Relationship quality and mental health during COVID-19 lockdown
Catastrophes are known to have an impact on relationships as well as on mental health. This study evaluated differences in several mental health and well-being measures according to relationship quality during the Coronavirus Disease (COVID-19) pandemic and related lockdown measures. A cross-section...
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description | Catastrophes are known to have an impact on relationships as well as on mental health. This study evaluated differences in several mental health and well-being measures according to relationship quality during the Coronavirus Disease (COVID-19) pandemic and related lockdown measures. A cross-sectional online survey was launched four weeks after lockdown measures were implemented in Austria. Relationship quality was measured with the Quality of Marriage Index (QMI), and mental health measures included quality of life (WHO-QOL BREF psychological domain), well-being (WHO-5), depression (PHQ-9), anxiety (GAD-7), stress (PSS-10), and sleep quality (ISI). ANOVAs with Bonferroni-corrected post-hoc tests and Chisquared tests were applied. In all mental health scales, individuals with good relationship quality (n = 543) scored better than individuals with poor relationship quality (n = 190) or without relationship (n = 272). The odds ratios (OR) between the poor and good relationship quality groups were 3.5 for the PHQ-9, 3.4 for the GAD-7, and 2.0 for the ISI. Additionally, individuals without no relationship scored better on all scales than individuals with poor relationship quality (all p-values < .05). Relationship quality was related to mental health during COVID-19. The prevalence of depressive symptoms increased according to relationship quality from 13% up to 35%. Relationship per se was not associated with better mental health, but the quality of the relationship was essential. Compared to no relationship, a good relationship quality was a protective factor whereas a poor relationship quality was a risk factor. |
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This study evaluated differences in several mental health and well-being measures according to relationship quality during the Coronavirus Disease (COVID-19) pandemic and related lockdown measures. A cross-sectional online survey was launched four weeks after lockdown measures were implemented in Austria. Relationship quality was measured with the Quality of Marriage Index (QMI), and mental health measures included quality of life (WHO-QOL BREF psychological domain), well-being (WHO-5), depression (PHQ-9), anxiety (GAD-7), stress (PSS-10), and sleep quality (ISI). ANOVAs with Bonferroni-corrected post-hoc tests and Chisquared tests were applied. In all mental health scales, individuals with good relationship quality (n = 543) scored better than individuals with poor relationship quality (n = 190) or without relationship (n = 272). The odds ratios (OR) between the poor and good relationship quality groups were 3.5 for the PHQ-9, 3.4 for the GAD-7, and 2.0 for the ISI. Additionally, individuals without no relationship scored better on all scales than individuals with poor relationship quality (all p-values < .05). Relationship quality was related to mental health during COVID-19. The prevalence of depressive symptoms increased according to relationship quality from 13% up to 35%. Relationship per se was not associated with better mental health, but the quality of the relationship was essential. Compared to no relationship, a good relationship quality was a protective factor whereas a poor relationship quality was a risk factor.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0238906</identifier><identifier>PMID: 32915878</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Aged ; Anxiety ; Anxiety disorders ; Austria ; Biology and Life Sciences ; Care and treatment ; Coronavirus Infections - epidemiology ; Coronavirus Infections - prevention & control ; Coronavirus Infections - psychology ; Coronaviruses ; COVID-19 ; Depression (Mood disorder) ; Disasters ; Disease transmission ; Divorce ; Family Relations ; Female ; Gender ; Health aspects ; Humans ; Insomnia ; Interpersonal Relations ; Male ; Marriage ; Medicine and Health Sciences ; Mental depression ; Mental health ; Mental Health - statistics & numerical data ; Middle Aged ; Pandemics ; Pandemics - prevention & control ; Pneumonia, Viral - epidemiology ; Pneumonia, Viral - prevention & control ; Pneumonia, Viral - psychology ; Population ; Psychological aspects ; Psychotherapy ; Quality of life ; Quarantine ; Quarantine - psychology ; Questionnaires ; Risk analysis ; Risk factors ; Severe acute respiratory syndrome coronavirus 2 ; Shelter in place ; Signs and symptoms ; Sleep ; Social aspects ; Social distancing ; Social Isolation ; Social Sciences ; Socioeconomic Factors ; Stay-at-home orders (Public safety) ; Stress ; Viral diseases ; Well being</subject><ispartof>PloS one, 2020-09, Vol.15 (9), p.e0238906</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Pieh et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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This study evaluated differences in several mental health and well-being measures according to relationship quality during the Coronavirus Disease (COVID-19) pandemic and related lockdown measures. A cross-sectional online survey was launched four weeks after lockdown measures were implemented in Austria. Relationship quality was measured with the Quality of Marriage Index (QMI), and mental health measures included quality of life (WHO-QOL BREF psychological domain), well-being (WHO-5), depression (PHQ-9), anxiety (GAD-7), stress (PSS-10), and sleep quality (ISI). ANOVAs with Bonferroni-corrected post-hoc tests and Chisquared tests were applied. In all mental health scales, individuals with good relationship quality (n = 543) scored better than individuals with poor relationship quality (n = 190) or without relationship (n = 272). The odds ratios (OR) between the poor and good relationship quality groups were 3.5 for the PHQ-9, 3.4 for the GAD-7, and 2.0 for the ISI. 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This study evaluated differences in several mental health and well-being measures according to relationship quality during the Coronavirus Disease (COVID-19) pandemic and related lockdown measures. A cross-sectional online survey was launched four weeks after lockdown measures were implemented in Austria. Relationship quality was measured with the Quality of Marriage Index (QMI), and mental health measures included quality of life (WHO-QOL BREF psychological domain), well-being (WHO-5), depression (PHQ-9), anxiety (GAD-7), stress (PSS-10), and sleep quality (ISI). ANOVAs with Bonferroni-corrected post-hoc tests and Chisquared tests were applied. In all mental health scales, individuals with good relationship quality (n = 543) scored better than individuals with poor relationship quality (n = 190) or without relationship (n = 272). The odds ratios (OR) between the poor and good relationship quality groups were 3.5 for the PHQ-9, 3.4 for the GAD-7, and 2.0 for the ISI. Additionally, individuals without no relationship scored better on all scales than individuals with poor relationship quality (all p-values < .05). Relationship quality was related to mental health during COVID-19. The prevalence of depressive symptoms increased according to relationship quality from 13% up to 35%. Relationship per se was not associated with better mental health, but the quality of the relationship was essential. Compared to no relationship, a good relationship quality was a protective factor whereas a poor relationship quality was a risk factor.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32915878</pmid><doi>10.1371/journal.pone.0238906</doi><tpages>e0238906</tpages><orcidid>https://orcid.org/0000-0003-2708-303X</orcidid><orcidid>https://orcid.org/0000-0002-4110-9112</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Aged Anxiety Anxiety disorders Austria Biology and Life Sciences Care and treatment Coronavirus Infections - epidemiology Coronavirus Infections - prevention & control Coronavirus Infections - psychology Coronaviruses COVID-19 Depression (Mood disorder) Disasters Disease transmission Divorce Family Relations Female Gender Health aspects Humans Insomnia Interpersonal Relations Male Marriage Medicine and Health Sciences Mental depression Mental health Mental Health - statistics & numerical data Middle Aged Pandemics Pandemics - prevention & control Pneumonia, Viral - epidemiology Pneumonia, Viral - prevention & control Pneumonia, Viral - psychology Population Psychological aspects Psychotherapy Quality of life Quarantine Quarantine - psychology Questionnaires Risk analysis Risk factors Severe acute respiratory syndrome coronavirus 2 Shelter in place Signs and symptoms Sleep Social aspects Social distancing Social Isolation Social Sciences Socioeconomic Factors Stay-at-home orders (Public safety) Stress Viral diseases Well being |
title | Relationship quality and mental health during COVID-19 lockdown |
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