Abstract
Self-care strategies are important to maintain psychological wellbeing. The aim of this study was toexplore how self-care changed during the first COVID-19 lockdown in winter 2020 and identify targetsfor interventions. This was a cross-sectional study. Participants attendinga COVID-19 testing clinic completed theMindful Self-Care Scale (MSCS) and Hospital Anxietyand Depression Scale (HADS). A total of 332 participants completed questionnaires (mean age 38 years, 55% female). Self-care strategies used less frequently during lockdown when compared with pre-lockdown were in MSCS domains of Physical Care (P<0.001), Supportive Relationships (P<0.001), Supportive Structures (P<0.001) and Mindful Awareness (P<0.001). Mean anxiety and depression scores were 5.97 (standard deviation [SD]=4.36) and 4.12 (SD=3.594). Several pre-pandemic strategies were used less frequently, including individual activities not restricted during lockdown ('listening'; 'using images' to relax). This study provides insight into activities that are practised and reduced during a lockdown, which can guide wellbeing interventions to assist people in isolation.
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