Loneliness, mental health and COVID-19 in the Spanish population
DOI:
https://doi.org/10.24310/espsiescpsi.v14i2.12498Keywords:
COVID-19; Loneliness; Mental Health; Social isolation; QuarantineAbstract
The study aim was to assess the effects of the health emergency and the stay-at-home restrictions on loneliness variables in the Spanish population during the initial stage of COVID-19. A cross-sectional study was conducted through an online survey of 3480 people. From March 14, 2020, screening tests were used to evaluate sociodemographic and COVID-19-related data on loneliness, social support, the presence of mental health symptoms, discrimination, and spiritual well-being. Descriptive analyses were conducted and linear regression models were constructed. A negative association was found between loneliness and being older, being partnered, having children, being a university graduate, being retired or still working, having stronger religious beliefs, believing that information provided about the pandemic was adequate, having social support, and having self-compassion. Actions that promote social support and further studies on loneliness in groups of older people are needed to prevent the pandemic having a stronger impact on mental health and well-being.
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Alert and Emergency Coordination Centre, Ministry of Health, Government of Spain. (2020). Actualización nº 58. Enfermedad por el coronavirus (COVID-19). Recovered from: https://www.mscbs.gob.es/en/profesionales/saludPublica/ccayes/alertasActual/nCov-China/documentos/Actualizacion_58_COVID-19.pdf
Armitage, R., & Nellums, L. B. (2020). COVID-19 and the consequences of isolating the elderly. The Lancet. Public health, 5(5), e256. https://doi.org/10.1016/S2468-2667(20)30061-X
Ausín, B., Muñoz, M., & Castellanos, M. A. (2017). Loneliness, Sociodemographic and Mental Health Variables in Spanish Adults over 65 Years Old. The Spanish journal of psychology, 20, E46. https://doi.org/10.1017/sjp.2017.48
Banerjee, D., & Rai, M. (2020). Social isolation in Covid-19: The impact of loneliness. The International journal of social psychiatry, 66(6), 525–527. https://doi.org/10.1177/0020764020922269
B.O.E. (2020). Real Decreto 463/2020, de 14 de marzo, por el que se declara el estado de alarma para la gestión de la situación de crisis sanitaria ocasionada por el COVID-19. BOE núm. 67, de 14/03/2020. Departamento:Ministerio de la Presidencia, Relaciones con las Cortes y Memoria Democrática. Referencia: BOE-A-2020-3692. Recovered from: https://www.boe.es/eli/es/rd/2020/03/14/463/con
Boyd, J. E., Adler, E. P., Otilingam, P. G., & Peters, T. (2014). Internalized Stigma of Mental Illness (ISMI) scale: a multinational review. Comprehensive Psychiatry, 55(1), 221–231. https://doi.org/10.1016/j.comppsych.2013.06.005
Brooke, J., & Jackson, D. (2020). Older people and COVID-19: Isolation, risk and ageism. Journal of clinical nursing, 29(13-14), 2044–2046. https://doi.org/10.1111/jocn.15274
Campaign to End Loneliness (2015). Measuring your impact on loneliness in later life. London. Retrieved from: https://www.campaigntoendloneliness.org/
Cava, M. A., Fay, K. E., Beanlands, H. J., McCay, E. A., & Wignall, R. (2005). Risk perception and compliance with quarantine during the SARS outbreak. Journal of nursing scholarship: an official publication of Sigma Theta Tau International Honor Society of Nursing, 37(4), 343–347. https://doi.org/10.1111/j.1547-5069.2005.00059.x
Cella, D., Hernandez, L., Bonomi, A. E., Corona, M., Vaquero, M., Shiomoto, G., & Baez, L. (1998). Spanish language translation and initial validation of the functional assessment of cancer therapy quality-of-life instrument. Medical care, 36(9), 1407–1418. https://doi.org/10.1097/00005650-199809000-00012
Cohen-Mansfield, J., & Parpura-Gill, A. (2007). Loneliness in older persons: a theoretical model and empirical findings. International psychogeriatrics, 19(2), 279–294. https://doi.org/10.1017/S1041610206004200
Cohen-Mansfield, J., Shmotkin, D., & Goldberg, S. (2009). Loneliness in old age: longitudinal changes and their determinants in an Israeli sample. International psychogeriatrics, 21(6), 1160–1170. https://doi.org/10.1017/S1041610209990974
Cohen-Mansfield, J., Hazan, H., Lerman, Y., & Shalom, V. (2016). Correlates and predictors of loneliness in older adults: a review of quantitative results informed by qualitative insights. International psychogeriatrics, 28(4), 557–576. https://doi.org/10.1017/S1041610215001532
Courtin, E., & Knapp, M. (2017). Social isolation, loneliness and health in old age: a scoping review. Health & social care in the community, 25(3), 799–812. https://doi.org/10.1111/hsc.12311
de Jong Gierveld, J. (1998). A review of loneliness: Concept and definitions, determinants, and consequences. Reviews in Clinical Gerontology, 8, 73-80. https://doi.org/10.1017/S0144686X16000040
Deng, Y., Chang, L., Yang, M., Huo, M., & Zhou, R. (2016). Gender Differences in Emotional Response: Inconsistency between Experience and Expressivity. PloS one, 11(6), e0158666. https://doi.org/10.1371/journal.pone.0158666
Diez-Quevedo, C., Rangil, T., Sanchez-Planell, L., Kroenke, K., & Spitzer, R. L. (2001). Validation and utility of the patient health questionnaire in diagnosing mental disorders in 1003 general hospital Spanish inpatients. Psychosomatic medicine, 63(4), 679–686. https://doi.org/10.1097/00006842-200107000-00021
Eghtesadi M. (2020). Breaking Social Isolation Amidst COVID-19: A Viewpoint on Improving Access to Technology in Long-Term Care Facilities. Journal of the American Geriatrics Society, 68(5), 949–950. https://doi.org/10.1111/jgs.16478
European Quality of Life Survey. (2016). European Foundation for the Improvement of Living and Working Conditions. Retrieved from: https://www.eurofound.europa.eu/surveys/european-quality-of-life-surveys/european-quality-of-life-survey-2016
Frydecka, D., Ma?yszczak, K., Chachaj, A., & Kiejna, A. (2010). Struktura czynnikowa Kwestionariusza Ogólnego Zdrowia (GHQ-30) [Factorial structure of the general health questionnaire (GHQ-30)]. Psychiatria polska, 44(3), 341–359.
