COVID-19 Lockdown and its Impact on Mental Health in Various Population Groups in Greece: A Cross-Sectional Study




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Argyropoulos K, Krikonis K, Jelastopulu E. COVID-19 Lockdown and its Impact on Mental Health in Various Population Groups in Greece: A Cross-Sectional Study. Integr J Med Sci [Internet]. 2021 Mar. 8 [cited 2024 Jun. 15];8. Available from:


Introduction: COVID-19 pandemic and lockdown has brought a serious impact on physical and mental health. Objective: The purpose of the present study was to estimate the impact of the first lockdown in Greece, on both quality of life and anxiety levels in different occupational groups. Methods: A cross-sectional online survey was conducted from the 20th of April to the 4th of May 2020. A 24-item anonymous questionnaire was administered to collect basic demographic and socioeconomic data. The 5-item WHO Well-Being Index (WHO-5, 0-100%, cut-off 52%) and the Generalized Anxiety Disorder Assessment (GAD-7) tools were used to assess well-being and anxiety, respectively. Statistical analysis was performed with SPSS for Windows v.24.0 Statistical Package. Results: A total of 575 participated in the study, 62.8% females, 48.5% aged between 40 to 59 years. 32.5% were employed in the education sector, 32.5% in the health sector, and 20.3% as season workers in the tourism sector. Males showed slightly higher levels of well-being (52.1 vs. 47.3, p=0.023) and lower levels of anxiety (7.1 vs. 8.2, p=0.023) compared to females. Factors associated with higher well-being and lower anxiety were higher education and income level, optimism, taking fewer protection measures, and being a seasonal worker. Furthermore, participants with comorbidities and symptoms like headache, musculoskeletal pain, as well as feeling depressed or stressed revealed lower well-being and higher anxiety scores. Conclusion: Our study revealed overall poor well-being and mild to moderate levels of anxiety during the lockdown. Actions should be taken to address and prevent its serious impact on mental health.


Brooks S, Webster R, Smith L, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet. 2020; 395: 912-920.

WHO. COVID 19 Public Health Emergency of International Concern (PHEIC) Global Research and Innovation Forum: Towards a Research Roadmap. R&D Blueprint: World Health Organization. 2020; 1–7. [Accessed 2020 Nov 30]. Available From:

Centers for Disease Control and Prevention Quarantine and isolation[Accessed 2020 Nov 30]. Available from:

Burhamah W, Alkhayyat A, Oroszlanyova M, Alkenane A, Almansour, A, Behbehani Met, al. The psychological burden of the COVID-19 pandemic and associated

COVID-19 Lockdown and its Impact on Mental Health in Greecelockdown measures: Experience from 4000 participants. J Affect Diso. 2020; 277: 977-985.

KamerādeD, Wang S, Burchell B, Balderson SU, Coutts, A. A shorter working week for everyone: how much paid work is needed for mental health and well-being? Soc Sci Med. 2019;112353.

Lai J, Ma S, Wang,Y, Cai Z, Hu J, WeiN, Tan H. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA. 2020; 3: e203976.

Bech P. Health-related quality of life measurements in the assessment of pain clinic results. Acta Anaesthesiol Scand. 1999; 43:893–896.

Spitzer RL, Kroenke K, Williams JBW, Lowe B. A brief measure for assessing generalized anxiety disorder. Arch Inern Med. 2006; 166:1092-1097.

Torales J, O'Higgins M, Castaldelli-Maia JM, Ventriglio A. The outbreak of COVID-19 coronavirus and its impact on global mental health. Int J Soc Psychiatry. 2020; 0020764020915212.

Chen Q, Liang M, Li, Y, GuoJ, Fei D, Wang L, et al. Mental health care for medical staff in China during the COVID-19 outbreak. Lancet Psychiatry. 2020;7(4): 15–6.

Pfefferbaum, B, North CS. Mental health and theCovid-19 pandemic. N Engl J Med. 2020; 383: 510–512.

Zhou, X. Psychological crisis interventions in Sichuan Province during the 2019 novel coronavirus outbreak. Psychiatry Res. 2020; 286: 112895.

Duan L, Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. Lancet Psychiatry. 2020; 7: 300–302.

Yang L, Yin J, Wang D, Rahman A, Li X. Urgent need to develop evidence-based self-help interventions for mental health of healthcare workers in COVID-19 pandemic. Psychol Med. 2020; 1–2.

