Cited by 118COVID-19 and Mental HealthMaternal Mental Health During Pregnancy and PostpartumCommunication and COVID-19 Impact

Physical distancing and mental health during the COVID-19 pandemic: Factors associated with psychological symptoms and adherence to pandemic mitigation strategies

Open access
Ebrahimi, Omid V., Hoffart, Asle, Johnson, Sverre Urnes·2021·Clinical Psychological Science

Abstract

In this epidemiological investigation, we assessed the prevalence of depression and anxiety symptoms during the COVID-19 pandemic. A total of 10,061 adults participated in the study. Symptoms of depression and anxiety were 2 to 3 times higher compared with prepandemic samples. Participants who predominantly socially distanced themselves revealed substantially higher symptoms than their counterparts. Females, ethnic and sexual-orientation minorities, younger adults, unemployed individuals, and participants with a psychiatric diagnosis reported higher prevalence of psychological symptoms. Worry about prolonged duration of physical-distancing protocols and frustration of autonomy was associated with elevation in symptoms of depression and anxiety. Increased competence to deal with the pandemic crisis was associated with fewer adverse symptoms. Physical exercise, experiencing nature, and distraction with activities were associated with reduced depressive symptoms but not anxiety. The extent of information access about the pandemic was associated with reduced anxiety symptoms. Furthermore, adherence to mitigation protocols was investigated. Younger adults and males reported lowest adherence. Altruistic attitudes, in addition to mandatory as opposed to voluntary adherence, were associated with higher adherence rates. Worrying about the health of significant others was associated with higher adherence rates, whereas worry about duration of pandemic protocols was associated with lower adherence rates.

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Crossref · 10.1177/2167702621994545

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Authors
Ebrahimi, O. V., Hoffart, A., & Johnson, S. U.
Affiliations
University of Oslo (NO)
Corresponding author
Ebrahimi, Omid V.
Venue
Clinical Psychological Science
Published
2021-03-12
Volume
9
Issue
3
Pages
489-506
ISSN
  • 2167-7026 (ISSN-L)
  • 2167-7034
OpenAlex
W3139482531
Cited by
118
References
65
Citations by year
2026: 7 · 2025: 9 · 2024: 11 · 2023: 27 · 2022: 38 · 2021: 26
FWCI
17.40
Type
journal article
Language
en
Open access
Locations
  • Clinical Psychological Science (publishedVersion, cc-by)
  • NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
Funders
  • universitetet i oslo
  • Modum Bad Psychiatric Hospital
Topics
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Communication › Communication and COVID-19 Impact
Keywords
COVID-19 pandemic, social distancing, depression, anxiety, psychological symptoms, altruism, autonomy frustration, physical activity, nature exposure, information seeking, minority groups, unemployment, psychiatric diagnosis

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