Shiba Koichiro, Cowden Richard G, Counted Victor, VanderWeele Tyler J, Fancourt Daisy
Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA USA.
Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, Cambridge, MA USA.
Curr Psychol. 2022 Mar 15:1-10. doi: 10.1007/s12144-022-03001-5.
During the COVID-19 pandemic, the United Kingdom (UK) government introduced public health safety measures to mitigate the spikes in infection rates. This included stay-at-home orders that prevented people from leaving their homes for work or study, except for urgent medical care or buying essential items. This practice could have both short and long-term implications for health and wellbeing of people in the UK. Using longitudinal data of 10,630 UK adults, this study prospectively examined the association between home confinement status during the stringent lockdown in the UK (March 23-May 13, 2020) and 20 indicators of subjective well-being, social well-being, pro-social/altruistic behaviors, psychological distress, and health behaviors assessed approximately one month after the stringent lockdown ended. All analyses adjusted for socio-demographic characteristics and social isolation status in the beginning of the pandemic. Home confinement during the lockdown was associated with greater subsequent compliance with COVID-19 rules, more perceived major stressors, and a lower prevalence of physical activity. There was modest evidence of associations with lower life satisfaction, greater loneliness, greater depressive symptoms, greater anxiety symptoms, and more perceived minor stressors post-lockdown. However, there was little evidence that home confinement was associated with other indices of subsequent health and well-being. While our study shows that home confinement impacts some indices of subsequent health and wellbeing outcomes even after lockdown, the degree of the psychological adaptation to the difficult confinement behavior remains unclear and should be further studied.
The online version contains supplementary material available at 10.1007/s12144-022-03001-5.
在新冠疫情期间,英国政府出台了公共卫生安全措施以缓解感染率的激增。这包括居家令,禁止人们离家去工作或学习,除非是紧急医疗护理或购买必需品。这种做法可能对英国民众的健康和幸福产生短期和长期影响。本研究利用10630名英国成年人的纵向数据,前瞻性地考察了英国严格封锁期间(2020年3月23日至5月13日)的居家隔离状态与严格封锁结束约一个月后评估的20项主观幸福感、社会幸福感、亲社会/利他行为、心理困扰和健康行为指标之间的关联。所有分析都对疫情开始时的社会人口特征和社会隔离状态进行了调整。封锁期间的居家隔离与随后更高的新冠疫情防控规定遵守率、更多感知到的主要压力源以及更低的身体活动流行率相关。有适度证据表明与封锁后更低的生活满意度、更高的孤独感、更严重的抑郁症状、更严重的焦虑症状以及更多感知到的次要压力源相关。然而,几乎没有证据表明居家隔离与随后健康和幸福的其他指标相关。虽然我们的研究表明,即使在封锁结束后,居家隔离仍会影响随后健康和幸福结果的一些指标,但对困难的隔离行为的心理适应程度仍不清楚,应进一步研究。
在线版本包含可在10.1007/s12144-022-03001-5获取的补充材料。