Abstract

BackgroundThe COVID-19 pandemic has resulted in some populations being confined to their homes as part of infection control measures. This situation can be hard to cope with due to separation from loved ones, prohibition of regular activities, fear of infection, loss of freedom, and so on. These negative impacts cause considerable psychological stress, and all the more so when the situation continues for an extended period, as was the case in Spain. The present study was aimed at investigating the effects of COVID-19 quarantine on the emotional functioning of confined Spanish individuals after 8 weeks of lockdown by means of a cross-sectional study. The possible associations between changes in emotional functioning and demographic variables (age and sex), health habits (physical exercise, following a routine, and smoking), social support, and resilience were also analyzed.MethodsA total of 906 Spanish adults completed an online survey to gather information about their prevailing mood and affects (before and after 8 weeks of lockdown), using the Positive and Negative Affect Schedule (PANAS) (Watson et al., 1988), and other variables related to their habits and protective factors.FindingsAs expected, the data indicated an increase in negative affects (e.g., “upset,” “afraid,” “distressed”) and a decrease in positive affects after 8 weeks under lockdown, as well as a general decline in overall mood. The largest increases in negative affects were observed in young adults (18–35 years) and women. We did not find any differences between people who were or were not diagnosed with COVID-19. Adhering to a routine, maintaining the same weight, and moderate physical exercise were associated with fewer negative affects, which indicates they are important protective factors, as are perceived social support and resilience.ConclusionIn order to mitigate the psychological impact of confinement, it is important to develop psychoeducational measures that encourage subjects to adhere to health habits and promote social support and resilience as protective factors. A special preventive focus should be placed on the most vulnerable population groups, namely women and young adults. For a public health lockdown to succeed, its negative consequences must be minimized insofar as possible through adequate knowledge of the risk factors and protective factors, and by means of prevention-oriented organization.

Highlights

  • Given the epidemiological situation caused by the coronavirus disease (COVID-19) pandemic, the Spanish Government enacted a nationwide “state of alarm”

  • It is associated with a perceived loss of control and the feeling of being trapped, which may be further exacerbated if family members are separated throughout lockdown (Brooks et al, 2020)

  • We performed a two-way repeated measures ANOVA and found statistically significant differences in participant-reported mood, which was lower during lockdown (Mean = 3.63; SD = 1.24) compared to both before the quarantine (Mean = 4.64; SD = 1.08) and when restrictions started to be lifted (M = 3.78; SD = 1.21) [F(2,905) = 338.70, p = 0.0001, d2 = 0.27]

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Summary

Introduction

Given the epidemiological situation caused by the coronavirus disease (COVID-19) pandemic, the Spanish Government enacted a nationwide “state of alarm” The COVID-19 pandemic has resulted in some populations being confined to their homes as part of infection control measures This situation can be hard to cope with due to separation from loved ones, prohibition of regular activities, fear of infection, loss of freedom, and so on. These negative impacts cause considerable psychological stress, and all the more so when the situation continues for an extended period, as was the case in Spain. The possible associations between changes in emotional functioning and demographic variables (age and sex), health habits (physical exercise, following a routine, and smoking), social support, and resilience were analyzed

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