Disruption to well-being activities and depressive symptoms during the COVID-19 pandemic: The mediational role of social connectedness and rumination.
COVID-19
Depression
Disrupted routine
Rumination
Social connectedness
Journal
Journal of affective disorders
ISSN: 1573-2517
Titre abrégé: J Affect Disord
Pays: Netherlands
ID NLM: 7906073
Informations de publication
Date de publication:
15 07 2022
15 07 2022
Historique:
received:
07
07
2021
revised:
20
04
2022
accepted:
24
04
2022
pubmed:
1
5
2022
medline:
25
5
2022
entrez:
30
4
2022
Statut:
ppublish
Résumé
Disruption to everyday routine during the COVID-19 pandemic has resulted in considerable implications for global mental health. The inter- and intra-personal mechanisms by which disrupted routine can contribute to elevated depressive symptoms has not been well-explored. The present study aimed to examine how feelings of social (dis)connectedness and rumination, as a maladaptive coping strategy, could explain the association between disrupted well-being activities and depressive symptoms. Participants (N = 496) ranging in age from 18 to 73 years (M = 28.73, SD = 10.93) completed an online survey within the first 3 months of the COVID-19 pandemic, which included measures of disruption to usual psychological and physical well-being activities, social connectedness, rumination, and depressive symptoms. Social connectedness and rumination were investigated as serial mediators of the association between disrupted well-being activities and depression using Hayes' PROCESS macro. 39.5% of the sample reported clinically significant levels of depression. Disruption to well-being activities predicted higher depressive symptoms, and this was partially explained by feelings of social disconnectedness and subsequent rumination. Rumination, alone, was not a significant mediator between disrupted routine and depressive symptoms. The cross-sectional survey design does not preclude the possibility of bidirectional effects. The social distancing public health measures to combat COVID-19 have contributed to widespread disrupted routine, and in turn, elevated symptoms of depression. Social disconnectedness plays a particularly important role in this association. Intervention strategies should consider social factors as a 'social cure' for mass, positive mental health promotion during COVID-19.
Sections du résumé
BACKGROUND
Disruption to everyday routine during the COVID-19 pandemic has resulted in considerable implications for global mental health. The inter- and intra-personal mechanisms by which disrupted routine can contribute to elevated depressive symptoms has not been well-explored. The present study aimed to examine how feelings of social (dis)connectedness and rumination, as a maladaptive coping strategy, could explain the association between disrupted well-being activities and depressive symptoms.
METHODS
Participants (N = 496) ranging in age from 18 to 73 years (M = 28.73, SD = 10.93) completed an online survey within the first 3 months of the COVID-19 pandemic, which included measures of disruption to usual psychological and physical well-being activities, social connectedness, rumination, and depressive symptoms. Social connectedness and rumination were investigated as serial mediators of the association between disrupted well-being activities and depression using Hayes' PROCESS macro.
RESULTS
39.5% of the sample reported clinically significant levels of depression. Disruption to well-being activities predicted higher depressive symptoms, and this was partially explained by feelings of social disconnectedness and subsequent rumination. Rumination, alone, was not a significant mediator between disrupted routine and depressive symptoms.
LIMITATIONS
The cross-sectional survey design does not preclude the possibility of bidirectional effects.
CONCLUSION
The social distancing public health measures to combat COVID-19 have contributed to widespread disrupted routine, and in turn, elevated symptoms of depression. Social disconnectedness plays a particularly important role in this association. Intervention strategies should consider social factors as a 'social cure' for mass, positive mental health promotion during COVID-19.
Identifiants
pubmed: 35489558
pii: S0165-0327(22)00486-4
doi: 10.1016/j.jad.2022.04.142
pmc: PMC9044653
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
274-281Informations de copyright
Copyright © 2022 The Authors. Published by Elsevier B.V. All rights reserved.
