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. 2023 Nov 3;23(1):829.
doi: 10.1186/s12909-022-03858-x.

The lockdown experience scale for students (LESS)

Affiliations

The lockdown experience scale for students (LESS)

Ronán M Conroy et al. BMC Med Educ. .

Abstract

Background: The Covid-19 pandemic has resulted in many student populations learning online in lockdown. While the mental health consequences of lockdown are increasingly understood, the core features of 'cabin fever' - the experience of lockdown - are poorly described.

Methods: We conducted a questionnaire survey of 649 undergraduate medicine and health sciences students. Item content was developed based on current literature and input from student representatives.

Results: Mokken scaling identified seven questions that together formed a strongly unidimensional scale which comprised two domains: social isolation/cabin fever and demotivation / demoralisation. Scale scores were significantly associated with depression, self-rated mental health, impaired study efficacy and doomscrolling.

Conclusions: The adverse effects of lockdown on student wellbeing appear to be driven to an important extent by an experience of isolation and demotivation that corresponds to narrative descriptions of cabin fever. In the foreseeable event of future pandemics, these experiences are a promising target for health promotion in students studying in lockdown.

Keywords: Cabin fever; Covid-19; Demotivation; Depression; Lockdown; Social isolation; Students; Wellbeing.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Network structure of the LESS items
Fig. 2
Fig. 2
Lockdown Experience Scale for Students scores and demographic variables
Fig. 3
Fig. 3
Lockdown Experience Scale for Students scores and wellbeing, academic efficacy

References

    1. Woolhouse M, Scott F, Hudson Z, Howey R, Chase-Topping M. Human viruses: discovery and emergence. Philos Trans R Soc B Biol Sci. 2012;367(1604):2864–2871. doi: 10.1098/rstb.2011.0354. - DOI - PMC - PubMed
    1. Dobson AP, Pimm SL, Hannah L, Kaufman L, Ahumada JA, Ando AW, et al. Ecology and economics for pandemic prevention. Science. 2020;369(6502):379–381. doi: 10.1126/science.abc3189. - DOI - PubMed
    1. Osterholm MT. Preparing for the next pandemic. N Engl J Med. 2005;352(18):1839–1842. doi: 10.1056/NEJMp058068. - DOI - PubMed
    1. Holmes EA, O'Connor RC, Perry VH, Tracey I, Wessely S, Arseneault L, et al. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. Lancet Psychiatry. 2020;7(6):547–560. doi: 10.1016/S2215-0366(20)30168-1. - DOI - PMC - PubMed
    1. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912–920. doi: 10.1016/S0140-6736(20)30460-8. - DOI - PMC - PubMed