TY - JOUR
T1 - Mental health, quality of life and self-management behaviours
T2 - online evaluation of inflammatory arthritis patients over 1 year of COVID-19 lockdowns
AU - Sweeney, Melissa
AU - Carpenter, Lewis
AU - de Souza, Savia
AU - Chaplin, Hema
AU - Tung, Hsiu
AU - Caton, Emma
AU - Galloway, James
AU - Cope, Andrew
AU - Yates, Mark
AU - Nikiphorou, Elena
AU - Norton, Sam
N1 - Publisher Copyright:
© 2023 The Author(s). Published by Oxford University Press on behalf of the British Society for Rheumatology.
PY - 2024
Y1 - 2024
N2 - Objective: Patients with inflammatory arthritis were especially vulnerable to the psychosocial and health impacts of coronavirus disease 2019 (COVID-19) and the lockdowns. This study investigated the impact of these changes on mental health, physical health and quality of life for inflammatory arthritis patients over 1 year following the initial lockdown in the UK. Methods: Three hundred and thirty-eight participants with inflammatory arthritis completed an ambidirectional study consisting of online questionnaires at four time points for 1 year. The questionnaires assessed demographic information, inflammatory arthritis condition, mental health, physical symptoms, self-management behaviours, COVID-19 status and impacts. Means, linear regressions and structural equation modelling for mediations were conducted over 12 months. Results: Physical health concerns peaked during June 2020, then declined, but did not return to baseline. Depression was associated with worse quality of life at baseline, as shown by the beta coefficient, (β= 0.94, P < 0.01), September (β = 0.92, P < 0.01), November (β= 0.77, P < 0.01) and 1 year (β = 0.77, P < 0.01). Likewise, anxiety was associated with worse quality of life at baseline (β = 1.92, P < 0.01), September (β = 2.06, P < 0.01), November (β = 1.66, P = 0.03) and 1 year (β = 1.51, P = 0.02). The association between depression and quality of life was mediated by physical activity (β= 0.13, P < 0.01) at baseline. The association between anxiety and quality of life was also mediated by physical activity (β = 0.25, P = 0.04) at baseline. Conclusion: Physical health continued to be worse 1 year later compared with before the COVID-19 lockdowns in patients with inflammatory arthritis. Mental health showed long-Term effects on quality of life, with an impact for ≥12 months. Lastly, physical activity mediated between mental health and quality of life in the short term.
AB - Objective: Patients with inflammatory arthritis were especially vulnerable to the psychosocial and health impacts of coronavirus disease 2019 (COVID-19) and the lockdowns. This study investigated the impact of these changes on mental health, physical health and quality of life for inflammatory arthritis patients over 1 year following the initial lockdown in the UK. Methods: Three hundred and thirty-eight participants with inflammatory arthritis completed an ambidirectional study consisting of online questionnaires at four time points for 1 year. The questionnaires assessed demographic information, inflammatory arthritis condition, mental health, physical symptoms, self-management behaviours, COVID-19 status and impacts. Means, linear regressions and structural equation modelling for mediations were conducted over 12 months. Results: Physical health concerns peaked during June 2020, then declined, but did not return to baseline. Depression was associated with worse quality of life at baseline, as shown by the beta coefficient, (β= 0.94, P < 0.01), September (β = 0.92, P < 0.01), November (β= 0.77, P < 0.01) and 1 year (β = 0.77, P < 0.01). Likewise, anxiety was associated with worse quality of life at baseline (β = 1.92, P < 0.01), September (β = 2.06, P < 0.01), November (β = 1.66, P = 0.03) and 1 year (β = 1.51, P = 0.02). The association between depression and quality of life was mediated by physical activity (β= 0.13, P < 0.01) at baseline. The association between anxiety and quality of life was also mediated by physical activity (β = 0.25, P = 0.04) at baseline. Conclusion: Physical health continued to be worse 1 year later compared with before the COVID-19 lockdowns in patients with inflammatory arthritis. Mental health showed long-Term effects on quality of life, with an impact for ≥12 months. Lastly, physical activity mediated between mental health and quality of life in the short term.
UR - http://www.scopus.com/inward/record.url?scp=85180116672&partnerID=8YFLogxK
U2 - 10.1093/rap/rkad103
DO - 10.1093/rap/rkad103
M3 - Article
C2 - 38089501
SN - 2514-1775
VL - 8
JO - Rheumatology Advances in Practice
JF - Rheumatology Advances in Practice
IS - 1
M1 - rkad103
ER -
