{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T03:41:25Z","timestamp":1762054885734,"version":"build-2065373602"},"reference-count":73,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T00:00:00Z","timestamp":1654560000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"European Social Fund"},{"name":"Finnish Institute for Health and Welfare (THL)"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>We investigated whether people with disabilities\u2014cognition, vision, hearing, mobility, or at least one of these disabilities\u2014report more COVID-19-related negative lifestyle changes than those without disabilities, and whether psychological distress (MHI-5) mediates the association between disabilities and negative lifestyle changes. Information about COVID-related lifestyle changes among people with disabilities is scarce. We analyzed population-based data from the 2020 FinSote survey carried out between September 2020 and February 2021 in Finland (n = 22,165, aged 20+). Logistic regressions were applied to investigate the effect of the COVID-19 pandemic and related restrictions on negative lifestyle changes\u2014sleeping problems or nightmares, daily exercise, vegetable consumption, and snacking. To test for a mediation effect of psychological distress, the Karlson\u2013Holm\u2013Breen method was used. People with all disability types reported increased sleeping problems or nightmares, and decreased vegetable consumption during the pandemic more frequently than those without. People with mobility and cognitive disabilities more frequently reported decreased daily exercise. People with cognitive disabilities more often reported increased snacking. Psychological distress mediated associations between disabilities and negative lifestyle changes, with the highest association between cognitive disabilities and increased sleeping problems or nightmares (B = 0.60), and the lowest between mobility disabilities and decreased daily exercise (B = 0.08). The results suggest that strategies to promote healthy lifestyles should consider people with disabilities. Alleviating their psychological distress during crisis situations could be one approach.<\/jats:p>","DOI":"10.3390\/ijerph19126971","type":"journal-article","created":{"date-parts":[[2022,6,10]],"date-time":"2022-06-10T00:22:39Z","timestamp":1654820559000},"page":"6971","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Differences in Unfavorable Lifestyle Changes during the COVID-19 Pandemic between People with and without Disabilities in Finland: Psychological Distress as a Mediator"],"prefix":"10.3390","volume":"19","author":[{"given":"Marja Eliisa","family":"Holm","sequence":"first","affiliation":[{"name":"Department of Public Health and Welfare, Finnish Institute for Health and Welfare (THL), 00271 Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e4ivi","family":"Sainio","sequence":"additional","affiliation":[{"name":"Department of Public Health and Welfare, Finnish Institute for Health and Welfare (THL), 00271 Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7167-0990","authenticated-orcid":false,"given":"Jaana","family":"Suvisaari","sequence":"additional","affiliation":[{"name":"Department of Public Health and Welfare, Finnish Institute for Health and Welfare (THL), 00271 Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katri","family":"S\u00e4\u00e4ksj\u00e4rvi","sequence":"additional","affiliation":[{"name":"Department of Public Health and Welfare, Finnish Institute for Health and Welfare (THL), 00271 Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tuija","family":"J\u00e4\u00e4skel\u00e4inen","sequence":"additional","affiliation":[{"name":"Department of Public Health and Welfare, Finnish Institute for Health and Welfare (THL), 00271 Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suvi","family":"Parikka","sequence":"additional","affiliation":[{"name":"Department of Public Health and Welfare, Finnish Institute for Health and Welfare (THL), 00271 Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seppo","family":"Koskinen","sequence":"additional","affiliation":[{"name":"Department of Public Health and Welfare, Finnish Institute for Health and Welfare (THL), 00271 Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,6,7]]},"reference":[{"key":"ref_1","unstructured":"Finnish Government (2022, April 21). Restrictions during the Coronavirus Epidemic, Available online: https:\/\/valtioneuvosto.fi\/en\/information-on-coronavirus\/current-restrictions."},{"key":"ref_2","unstructured":"World Health Organization (2022, April 21). Coronavirus Disease (COVID-19) Pandemic. Available online: https:\/\/www.who.int\/emergencies\/diseases\/novel-coronavirus-2019\/."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1037\/rep0000368","article-title":"The COVID-19 pandemic, stress, and trauma in the disability community: A call to action","volume":"65","author":"Lund","year":"2020","journal-title":"Rehabil. Psychol."},{"key":"ref_4","unstructured":"United Nations (2022, April 21). United Nations Policy Brief: A Disability-Inclusive Response to COVID-19. Available online: https:\/\/unsdg.un.org\/sites\/default\/files\/2020-05\/Policy-Brief-A-Disability-Inclusive-Response-to-COVID-19.pdf."