Vendsborg Per, Jarlstrup Nanna Schneekloth, Hoffmann Sofie H, Nordentoft Merete, Correll Christoph U, Solmi Marco, Thompson Trevor, Estradé Andrés, Sørensen Trine Toft, Thygesen Lau Caspar
Danish Mental Health Fund (Psykiatrifonden), Hejrevej 43, DK-2400 Copenhagen, Denmark.
Centre for Childhood Health, Islands Brygge 41, DK-2300 Copenhagen, Denmark.
Int J Environ Res Public Health. 2025 Aug 12;22(8):1260. doi: 10.3390/ijerph22081260.
The aim of this paper was to evaluate health, psychological distress, and functioning during the COVID-19 pandemic among Danish adults with and without a history of mental illness. Data were drawn from three online surveys conducted in May 2020 (n = 3134), January 2021 (n = 1170), and January 2022 (n = 1174) as part of the Danish contribution to the Collaborative Outcomes study on Health and Functioning during Infection Times (COH-FIT). The prevalence of mental and physical health issues, psychological distress (stress, sleep problems, loneliness, and boredom) and levels of functioning (self-care, interpersonal relationships, hobbies/leisure, and work/education) were evaluated at four different time points stratified by history of mental illness. Findings indicated that physical health was not differentially affected between people with and without prior mental illness. However, mental health declined significantly more among respondents with a history of mental illness. While levels of stress did not differ between the two groups, boredom was more pronounced in May 2020 among those with prior mental illness. Loneliness was significantly higher in this group in January 2021. Sleep disturbances were more pronounced for respondents with former mental illness during the whole period. A decline in functioning was observed in people both with and without a former mental illness. It seemed a little more pronounced for people with mental illness but seldom reached statistical significance. For all measures of health, distress, and functioning, 10-20% of respondents reported improvements in health, distress, and functioning during the pandemic, with stress showing the most improvement-one third of participants reported feeling less stressed. In most of the parameters measured, the influence of the COVID-19 pandemic seemed to decrease with time. However, the effects were not uniform, and more investigations are needed to understand the whole picture.
本文旨在评估在新冠疫情期间，丹麦有和没有精神疾病史的成年人的健康状况、心理困扰及功能状况。数据来自于2020年5月（n = 3134）、2021年1月（n = 1170）和2022年1月（n = 1174）进行的三项在线调查，这些调查是丹麦对感染时期健康与功能协作结果研究（COH-FIT）的贡献的一部分。根据精神疾病史将时间分为四个不同时间点，评估了心理健康和身体健康问题、心理困扰（压力、睡眠问题、孤独感和无聊感）以及功能水平（自我护理、人际关系、爱好/休闲和工作/教育）。研究结果表明，有和没有既往精神疾病的人群在身体健康方面受到的影响没有差异。然而，有精神疾病史的受访者心理健康下降更为显著。虽然两组之间的压力水平没有差异，但在2020年5月，有既往精神疾病的人群无聊感更为明显。在2021年1月，该组的孤独感显著更高。在整个期间，有既往精神疾病的受访者睡眠障碍更为明显。有和没有既往精神疾病的人群功能水平均出现下降。有精神疾病的人群下降似乎更为明显，但很少达到统计学显著性。对于所有健康、困扰和功能指标，10 - 20%的受访者表示在疫情期间健康、困扰和功能状况有所改善，压力改善最为明显——三分之一的参与者表示压力减轻。在大多数测量参数中，新冠疫情的影响似乎随着时间推移而减弱。然而，影响并不一致，需要更多调查来全面了解情况。
