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. 2024 Dec:342:115972.
doi: 10.1016/j.psychres.2024.115972. Epub 2024 May 23.

Global and risk-group stratified well-being and mental health during the COVID-19 pandemic in adults: Results from the international COH-FIT Study

Marco Solmi  1 Trevor Thompson  2 Andrés Estradé  3 Agorastos Agorastos  4 Joaquim Radua  5 Samuele Cortese  6 Elena Dragioti  7 Davy Vancampfort  8 Lau Caspar Thygesen  9 Harald Aschauer  10 Monika Schlögelhofer  10 Elena Aschauer  10 Andres Schneeberger  11 Christian G Huber  12 Gregor Hasler  13 Philippe Conus  14 Kim Q Do Cuénod  14 Roland von Känel  15 Gonzalo Arrondo  16 Paolo Fusar-Poli  17 Philip Gorwood  18 Pierre-Michel Llorca  19 Marie-Odile Krebs  20 Elisabetta Scanferla  21 Taishiro Kishimoto  22 Golam Rabbani  23 Karolina Skonieczna-Żydecka  24 Paolo Brambilla  25 Angela Favaro  26 Akihiro Takamiya  22 Leonardo Zoccante  27 Marco Colizzi  28 Julie Bourgin  29 Karol Kamiński  30 Maryam Moghadasin  31 Soraya Seedat  32 Evan Matthews  33 John Wells  33 Emilia Vassilopoulou  34 Ary Gadelha  35 Kuan-Pin Su  36 Jun Soo Kwon  37 Minah Kim  38 Tae Young Lee  39 Oleg Papsuev  40 Denisa Manková  41 Andrea Boscutti  42 Cristiano Gerunda  26 Diego Saccon  43 Elena Righi  44 Francesco Monaco  45 Giovanni Croatto  46 Guido Cereda  47 Jacopo Demurtas  48 Natascia Brondino  49 Nicola Veronese  50 Paolo Enrico  47 Pierluigi Politi  49 Valentina Ciappolino  51 Andrea Pfennig  52 Andreas Bechdolf  53 Andreas Meyer-Lindenberg  54 Kai G Kahl  55 Katharina Domschke  56 Michael Bauer  52 Nikolaos Koutsouleris  57 Sibylle Winter  58 Stefan Borgwardt  59 Istvan Bitter  60 Judit Balazs  61 Pál Czobor  60 Zsolt Unoka  60 Dimitris Mavridis  62 Konstantinos Tsamakis  63 Vasilios P Bozikas  4 Chavit Tunvirachaisakul  64 Michael Maes  64 Teerayuth Rungnirundorn  64 Thitiporn Supasitthumrong  64 Ariful Haque  23 Andre R Brunoni  65 Carlos Gustavo Costardi  35 Felipe Barreto Schuch  66 Guilherme Polanczyk  67 Jhoanne Merlyn Luiz  68 Lais Fonseca  35 Luana V Aparicio  67 Samira S Valvassori  68 Merete Nordentoft  69 Per Vendsborg  70 Sofie Have Hoffmann  9 Jihed Sehli  71 Norman Sartorius  72 Sabina Heuss  73 Daniel Guinart  74 Jane Hamilton  75 John Kane  76 Jose Rubio  76 Michael Sand  77 Ai Koyanagi  78 Aleix Solanes  79 Alvaro Andreu-Bernabeu  80 Antonia San José Cáceres  80 Celso Arango  80 Covadonga M Díaz-Caneja  80 Diego Hidalgo-Mazzei  81 Eduard Vieta  81 Javier Gonzalez-Peñas  80 Lydia Fortea  79 Mara Parellada  80 Miquel A Fullana  79 Norma Verdolini  82 Eva Andrlíková  41 Karolina Janků  41 Mark J Millan  83 Mihaela Honciuc  19 Anna Moniuszko-Malinowska  84 Igor Łoniewski  85 Jerzy Samochowiec  86 Łukasz Kiszkiel  87 Maria Marlicz  24 Paweł Sowa  30 Wojciech Marlicz  88 Georgina Spies  32 Brendon Stubbs  89 Joseph Firth  90 Sarah Sullivan  91 Asli Enez Darcin  92 Hatice Aksu  93 Nesrin Dilbaz  94 Onur Noyan  94 Momoko Kitazawa  22 Shunya Kurokawa  22 Yuki Tazawa  22 Alejandro Anselmi  95 Cecilia Cracco  95 Ana Inés Machado  95 Natalia Estrade  95 Diego De Leo  96 Jackie Curtis  97 Michael Berk  98 Andre F Carvalho  98 Philip Ward  99 Scott Teasdale  99 Simon Rosenbaum  99 Wolfgang Marx  98 Adrian Vasile Horodnic  100 Liviu Oprea  100 Ovidiu Alexinschi  101 Petru Ifteni  102 Serban Turliuc  100 Tudor Ciuhodaru  103 Alexandra Bolos  100 Valentin Matei  104 Dorien H Nieman  105 Iris Sommer  106 Jim van Os  107 Therese van Amelsvoort  108 Ching-Fang Sun  109 Ta-Wei Guu  110 Can Jiao  111 Jieting Zhang  111 Jialin Fan  111 Liye Zou  111 Xin Yu  112 Xinli Chi  111 Philippe de Timary  113 Ruud van Winkel  114 Bernardo Ng  115 Edilberto Peña de León  115 Ramon Arellano  115 Raquel Roman  115 Thelma Sanchez  115 Larisa Movina  116 Pedro Morgado  117 Sofia Brissos  118 Oleg Aizberg  119 Anna Mosina  120 Damir Krinitski  121 James Mugisha  122 Dena Sadeghi-Bahmani  123 Farshad Sheybani  124 Masoud Sadeghi  125 Samira Hadi  126 Serge Brand  127 Antonia Errazuriz  128 Nicolas Crossley  128 Dragana Ignjatovic Ristic  129 Carlos López-Jaramillo  130 Dimitris Efthymiou  131 Praveenlal Kuttichira  132 Roy Abraham Kallivayalil  133 Afzal Javed  134 Muhammad Iqbal Afridi  135 Bawo James  136 Omonefe Joy Seb-Akahomen  137 Jess Fiedorowicz  40 Jeff Daskalakis  11 Lakshmi N Yatham  138 Lin Yang  139 Tarek Okasha  140 Aïcha Dahdouh  141 Jari Tiihonen  142 Jae Il Shin  143 Jinhee Lee  144 Ahmed Mhalla  145 Lotfi Gaha  145 Takoua Brahim  145 Kuanysh Altynbekov  146 Nikolay Negay  146 Saltanat Nurmagambetova  146 Yasser Abu Jamei  147 Mark Weiser  148 Christoph U Correll  149
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Free article

Global and risk-group stratified well-being and mental health during the COVID-19 pandemic in adults: Results from the international COH-FIT Study

Marco Solmi et al. Psychiatry Res. 2024 Dec.
Free article

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: Covid-19; Mental health; P-factor; Pandemic; Psychiatry; Psychopathology; Survey; WHO-5; Well-being.

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Conflict of interest statement

Declaration of competing interest Conflict of interest statements of all authors are detailed in eTable 8.

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