Impact of lockdown relaxation and implementation of the facecovering policy on mental health: A United Kingdom COVID-19 study

作     者：Shanaya Rathod Saseendran Pallikadavath Elizabeth Graves Mohammad Mahbubur Rahman Ashlea Brooks Mustafa G Soomro Pranay Rathod Peter Phiri 

作者机构：Department of Research and DevelopmentSouthern Health NHS Foundation TrustSouthampton SO303JBHampshireUnited Kingdom Portsmouth-Brawijaya Centre for Global HealthPopulation and PolicyUniversity of PortsmouthPortsmouth PO12DTUnited Kingdom School of Health and Care ProfessionsUniversity of PortsmouthPortsmouth PO12DTHampshireUnited Kingdom Mental HealthSolent NHS TrustPortsmouth P036ADUnited Kingdom PPIPPI RepresentativeLondon SO303JBUnited Kingdom Primary CarePopulation Sciences and Medical EducationFaculty of MedicineUniversity of SouthamptonSouthampton SO165STUnited Kingdom 

出 版 物：《World Journal of Psychiatry》 (世界精神病学杂志)

年 卷 期：2021年第11卷第12期

页      面：1346-1365页

核心收录：

学科分类：1002[医学-临床医学] 100205[医学-精神病与精神卫生学] 10[医学] 

基　　金：MRC [MR/N006267/1] Funding Source: UKRI 

主　　题：COVID-19 Psychological impact Lockdown Face-covering Mental health Anxiety 

摘      要：BACKGROUND Pandemic mitigation policies,such as lockdown,are known to impact on mental health of *** face covering under relaxed lockdown restrictions gives assurance of less transmission of airborne infection and has the potential to improve mental health of individuals affected by *** To examine the association of the lockdown relaxation and the implementation of the face covering policy on the mental health of the general population and subgroups in the United Kingdom using interrupted time series *** Using a web-based cross-sectional survey of 28890 United Kingdom adults carried out during May 1,2020 to July 31,2020,changes in mental health status using generalised anxiety disorder(GAD-7),and impact of events scale-revised(IES-R)scales are examined,at the dates of the first lockdown relaxation(July 4,2020)and the subsequent introduction of face covering(July 24,2020)in United Kingdom.A sharp regression discontinuity design is used to check discontinuities in mental health outcomes at policy-change *** Average GAD-7 scores of participants were 5.6,5.6 and 4.3 during the lockdown period,the lockdown relaxation phase and the phase of compulsory face covering,respectively,with lower scores indicating lower anxiety *** scores for IES-R were 17.3,16.8 and 13.4,with lower scores indicating less *** lockdown measures and subsequent introduction of face covering,on average,reduced GAD-7 by 0.513(95%CI:0.913-0.112)and 1.148(95%CI:1.800-0.496),*** reductions in IES-R were 2.620(95%CI:4.279-0.961)and 3.449(95%CI:5.725-1.172).These imply that both lockdown relaxation and compulsory face-covering have a positive association with mental health scores(GAD-7 and IES-R).CONCLUSION The differential impact of lockdown and relaxation on the mental health of population sub-groups is evident in this study with future implications for *** of face covering in public pl