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1080\/14992027.2021.1894492","article-title":"Self-reported hearing difficulties are associated with loneliness, depression and cognitive dysfunction during the COVID-19 pandemic","volume":"61","author":"Littlejohn","year":"2022","journal-title":"Int. J. Audiol."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Necho, M., Birkie, M., Gelaye, H., Beyene, A., Belete, A., and Tsehay, M. (2020). Depression, anxiety symptoms, Insomnia, and coping during the COVID-19 pandemic period among individuals living with disabilities in Ethiopia. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0244530"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"101110","DOI":"10.1016\/j.dhjo.2021.101110","article-title":"Indicators of poor mental health and stressors during the COVID-19 pandemic, by disability status: A cross-sectional analysis","volume":"14","author":"Okoro","year":"2021","journal-title":"Disabil. Health J."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e365","DOI":"10.1016\/S2468-2667(21)00069-4","article-title":"Mental health and social interactions of older people with physical disabilities in England during the COVID-19 pandemic: A longitudinal cohort study","volume":"6","author":"Steptoe","year":"2021","journal-title":"Lancet Public Health"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2064","DOI":"10.1038\/s41433-020-01130-4","article-title":"Psychosocial impact of COVID-19 pandemic lockdown on people living with eye diseases in the UK","volume":"35","author":"Ting","year":"2021","journal-title":"Eye"},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Kuper, H., Banks, L.M., Bright, T., Dave, C., and Shakespeare, T. (2020). Disability-inclusive COVID-19 response: What it is, why it is important and what we can learn from the United Kingdom\u2019s response. Wellcome Open Res., 5.","DOI":"10.12688\/wellcomeopenres.15833.1"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"101126","DOI":"10.1016\/j.dhjo.2021.101126","article-title":"Changes in physical activity and basic psychological needs related to mental health among people with physical disability during the COVID-19 pandemic in Norway","volume":"14","author":"Bentzen","year":"2021","journal-title":"Disabil. Health J."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Yang, Y., Xiao, Y., Liu, Y., Li, Q., Shan, C., Chang, S., and Jen, P.H.-S. (2021). Mental health and psychological impact on students with or without hearing loss during the recurrence of the COVID-19 pandemic in China. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18041421"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"101224","DOI":"10.1016\/j.dhjo.2021.101224","article-title":"The Effects of the COVID-19 pandemic on the psychosocial well-being of people with disabilities","volume":"15","author":"Holm","year":"2022","journal-title":"Disabil. Health"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"e13119","DOI":"10.1111\/jsr.13119","article-title":"COVID-19 health crisis and lockdown associated with high level of sleep complaints and hypnotic uptake at the population level","volume":"30","author":"Beck","year":"2021","journal-title":"J. Sleep Res."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e13074","DOI":"10.1111\/jsr.13074","article-title":"Changes in sleep pattern, sense of time, and digital media use during COVID-19 lockdown in Italy","volume":"29","author":"Cellini","year":"2020","journal-title":"J. Sleep Res."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"45","DOI":"10.5664\/jcsm.8800","article-title":"Escalation of sleep disturbances amid the COVID-19 pandemic: A cross-sectional international study","volume":"17","author":"Mandelkorn","year":"2021","journal-title":"J. Clin. Sleep Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1016\/j.dsx.2020.12.038","article-title":"Impact of COVID-19 outbreak on lifestyle behaviour: A review of studies published in India","volume":"15","author":"Rawat","year":"2021","journal-title":"Diabetes Metab. Syndr."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Casta\u00f1eda-Babarro, A., Arbillaga-Etxarri, A., Guti\u00e9rrez-Santamar\u00eda, B., and Coca, A. (2020). Physical activity change during COVID-19 confinement. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17186878"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"e04315","DOI":"10.1016\/j.heliyon.2020.e04315","article-title":"The impact of physical activity on psychological health during COVID-19 pandemic in Italy","volume":"6","author":"Maugeri","year":"2020","journal-title":"Heliyon"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1002\/osp4.442","article-title":"Weight-related lifestyle behaviours and the COVID-19 crisis: An online survey study of UK adults during social lockdown","volume":"6","author":"Robinson","year":"2020","journal-title":"Obes. Sci. Pract."