Références
Brain Behav Immun. 2020 Oct;89:531-542
pubmed: 32485289
J Affect Disord. 2020 Dec 1;277:55-64
pubmed: 32799105
Ann Intern Med. 2020 Nov 3;173(9):767-770
pubmed: 32598162
Lancet Public Health. 2020 Jan;5(1):e62-e70
pubmed: 31910981
Clin Psychol Psychother. 2021 Mar;28(2):409-421
pubmed: 33037682
Psychiatry Res. 2020 Jun;288:112958
pubmed: 32283450
Glob Health Res Policy. 2020 Jun 5;5:29
pubmed: 32514428
Lancet Psychiatry. 2020 Jun;7(6):547-560
pubmed: 32304649
J Aging Health. 2012 Dec;24(8):1346-63
pubmed: 23006425
Acta Psychiatr Scand. 2020 Sep;142(3):249-256
pubmed: 32716520
Neurosci Biobehav Rev. 2017 Sep;80:57-68
pubmed: 28506925
Soc Psychiatry Psychiatr Epidemiol. 2020 Aug;55(8):1093-1094
pubmed: 32623481
J Clin Psychol. 2011 Dec;67(12):1220-39
pubmed: 22052621
Ageing Soc. 2015 Nov;35(10):2201-2228
pubmed: 26494934
Front Psychol. 2021 Jan 14;11:601899
pubmed: 33519608
Heliyon. 2020 Jun 24;6(6):e04315
pubmed: 32613133
Proc Natl Acad Sci U S A. 2021 Mar 2;118(9):
pubmed: 33571107
Cognit Ther Res. 2010 Oct;34(5):456-466
pubmed: 25429169
J Aging Health. 2008 Oct;20(7):872-93
pubmed: 18815414
PLoS One. 2018 Apr 23;13(4):e0195237
pubmed: 29684053
JAMA. 2020 Mar 17;323(11):1061-1069
pubmed: 32031570
J Abnorm Psychol. 1991 Nov;100(4):569-82
pubmed: 1757671
JMIR Ment Health. 2021 Aug 12;8(8):e29671
pubmed: 34182461
Aust N Z J Psychiatry. 2018 Apr;52(4):365-374
pubmed: 28803484
Lancet Psychiatry. 2020 Apr;7(4):300-302
pubmed: 32085840
Clin Psychol Rev. 2011 Aug;31(6):1032-40
pubmed: 21802618
Transl Behav Med. 2021 Mar 16;11(2):314-322
pubmed: 33447852
Psychol Med. 2021 Apr;51(6):1052-1053
pubmed: 32216863
Soc Sci Med. 2013 Dec;98:179-86
pubmed: 24331897
Psychiatry Res. 2020 Jun;288:112936
pubmed: 32276196
Int Psychogeriatr. 2011 Oct;23(8):1294-300
pubmed: 21729425
J Health Soc Behav. 2009 Mar;50(1):31-48
pubmed: 19413133
World Psychiatry. 2021 Feb;20(1):135-136
pubmed: 33432739
Behav Res Ther. 2008 Apr;46(4):487-95
pubmed: 18316063
Br J Health Psychol. 2020 Nov;25(4):902-911
pubmed: 32573074
Psychol Med. 2004 Apr;34(3):533-41
pubmed: 15259838
J Affect Disord. 2020 Apr 1;266:207-214
pubmed: 32056878
BJPsych Open. 2020 Oct 19;6(6):e125
pubmed: 33070797
Child Youth Serv Rev. 2020 Nov;118:105466
pubmed: 32994656
Asian J Psychiatr. 2020 Jun;51:102114
pubmed: 32334406
Psychiatry Res. 2020 Jun;288:112954
pubmed: 32325383
Behav Res Ther. 2005 Dec;43(12):1673-81
pubmed: 16239157
Ann Fam Med. 2010 Jul-Aug;8(4):348-53
pubmed: 20644190
J Abnorm Psychol. 2013 May;122(2):339-52
pubmed: 23713497
Brain Behav Immun. 2020 Jul;87:40-48
pubmed: 32298802
Psychiatry Investig. 2020 Jun;17(6):491-505
pubmed: 32570296
Perspect Psychol Sci. 2008 Sep;3(5):400-24
pubmed: 26158958
BMC Psychol. 2016 Oct 28;4(1):51
pubmed: 27793188
N Engl J Med. 2020 Aug 6;383(6):510-512
pubmed: 32283003