Faculty of Medicine and Health Sciences, Department of Rehabilitation Sciences, Occupational Therapy, Physiotherapy and Speech-language Pathology/Audiology, Ghent University, Corneel Heymanslaan 10, B3, entrance 46, 9000, Ghent, Belgium.
Department of Occupational Therapy, Artevelde University College, Ghent, Belgium.
BMC Public Health. 2021 Mar 30;21(1):622. doi: 10.1186/s12889-021-10673-4.
The spread of COVID-19 has affected people's daily lives, and the lockdown may have led to a disruption of daily activities and a decrease of people's mental health.
To identify correlates of adults' mental health during the COVID-19 lockdown in Belgium and to assess the role of meaningful activities in particular.
A cross-sectional web survey for assessing mental health (General Health Questionnaire), resilience (Connor-Davidson Resilience Scale), meaning in activities (Engagement in Meaningful Activities Survey), and demographics was conducted during the first Belgian lockdown between April 24 and May 4, 2020. The lockdown consisted of closing schools, non-essential shops, and recreational settings, employees worked from home or were technically unemployed, and it was forbidden to undertake social activities. Every adult who had access to the internet and lived in Belgium could participate in the survey; respondents were recruited online through social media and e-mails. Hierarchical linear regression was used to identify key correlates.
Participants (N = 1781) reported low mental health (M = 14.85/36). In total, 42.4% of the variance in mental health could be explained by variables such as gender, having children, living space, marital status, health condition, and resilience (β = -.33). Loss of meaningful activities was strongly related to mental health (β = -.36) and explained 9% incremental variance (R change = .092, p < .001) above control variables.
The extent of performing meaningful activities during the COVID-19 lockdown in Belgium was positively related to adults' mental health. Insights from this study can be taken into account during future lockdown measures in case of pandemics.
COVID-19 的传播影响了人们的日常生活，封锁可能导致日常活动中断和人们心理健康下降。
在比利时 COVID-19 封锁期间确定成年人心理健康的相关因素，并评估有意义活动的作用。
在 2020 年 4 月 24 日至 5 月 4 日期间，针对心理健康（一般健康问卷）、韧性（Connor-Davidson 韧性量表）、活动中的意义（参与有意义活动调查）和人口统计学进行了一项横断面网络调查。封锁包括关闭学校、非必要商店和娱乐场所，员工在家工作或技术上失业，禁止开展社交活动。任何有互联网访问权限并居住在比利时的成年人都可以参加调查；通过社交媒体和电子邮件在线招募受访者。使用分层线性回归来确定关键相关因素。
参与者（N=1781）报告心理健康水平较低（M=14.85/36）。总体而言，心理健康的 42.4%可以由性别、子女、居住空间、婚姻状况、健康状况和韧性等变量解释（β=-.33）。有意义活动的丧失与心理健康密切相关（β=-.36），并解释了控制变量之外 9%的增量方差（R 变化=.092，p<0.001）。
在比利时 COVID-19 封锁期间进行有意义活动的程度与成年人的心理健康呈正相关。本研究的结果可在未来的大流行期间的封锁措施中考虑。
