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Conroy RM, Fitzgerald K. The lockdown experience scale for students (LESS). BMC MEDICAL EDUCATION 2023; 23:829. [PMID: 37924033 PMCID: PMC10625255 DOI: 10.1186/s12909-022-03858-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Accepted: 11/02/2022] [Indexed: 11/06/2023]
Abstract
BACKGROUND The Covid-19 pandemic has resulted in many student populations learning online in lockdown. While the mental health consequences of lockdown are increasingly understood, the core features of 'cabin fever' - the experience of lockdown - are poorly described. METHODS We conducted a questionnaire survey of 649 undergraduate medicine and health sciences students. Item content was developed based on current literature and input from student representatives. RESULTS Mokken scaling identified seven questions that together formed a strongly unidimensional scale which comprised two domains: social isolation/cabin fever and demotivation / demoralisation. Scale scores were significantly associated with depression, self-rated mental health, impaired study efficacy and doomscrolling. CONCLUSIONS The adverse effects of lockdown on student wellbeing appear to be driven to an important extent by an experience of isolation and demotivation that corresponds to narrative descriptions of cabin fever. In the foreseeable event of future pandemics, these experiences are a promising target for health promotion in students studying in lockdown.
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Affiliation(s)
- Ronán M Conroy
- School of Population Health Sciences, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
| | - Karen Fitzgerald
- RCSI University of Medicine and Health Sciences, Dublin, Ireland
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Karakitsiou G, Plakias S, Kedraka K, Arvaniti A, Kokkotis C, Tsiakiri A, Samakouri M. Investigating the Role of Second Chance Schools and COVID-19 Pandemic on the Mental Health and Self-Image of Greek Adult Students. Brain Sci 2023; 13:1203. [PMID: 37626559 PMCID: PMC10452111 DOI: 10.3390/brainsci13081203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 08/04/2023] [Accepted: 08/12/2023] [Indexed: 08/27/2023] Open
Abstract
COVID-19 has globally impacted both physical and mental health. This study aimed to explore the impact of Second Chance Schools (SCS) and the COVID-19 pandemic on the mental health and self-image of Greek SCS students. A total of 251 SCS students from two consecutive study cycles participated, completing the research instruments at the beginning and end of their studies. Participants' anxiety, depressive symptomatology, well-being, self-esteem and self-efficacy were evaluated by means of the GAD-7, PHQ-8, WHO-5 Well-being Index, Rosenberg Self-Esteem Scale and Generalized Self-Efficacy Scale, respectively. The research spanned three years, including a year of universal lockdown, a year with protective measures and a year without anti-COVID-19 measures. Factor analysis, regression analyses and two two-way repeated measures ANOVAs were applied to the collected data. All five psychological dimensions measured by the study's instruments were grouped into two factors, namely mental health and self-image. Well-being positively influenced mental health, while anxiety and depression had a negative impact. On the other hand, self-efficacy and self-esteem positively contributed to self-image. Mental health and self-image were moderately correlated. Pre-SCS values of mental health and self-image predicted a higher percentage of variance in post-SCS values compared to anxiety, depression, well-being, self-efficacy and self-esteem. Moreover, mental health improved after the completion of SCS, but only for participants after the lifting of anti-COVID-19 measures. Conversely, self-image improved for all participants regardless of the presence of anti-COVID-19 measures. Overall, the SCS had a considerable impact on the participants' mental health and self-image, although the effect was influenced by COVID-19.
