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2 results

  • Chapter 53 - Compliance with UK Government Measures During the COVID-19 Pandemic: Patterns, Predictors, and Consequences

  • from Section 6 - Designing, Leading, and Managing Responses to Emergencies and Pandemics
  • Edited by Richard Williams, University of South Wales, Verity Kemp, Independent Health Emergency Planning Consultant, Keith Porter, University of Birmingham, Tim Healing, Worshipful Society of Apothecaries of London, John Drury, University of Sussex
  • Book:
    Major Incidents, Pandemics and Mental Health
    Published online:
    11 January 2024
    Print publication:
    01 February 2024, pp 403-410

  • Summary

    During the COVID-19 pandemic, governments implemented a range of measures, ranging from public health campaigns promoting regular hand washing, wearing face masks, and practising social distancing, to closing businesses, restrictions on travel, prohibition of household mixing, and implementation of shelter-in-place lockdown orders. Although many of these measures were backed with the threat of fines or imprisonment, ultimately compliance requires active cooperation on the part of citizens, and some of these measures, notably closing businesses and implementing lockdown orders, entailed significant disruption to citizens’ lives, with potentially large material, financial, and psychosocial costs. This chapter summarises the literature on the patterns, determinants, and consequences of citizens’ preventive behaviours during COVID-19, paying particular attention to the role of socioeconomic factors in determining compliance. It offers some general lessons that may be applied to future pandemics.

  • Psychological symptoms, mental fatigue and behavioural adherence after 72 continuous days of strict lockdown during the COVID-19 pandemic in Argentina

  • Fernando Torrente, Adrian Yoris, Daniel Low, Pablo Lopez, Pedro Bekinschtein, Gustavo H. Vázquez, Facundo Manes, Marcelo Cetkovich
  • Journal:
    BJPsych Open / Volume 8 / Issue 1 / January 2022
    Published online by Cambridge University Press:
    10 December 2021, e10
    • Article
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  • Background

    An early and prolonged lockdown was adopted in Argentina during the first wave of COVID-19. Early reports evidenced elevated psychological symptoms.

    Aims

    To explore if the prolonged lockdown was associated with elevated anxiety and depressive symptoms; if mental fatigue was associated with lockdown adherence (a phenomenon called ‘behavioural fatigue’); and if financial concerns were associated with lockdown adherence and emotional symptoms.

    Method

    The survey included standardised questionnaires to assess depressive (PHQ-9) and anxious (GAD-7) symptoms, mental fatigue, risk perception, lockdown adherence, financial concerns, daily stress, loneliness, intolerance to uncertainty, negative repetitive thinking and cognitive problems. LASSO regression analyses were carried out to predict depression, anxiety and lockdown adherence

    Results

    The survey reached 3617 adults (85.2% female) from all provinces of Argentina after 72 days of lockdown. Data were collected between 21 May 2020 and 4 June 2020. In that period, Argentina had an Oxford stringency index of 85/100. Of those surveyed, 45.6% and 27% met the cut-offs for depression and anxiety, respectively. Mental fatigue, cognitive failures and financial concerns were correlated with psychological symptoms, but not with adherence to lockdown. In regression models, mental fatigue, cognitive failures and loneliness were the most important variables to predict depression, intolerance to uncertainty and lockdown difficulty were the most important for anxiety, and perceived threat was the most important for predicting lockdown adherence.

    Conclusions

    During the extended lockdown, psychological symptoms increased, being enhanced by mental fatigue, cognitive difficulties and financial concerns. We found no evidence of behavioural fatigue. Thus, feeling mentally fatigued is not the same as being behaviourally fatigued.