Opportunities to engage in positive activities during the COVID-19 pandemic: Perspectives of individuals with mood disorders

Background: Despite cross-sectional population and clinical studies finding individuals with existing mood disorders being adversely impacted by the COVID-19 pandemic, longitudinal studies have not shown a worsening of
psychiatric symptoms. In response to these findings, we explored opportunities to engage in positive activities
during the pandemic from the perspectives of individuals with mood disorders.
Methods: A bespoke survey, containing closed and open questions, was sent to participants with mood disorders
who were part of the UK Bipolar Disorder Research Network (BDRN). Questions related to experiences of positive
impacts of the pandemic, levels of engagement in positive activities and coping strategies.
Results: Response rate was 46.4 % (N = 1688). 61.9 % reported positive life changes during the pandemic, with
slower pace of life reported most frequently (52.8 %). 47.3 % reported no adverse impact of the pandemic on
implementing their usual coping strategies. Activities that respondents most commonly reported the same or
greater level of engagement in compared to before the pandemic were avoiding known mood triggers (82.3 %),
relaxation techniques (78.8 %) and the ability to maintain set routines (69.4 %).
Limitations: Responder bias may be present and experiences during the pandemic are likely to differ among other
clinical and research mood disorders cohorts.
Conclusions: Our findings may help to explain why longitudinal studies have not found a worsening of mental
health symptoms during the COVID-19 pandemic. Identifying potential facilitators to maintaining mental health
have wider applicability, and may help to inform future evidence-based psychoeducation and self-management
programmes for mood disorders.