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Affiliation(s)
- Georgia Karakitsiou
- Department of Psychiatry, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, Greece
| | - Spyridon Plakias
- Department of Physical Education and Sport Science, University of Thessaly, 38221 Trikala, Greece
| | - Katerina Kedraka
- Department of Molecular Biology and Genetics, Democritus University of Thrace, 68100 Alexandroupolis, Greece;
| | - Aikaterini Arvaniti
- Department of Psychiatry, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, Greece
- Department of Psychiatry, University General Hospital of Alexandroupolis, 68100 Alexandroupolis, Greece
| | - Christos Kokkotis
- Department of Physical Education and Sport Science, Democritus University of Thrace, 69100 Komotini, Greece;
| | - Anna Tsiakiri
- Department of Neurology, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, Greece;
| | - Maria Samakouri
- Department of Psychiatry, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, Greece
- Department of Psychiatry, University General Hospital of Alexandroupolis, 68100 Alexandroupolis, Greece
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Weerasinghe S, Oyebode O, Orji R, Matwin S. Dynamics of emotion trends in Canadian Twitter users during COVID-19 confinement in relation to caseloads: Artificial intelligence-based emotion detection approach. Digit Health 2023; 9:20552076231171496. [PMID: 37252262 PMCID: PMC10214063 DOI: 10.1177/20552076231171496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Accepted: 04/06/2023] [Indexed: 05/31/2023] Open
Abstract
Multiple waves of COVID-19 have significantly impacted the emotional well-being of all, but many were subject to additional risks associated with forced regulations. The objective of this research was to assess the immediate emotional impact, expressed by Canadian Twitter users, and to estimate the linear relationship, with the vicissitudes of COVID caseloads, using ARIMA time-series regression. We developed two Artificial Intelligence-based algorithms to extract tweets using 18 semantic terms related to social confinement and locked down and then geocoded them to tag Canadian provinces. Tweets (n = 64,732) were classified as positive, negative, and neutral sentiments using a word-based Emotion Lexicon. Our results indicated: that Tweeters were expressing a higher daily percentage of negative sentiments representing, negative anticipation (30.1%), fear (28.1%), and anger (25.3%), than positive sentiments comprising positive anticipation (43.7%), trust (41.4%), and joy (14.9%), and neutral sentiments with mostly no emotions, when hash-tagged social confinement and locked down. In most provinces, negative sentiments took on average two to three days after caseloads increase to emerge, whereas positive sentiments took a slightly longer period of six to seven days to submerge. As daily caseloads increase, negative sentiment percentage increases in Manitoba (by 68% for 100 caseloads increase) and Atlantic Canada (by 89% with 100 caseloads increase) in wave 1(with 30% variations explained), while other provinces showed resilience. The opposite was noted in the positive sentiments. The daily percentage of emotional expression variations explained by daily caseloads in wave one were 30% for negative, 42% for neutral, and 2.1% for positive indicating that the emotional impact is multifactorial. These provincial-level impact differences with varying latency periods should be considered when planning geographically targeted, time-sensitive, confinement-related psychological health promotion efforts. Artificial Intelligence-based Geo-coded sentiment analysis of Twitter data opens possibilities for targeted rapid emotion sentiment detection opportunities.
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Affiliation(s)
- Swarna Weerasinghe
- Department of Community Health and
Epidemiology, Faculty of Medicine, Dalhousie University, Halifax, Canada
| | - Oladapo Oyebode
- Faculty of Computer Science, Dalhousie University, Halifax, Canada
| | - Rita Orji
- Faculty of Computer Science, Dalhousie University, Halifax, Canada
| | - Stan Matwin
- Faculty of Computer Science, Dalhousie University, Halifax, Canada
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Dwelling in times of COVID-19: An analysis on habitability and environmental factors of Spanish housing. JOURNAL OF BUILDING ENGINEERING 2022; 60:105012. [PMCID: PMC9352653 DOI: 10.1016/j.jobe.2022.105012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/09/2022] [Revised: 07/18/2022] [Accepted: 07/19/2022] [Indexed: 06/12/2023]
Abstract
In the wake of the SARS-CoV-2 pandemic, promoted by the World Health Organization (WHO), governments urged people to stay at home. For this reason, practically all human activity took place inside the houses. The research question established if housing quality responded to people’s needs in the context of confinement. Specifically, the purpose was to taxonomize the dwelling stock occupied by confined households during the first COVID-19 wave in Spain, as well as to deepen in features and subjective perceptions on Indoor Environmental Quality (IEQ). As an exploratory study, an online questionnaire was disseminated in the Spring of 2020, obtaining 1,673 valid responses. A descriptive statistical analysis included sociodemographic, territorial and housing variables, related to indoor environmental quality, the availability of outdoor spaces, and the prospects for changes in. Also, a logistic regression stablished multivariate relations for the dependent variable “general dwelling satisfaction”. The results associated urban habitat, tenancy regime, higher incomes, and fewer cohabitants, with worse perceived IEQ, and lack of own outdoor space. Same variables showed relations with people’s desire for domestic changes. In conclusion, it is remarkable the determining role of housing design for dwellers’ satisfaction, especially in uncertain times like COVID-19 pandemic. This not only conditioned the different ways of inhabiting and occupying dwellings, but also the people’s capacity to face lockdown. The built environment, the habitat, and households’ circumstances also influenced. The latter did on people's perception of their experience, and how they lived and expressed it. Additionally, resilient building design and renovation opportunities were identified.