Ho CS, Chee C, Ho R. Mental health strategies to combat the psychological impact of coronavirus disease 2019 (COVID-19) beyond paranoia and panic. Ann Acad Med Singapore. 2020; 49: 1–6. [Accessed 2020 Nov 30]. Available from:

Luo M, Guo L, Yu M, Wang H. The psychological and mental impact of Coronavirus disease 2019 (COVID-19) on medical staff and general public—A systematic review and meta-analysis. Psychiatry Res. 2020; 291: 113190.

Du J, Dong L, Wang T, Yuan C, Fu R, Zhang L, et al. Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan. Gen Hosp Psychiatry. 2020; S0163-8343(20): 30045-300451.

Kim Y. Nurses' experiences of care for patients with Middle East respiratory syndrome-coronavirus in South Korea. Am J Infect Control. 2018; 46:781–787.

Khalid I, Khalid TJ, Qabajah MR, Barnard AG, Qushmaq IA. Healthcare workers emotions, perceived stressors and coping strategies during MERS-CoV outbreak. Clin Med Res. 2016;1303:1–22.

SunN, Shi S, Jiao D, Jiao D, Song R, Ma L. A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control. 2020; 48(6): 592-598.

Salazar de Pablo G, Vaquerizo-Serrano J, Catalan A, Arango C, Moreno C, Ferre F et al. Impact of coronavirus syndromes on physical and mental health of health care workers: systematic review and meta-analysis. J Affect Disord. 2020; 275: 48–57.

O'Neill J W, Davis K. Work stress and well-being in the hotel industry. IJHosp Man. 2011; 30 (2):385–390.

Karatepe OS, Tizabi LZ. Work-related depression in the hotel industry:A study in the United Arab Emirates. I J Cont Hosp Man. 2011;23(5): 608–623.

Ross GF. Tourism industry employee work stress—A present and future crisis. J Trav Tour Man. 2005; 19 (2/3): 133–147.

Sönmez S, Apostolopoulos Y, Lemke MK, Hsieh YCJ. Understanding the effects of COVID-19 on the health and safety of immigrant hospitality workers in the United States. Tour Man Persp. 2020; 35: 100717.

Kang HS, Son YD, Chae SM, Corte C. Working experiences of nurses during the Middle East respiratory syndrome outbreak. Int J Nurs Pract. 2018;24:e12664.

Sagone E, De Caroli ME. A correlational study on dispositional resilience, psychological well-being, and coping strategies in university students. Am J Educ Res. 2014; 2: 463–471.

Hjemdal O, Vogel PA, Solem S, Hagen K, Stiles TC. The relationship between resilience and levels of anxiety, depression, and obsessive-compulsive symptoms in adolescents. Clin Psychol Psychother. 2010; 18 :314–321.

KrauseN. Disparities in prevalence, treatment, and control of hypertension among low wage immigrant workers beyond health insurance coverage: The Las Vegas Hotel room Cleaners Blood Pressure Study. JHyper Mana. 2015; 1(1):1–8.

Rosemberg MS, Ghosh B, Shaver J, Militzer M, Seng J, McCullagh M. Blood pressure and job domains among hotel housekeepers. JH Disp Res Pract. 2018;11(3): 101–115.

Hsieh J, Sönmez S, Apostolopoulos Y, Lemke M. Perceived workplace mistreatment by latina hotel housekeepers. J Prev AssReh. 2017; 56(1): 55–65.

Hsieh Y, Apostolopoulos Y, SönmezS. World at work: Hotel cleaners. OccuEnviMed. 2013; 70(5): 360–364.

Hsieh Y, Apostolopoulos Y, Hatzudis K, Sönmez S. Occupational exposures and health outcomes among hispanic hotel cleaners. Hisp H Care Inter. 2014; 12(1): 6–15.

Feaster M, Arah OA, KrauseN. Effort-reward imbalance and ambulatory blood pressure among female Las Vegas hotel room cleaners. Am JInd Med. 2019; 62(6):523–534.

Killgore WDS, Taylor EC, Cloonan SA, Dailey NS. Psychological resilience during the COVID-19 lockdown. Psychiatry Res. 2020; 291: 113216.

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Copyright (c) 2021 Argyropoulos K et al.


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