Do reductions of daily activities mediate the relationship between COVID-19 restrictions and mental ill-health among older persons in Europe?

OBJECTIVE: Previous research has shown that daily activities are crucial for mental health among older people, and that such activities declined during the COVID-19 pandemic. While previous studies have confirmed a link between stringent restrictions and an increase in mental ill-health, the role of daily activities as a mediator in this relationship remains underexplored. We analyzed whether reductions in daily activities mediated the impact of these COVID-19 restrictions on mental ill-health during the pandemic's initial phase. METHODS: We used data from Wave 8 SHARE Corona Survey covering 41,409 respondents from 25 European countries and Israel as well as data on COVID-19 restrictions from the Oxford Government Response Tracker (OxCGRT). Multilevel regression and multilevel-mediation analysis were used to examine the relationships between restrictions, daily activities and mental ill-health. RESULTS: Reductions in walking and shopping showed a notably stronger association with increases in mental ill-health compared to social activities. Furthermore, declines in walking could account for about a quarter of the relationship between restrictions and increased mental ill-health, but the mediating effects of the other activates were negligible. CONCLUSIONS: The study highlights the essential role of maintaining daily activities, particularly walking, to mitigate the negative psychological effects of pandemic-related restrictions among older populations in Europe.

Sociodemographic Factors and Adjustment of Daily Activities During the COVID-19 Pandemic - Findings from the SHARE Corona Survey.

In the wake of the COVID-19 pandemic in 2020, older people across Europe have adjusted their daily activities as personal risk avoidance and as an amendment to policy recommendations and restrictions. In this study, we use multilevel logistic regressions to examine to what extent sociodemographic factors are associated with activity reduction among the older population (50+) in Europe and whether these associations are moderated by governmental policy responses to COVID-19. By combining data for~35,000 respondents from the SHARE Corona Survey on reported changes in daily activities and stringency of restrictions at the national level, we find that older age, poorer health and being female versus male were (consistently) associated with greater activity reduction across all activities both in countries with weak and in those with strong restrictions. Associations between education, employment and living situation, on the one hand, and activity reduction, on the other, were weaker and less consistent. We conclude that differences between sociodemographic groups are rather similar for countries with weak and those with strong restrictions and hence argue that group-specific policy recommendation are relevant independent of stringency recommendations.

Agreeableness, extraversion and life satisfaction: Investigating the mediating roles of social inclusion and status.

We examine inclusion and status as potential mediators in the relationships between extraversion and agreeableness, on the one hand, and life satisfaction, on the other hand. Previous research has shown that agreeableness is less strongly related to life satisfaction compared to extraversion. We argue that the relatively weak association between agreeableness and life satisfaction is due to the fact that, even though this personality trait is positively related to inclusion, it is only weakly related to status. Using structural equation modeling (SEM) and survey data from Australia, Denmark and Sweden, we test five hypotheses about the linkages between these personality traits, inclusion, status and life satisfaction. Our results show that both extraversion and agreeableness are positively associated with life satisfaction and that this association is much stronger for extraversion. Furthermore, our results show that extraversion is reliably associated with both inclusion and status, whereas agreeableness is a reliable predictor of inclusion but not of status. Turning to our mediation analysis, our main results demonstrate that the relationship between extraversion and life satisfaction is fully mediated by both inclusion and status, whereas the relationship between agreeableness and life satisfaction is partially mediated by inclusion. Our mediation analysis further shows that agreeableness has a negative direct effect on life satisfaction over and above the positive indirect effect through inclusion. Our findings highlight the role of both inclusion and status as important mediators in the relationships between extraversion and agreeableness, on the one hand, and life satisfaction, on the other hand.