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Tishelman C, Degen JL, Weiss Goitiandía S, Kleijberg M, Kleeberg-Niepage A. A Qualitative Serial Analysis of Drawings by Thirteen-to Fifteen-Year-Old Adolescents in Sweden About the First Wave of the Covid-19 Pandemic. QUALITATIVE HEALTH RESEARCH 2022; 32:1370-1385. [PMID: 35599585 PMCID: PMC9350847 DOI: 10.1177/10497323221101978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
In this article, we explore the perspectives of 13-15-year-olds living in Sweden about the first wave of the Covid-19 pandemic, through inductive analysis of 187 of their drawings. Through reconstructive serial picture analysis, three types of meaning were derived: (1) A new normal in dystopian scenery points to the disruption of daily life and development of new praxis and meaning in a context of threat and restriction; (2) Disrupted relationships refers to these adolescents' self-portrayal as solitary, without adult guidance or friends prominent; and (3) Negative emotions and compliant behaviors addresses a range of negative emotions and expressions of loss with few proactive strategies illustrated. General existential distress appears in these drawings, seemingly compounded by both developmental stage and other factors in addition to the pandemic context. Drawings suggest a restricted repertoire of ways of dealing with challenges confronting these adolescents, who seemed to feel left to their own resources.
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Affiliation(s)
- Carol Tishelman
- Department of Learning, Informatics,
Management and Ethics, Karolinska Institutet, Stockholm, Sweden
- The Center for Health Economics,
Informatics and Health Care Research (CHIS), Stockholm Health Care Services
(SLSO), Region Stockholm, Sweden
| | - Johanna L. Degen
- Department of Psychology, European University of Flensburg, Flensburg, Germany
| | | | - Max Kleijberg
- Department of Neurobiology, Care Sciences
and Society, Karolinska Institutet, Stockholm, Sweden
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Navas-Martín MÁ, López-Bueno JA, Oteiza I, Cuerdo-Vilches T. Routines, Time Dedication and Habit Changes in Spanish Homes during the COVID-19 Lockdown. A Large Cross-Sectional Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:12176. [PMID: 34831931 PMCID: PMC8623321 DOI: 10.3390/ijerph182212176] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Revised: 11/10/2021] [Accepted: 11/17/2021] [Indexed: 12/23/2022]
Abstract
Many countries chose to establish social distancing as lockdowns after the COVID-19 outbreak. Households had to adapt their day-to-day lifestyles to new circumstances, affecting routines and time dedication to tasks. This national study was carried out to find out how the confinement by COVID-19 affected Spanish households on the perceived habit changes during this period, in relation to their socio-demographic characteristics and household composition. An online questionnaire was launched during the COVID-19 lockdown, from 30 April to 22 June 2020. Descriptive statistics were analyzed, stratified by gender, on time dedication, routine, home leaving, and habit change variables. Chi-square tests were used to explore the relations of significance with socio-demographic characteristics and home composition. All contrast analyses were performed for a 95% confidence level (significance considered for p < 0.05). In total, 1673 respondents participated from different age groups, educational level, employment status and household composition. Sixty percent of respondents maintained their routines. A third tried to establish a new one, being related to women, young people, not a university student, and living with others, including minors. Regarding dedication to tasks, adults aged 35-54 years, with more cohabitants, especially women, devoted themselves intensively to the home or to care, while those under 35 were dedicated more to rest, leisure, television or reading. People with university studies were more related to teleworking. The frequency of going outside was related to gender, age, educational level and living with elders, specifically for grocery shopping and taking out garbage. Changes in habits, routines and time dedication in confinement were strongly linked to the sociodemographic and coexistence conditions in Spanish homes. The greatest impacts were suffered by women, people with children, and adults between 35-54 years of age, especially on care and domestic chores.
