45.5 (sd 10.6)]. Time in lockdown was associated with a decrease in well-being (for each additional 10 days of lockdown: B = −0.30, 95%CI: −0.62, −0.15). Factors that showed significantly negative and positive effects on well-being as time in lockdown progressed were (for each additional 10 days of lockdown): having current psychiatric problems (B = −0.37; 95%CI: −0.63, −0.04), worries about having access to personal protective equipment (B = −0.09; 95%CI: −0.18, −0.01), coping by having positive beliefs about the future of the pandemics (B = 0.29; 95%CI: 0.04, 0.62), being supported by neighbors (B = 0.24; 95%CI: 0.04, 0.44), and being involved in collective actions (B = 0.23; 95%CI: 0.04, 0.46).DiscussionParticipants from our sample saw a drop in their mental well-being throughout the first period of COVID-19 lockdown. Policymakers should be mindful of factors contributing to greater deterioration of mental well-being over time, such as having current psychiatric issues. Promoting collective actions and local support from neighbors may alleviate the deterioration of mental well-being over time.

【 授权许可】

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Copyright © 2023 Barbalat, Tanguy Melac, Zante, Haesebaert and Franck.