RT Journal Article
T1 Lifestyle changes and mental health during the COVID-19 pandemic: A repeated, cross-sectional web survey
A1 Cervera-Martinez, Jose
A1 Atienza-Carbonell, Beatriz
A1 Mota, Jurema C.
A1 Bobes-Bascaran, Teresa
A1 Crespo-Facorro, Benedicto
A1 Esteban, Cristina
A1 Paz Garcia-Portilla, Maria
A1 Gomes-da-Costa, Susana
A1 Gonzalez-Pinto, Ana
A1 Jaen-Moreno, M. Jose
A1 Sarramea, Fernando
A1 Vieta, Eduard
A1 Zorrilla, Inaki
A1 Tabares-Seisdedos, Rafael
A1 Kapczinski, Flavio
A1 De Boni, Raquel B.
A1 Balanza-Martinez, Vicent
K1 Lifestyle mental health
K1 Web survey
K1 General population
K1 COVID-19
AB Background: This study aimed to compare self-reported changes on lifestyle behaviors during two phases of the COVID-19 pandemic in Spain, and to evaluate clinical and sociodemographic factors associated with lifestyles.Methods: Two cross-sectional web surveys were conducted during lockdown (April 15-May 15, 2020) and seven months later (November 16-December 16, 2020). Lifestyle behaviors were self-reported by a multidimensional scale (SMILE-C). Two separate samples of respondents were analyzed. A multivariate regression model was performed to evaluate the association of SMILE-C scores with demographic and clinical variables.Results: The sample comprised, 3412 participants from the first survey (S1) and in the S1 and 3635 from the second (S2). SMILE-C score decreased across surveys (p < 0.001). The rates of positive screenings for depression and anxiety were similar between the surveys, whereas those for alcohol abuse decreased (p < 0.001). Most participants in S2 reported that their lifestyle had not changed compared to those before the pandemic. Variables independently associated with an unhealthier lifestyle were working as an essential worker, lower educational level, previous mental disease, worse self-rated health, totally/moderate changes on diet, sleep or social support, as well as positive screenings for alcohol abuse, anxiety and depression. Limitations: The cross-sectional design and recruitment by non-probabilistic methods limit inferring causality and the external validity of the results.
PB Elsevier
SN 0165-0327
YR 2021
FD 2021-08-18
LK http://hdl.handle.net/10668/18809
UL http://hdl.handle.net/10668/18809
LA en
NO Cervera-Martínez J, Atienza-Carbonell B, Mota JC, Bobes-Bascarán T, Crespo-Facorro B, Esteban C, et al. Lifestyle changes and mental health during the COVID-19 pandemic: A repeated, cross-sectional web survey. J Affect Disord. 2021 Dec 1;295:173-182
NO The authors would like to thank Gabriel Madeira for programming the questionnaires. We are also thankful to all the anonymous individuals and the press departments of Universitat de Valencia and CIBERSAM for their help in disseminating the surveys. We are enormously grateful to all the participants. VBM acknowledges the national grant PI16/01770 from the Instituto de Salud Carlos III, ISCIII (The PROBILIFE study). RBDB is grateful for long-term funding from the Fundaçao  de Amparo a Pesquisa do Estado do Rio de Janeiro (FAPERJ) (E-26/203.154/2017) and the Conselho Nacional de Desenvolvimento Cien tífico e Tecnologico ´ (CNPq) (312543/2020-4). EV thanks the support of the Spanish Ministry of Science and Inno vation (PI15/00283, PI18/00805) integrated into the Plan Nacional de I+D+I and co-financed by the ISCIII-Subdireccion ´ General de Eval uacion ´ and the Fondo Europeo de Desarrollo Regional (FEDER); the Instituto de Salud Carlos III; the CIBER of Mental Health (CIBERSAM); the Secretaria d’Universitats i Recerca del Departament d’Economia i Coneixement (2017 SGR 1365), the CERCA Programme, and the Departament de Salut de la Generalitat de Catalunya for the PERIS grant SLT006/17/00357.
DS RISalud
RD Apr 5, 2025