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Affiliation(s)
- Miguel Ángel Navas-Martín
- Escuela Nacional de Sanidad, Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain; (M.Á.N.-M.); (J.A.L.-B.)
| | - José Antonio López-Bueno
- Escuela Nacional de Sanidad, Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain; (M.Á.N.-M.); (J.A.L.-B.)
| | - Ignacio Oteiza
- Instituto de Ciencias de la Construcción Eduardo Torroja, Consejo Superior de Investigaciones Científicas (IETcc-CSIC), 28033 Madrid, Spain;
| | - Teresa Cuerdo-Vilches
- Instituto de Ciencias de la Construcción Eduardo Torroja, Consejo Superior de Investigaciones Científicas (IETcc-CSIC), 28033 Madrid, Spain;
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Indoor Environmental Quality and Consumption Patterns before and during the COVID-19 Lockdown in Twelve Social Dwellings in Madrid, Spain. SUSTAINABILITY 2021. [DOI: 10.3390/su13147700] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
This article analyses the situation that prevailed in 12 dwellings located on the outskirts of Madrid during Spain’s state of emergency. How did 24/7 occupation affect the quality of indoor air and power consumption patterns? The mixed method used (surveys and instrumental monitoring) pragmatically detected the variation in consumption, comfort and indoor air quality patterns before and during the COVID-19 pandemic. The characteristics initially in place and household predisposition had a conclusive effect on such variations. The starting conditions, including household composition, habits and the way daily activities were performed, differed widely, logically affecting power consumption: 8/12 case studies increase occupancy density by more than 25 percent; 11/12 improve thermal comfort; 10/12 improve air quality but not necessarily translate in a sufficient ventilation practices; air quality was lower in the bedrooms on the whole; only 4/12 case studies use the potential of passive measures; only one household adopted energy savings strategies; 10/12 case studies increase electric power consumption but none of the dwellings was fitted with a renewable power generation system. The conclusion drawn is that, despite starting conditions differing widely, household composition, habits (including performance of daily activities performance) and power consumption also played an active role in the end result. This approach allowed to integrate qualitative and quantitative findings on indoor environmental quality (IEQ), energy use and households’ behavior. The objective data on the energy situation of the case studies not only is useful for the study, but also for potential enrollment in energy rehabilitation programs, such as the European Regional Development Fund (ERDF).
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Cuerdo-Vilches T, Navas-Martín MÁ, Oteiza I. Working from Home: Is Our Housing Ready? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:7329. [PMID: 34299781 PMCID: PMC8305977 DOI: 10.3390/ijerph18147329] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Revised: 06/14/2021] [Accepted: 07/03/2021] [Indexed: 12/19/2022]
Abstract
The COVID-19 pandemic and the precautionary measures applied globally (lockdowns and curfews) have impacted homes, including work. Working from home (WFH) has emerged as a growing trend in the post-pandemic era. The research question was: Are our homes ready for teleworking? To respond, a national prospective mixed approach was launched for Spanish households during the spring 2020 lockdown, using two online questionnaires, one quantitative and the other qualitative. Through a survey, photographs, and narratives, the study evaluates the perceived adequacy of telework spaces and their specific characteristics, the availability of digital resources and the internet. A total of 1800 surveys and over 200 images and texts related to telework environments were obtained. The results suggest that the adequacy of these spaces was insufficient for more than a quarter of the homes. Also, strong relations between the perceived workspace adequacy and a social status or stability of homes were shown and validated, despite other sociodemographic features, the home composition or habitat were not related. Some other variables statistically significant were occupation regime, type and surface of dwellings; their indoor environmental quality; the availability of exclusive spaces for teleworking; quality of digital resources; and the specific space features. The analysis was completed with qualitative insights through photos and texts. Telework, lived in this context as an experiment, needs this reflection from an environmental, resource-availability, and ergonomic point of view.
