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COVID-19 居家隔离的心理后果:ECLB-COVID19 多中心研究。

Psychological consequences of COVID-19 home confinement: The ECLB-COVID19 multicenter study.

机构信息

Institute of Sport Science, Otto-von-Guericke University, Magdeburg, Germany.

Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning, UFR STAPS, UPL, Paris Nanterre University, Nanterre, France.

出版信息

PLoS One. 2020 Nov 5;15(11):e0240204. doi: 10.1371/journal.pone.0240204. eCollection 2020.


DOI:10.1371/journal.pone.0240204
PMID:33152030
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7643949/
Abstract

BACKGROUND: Public health recommendations and government measures during the COVID-19 pandemic have enforced restrictions on daily-living. While these measures are imperative to abate the spreading of COVID-19, the impact of these restrictions on mental health and emotional wellbeing is undefined. Therefore, an international online survey (ECLB-COVID19) was launched on April 6, 2020 in seven languages to elucidate the impact of COVID-19 restrictions on mental health and emotional wellbeing. METHODS: The ECLB-COVID19 electronic survey was designed by a steering group of multidisciplinary scientists, following a structured review of the literature. The survey was uploaded and shared on the Google online-survey-platform and was promoted by thirty-five research organizations from Europe, North-Africa, Western-Asia and the Americas. All participants were asked for their mental wellbeing (SWEMWS) and depressive symptoms (SMFQ) with regard to "during" and "before" home confinement. RESULTS: Analysis was conducted on the first 1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%). The COVID-19 home confinement had a negative effect on both mental-wellbeing and on mood and feelings. Specifically, a significant decrease (p < .001 and Δ% = 9.4%) in total score of the SWEMWS questionnaire was noted. More individuals (+12.89%) reported a low mental wellbeing "during" compared to "before" home confinement. Furthermore, results from the mood and feelings questionnaire showed a significant increase by 44.9% (p < .001) in SMFQ total score with more people (+10%) showing depressive symptoms "during" compared to "before" home confinement. CONCLUSION: The ECLB-COVID19 survey revealed an increased psychosocial strain triggered by the home confinement. To mitigate this high risk of mental disorders and to foster an Active and Healthy Confinement Lifestyle (AHCL), a crisis-oriented interdisciplinary intervention is urgently needed.

摘要

背景:在 COVID-19 大流行期间,公共卫生建议和政府措施对日常生活施加了限制。虽然这些措施对于遏制 COVID-19 的传播是必要的,但这些限制对心理健康和情绪健康的影响尚不清楚。因此,2020 年 4 月 6 日,一个由多学科科学家组成的指导小组发起了一项国际在线调查(ECLB-COVID19),以阐明 COVID-19 限制对心理健康和情绪健康的影响。

方法:ECLB-COVID19 电子调查由一个多学科科学家组成的指导小组设计,遵循对文献的结构化审查。该调查被上传并分享到 Google 在线调查平台上,并由来自欧洲、北非、西亚和美洲的三十五个研究组织进行推广。所有参与者都被要求就“居家隔离期间”和“居家隔离之前”的心理健康状况(SWEMWS)和抑郁症状(SMFQ)进行回答。

结果:对来自亚洲(36%)、非洲(40%)、欧洲(21%)和其他地区(3%)的前 1047 名回复者(54%为女性)进行了分析。COVID-19 居家隔离对心理健康和情绪和感觉都有负面影响。具体来说,SWEMWS 问卷的总分显著下降(p<.001,Δ%=9.4%)。与居家隔离之前相比,更多的人(+12.89%)报告居家隔离期间心理健康状况较差。此外,情绪和感觉问卷的结果显示,SMFQ 总分显著增加了 44.9%(p<.001),与居家隔离之前相比,更多的人(+10%)表现出抑郁症状。

结论:ECLB-COVID19 调查显示,居家隔离引发了更大的社会心理压力。为了减轻这种精神障碍的高风险,并促进积极健康的隔离生活方式(AHCL),迫切需要采取以危机为导向的跨学科干预措施。

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Psychological consequences of COVID-19 home confinement: The ECLB-COVID19 multicenter study.

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本文引用的文献

[1]
Effects of home confinement on mental health and lifestyle behaviours during the COVID-19 outbreak: insights from the ECLB-COVID19 multicentre study.

Biol Sport. 2021-3

[2]
Staying Physically Active During the Quarantine and Self-Isolation Period for Controlling and Mitigating the COVID-19 Pandemic: A Systematic Overview of the Literature.

Front Psychol. 2020-8-19

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The COVID-19 pandemic: how to maintain a healthy immune system during the lockdown - a multidisciplinary approach with special focus on athletes.

Biol Sport. 2020-9

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Mental health outcomes of quarantine and isolation for infection prevention: a systematic umbrella review of the global evidence.

Epidemiol Health. 2020-6-2

[5]
Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey.

Nutrients. 2020-5-28

[6]
Impact of COVID-19 pandemic on children and adolescents' lifestyle behavior larger than expected.

Prog Cardiovasc Dis. 2020

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Mental Health and the Covid-19 Pandemic.

N Engl J Med. 2020-8-6

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A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations.

Gen Psychiatr. 2020-3-6

[9]
Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China.

Int J Environ Res Public Health. 2020-3-6

[10]
The psychological impact of quarantine and how to reduce it: rapid review of the evidence.

Lancet. 2020-2-26

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