Publication Date
12-1-2024
Journal
Psychiatry Research
DOI
10.1016/j.psychres.2024.115972
PMID
39305825
Abstract
International studies measuring wellbeing/multidimensional mental health before/ during the COVID-19 pandemic, including representative samples for >2 years, identifying risk groups and coping strategies are lacking. COH-FIT is an online, international, anonymous survey measuring changes in well-being (WHO-5) and a composite psychopathology P-score, and their associations with COVID-19 deaths/restrictions, 12 a-priori defined risk individual/cumulative factors, and coping strategies during COVID-19 pandemic (26/04/2020-26/06/2022) in 30 languages (representative, weighted non-representative, adults). T-test, χ2, penalized cubic splines, linear regression, correlation analyses were conducted. Analyzing 121,066/142,364 initiated surveys, WHO-5/P-score worsened intra-pandemic by 11.1±21.1/13.2±17.9 points (effect size d=0.50/0.60) (comparable results in representative/weighted non-probability samples). Persons with WHO-5 scores indicative of depression screening (< 50, 13% to 32%) and major depression (< 29, 3% to 12%) significantly increased. WHO-5 worsened from those with mental disorders, female sex, COVID-19-related loss, low-income country location, physical disorders, healthcare worker occupations, large city location, COVID-19 infection, unemployment, first-generation immigration, to age=18-29 with a cumulative effect. Similar findings emerged for P-score. Changes were significantly but minimally related to COVID-19 deaths, returning to near-pre-pandemic values after >2 years. The most subjectively effective coping strategies were exercise and walking, internet use, social contacts. Identified risk groups, coping strategies and outcome trajectories can inform global public health strategies.
Keywords
Humans, COVID-19, Female, Male, Adult, Middle Aged, Mental Health, Adaptation, Psychological, Young Adult, Aged, Adolescent, Surveys and Questionnaires, Depression, Risk Factors, SARS-CoV-2, Covid-19, Mental health, P-factor, Pandemic, Psychiatry, Psychopathology, Survey, WHO-5, Well-being
Published Open-Access
yes
Recommended Citation
Solmi, Marco; Thompson, Trevor; Estradé, Andrés; et al., "Global and Risk-Group Stratified Well-Being and Mental Health During the Covid-19 Pandemic in Adults: Results From the International Coh-Fit Study" (2024). Faculty and Staff Publications. 6079.
https://digitalcommons.library.tmc.edu/baylor_docs/6079
Included in
COVID-19 Commons, Medical Sciences Commons, Medical Specialties Commons, Mental and Social Health Commons, Psychiatry and Psychology Commons