Mental health during COVID-19 lockdown in the United Kingdom

Objective The coronavirus disease (COVID-19) pandemic and related lockdown measures have raised important questions about the impact on mental health. This study evaluated several mental health and well-being indicators in a large sample from the United Kingdom (UK) during the COVID-19 lockdown where the death rate is currently among the highest in Europe. Methods A cross-sectional online survey with a study sample that mirrors general population norms according to sex, age, education, and region was launched 4 weeks after lockdown measures were implemented in the UK. Measures included mental health–related quality of life (World Health Organization Quality-of-Life Brief Version psychological domain), well-being (World Health Organization Well-Being Index), depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder-7), perceived stress (Perceived Stress Scale-10), and insomnia (Insomnia Severity Index). Analyses of variances, Bonferroni-corrected post hoc tests, and t tests were applied to examine mental health indicators across different sociodemographic groups (age, sex, employment, income, physical activity, relationship status). Results The sample comprised n = 1006 respondents (54% women) from all regions of the UK. Approximately 52% of respondents screened positive for a common mental disorder, and 28% screened positive for clinical insomnia. Mean scores and standard deviations were as follows: Patient Health Questionnaire-9, mean = 9.0 ± 7.7; Generalized Anxiety Disorder-7, mean = 8.0 ± 6.5; Insomnia Severity Index, mean = 10.4 ± 7.0; Perceived Stress Scale-10, mean = 17.7 ± 7.9; World Health Organization Quality-of-Life Brief Version, mean = 58.6 ± 21.4; and World Health Organization Well-Being Index score, mean = 13.0 ± 6.0. Statistical analyses consistently indicated more severe mental health problems in adults younger than 35 years, women, people with no work, and people with low income (all p values < .05). Mental health indices also varied across UK regions. Conclusions The prevalence of depressive, anxiety, and insomnia symptoms is significantly higher in the UK relative to prepandemic epidemiological data. Further studies are needed to clarify the causes for these high rates of mental health symptoms

Does the Test of Self-Counscious Affect (TOSCA) measure maladaptive aspects of guilt and adaptive aspects of shame? An empirical investigation.

The purpose of this study was to examine whether the Test of Self-Conscious Affect (TOSCA; Tangney, J. P., Wagner, P. E., & Gramzow, R. (1989). The-Test of Self-Concious Affect. Fairfax, VA: George Mason University) measures maladaptive forms or aspects of guilt and adaptive aspects of shame that have been described in the literature. First, a judgmental and logical analysis showed that the TOSCA primarily measures mild and adaptive forms and aspects of guilt and maladaptive aspects of shame. Next, principal components analyses (PCAs) in a student (N = 328) and adult (N = 542) sample showed that items that had a high loading on the guilt factor primarily were items that referred to reparative behavior, while items that had high loadings on the shame factor consisted primarily of items that referred to low self-esteem. To investigate to which extent these items were responsible for correlations found with the TOSCA, we constructed a revised guilt scale containing only items that referred to reparative behavior and a revised shame scale consisting of items that only referred to negative self-esteem, and related these to indices of interpersonal and intrapersonal functioning. The revised TOSCA scales reproduced both the pattern and magnitude of correlations obtained with the original TOSCA scales. Thus, taken together, the results of this study support the interpretation of the TOSCA guilt scale as a measure of mild and adaptive forms of guilt and the TOSCA shame scale as a measure of maladaptive aspects associated with shame. Implications of these findings for further research on the nature of guilt and shame are discussed. (C) 2002 Published by Elsevier Science Ltd

Are individual-level and country-level value structures different?: testing Hofstede's legacy With the Schwartz value survey

Hofstede identified four value dimensions at the country level but did not find matching dimensions at the individual level. Schwartz discriminated different sets of value constructs at individual and country-levels, based on separate analyses per level. In this article, the authors directly examine the degree of similarity or isomorphism between the structure of values in individual- and country-level analyses, using multidimensional scaling followed by generalized Procrustes analysis. Using data from the Schwartz Value Survey from 53 and 66 countries, the authors find substantial similarity in structure across levels, but indices fall somewhat short of structural isomorphism. The authors then test hypotheses regarding possible causes of the less than perfect isomorphism between the levels. Number of countries (sample size at country level) and structural shifts in individual items account for some of the lack of isomorphism. Implications for future cross-cultural research are discussed