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1426","DOI":"10.3389\/fpsyg.2020.01426","article-title":"COVID 19 confinement and health risk behaviors in Spain","volume":"11","author":"Calatayud","year":"2020","journal-title":"Front. Psychol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"641895","DOI":"10.3389\/fpsyg.2021.641895","article-title":"No evidence of systematic change of physical activity patterns before and during the COVID-19 pandemic and related mood states among Iranian adults attending team sports activities","volume":"12","author":"Aghababa","year":"2021","journal-title":"Front. Psychol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"e2142100","DOI":"10.1001\/jamanetworkopen.2021.42100","article-title":"Association between homeschooling and adolescent sleep duration and health during COVID-19 Pandemic high school closures","volume":"5","author":"Albrecht","year":"2022","journal-title":"JAMA Netw. Open"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"105002","DOI":"10.1016\/j.appet.2020.105002","article-title":"Eating behavior and food purchases during the COVID-19 lockdown: A cross-sectional study among adults in the Netherlands","volume":"157","author":"Poelman","year":"2021","journal-title":"Appetite"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Yang, G.-Y., Lin, X.-L., Fang, A.-P., and Zhu, H.-L. (2021). Eating habits and lifestyles during the initial stage of the COVID-19 lockdown in China: A cross-sectional study. Nutrients, 13.","DOI":"10.3390\/nu13030970"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Bakaloudi, D.R., Jeyakumar, D.T., Jayawardena, R., and Chourdakis, M. (2021). The impact of COVID-19 lockdown on snacking habits, fast-food and alcohol consumption: A systematic review of the evidence. Clin. Nutr., Online ahead of print.","DOI":"10.1016\/j.clnu.2021.04.020"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"130251","DOI":"10.5888\/pcd11.130251","article-title":"Disability status as an antecedent to chronic conditions: National health interview survey, 2006\u20132012","volume":"11","year":"2014","journal-title":"Prev. Chronic Dis."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"10329","DOI":"10.3390\/ijerph120910329","article-title":"Measuring disability: Comparing the impact of two data collection approaches on disability rates","volume":"12","author":"Sabariego","year":"2015","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_29","first-page":"407","article-title":"Vital signs: Disability and physical activity\u2014United States, 2009\u20132012","volume":"63","author":"Carroll","year":"2014","journal-title":"MMWR Morb. Mortal. Wkly. Rep."},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Stanton, R., To, Q.G., Khalesi, S., Williams, S.L., Alley, S.J., Thwaite, T.L., Fenning, A.S., and Vandelanotte, C. (2020). Depression, anxiety and stress during COVID-19: Associations with changes in physical activity, sleep, tobacco and alcohol use in Australian adults. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17114065"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Puccinelli, P.J., da Costa, T.S., Seffrin, A., de Lira, C.A.B., Vancini, R.L., Nikolaidis, P.T., Knechtle, B., Rosemann, T., Hill, L., and Andrade, M.S. (2021). Reduced level of physical activity during COVID-19 pandemic is associated with depression and anxiety levels: An internet-based survey. BMC Public Health, 21.","DOI":"10.1186\/s12889-021-10684-1"},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Chee, M.J., Koziel Ly, N.K., Anisman, H., and Matheson, K. (2020). Piece of Cake: Coping with COVID-19. Nutrients, 12.","DOI":"10.3390\/nu12123803"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"105259","DOI":"10.1016\/j.appet.2021.105259","article-title":"Anxiety, anhedonia and food consumption during the COVID-19 quarantine in Chile","volume":"164","year":"2021","journal-title":"Appetite"},{"key":"ref_34","first-page":"S52","article-title":"Serious psychological distress among adults with and without disabilities","volume":"54","author":"Okoro","year":"2009","journal-title":"Int. J. Public Health"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1016\/j.dhjo.2017.12.001","article-title":"Depressive symptoms in people with disabilities; secondary analysis of cross-sectional data from the United Kingdom and Greece","volume":"11","author":"Rotarou","year":"2018","journal-title":"Disabil. Health J."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1238","DOI":"10.15585\/mmwr.mm6936a2","article-title":"Frequent mental distress among adults, by disability status, disability type, and selected characteristics\u2014United States, 2018","volume":"69","author":"Cree","year":"2020","journal-title":"MMWR Morb. Mortal. Wkly. Rep."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"e020829","DOI":"10.1136\/bmjopen-2017-020829","article-title":"Is disability exclusion associated with psychological distress? Australian evidence from a national cross-sectional survey","volume":"8","author":"Temple","year":"2018","journal-title":"BMJ Open"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"100965","DOI":"10.1016\/j.dhjo.2020.100965","article-title":"Loneliness, social support, social isolation and wellbeing among working age adults with and without disability: Cross sectional study","volume":"14","author":"Emerson","year":"2021","journal-title":"Disabil. Health J."