The impact of the Covid-19 pandemic on mental and physical health in Denmark - a longitudinal population-based study before and during the first wave.

Corona virus Covid-19 Emotional distress Health anxiety Illness worry Longitudinal cohort study Mental health Physical health Somatic symptoms

Journal

BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562

Informations de publication

Date de publication:
18 07 2021
Historique:
received: 26 03 2021
accepted: 01 07 2021
entrez: 19 7 2021
pubmed: 20 7 2021
medline: 23 7 2021
Statut: epublish

Résumé

In the continuation of the first wave of the Covid-19 outbreak in Denmark, unprecedented restrictions with great impact on the citizen's everyday life were implemented. The objectives of this study were to investigate the influence of the Covid-19 pandemic on mental and physical health in the Danish population during the spring 2020 first wave outbreak and lockdown. A sample from the adult Danish population (n = 2190) were included. Self-reported measures of illness worry (Whiteley-6-R), emotional distress (SCL-90), and physical symptom load (SLC-90) were obtained before and during the first wave of the pandemic and compared with Wilcoxon signed-rank tests. Impact of covariates on physical and mental health was evaluated with ordinal regression analyses. Results from a tailored questionnaire regarding the Covid-19 pandemic were presented to explore the direct impact of the pandemic. We only found minor increases in illness worry, emotional distress and physical symptom load (0-1 points difference, p ≤ 0.007) during the Covid-19 pandemic compared to before the pandemic. Sex, age, education, and physical disease were not associated with illness worry, emotional distress, or physical symptom load. Overall, the participants were trustful in the authorities' recommendations and felt that they managed the pandemic and the restrictions to a great extent despite that some expected great/major future consequences of the pandemic. This study suggested that the first wave of the Covid-19 pandemic only had minor impact on mental and physical health in the Danish general population. Future studies should address the impact of the second wave of the pandemic and the renewed implementation of the concomitant restrictions.

Sections du résumé

BACKGROUND
In the continuation of the first wave of the Covid-19 outbreak in Denmark, unprecedented restrictions with great impact on the citizen's everyday life were implemented. The objectives of this study were to investigate the influence of the Covid-19 pandemic on mental and physical health in the Danish population during the spring 2020 first wave outbreak and lockdown.
METHODS
A sample from the adult Danish population (n = 2190) were included. Self-reported measures of illness worry (Whiteley-6-R), emotional distress (SCL-90), and physical symptom load (SLC-90) were obtained before and during the first wave of the pandemic and compared with Wilcoxon signed-rank tests. Impact of covariates on physical and mental health was evaluated with ordinal regression analyses. Results from a tailored questionnaire regarding the Covid-19 pandemic were presented to explore the direct impact of the pandemic.
RESULTS
We only found minor increases in illness worry, emotional distress and physical symptom load (0-1 points difference, p ≤ 0.007) during the Covid-19 pandemic compared to before the pandemic. Sex, age, education, and physical disease were not associated with illness worry, emotional distress, or physical symptom load. Overall, the participants were trustful in the authorities' recommendations and felt that they managed the pandemic and the restrictions to a great extent despite that some expected great/major future consequences of the pandemic.
CONCLUSIONS
This study suggested that the first wave of the Covid-19 pandemic only had minor impact on mental and physical health in the Danish general population. Future studies should address the impact of the second wave of the pandemic and the renewed implementation of the concomitant restrictions.

Identifiants

pubmed: 34275461
doi: 10.1186/s12889-021-11472-7
pii: 10.1186/s12889-021-11472-7
pmc: PMC8286431
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1418

Informations de copyright

© 2021. The Author(s).

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Auteurs

Marie Weinreich Petersen (MW)

The Research Clinic for Functional Disorders and Psychosomatics, Aarhus University hospital, Universitetsbyen 21-23, 8000, Aarhus C, Denmark. mawept@rm.dk.

Thomas Meinertz Dantoft (TM)

Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, The Capital Region of Denmark, Copenhagen, Denmark.

Jens Søndergaard Jensen (JS)

The Research Clinic for Functional Disorders and Psychosomatics, Aarhus University hospital, Universitetsbyen 21-23, 8000, Aarhus C, Denmark.

Heidi Frølund Pedersen (HF)

The Research Clinic for Functional Disorders and Psychosomatics, Aarhus University hospital, Universitetsbyen 21-23, 8000, Aarhus C, Denmark.

Lisbeth Frostholm (L)

The Research Clinic for Functional Disorders and Psychosomatics, Aarhus University hospital, Universitetsbyen 21-23, 8000, Aarhus C, Denmark.
Department of Clinical Medicine, University of Aarhus, Aarhus, Denmark.

Michael Eriksen Benros (ME)

Mental Health Centre Copenhagen, The Capital Region of Denmark, Copenhagen, Denmark.
Department of Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3B, 2200, Copenhagen, Denmark.

Tina Birgitte Wisbech Carstensen (TBW)

The Research Clinic for Functional Disorders and Psychosomatics, Aarhus University hospital, Universitetsbyen 21-23, 8000, Aarhus C, Denmark.
Department of Clinical Medicine, University of Aarhus, Aarhus, Denmark.

Eva Ørnbøl (E)

The Research Clinic for Functional Disorders and Psychosomatics, Aarhus University hospital, Universitetsbyen 21-23, 8000, Aarhus C, Denmark.

Per Fink (P)

The Research Clinic for Functional Disorders and Psychosomatics, Aarhus University hospital, Universitetsbyen 21-23, 8000, Aarhus C, Denmark.
Department of Clinical Medicine, University of Aarhus, Aarhus, Denmark.

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Classifications MeSH