Restricted accessResearch articleFirst published online 2024-4
No Substitute for In-Person Interaction: Changing Modes of Social Contact during the Coronavirus Pandemic and Effects on the Mental Health of Adults in the UK
Life-course theories on how social relationships affect mental health are limited in causal claims. The restrictions in social contact during the coronavirus pandemic provided a natural experiment that modified the frequency of in-person contact and allowed us to estimate the effect of changes in in-person social contact frequency on mental health in four large nationally representative age-cohorts of adults living in the UK. There was consistent evidence of a small but statistically significant effect of less frequent social contact on anxiety-depression. Online modes of social contact did not compensate for the restrictions in in-person social contact during the pandemic. Young adults who increased their online social media frequency during the pandemic experienced a deterioration in mental health. Life-course theories cannot ignore the importance of the mode of social contact for social relationships, especially during young adulthood.
AngristJDImbensGWRubinDB (1996) Identification of causal effects using instrumental variables. Journal of the American Statistical Association91: 444–455.
2.
AntonucciTCAjrouchKJWebsterNJ, et al. (2019) Social relations across the life span: Scientific advances, emerging issues, and future challenges. Annual Review of Developmental Psychology1: 313–336.
3.
BrownMGoodmanAPetersA, et al. (2021) COVID-19 Survey in Five National Longitudinal Studies: Waves 1, 2 and 3 User Guide (Version 3). London: UCL Centre for Longitudinal Studies and MRC Unit for Lifelong Health and Ageing.
4.
ChandolaTKumariMBookerCL, et al. (2022) The mental health impact of COVID-19 and lockdown-related stressors among adults in the UK. Psychological Medicine52: 2997–3006.
5.
DavidMERobertsJA (2021) Smartphone use during the COVID-19 pandemic: Social versus physical distancing. International Journal of Environmental Research and Public Health18(3): 1034.
6.
EllisonNBSteinfieldCLampeC (2007) The benefits of Facebook ‘friends’: Social capital and college students’ use of online social network sites. Journal of Computer-Mediated Communication12: 1143–1168.
7.
FrithC (2009) Role of facial expressions in social interactions. Philosophical Transactions of the Royal Society B: Biological Sciences364(1535): 3453–3458.
8.
FullerHRAjrouchKJAntonucciTC (2020) The convoy model and later-life family relationships. Journal of Family Theory & Review12: 126–146.
9.
GagneTNandiASchoonI (2022) Time trend analysis of social inequalities in psychological distress among young adults before and during the pandemic: Evidence from the UK Household Longitudinal Study COVID-19 waves. Journal of Epidemiology and Community Health76(5): 421–427.
10.
GaleaSMerchantRMLurieN (2020) The mental health consequences of COVID-19 and physical distancing: The need for prevention and early intervention. JAMA Internal Medicine180: 817–818.
11.
HancockJLiuSXLuoM, et al. (2022) Psychological well-being and social media use: A meta-analysis of associations between social media use and depression, anxiety, loneliness, eudaimonic, hedonic and social well-being. SSRN. DOI: 10.2139/ssrn.4053961.
12.
HawkleyLCFinchLEKotwalAA, et al. (2021) Can remote social contact replace in-person contact to protect mental health among older adults?Journal of the American Geriatrics Society69(11): 3063–3065.
13.
HoladayLWOladeleCRMillerSM, et al. (2022) Loneliness, sadness, and feelings of social disconnection in older adults during the COVID-19 pandemic. Journal of the American Geriatrics Society70(2): 329–340.
14.
Holt-LundstadJSmithTBBradleyLJ (2010) Social relationships and mortality risk: A meta-analytic review. PLoS Medicine7: 1–20.
15.
HouseJSLandisKRUmbersonD (1988) Social relationships and health. Science241: 540–545.
16.
HuYQianY (2021a) COVID-19 and adolescent mental health in the United Kingdom. Journal of Adolescent Health69: 26–32.
17.
HuYQianY (2021b) COVID-19, inter-household contact and mental well-being among older adults in the US and the UK. Frontiers in Sociology6: 714626.
18.
JutaiJWTuazonJR (2022) The role of assistive technology in addressing social isolation, loneliness and health inequities among older adults during the COVID-19 pandemic. Disability and Rehabilitation: Assistive Technology17(3): 248–259.
19.
KahnRLAntonucciTC (1980) Convoys over the life course: Attachment, roles, and social support. In: BaltesPBBrimO (eds) Life-Span Development and Behavior. New York, NY: Academic Press, pp. 254–283.
20.