Garcia-Campayo, J., Navarro-Gil, M., Andrés, E., Montero-Marin, J., López-Artal, L., & Demarzo, M. M. (2014). Validation of the Spanish versions of the long (26 items) and short (12 items) forms of the Self-Compassion Scale (SCS). Health and quality of life outcomes, 12, 4. https://doi.org/10.1186/1477-7525-12-4
González-Sanguino, C., Ausín, B., Castellanos, M. Á., Saiz, J., López-Gómez, A., Ugidos, C., & Muñoz, M. (2020). Mental health consequences during the initial stage of the 2020 Coronavirus pandemic (COVID-19) in Spain. Brain, behavior, and immunity, 87, 172–176. https://doi.org/10.1016/j.bbi.2020.05.040
Eghtesadi M. (2020). Breaking Social Isolation Amidst COVID-19: A Viewpoint on Improving Access to Technology in Long-Term Care Facilities. Journal of the American Geriatrics Society, 68(5), 949–950. https://doi.org/10.1111/jgs.16478
Evans-Lacko, S., Rose, D., Little, K., Flach, C., Rhydderch, D., Henderson, C., & Thornicroft, G. (2011). Development and psychometric properties of the reported and intended behaviour scale (RIBS): a stigma-related behaviour measure. Epidemiology and psychiatric sciences, 20(3), 263–271. https://doi.org/10.1017/s2045796011000308
Henderson, C., Evans-Lacko, S., Flach, C., & Thornicroft, G. (2012). Responses to mental health stigma questions: the importance of social desirability and data collection method. Canadian journal of psychiatry. Revue canadienne de psychiatrie, 57(3), 152–160. https://doi.org/10.1177/070674371205700304
Jones, X. R., & Keynes, M. Covid-19: An Exposition, with a Focus on Social Isolation in the Elderly (UK). Preprint https://doi.org/10.6084/m9.figshare.12022632
Killgore, W., Cloonan, S. A., Taylor, E. C., & Dailey, N. S. (2020). Loneliness: A signature mental health concern in the era of COVID-19. Psychiatry Research, 290, 113117. https://doi.org/10.1016/j.psychres.2020.113117
Landeta, O., & Calvete, E. (2002). Adaptación y validación de la escala multidimensional de apoyo social percibido. Ansiedad y Estrés, 8(2), 173–182.
