Health behaviors and mental health during the COVID-19 pandemic: A longitudinal population-based survey in Germany.
Health behaviors and mental health during the COVID-19 pandemic: A longitudinal population-based survey in Germany.
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DOI：
10.1016/j.socscimed.2021.114333
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发表时间：
2021-10
期刊：
影响因子：
--
通讯作者：
Naumann E
中科院分区：
文献类型：
--
作者：
Mata J;Wenz A;Rettig T;Reifenscheid M;Möhring K;Krieger U;Friedel S;Fikel M;Cornesse C;Blom AG;Naumann E
了解新冠肺炎相关封锁期间反复和持续的压力下的心理健康反应，以及特定的健康行为对这种压力的缓冲作用。在新冠肺炎大流行期间，一项有多个测量点的纵向研究覆盖三个月，随机挑选了约3,500名代表德国人群的参与者，报告了他们的心理健康(焦虑、抑郁、孤独)和健康行为(屏幕时间、零食消费、体力活动)。在封锁生效后不久，焦虑、抑郁和孤独的症状最严重。随着时间的推移，症状稳定或略有下降，这与习惯化的模式相对应。在封锁期间易受精神健康不良影响的人(如女性)中，焦虑、抑郁和孤独程度较高的比例要大得多。这些群体也报告了较少的促进健康的行为。在所有时间点上，屏幕时间越长，吃零食越多，体力活动越少，焦虑、抑郁和孤独的症状就越高。随着时间的推移，健康行为的变化大多不能预测心理健康症状的变化。在封锁开始时，精神健康和保护性健康行为的参与度最低。健康行为大多在三个月内恢复到封锁前的水平。从事更健康的行为与更好的心理健康相关。对这些发现的政策含义进行了讨论。这项研究对国际危机的(意想不到的)副作用提供了重要的见解，并有助于更好地理解如何保持心理健康。
To understand the mental health response to repeated and prolonged stress during the COVID-19 related lockdown and the role of specific health behaviors to buffer against this stress. In a longitudinal study with several measurement points covering three months during the COVID-19 pandemic, about 3500 randomly selected participants representative of the German population reported on their mental health (anxiety, depression, loneliness) and health behaviors (screen time, snack consumption, physical activity). Symptoms of anxiety, depression, and loneliness were highest shortly after the lockdown came into effect. Over time, the symptoms were stable or went down slightly, corresponding to patterns of habituation. Among people with higher vulnerability to poor mental health during the lockdown (e.g., women), the proportion with high levels of anxiety, depression, and loneliness was considerably larger. These groups also reported fewer health-promoting behaviors. More screen time, more snacking, and less physical activity were related to higher symptoms of anxiety, depression, and loneliness across all time points. Changes in health behaviors over time mostly did not predict changes in mental health symptoms. Mental health and engagement in protective health behaviors was lowest at the start of the lockdown. Health behaviors mostly returned to pre-lockdown levels within three months. Engaging in healthier behaviors was associated with better mental health. Policy implications of these findings are discussed. This study provides important insights into (unintended) side effects of an international crisis and can contribute to a better understanding of how to preserve mental health.
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DOI：
10.1016/j.socscimed.2020.113389
发表时间：
2020-11
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
Kimhi S;Marciano H;Eshel Y;Adini B
通讯作者：
Adini B
影响因子：
7.1
作者：
Deschasaux-Tanguy, Melanie;Druesne-Pecollo, Nathalie;Touvier, Mathilde
通讯作者：
Touvier, Mathilde
DOI：
10.1192/bjp.bp.112.119164
发表时间：
2013-01-01
期刊：
The British journal of psychiatry. Supplement
影响因子：
--
作者：
Jones, P B
通讯作者：
Jones, P B
影响因子：
4.2
作者：
Flueckiger, Lavinia;Lieb, Roselind;Mata, Jutta
通讯作者：
Mata, Jutta
影响因子：
56.9
作者：
Caspi, A;Sugden, K;Poulton, R
通讯作者：
Poulton, R