Vicent Balanzá-Martínez, Flavio Kapczinski, Taiane de Azevedo Cardoso, Beatriz Atienza-Carbonell, Adriane R Rosa, Jurema C Mota, Raquel B De Boni
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引用次数: 0
Abstract
Introduction: Healthy lifestyles are relevant to several diseases and to maintain individuals' mental health. Exposure to epidemics and confinement have been consistently associated with psychological consequences, but changes on lifestyle behaviours remain under-researched.
Materials and methods: An online survey was conducted among the general population living in Spain during the COVID-19 home-isolation. In addition to demographic and clinical data, participants self-reported changes in seven lifestyle domains. The Short Multidimensional Inventory Lifestyle Evaluation was developed specifically to evaluate changes during the confinement (SMILE-C).
Results: A total of 1254 individuals completed the survey over the first week of data collection. The internal consistency of the SMILE-C to assess lifestyles during confinement was shown (Cronbach's Alpha = 0.747). Most participants reported substantial changes on outdoor time (93.6%) and physical activity (70.2%). Moreover, about one third of subjects reported significant changes on stress management, social support, and restorative sleep. Several demographic and clinical factors were associated to lifestyle scores. In the multivariate model, those independently associated with a healthier lifestyle included substantial changes on stress management (p < 0.001), social support (p = 0.001) and outdoor time (p < 0.001), amongst others. In contrast, being an essential worker (p = 0.001), worse self-rated health (p < 0.001), a positive screening for depression/anxiety (p < 0.001), and substantial changes on diet/nutrition (p < 0.001) and sleep (p < 0.001) were all associated with poorer lifestyles.
Conclusions: In this study, sizable proportions of participants reported meaningful changes in lifestyle behaviours during the COVID-19 pandemic in Spain. Moreover, the SMILE-C was sensitive to detect these changes and presented good initial psychometric properties. Further follow-up studies should collect relevant data to promote healthy lifestyles in pandemic times.
导言健康的生活方式与多种疾病和保持个人心理健康息息相关。接触流行病和隔离一直与心理后果有关，但对生活方式行为的变化研究仍然不足：在 COVID-19 家庭隔离期间，对居住在西班牙的普通人群进行了在线调查。除了人口统计学和临床数据外，参与者还自我报告了七个生活方式领域的变化。为评估隔离期间的变化，专门开发了生活方式评估多维短量表（SMILE-C）：结果：在数据收集的第一周，共有 1254 人完成了调查。用于评估禁闭期间生活方式的 SMILE-C 具有内部一致性（Cronbach's Alpha = 0.747）。大多数受试者表示户外活动时间（93.6%）和体育活动（70.2%）发生了很大变化。此外，约有三分之一的受试者表示在压力管理、社会支持和恢复性睡眠方面发生了显著变化。一些人口统计学和临床因素与生活方式评分有关。在多变量模型中，与更健康的生活方式独立相关的因素包括压力管理（p p = 0.001）和户外活动时间（p p = 0.001）方面的重大变化，以及更差的自评健康状况（p p p p 结论：在这项研究中，相当大比例的参与者报告说，在西班牙 COVID-19 大流行期间，他们的生活方式发生了有意义的改变。此外，SMILE-C 能灵敏地检测出这些变化，并具有良好的初步心理测量特性。进一步的后续研究应收集相关数据，以促进大流行时期的健康生活方式。
期刊介绍：
The Spanish Journal of Psychiatry and Mental Health (SJPMH), incorporated into ISSN 1888-9891, is the official scientific publication of the Spanish Society of Psychiatry and Mental Health. The journal focuses on studying mental illnesses, their pathological processes, and their psychosocial consequences, and aims to disseminate scientific advances in all areas related to mental health and illness. SJPMH accepts unpublished works on psychiatry and mental health, including their medical and social implications. The journal provides space for research in the biological, clinical, and psychosocial fields. Manuscripts undergo peer-review by external reviewers before being accepted for publication. SJPMH is indexed in Index Medicus/Medline, IBECS, Social Sciences Citation Index Journal Citation Reports/Social Sciences Edition, and Current Contents/Social and Behavioral Sciences.
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