MétaCan
Menu
Back to cohort

Restrictive measures and course of behavioral outcomes in representative adult Greek population during the COVID-19 pandemic: Results on functioning, coping, alcohol/substance abuse, smoking, gambling, pro-social activities and domestic violence from the largest multi-wave COVID-19 online national survey in Greece (COH-FIT)

2025· article· en· W4413428281 on OpenAlexaff
Agorastos Agorastos, Christos Christogiannis, Dimitris Mavridis, Georgios Seitidis, Katerina‐Maria Kontouli, Sofia Tsokani, Ourania Koutsiouroumpa, Konstantinos Tsamakis, Marco Solmi, Trevor Thompson, Christoph U. Correll, Elena Dragioti, Vasilios P. Bozikas

Bibliographic record

VenueJournal of Psychiatric Research · 2025
Typearticle
Languageen
FieldPsychology
TopicCOVID-19 and Mental Health
Canadian institutionsUniversity of Ottawa
Fundersnot available
KeywordsCoping (psychology)PandemicPsychiatryCoronavirus disease 2019 (COVID-19)PsychologySubstance abusePopulationClinical psychologySuicide preventionSubstance usePoison controlInjury preventionAlcohol abuseMedicineMedical emergencyEnvironmental healthInfectious disease (medical specialty)Disease

Abstract

fetched live from OpenAlex

BACKGROUND: Greece encountered unique COVID-19-pandemic-related challenges, shaped by the country's previous deleterious economic context, an already strained healthcare system and possibly one of Europe's earliest, longest and most stringent restrictive protocols. OBJECTIVES: To offer comprehensive insights into the longitudinal trajectory of a broad range of behavioral and coping parameters within general adult Greek population across the first two pandemic waves. METHODS: Multiple-wave, cross-sectional data from the "Collaborative Outcomes study on Health and Functioning during Infection Times" (COH-FIT) assessed four different time points in order to examine outcomes changes from retrospective, pre-pandemic baseline ratings (T0) to three distinct intra-pandemic time points (lockdown 1: T1, between lockdowns: T2, lockdown 2: T3). Outcomes included functioning, subjective resilience, tobacco/alcohol/cannabis/substance consumption, gambling, domestic violence, time spent in different activities, importance of coping strategies and prosocial activity. RESULTS: We overall evaluated 10,377 participant responses, including 2737 representative-matched participants across T1-T3 (T1: 3940/887, T2: 4675/997, T3: 1668/853 convenience/representative-matched participants). All subjects provided retrospective rating on T0. Results suggest a highly significant pre-to intra-pandemic (T0 vs. T1-T3) drop in functioning and resilience scores. Tobacco, alcohol and cannabis consumption increased from pre-to intra-pandemic each at different pandemic phases. Gambling scores were overall very low and decreased from pre-to all intra-pandemic time-points. Domestic violence showed only an early transient increase (T1), returning to pre-pandemic levels. Individuals spent significantly more hours in social media, internet, gaming, TV, reading, music intra-than pre-pandemic, with the exception of exercise. Highest-rated coping strategies were exercise/walking, internet use, meaningful hobby, social media use and studying/learning. Most results showed notable changes across the assessed intra-pandemic time frames (T1, T2, and T3) normally with lockdowns negatively affecting behavioral and coping strategies (e.g., lower functioning/resilience scores in lockdown T1 and T3 than in T2), suggesting a substantial effect of quarantine lockdown status on many behavioral parameters. CONCLUSIONS: This is the most extensive multi-wave report on behavioral responses and coping mechanisms across pandemic restriction phases in Greece and can inform national policy towards the enhancement of healthy coping and resilience in similar future conditions.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.007
metaresearch head score (Gemma)0.003
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.067
Threshold uncertainty score0.944

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0070.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.002
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.002
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.422
GPT teacher head0.557
Teacher spread0.135 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2025
Admission routes1
Has abstractyes

Explore more

Same venueJournal of Psychiatric ResearchSame topicCOVID-19 and Mental HealthFrench-language works237,207