KesslerRCBarkerPRColpeLJ, et al. (2003) Screening for serious mental illness in the general population. Archives of General Psychiatry60(2): 184–189.
21.
KlimmtCHefnerDReineckeL, et al. (2017) The permanently online and permanently connected mind mapping the cognitive structures behind mobile internet use. In: VordererPHefnerDReineckeL, et al (eds) Permanently Online, Permanently Connected Living and Communicating in a POPC World, 1st edn. New York, NY: Routledge, p. 11.
22.
KnowlesGGayer-AndersonCTurnerA, et al. (2022) Covid-19, social restrictions, and mental distress among young people: A UK longitudinal, population-based study. Journal of Child Psychology and Psychiatry63(2): 1392–1404.
23.
KowalskiRMGiumettiGWSchroederAN, et al. (2014) Bullying in the digital age: A critical review and meta-analysis of cyberbullying research among youth. Psychological Bulletin140(4): 1073–1137.
24.
KroenkeKSpitzerRLWilliamsJB (2003) The patient health questionnaire-2: Validity of a two-item depression screener. Medical Care41: 1284–1292.
25.
KroenkeKSpitzerRLWilliamsJB, et al. (2007) Anxiety disorders in primary care: Prevalence, impairment, comorbidity, and detection. Annals of Internal Medicine146: 317–325.
26.
McKennaKYAGreenASGleasonMEJ (2002) Relationship formation on the internet: What’s the big attraction?Journal of Social Issues58: 9–31.
27.
MansourniaMANazemipourMNaimiAI, et al. (2021) Reflection on modern methods: Demystifying robust standard errors for epidemiologists. International Journal of Epidemiology50: 346–351.
28.
MarcianoLOstroumovaMSchulzPJ, et al. (2021) Digital media use and adolescents’ mental health during the Covid-19 pandemic: A systematic review and meta-analysis. Frontiers in Public Health9: 793868.
29.
NiedzwiedzCLGreenMJBenzevalM, et al. (2021) Mental health and health behaviours before and during the initial phase of the COVID-19 lockdown: Longitudinal analyses of the UK Household Longitudinal Study. Journal of Epidemiology and Community Health75: 224–231.
30.
OrbenATomovaLBlakemoreS-J (2020) The effects of social deprivation on adolescent development and mental health. The Lancet Child & Adolescent Health4: 634–640.
31.
PancaniLMarinucciMAureliN, et al. (2021) Forced social isolation and mental health: A study on 1,006 Italians under COVID-19 lockdown. Frontiers in Psychology12: 663799.
32.
PatelKRobertsonEKwongASF, et al. (2022) Psychological distress before and during the COVID-19 pandemic among adults in the United Kingdom based on coordinated analyses of 11 longitudinal studies. JAMA Network Open5: e227629.
33.
PratiGManciniAD (2021) The psychological impact of COVID-19 pandemic lockdowns: A review and meta-analysis of longitudinal studies and natural experiments. Psychological Medicine51(2): 201–211.
34.
RacineNMcArthurBACookeJE, et al. (2021) Global prevalence of depressive and anxiety symptoms in children and adolescents during COVID-19: A meta-analysis. JAMA Pediatrics175: 1142–1150.
35.
RobinsonEDalyM (2021) Explaining the rise and fall of psychological distress during the COVID-19 crisis in the United States: Longitudinal evidence from the Understanding America Study. British Journal of Health Psychology26: 570–587.
36.
RobinsonESutinARDalyM, et al. (2022) A systematic review and meta-analysis of longitudinal cohort studies comparing mental health before versus during the COVID-19 pandemic in 2020. Journal of Affective Disorders296: 567–576.
37.
RouxelPChandolaTKumariM, et al. (2022) Biological costs and benefits of social relationships for men and women in adulthood: The role of partner, family and friends. Sociology of Health & Illness44(1): 5–24.
38.
Serrano-AlarconMKentikelenisAMcKeeM, et al. (2022) Impact of COVID-19 lockdowns on mental health: Evidence from a quasi-natural experiment in England and Scotland. Health Economics31: 284–296.
39.
StuartAKatzDStevensonC, et al. (2022) Loneliness in older people and COVID-19: Applying the social identity approach to digital intervention design. Computers in Human Behavior Reports6: 100179.
40.
ValkenburgPMMeierABeyensI (2022) Social media use and its impact on adolescent mental health: An umbrella review of the evidence. Current Opinion in Psychology44: 58–68.
41.
YangC-cBrownBBBraunMT (2013) From Facebook to cell calls: Layers of electronic intimacy in college students’ interpersonal relationships. New Media & Society16: 5–23.
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