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Affiliation(s)
- Teresa Cuerdo-Vilches
- Instituto de Ciencias de la Construcción Eduardo Torroja, Consejo Superior de Investigaciones Científicas (IETcc-CSIC), 28033 Madrid, Spain;
| | | | - Ignacio Oteiza
- Instituto de Ciencias de la Construcción Eduardo Torroja, Consejo Superior de Investigaciones Científicas (IETcc-CSIC), 28033 Madrid, Spain;
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Muñoz-González C, Ruiz-Jaramillo J, Cuerdo-Vilches T, Joyanes-Díaz MD, Montiel Vega L, Cano-Martos V, Navas-Martín MÁ. Natural Lighting in Historic Houses during Times of Pandemic. The Case of Housing in the Mediterranean Climate. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18147264. [PMID: 34299714 PMCID: PMC8307665 DOI: 10.3390/ijerph18147264] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Revised: 07/01/2021] [Accepted: 07/02/2021] [Indexed: 12/17/2022]
Abstract
The pandemic generated by the SARS-CoV-2 virus has led to a forced increase in the number of hours spent at home. In many cases, the lockdown situations, both in social and work terms, have meant that homes have suddenly also become workplaces. Based on all the indicators, this new relational scenario in the labor market displays a clear upward trend and is far from being a temporary situation. It is known that sunlight affects people's circadian rhythm and that its reduction and even absence during this period of isolation has had a psychological impact on the population. This makes it necessary to reconsider the regulations applied in homes, in order to guarantee their habitability, given their recent widespread use as offices, as well as domestic spaces. In historic centers, the comprehensive renovations being carried out include improvements in energy efficiency and thermal comfort, which play a fundamental role. However, the energy consumption linked to artificial lighting and the quality of this lighting itself have remained in the background, as improvement strategies consist mainly in the replacement of incandescent or fluorescent lamps with LED lamps. Prior to the pandemic, the electric consumption of lighting systems accounted for 10-15% of the total, a figure which increased to 40-50% during the lockdown period. Aiming to improve people's well-being while reducing energy expenditure on lighting, this article presents a quantitative approach to improving the levels of natural lighting in residential heritage buildings located in historic centers. According to data obtained from previous surveys of a sector of the population, homes built prior to 1950 were characterized by good natural lighting conditions and a very low incidence of health issues among occupants compared to contemporary homes. The objective was to quantify the circadian stimulus and lighting levels and to identify the areas or work areas in homes in order to optimize consumption related to lighting and to generate healthy and comfortable spaces. Results show that historic homes have enough naturally lit areas to perform office work during business hours. However, in the most unfavorable seasons, winter and autumn, it is necessary to use artificial lighting at the start and end of the working day.
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Affiliation(s)
- Carmen Muñoz-González
- Escuela Técnica Superior de Arquitectura, University of Málaga, 29071 Málaga, Spain; (J.R.-J.); (M.D.J.-D.); (L.M.V.); (V.C.-M.)
- Correspondence: (C.M.-G.); (T.C.-V.)
| | - Jonathan Ruiz-Jaramillo
- Escuela Técnica Superior de Arquitectura, University of Málaga, 29071 Málaga, Spain; (J.R.-J.); (M.D.J.-D.); (L.M.V.); (V.C.-M.)
| | - Teresa Cuerdo-Vilches
- Instituto de Ciencias de la Construcción Eduardo Torroja, (IETcc), Consejo Superior de Investigaciones Científicas (CSIC), 28033 Madrid, Spain
- Correspondence: (C.M.-G.); (T.C.-V.)
| | - Maria Dolores Joyanes-Díaz
- Escuela Técnica Superior de Arquitectura, University of Málaga, 29071 Málaga, Spain; (J.R.-J.); (M.D.J.-D.); (L.M.V.); (V.C.-M.)
| | - Laura Montiel Vega
- Escuela Técnica Superior de Arquitectura, University of Málaga, 29071 Málaga, Spain; (J.R.-J.); (M.D.J.-D.); (L.M.V.); (V.C.-M.)
| | - Victor Cano-Martos
- Escuela Técnica Superior de Arquitectura, University of Málaga, 29071 Málaga, Spain; (J.R.-J.); (M.D.J.-D.); (L.M.V.); (V.C.-M.)
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