Impact of COVID-19 Lockdown on Lifestyle and Psychosocial Stress - An Online Survey


  • Divya R Nair Junior Resident, MES Medical College, Perinthalmanna
  • Velayudhan Rajmohan Professor of Psychiatry, MES Medical College, Perinthalmanna, Kerala
  • Raghuram TM Professor of Psychiatry, MES Medical College, Perinthamanna



COVID 19, Lockdown, Lifestyle changes, Psychosocial Stress, Quality of life


Background: In addition to the socioeconomic problems, COVID-19 related lockdown may have profound mental health consequences. Aims and Objectives: The objectives were to assess the influence of lockdown on lifestyle, psychosocial stresses and experienced quality of life (QOL). The study also assesses the association of the socio-demographic variables with lifestyle, psychosocial stress and QOL. Methodology: An online survey on the lifestyle changes, psychosocial stress and QOL were conducted using a validated questionnaire via the Google forms platform. The data collected were analysed using parametric and nonparametric tests. Results: The study included 263 respondents. The fear of developing COVID-19 was reported by 67.7%, 31.2% experienced weight gain, internet use was increased in 66.9%, and alcoholism and smoking decreased by 83.3% and 58.8% respectively. Lockdown upset 48.3% moderately, and 36.1% experienced anxiety, 23.4% feared job loss and 51.3% had financial worries. 91.1% of the study population reported fair to good QOL. Females showed significantly more religiosity, (?2= 7.81; p= 0.02) did lesser exercise, (?2= 10.9; p= 0.023) and had poor mood. (t=2.68; p=0.009) Older people were less afraid of COVID-19 infection and were less upset by the lockdown. The urban population were more fearful of COVID-19 and were more upset by the lockdown. Conclusion: Lockdown had a major effect on lifestyle and increased psychosocial stress, but people still experienced a fair QOL during this period.







Novel Coronavirus (2019-nCoV) situation reports - World Health Organization (WHO). (Accessed on 15.05.2020)

Gettleman J, Schultz K. Modi Orders 3-Week Total Lockdown for All 1.3 Billion Indians. https:// www. nytimes. com/ 2020/ 03/ 24/ world/asia/india-coronavirus-lockdown.html. (Accessed on 15.05.2020)

Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020 Mar 14; 395(10227):912-920.

Rahman AP. Isolation and mental health: the psychological impact of lockdown. (Accessed on 15.05.2020)

Gao J, Zheng P, Jia Y, Chen H, Mao Y, Chen S, et al. Mental health problems and social media exposure during COVID-19 outbreak. PLoS ONE. 2020; 15(4): e0231924

Cohen S, Kamarck, T, Mermelstein R. A global measure of perceived stress. Journal of Health and Social Behavior. 1983; 24, 386-396.

Eysenbach G, Wyatt J. Using the Internet for surveys and health research. J Med Internet Res. 2002 Apr-Nov;4(2): E13. doi: 10.2196/jmir.4.2. e13.

Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int. J. Environ. Res. Public Health. 2020; 17 (5): E1729.

Joshi R, Santoshi JA, Rai N, Pakhare A. Prevalence and Patterns of Coexistence of Multiple Chronic Conditions: A Study from Indian Urban Outpatient Setting. J Family Med Prim Care. 2015 Jul-Sep;4(3):411-5.

Murthy RS. National Mental Health Survey of India 2015-2016. Indian J Psychiatry. 2017 Jan-Mar;59(1):21-26.

Murthy P, Manjunatha N, Subodh BN, Chand PK, Benegal V. Substance use and addiction research in India. Indian J Psychiatry. 2010 Jan;52(Suppl 1): S189-99.

Zhang Y, Ma ZF. Impact of the COVID-19 Pandemic on Mental Health and Quality of Life among Local Residents in Liaoning Province, China: A Cross-Sectional Study. Int J Environ Res Public Health. 2020 Mar 31;17(7):2381.

Yuan S, Liao Z, Huang H, Jiang B, Zhang X, Wang Y, Zhao M. Comparison of the Indicators of Psychological Stress in the Population of Hubei Province and Non-Endemic Provinces in China During Two Weeks During the Coronavirus Disease 2019 (COVID-19) Outbreak in February 2020. Med Sci Monit. 2020 Apr 15; 26: e923767. doi: 10.12659/MSM.923767.

Rosen JB, Schulkin J. From normal fear to pathological anxiety. Psychol Rev. 1998;105(2):325?350.

Casagrande M, Favieri F, Tambelli R, Forte G. The enemy who sealed the world: Effects quarantine due to the COVID-19 on sleep quality, anxiety, and psychological distress in the Italian population. Sleep Med. 2020 May 12.

Mattioli AV, Ballerini Puviani M, NasiM, Farinetti A.. COVID-19 pandemic: the effects of quarantine on cardiovascular risk. Eur J Clin Nutr. 2020.

Hussain A, Weisaeth L, Heir T. Changes in religious beliefs and the relation of religiosity to posttraumatic stress and life satisfaction after a natural disaster. Soc Psychiatry Psychiatr Epidemiol. 2011 Oct; 46(10):1027-32.

Davidson JR, Connor KM, Lee LC. Beliefs in karma and reincarnation among survivors of violent trauma: a community survey. Soc Psychiatr Epidemiol. 2005; 40:120–125.

Calhoun LG, Tedeschi RG. The foundations of posttraumatic growth: An expanded framework. In Calhoun LG and Tedeschi RG (Eds.), The handbook of posttraumatic growth: research and practice. Mahwah: Lawrence Erlbaum; 2006: 3-23.

Linley PA, Joseph S. Positive change following trauma and adversity: a review. J Trauma Stress. 2004; 17:11–21.

PTI. 86% fear job losses as coronavirus scare mounts: Survey. (Accessed on 15.05.2020)




How to Cite

Nair, D. R., Rajmohan, V., & Raghuram TM. (2020). Impact of COVID-19 Lockdown on Lifestyle and Psychosocial Stress - An Online Survey. Kerala Journal of Psychiatry, 33(1), 5–15.



Research Report