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Banks, L.M., Kuper, H., and Polack, S. (2018). Correction: Poverty and disability in low- and middle-income countries: A systematic review. PLoS ONE, 13.","DOI":"10.1371\/journal.pone.0204881"},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Bright, T., Wallace, S., and Kuper, H.A. (2018). A systematic review of access to rehabilitation for people with disabilities in low- and middle-income countries. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15102165"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"101171","DOI":"10.1016\/j.dhjo.2021.101171","article-title":"Health and healthcare for people with disabilities in the UK during the COVID-19 pandemic","volume":"15","author":"Kavanagh","year":"2021","journal-title":"Disabil. Health J."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1590\/S0036-36342008000800007","article-title":"The impact of stress and social support on the mental health of individuals with intellectual disabilities","volume":"2","author":"Lunsky","year":"2008","journal-title":"Salud P\u00fablica Mex."},{"key":"ref_43","first-page":"1033","article-title":"Sleep disorders and depression: Brief review of the literature, case report, and nonpharmacologic interventions for depression","volume":"8","author":"Luca","year":"2013","journal-title":"Clin. Interv. Aging"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1111\/obr.12603","article-title":"Does stress influence sleep patterns, food intake, weight gain, abdominal obesity and weight loss interventions and vice versa?","volume":"19","author":"Geiker","year":"2018","journal-title":"Obes. Rev."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Marashi, M.Y., Nicholson, E., Ogrodnik, M., Fenesi, B., and Heisz, J.J. (2021). A mental health paradox: Mental health was both a motivator and barrier to physical activity during the COVID-19 pandemic. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0239244"},{"key":"ref_46","unstructured":"Pentala-Nikulainen, O., Koskela, T., Parikka, S., Aalto, A.-M., and Muuri, A. (2022, April 21). Alueelliset Erot Aikuisv\u00e4est\u00f6n Palvelukokemuksissa ja Hyvinvoinnissa: FinSote 2018. Available online: https:\/\/www.julkari.fi\/handle\/10024\/136438."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"H\u00e4rk\u00e4nen, T., Kaikkonen, R., Virtala, E., and Koskinen, S. (2014). Inverse probability weighting and doubly robust methods in correcting the effects of non-response in the reimbursed medication and self-reported turnout estimates in the ATH survey. BMC Public Health, 14.","DOI":"10.1186\/1471-2458-14-1150"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1177\/0962280210395740","article-title":"Review of inverse probability weighting for dealing with missing data","volume":"22","author":"Seaman","year":"2013","journal-title":"Stat. Methods Med. Res."},{"key":"ref_49","unstructured":"Washington Group (2022, April 21). Washington Group on Disability Statistics. Available online: https:\/\/www.washingtongroup-disability.com\/question-sets\/wg-short-set-on-functioning-wg-ss."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1016\/j.psychres.2008.05.012","article-title":"Screening for mood and anxiety disorders with the five-item, the three-item, and the two-item mental health inventory","volume":"168","author":"Cuijpers","year":"2009","journal-title":"Psychiatry Res."},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Kelly, M.J., Dunstan, F.D., Lloyd, K., and Fone, D.L. (2008). Evaluating cutpoints for the MHI-5 and MCS using the GHQ-12: A comparison of five different methods. BMC Psychiatry, 8.","DOI":"10.1186\/1471-244X-8-10"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"100307","DOI":"10.1016\/j.jeoa.2021.100307","article-title":"Do living arrangements matter?\u2014Evidence from eating behaviors of the elderly in rural China","volume":"19","author":"Liu","year":"2021","journal-title":"J. Econ. Ageing"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/1536867X0700700101","article-title":"A survey on survey statistics: What is done and can be done in Stata","volume":"7","author":"Kreuter","year":"2007","journal-title":"Stata J."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1177\/1536867X1201200209","article-title":"Using the margins command to estimate and interpret adjusted predictions and marginal effects","volume":"12","author":"Williams","year":"2012","journal-title":"Stata J."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1177\/1536867X1101100306","article-title":"Comparing coefficients of nested nonlinear probability models","volume":"11","author":"Kohler","year":"2011","journal-title":"Stata J."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1177\/0081175012444861","article-title":"Comparing regression coefficients between models using logit and probit: A new method","volume":"42","author":"Karlson","year":"2012","journal-title":"Sociol. Methodol."