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Longitudinal changes in home confinement and mental health implications: a 17-month follow-up study in England during the COVID-19 pandemic.
Bu, Feifei; Steptoe, Andrew; Fancourt, Daisy.
  • Bu F; Department of Behavioural Science and Health, Institute of Epidemiology & Health Care, University College London, London, UK.
  • Steptoe A; Department of Behavioural Science and Health, Institute of Epidemiology & Health Care, University College London, London, UK.
  • Fancourt D; Department of Behavioural Science and Health, Institute of Epidemiology & Health Care, University College London, London, UK.
Psychol Med ; : 1-9, 2022 Mar 31.
Article in English | MEDLINE | ID: covidwho-1768739
ABSTRACT

BACKGROUND:

The coronavirus disease 2019 (COVID-19) pandemic has brought about significant behavioural changes, one of which is increased time spent at home. This could have important public health implications. This study aimed to explore longitudinal patterns of 'home confinement' (defined as not leaving the house/garden) during the COVID-19 pandemic, and the associated predictors and mental health outcomes.

METHODS:

Data were from the UCL COVID-19 Social Study. The analytical sample consisted of 25 390 adults in England who were followed up for 17 months (March 2020-July 2021). Data were analysed using growth mixture models.

RESULTS:

Our analyses identified three classes of growth trajectories, including one class showing a high level of persistent home confinement (the home-confined, 24.8%), one changing class with clear alignment with national containment measures (the adaptive, 32.0%), and one class with a persistently low level of confinement (the unconfined, 43.1%). A range of factors were associated with the class membership of home-confinement trajectories, such as age, gender, income, employment status, social relationships and health. The home-confined class had the highest number of depressive (diff = 1.34-1.68, p < 0.001) and anxiety symptoms (diff = 0.84-1.05, p < 0.001) at the end of the follow-up than the other two classes.

CONCLUSIONS:

There was substantial heterogeneity in longitudinal patterns of home confinement during the COVID-19 pandemic. People with a persistent high level of confinement had the worst mental health outcomes, calling for special attention in mental health action plans, in particular targeted interventions for at-risk groups.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Prognostic study / Randomized controlled trials Topics: Long Covid Language: English Journal: Psychol Med Year: 2022 Document Type: Article Affiliation country: S0033291722000605

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Prognostic study / Randomized controlled trials Topics: Long Covid Language: English Journal: Psychol Med Year: 2022 Document Type: Article Affiliation country: S0033291722000605