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Social-ecological factors affecting depression and anxiety during COVID-19: The role of parental status, household characteristics and outdoor access

Jones, Abbeygail; (2024) Social-ecological factors affecting depression and anxiety during COVID-19: The role of parental status, household characteristics and outdoor access. Doctoral thesis (D.Clin.Psy), UCL (University College London).

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Abstract

This thesis explores the impact of relational and environmental factors on mental health outcomes, focusing primarily on adult populations. Part 1 is a systematic narrative review of literature exploring the impact of multigenerational household compositions on mental health outcomes of working age adults and children. The review summarises 62 papers across a range of settings, highlighting the need for better operationalisation of multigenerational living to establish the relationship between household compositions mental health. Part 2 is an empirical study informed by the Social Ecological Model of health aiming to understand the contribution of individual, relational, community and societal factors on depression and anxiety symptoms in adults during the COVID-19 pandemic. Secondary analysis was conducted on survey responses from a longitudinal, prospective global study (COVID-19 Global Social Trust and Mental Health Study) carried out between April 2020 and July 2021. Structural equation modelling estimated patterns of mental health outcomes and associations with independent variables of gender, age, ethnicity, socioeconomic status, parental status, household chaos and crowding, outdoor access, and lockdown stringency over multiple timepoints. These findings have implications for clinical interventions and public health policies. Part 3 is a critical appraisal of the research process, reflecting on the knowledge and skills applied and developed when completing the thesis. In addition, the appraisal outlines the theoretical perspectives which influenced the research questions and implications of both the literature review and empirical paper. Finally, this section discusses the dilemmas faced during the research process and how these were overcome when making methodological decisions.

Type: Thesis (Doctoral)
Qualification: D.Clin.Psy
Title: Social-ecological factors affecting depression and anxiety during COVID-19: The role of parental status, household characteristics and outdoor access
Language: English
Additional information: Copyright © The Author 2024. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licence (https://creativecommons.org/licenses/by-nc/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10197597
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