@article {890,
	title = {Longitudinal evaluation of the psychological impact of the COVID-19 crisis in Spain},
	journal = {Journal of Affective Disorders},
	volume = {277},
	year = {2020},
	pages = {842-849},
	abstract = {Background: Strict confinement and social distancing measures have been imposed due to the COVID-19 pandemic in many countries. The aim was to assess the temporal evolution of the psychological impact of the COVID-19 crisis and lockdown from two surveys, separated by one month, performed in Spain. 
Methods: Symptoms of depression, anxiety and stress, and the psychological impact of the situation were longitudinally analyzed using the Depression Anxiety and Stress Scale (DASS-21) and the Impact of Event Scale (IES) respectively. 
Results: There was a total of 4,724 responses from both surveys. Symptomatic scores of anxiety, depression and stress were exhibited by 37.22\%, 46.42\% and 49.66\% of the second survey respondents, showing a significant increase compared to the first survey (32.45\%, 44.11\% and 37.01\%, respectively). There was no significant longitudinal change of the IES scores, with 48.30\% of the second survey participants showing moderate to severe impact of the confinement. Constant news consumption about COVID-19 was found to be positively associated with symptomatic scores in the different scales, and daily physical activity to be negatively associated with DASS-21 scores. 
Conclusions: Results indicated a temporal increase of anxiety, depression and stress scores during the COVID-19 lockdown. Factors such as age, consumption of information about COVID-19 and physical activity seem to have an important impact on the evolution of psychological symptoms.},
	keywords = {Anxiety, COVID-19, Depression, Longitudinal study, Post-traumatic, Psychological, Stress, Stress disorders},
	issn = {0165-0327},
	doi = {10.1016/j.jad.2020.09.018},
	url = {http://www.sciencedirect.com/science/article/pii/S0165032720327130},
	author = {{\'A}lvaro Planchuelo-G{\'o}mez and Odriozola-Gonz{\'a}lez, Paula and Irurtia, Mar{\'\i}a Jes{\'u}s and Rodrigo de Luis-Garc{\'\i}a}
}
