National Institute of Public Health, University of Southern Denmark, Studiestræde 6, DK-1455, Copenhagen, Denmark.
National Institute of Public Health, University of Southern Denmark, Studiestræde 6, DK-1455, Copenhagen, Denmark.
J Psychiatr Res. 2021 Dec;144:151-157. doi: 10.1016/j.jpsychires.2021.09.035. Epub 2021 Sep 23.
The COVID-19 pandemic has had a huge impact on people's lives and may influence mental health in the general population. In a unique representative Danish longitudinal study, we examined mental well-being measured just before and during the COVID-19 pandemic. The Danish Health and Wellbeing Survey is the Danish contribution to the European Health Interview Survey. In this study, we included the wave from autumn 2019, which we re-invited in the autumn 2020. The study population consisted of 4,234 persons. The main outcome was mental well-being measured by the Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS). Linear and logistic regression models were conducted to evaluate change in SWEMWBS between 2019 and 2020. The SWEMWBS distribution was similar in 2019 and 2020, although the distribution moved to lower scores in 2020 compared to 2019. Mean SWEMWBS decreased significantly from 25.5 in 2019 to 24.6 in 2020 corresponding to a mean change of -1.0 (95%CI, -1.1. to -0.8). The proportion with low SWEMWBS increased from 16.5% in 2019 to 20.1% in 2020 (p < 0.001). The mean change was similar for men and women and for different age groups. The most negative development was observed among persons without depression or long-standing illnesses at baseline and among persons with higher educational level. Among persons with depression SWEMWBS increased. As expected, mental well-being significantly decreased in the adult Danish population during the COVID-19 pandemic. However, somewhat more unexpectedly, the decrease was most pronounced among persons without depression or long-standing illnesses and among higher educated groups.
新型冠状病毒肺炎疫情对人们的生活产生了巨大影响，并可能影响普通人群的心理健康。在一项独特的丹麦代表性纵向研究中，我们研究了在新型冠状病毒肺炎疫情之前和期间测量的心理健康状况。丹麦健康和幸福感调查是丹麦对欧洲健康访谈调查的贡献。在这项研究中，我们包括了 2019 年秋季的调查，我们在 2020 年秋季重新邀请了这些人参加。研究人群包括 4234 人。主要结果是通过短沃里克-爱丁堡心理健康量表（SWEMWBS）测量的心理健康状况。线性和逻辑回归模型用于评估 2019 年和 2020 年之间 SWEMWBS 的变化。2019 年和 2020 年的 SWEMWBS 分布相似，尽管 2020 年的分布与 2019 年相比向较低分数移动。SWEMWBS 的平均值从 2019 年的 25.5 显著下降到 2020 年的 24.6，平均值变化为-1.0（95%CI，-1.1 至-0.8）。低 SWEMWBS 的比例从 2019 年的 16.5%增加到 2020 年的 20.1%（p<0.001）。男性和女性以及不同年龄组的平均变化相似。基线时无抑郁或慢性疾病且受教育程度较高的人群观察到最负面的发展。在患有抑郁症的人群中，SWEMWBS 增加。如预期的那样，在新型冠状病毒肺炎疫情期间，丹麦成年人的心理健康状况显著下降。然而，有些出乎意料的是，下降在没有抑郁或慢性疾病且受教育程度较高的人群中最为明显。
