dc.contributor.author | Fineberg, Naomi | |
dc.contributor.author | Pellegrini, Luca | |
dc.contributor.author | Wellsted, David | |
dc.contributor.author | Hall, Natalie | |
dc.contributor.author | Corazza, Ornella | |
dc.contributor.author | Giorgetti, Valentina | |
dc.contributor.author | Cicconcelli, Dorotea | |
dc.contributor.author | Theofanous, Elena | |
dc.contributor.author | Sireau, Nick | |
dc.contributor.author | Adam, David | |
dc.contributor.author | Chamberlain, Samuel R. | |
dc.contributor.author | Laws, Keith | |
dc.date.accessioned | 2021-08-16T12:00:01Z | |
dc.date.available | 2021-08-16T12:00:01Z | |
dc.date.issued | 2021-09-01 | |
dc.identifier.citation | Fineberg , N , Pellegrini , L , Wellsted , D , Hall , N , Corazza , O , Giorgetti , V , Cicconcelli , D , Theofanous , E , Sireau , N , Adam , D , Chamberlain , S R & Laws , K 2021 , ' Facing the “new normal”: How adjusting to the easing of COVID-19 lockdown restrictions exposes mental health inequalities ' , Journal of Psychiatric Research , vol. 141 , pp. 276-286 . https://doi.org/10.1016/j.jpsychires.2021.07.001 | |
dc.identifier.issn | 0022-3956 | |
dc.identifier.other | ORCID: /0000-0001-7371-319X/work/98163913 | |
dc.identifier.other | ORCID: /0000-0002-3635-7699/work/100872284 | |
dc.identifier.other | ORCID: /0000-0002-2855-2865/work/121257616 | |
dc.identifier.other | ORCID: /0000-0002-5065-0867/work/124446459 | |
dc.identifier.other | ORCID: /0000-0002-2895-7838/work/106342671 | |
dc.identifier.uri | http://hdl.handle.net/2299/24980 | |
dc.description | © 2021 Published by Elsevier Ltd. This is the accepted manuscript version of an article which has been published in final form at https://doi.org/10.1016/j.jpsychires.2021.07.001 | |
dc.description.abstract | BACKGROUND: Re-establishing societal norms in the wake of the COVID-19 pandemic will be important for restoring public mental health and psychosocial wellbeing as well as economic recovery. We investigated the impact on post-pandemic adjustment of a history of mental disorder, with particular reference to obsessive-compulsive (OC) symptoms or traits. METHODS: The study was pre-registered (Open Science Framework; https://osf.io/gs8j2/). Adult members of the public (n = 514) were surveyed between July and November 2020, to identify the extent to which they reported difficulties re-adjusting as lockdown conditions eased. All were assessed using validated scales to determine which demographic and mental health-related factors impacted adjustment. An exploratory analysis of a subgroup on an objective online test of cognitive inflexibility was also performed. RESULTS: Adjustment was related to a history of mental disorder and the presence of OC symptoms and traits, all acting indirectly and statistically-mediated via depression, anxiety and stress; and in the case of OC symptoms, also via COVID-related anxiety (all p < 0.001). One hundred and twenty-eight (25%) participants reported significant adjustment difficulties and were compared with those self-identifying as "good adjusters" (n = 231). This comparison revealed over-representation of those with a history or family history of mental disorder in the poor adjustment category (all p < 0.05). 'Poor-adjusters' additionally reported higher COVID-related anxiety, depression, anxiety and stress and OC symptoms and traits (all p < 0.05). Furthermore, history of mental disorder directly statistically mediated adjustment status (p < 0.01), whereas OC symptoms (not OC traits) acted indirectly via COVID-related anxiety (p < 0.001). Poor-adjusters also showed evidence of greater cognitive inflexibility on the intra-extra-dimensional set-shift task. CONCLUSION: Individuals with a history of mental disorder, OC symptoms and OC traits experienced greater difficulties adjusting after lockdown-release, largely statistically mediated by increased depression, anxiety, including COVID-related anxiety, and stress. The implications for clinical and public health policies and interventions are discussed. | en |
dc.format.extent | 11 | |
dc.format.extent | 671607 | |
dc.language.iso | eng | |
dc.relation.ispartof | Journal of Psychiatric Research | |
dc.subject | COVID-19 | |
dc.subject | Cognitive inflexibility | |
dc.subject | Lockdown release | |
dc.subject | Mental-health | |
dc.subject | Obsessive-compulsive | |
dc.subject | Pandemic | |
dc.subject | Anxiety/epidemiology | |
dc.subject | Pandemics | |
dc.subject | Health Status Disparities | |
dc.subject | Humans | |
dc.subject | Mental Health | |
dc.subject | Communicable Disease Control | |
dc.subject | SARS-CoV-2 | |
dc.subject | Depression/epidemiology | |
dc.subject | Adult | |
dc.subject | Psychiatry and Mental health | |
dc.subject | Biological Psychiatry | |
dc.title | Facing the “new normal”: How adjusting to the easing of COVID-19 lockdown restrictions exposes mental health inequalities | en |
dc.contributor.institution | Centre for Health Services and Clinical Research | |
dc.contributor.institution | Cognitive Neuropsychology | |
dc.contributor.institution | School of Life and Medical Sciences | |
dc.contributor.institution | Department of Clinical, Pharmaceutical and Biological Science | |
dc.contributor.institution | Department of Psychology, Sport and Geography | |
dc.contributor.institution | Health Research Methods Unit | |
dc.contributor.institution | Basic and Clinical Science Unit | |
dc.contributor.institution | Centre for Research in Psychology and Sports | |
dc.contributor.institution | Psychology | |
dc.contributor.institution | Centre for Future Societies Research | |
dc.contributor.institution | Psychopharmacology, Drug Misuse and Novel Psychoactive Substances Unit | |
dc.contributor.institution | Psychology and NeuroDiversity Applied Research Unit | |
dc.description.status | Peer reviewed | |
dc.date.embargoedUntil | 2022-07-06 | |
dc.identifier.url | http://www.scopus.com/inward/record.url?scp=85109950002&partnerID=8YFLogxK | |
rioxxterms.versionofrecord | 10.1016/j.jpsychires.2021.07.001 | |
rioxxterms.type | Journal Article/Review | |
herts.preservation.rarelyaccessed | true | |