title: Effects of home confinement on mental health and lifestyle behaviours during the COVID-19 outbreak: insights from the ECLB-COVID19 multicentre study
Creators: name: Ammar, Achraf
name: Trabelsi, Khaled
name: Brach, Michael
name: Chtourou, Hamdi
name: Boukhris, Omar
name: Masmoudi, Liwa
name: Bouaziz, Bassem
name: Bentlage, Ellen
name: How, Daniella
name: Ahmed, Mona
name: Mueller, Patrick
name: Müller, Notger Germar
name: Hammouda, Omar
name: Paineiras-Domingos, Laisa Liane
name: Braakman-Jansen, Annemarie
name: Wrede, Christian
name: Bastoni, Sophia
name: Pernambuco, Carlos Soares
name: Mataruna, Leonardo
name: Taheri, Morteza
name: Irandoust, Khadijeh
name: Khacharem, Aïmen
name: Bragazzi, Nicola Luigi
name: Strahler, Jana
name: Adrian, Jad
name: Andreeva, Albina
name: Glenn, Jordan M.
name: Bott, Nicholas T.
name: Gargouri, Faiez
name: Chaari, Lotfi
name: Batatia, Hadj
name: Khoshnami, Samira C.
name: Samara, Evangelia
name: Zisi, Vasiliki
name: Sankar, Parasanth
name: Ahmed, Waseem N.
name: Ali, Gamal Mohamed
name: Abdelkarim, Osama
name: Jarraya, Mohamed
name: El Abed, Kais
name: Moalla, Wassim
name: Romdhani, Mohamed
name: Aloui, Asma
name: Souissi, Nizar
name: Gemert-Pijnen, Lisette van
name: Riemann, Bryan L.
name: Riemann, Laurel
name: Delhey, Jan
name: Gómez-Raja, Jonathan
name: Epstein, Monique
name: Sanderman, Robbert
name: Schulz, Sebastian
name: Jerg, Achim
name: Al-Horani, Ramzi
name: Mansi, Taysir
name: Jmail, Mohamed
name: Barbosa, Fernando
name: Ferreira-Santos, Fernando
name: Šimunič, Boštjan
name: Pišot, Rado
name: Pišot, Saša
name: Gaggioli, Andrea
name: Zmijewski, Piotr
name: Bailey, Stephen J.
name: Steinacker, Jürgen
name: Chamari, Karim
name: Driss, Tarak
name: Hoekelmann, Anita
Publisher: name: University of Muenster, Institutional Repository MIAMI
Year: 2023
Subjects: subject: 610 Medicine and health

description: Although recognised as effective measures to curb the spread of the COVID-19 outbreak, social distancing and self-isolation have been suggested to generate a burden throughout the population. To provide scientific data to help identify risk factors for the psychosocial strain during the COVID-19 outbreak, an international cross-disciplinary online survey was circulated in April 2020. This report outlines the mental, emotional and behavioural consequences of COVID-19 home confinement. The ECLB-COVID19 electronic survey was designed by a steering group of multidisciplinary scientists, following a structured review of the literature. The survey was uploaded and shared on the Google online survey platform and was promoted by thirty-five research organizations from Europe, North Africa, Western Asia and the Americas. Questions were presented in a differential format with questions related to responses "before" and "during" the confinement period. 1047 replies (54% women) from Western Asia (36%), North Africa (40%), Europe (21%) and other continents (3%) were analysed. The COVID-19 home confinement evoked a negative effect on mental wellbeing and emotional status (P &lt; 0.001; 0.43 ≤ d ≤ 0.65) with a greater proportion of individuals experiencing psychosocial and emotional disorders (+10% to +16.5%). These psychosocial tolls were associated with unhealthy lifestyle behaviours with a greater proportion of individuals experiencing (i) physical (+15.2%) and social (+71.2%) inactivity, (ii) poor sleep quality (+12.8%), (iii) unhealthy diet behaviours (+10%), and (iv) unemployment (6%). Conversely, participants demonstrated a greater use (+15%) of technology during the confinement period. These findings elucidate the risk of psychosocial strain during the COVID-19 home confinement period and provide a clear remit for the urgent implementation of technology-based intervention to foster an Active and Healthy Confinement Lifestyle AHCL).