Lang, A. J., & Stein, M. B. (2005). An abbreviated PTSD checklist for use as a screening instrument in primary care. Behaviour Research and Therapy, 43(5), 585–594. https://doi.org/10.1016/j.brat.2004.04.005
Lang, A. J., Wilkins, K., Roy-Byrne, P. P., Golinelli, D., Chavira, D., Sherbourne, C., & Stein, M. B. (2012). Abbreviated PTSD Checklist (PCL) as a guide to clinical response. General Hospital Psychiatry, 34(4), 332–338. https://doi.org/10.1016/j.genhosppsych.2012.02.003
Leigh-Hunt, N., Bagguley, D., Bash, K., Turner, V., Turnbull, S., Valtorta, N., & Caan, W. (2017). An overview of systematic reviews on the public health consequences of social isolation and loneliness. Public Health, 152, 157-171. https://doi.org/10.1016/j.puhe.2017.07.035
Losada, A., Márquez-González, M., García-Ortiz, L., Gómez-Marcos, M. A., Fernández-Fernández, V., & Rodríguez-Sánchez, E. (2012). Loneliness and mental health in a representative sample of community-dwelling Spanish older adults. The Journal of Psychology, 146, 277–292. https://doi.org/10.1080/00223980.2011.582523
Losada-Baltar, A., Jiménez-Gonzalo, L., Gallego-Alberto, L., Pedroso-Chaparro, M. D. S., Fernandes-Pires, J., & Márquez-González, M. (2020). “We’re staying at home”. Association of self-perceptions of ageing, personal and family resources and loneliness with psychological distress during the lock-down period of COVID-19. The Journals of Gerontology: Series B. https://doi.org/10.1093/geronb/gbaa048
Lu, W., Wang, H., Lin, Y., & Li, L. (2020). Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Research, 288, 112936. https://doi.org/10.1016/j.psychres.2020.112936
McBride, O., Butter, S., Murphy, J., Shevlin, M., Hartman, T. K., Hyland, P., McKay, R., Bennett, K. M., Gibson-Miller, J., Levita, L., Mason, L., Martinez, A. P., Stocks, T. V., Vallières, F., Karatzias, T., Valiente, C., Vazquez, C., & Bentall, R. P. (2021). Context, design and conduct of the longitudinal COVID-19 psychological research consortium study-wave 3. International journal of methods in psychiatric research, e1880. Advance online publication. https://doi.org/10.1002/mpr.1880
Maunder, R., Hunter, J., Vincent, L., Bennett, J., Peladeau, N., Leszcz, M., ... & Mazzulli, T. (2003). The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. Cmaj, 168(10), 1245-1251.
Muñoz-Navarro, R., Cano-Vindel, A., Medrano, L. A., Schmitz, F., Ruiz-Rodríguez, P., Abellán-Maeso, C., … Hermosilla-Pasamar, A. M. (2017). Utility of the PHQ-9 to identify major depressive disorder in adult patients in Spanish primary care centres. BMC Psychiatry, 17(1), 291. https://doi.org/10.1186/s12888-017-1450-8
Okruszek, ?., Aniszewska-Sta?czuk, A., Piejka, A., Wi?niewska, M., & ?urek, K. (2020). Safe but Lonely? Loneliness, Anxiety, and Depression Symptoms and COVID-19. Frontiers in psychology, 11, 579181. https://doi.org/10.3389/fpsyg.2020.579181
Paúl, C., & Ribeiro, O. (2009). Predicting loneliness in old people living in the community. Reviews in Clinical Gerontology, 19(1), 53-60. https://doi.org/10.1017/S0959259809990074
Reynolds, D. L., Garay, J. R., Deamond, S. L., Moran, M. K., Gold, W., & Styra, R. (2008). Understanding, compliance and psychological impact of the SARS quarantine experience. Epidemiology & Infection, 136(7), 997-1007. https://doi.org/10.1017/S0950268807009156
Röhr, S., Müller, F., Jung, F., Apfelbacher, C., Seidler, A., & Riedel-Heller, S. G. (2020). Psychosocial impact of quarantine measures during serious coronavirus outbreaks: A rapid review. Psychiatrische Praxis, 47(4), 179-189. https://doi.org/10.1055/a-1159-5562
Rossi, R., Socci, V., Talevi, D., Mensi, S., Niolu, C., Pacitti, F., Di Marco, A., Rossi, A., Siracusano, A., & Di Lorenzo, G. (2020). COVID-19 Pandemic and Lockdown Measures Impact on Mental Health Among the General Population in Italy. Frontiers in psychiatry, 11, 790. https://doi.org/10.3389/fpsyt.2020.00790
Santini, Z. I., Jose, P. E., Cornwell, E. Y., Koyanagi, A., Nielsen, L., Hinrichsen, C., ... & Koushede, V. (2020). Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): A longitudinal mediation analysis. The Lancet Public Health, 5(1), 62-70. https://doi.org/10.1016/S2468-2667(19)30230-0
Scheim, A. I., & Bauer, G. R. (2019). The Intersectional Discrimination Index: Development and validation of measures of self-reported enacted and anticipated discrimination for intercategorical analysis. Social Science and Medicine, 226, 225–235. https://doi.org/10.1016/j.socscimed.2018.12.016
Velarde-Mayol, C., Fragua-Gil, S., & García-de-Cecilia, J. M. (2016). Validación de la escala de soledad de UCLA y perfil social en la población anciana que vive sola. Semergen, 42(3), 177–183. https://doi.org/10.1016/j.semerg.2015.05.017
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health, 17(5), 1729. https://doi.org/10.3390/ijerph17051729
Weiss, R. S. (1973). Loneliness: The experience of emotional and social isolation. Cambridge, MA: MIT Press.
Xiao, C. (2020). A novel approach of consultation on 2019 novel coronavirus (COVID-19)-related psychological and mental problems: Structured letter therapy. Psychiatry Investigation, 17(2) 175–176. https://doi.org/10.30773/pi.2020.0047
Zhang, J., Wu, W., Zhao, X., & Zhang, W. (2020). Recommended psychological crisis intervention response to the 2019 novel coronavirus pneumonia outbreak in China: A model of West China Hospital. Precision Clinical Medicine, 3(1), 3–8. https://doi.org/10.1093/pcmedi/pbaa00
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