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1177\/1536867X19893638","article-title":"Performance simulations for categorical mediation: Analyzing KHB estimates of mediation in ordinal regression models","volume":"19","author":"Smith","year":"2019","journal-title":"Stata J."},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Deng, Y., Li, X., Liu, L., and Chui, W.H. (2021). Suicide attempts and perceived social support among Chinese drug users: The mediating role of self-esteem and depression. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18010208"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1111\/acps.12654","article-title":"Physical activity and depression: A large cross-sectional, population-based study across 36 low- and middle-income countries","volume":"134","author":"Stubbs","year":"2016","journal-title":"Acta Psychiatr. Scand."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"443","DOI":"10.2105\/AJPH.94.3.443","article-title":"Prevalence of secondary conditions among people with disabilities","volume":"94","author":"Kinne","year":"2004","journal-title":"Am. J. Public Health"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.slsci.2015.02.001","article-title":"Sleep disturbances and mild cognitive impairment: A review","volume":"8","year":"2015","journal-title":"Sleep Sci."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1044\/2019_AJA-19-0026","article-title":"Evidence for an association between hearing impairment and disrupted sleep: Scoping Review","volume":"28","author":"Clarke","year":"2019","journal-title":"Am. J. Audiol."},{"key":"ref_63","first-page":"1009","article-title":"Relationship between visual impairment, insomnia, anxiety\/depressive symptoms among Russian immigrants","volume":"1","author":"Seixas","year":"2014","journal-title":"J. Sleep Med. Disord."},{"key":"ref_64","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Association. [5th ed.].","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Jesus, T.S., Bhattacharjya, S., Papadimitriou, C., Bogdanova, Y., Bentley, J., Arango-Lasprilla, J.C., Kamalakannan, S., and The Refugee Empowerment Task Force, International Networking Group of the American Congress of Rehabilitation Medicine (2021). Lockdown related disparities experienced by people with disabilities during the first wave of the COVID-19 pandemic: Scoping review with thematic analysis. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18126178"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1111\/j.1365-2788.2006.00915.x","article-title":"Lifestyle and health behaviours of adults with an intellectual disability","volume":"51","author":"McGuire","year":"2007","journal-title":"J. Intellect. Disabil. Res."},{"key":"ref_67","first-page":"38","article-title":"Emotion regulation and intellectual disability","volume":"15","author":"McClure","year":"2009","journal-title":"J. Dev. Disabil."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1136\/jech-2015-206870","article-title":"Harmonising summary measures of population health using global survey instruments","volume":"70","author":"Berger","year":"2016","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"112973","DOI":"10.1016\/j.psychres.2020.112973","article-title":"General health questionnaire (GHQ-12), Beck depression inventory (BDI-6), and Mental Health Index (MHI-5): Psychometric and predictive properties in a Finnish population-based sample","volume":"289","author":"Elovanio","year":"2020","journal-title":"Psychiatry Res."},{"key":"ref_70","doi-asserted-by":"crossref","unstructured":"M\u00e4ntyselk\u00e4, P., Kautiainen, H., and Miettola, J. (2019). Beliefs and attitudes towards lifestyle change and risks in primary care\u2014A community based study. BMC Public Health, 19.","DOI":"10.1186\/s12889-019-7377-x"},{"key":"ref_71","doi-asserted-by":"crossref","unstructured":"Viertio, S., Kiviruusu, O., Piirtola, M., Kaprio, J., Korhonen, T., Marttunen, M., and Suvisaari, J. (2021). Factors contributing to psychological distress in the working population, with a special reference to gender difference. BMC Public Health, 21.","DOI":"10.1186\/s12889-021-10560-y"},{"key":"ref_72","doi-asserted-by":"crossref","unstructured":"Lake, S., and MacHale, R. (2021). Mindfulness Matters: A pilot study of a Mindfulness-Based Stress Reduction group for adults with intellectual disabilities. Br. J. Learn. Disabil., Online ahead of print.","DOI":"10.1111\/bld.12435"},{"key":"ref_73","first-page":"20","article-title":"Exploring perspectives of individuals with disabilities on stress-coping","volume":"71","author":"Mactavish","year":"2005","journal-title":"J. Rehabil."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/12\/6971\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:25:28Z","timestamp":1760138728000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/12\/6971"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,7]]},"references-count":73,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2022,6]]}},"alternative-id":["ijerph19126971"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19126971","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2022,6,7]]}}}