Two years of COVID-19: persistently reduced well-being and increases in global psychopathology during the pandemic in a representative Austrian population-sample within the COH-FIT study - Summary - MDSpire

Two years of COVID-19: persistently reduced well-being and increases in global psychopathology during the pandemic in a representative Austrian population-sample within the COH-FIT study

  • By

  • Monika Schlögelhofer

  • Elena Aschauer

  • Harald Aschauer

  • Christoph U. Correll

  • Georg Dorffner

  • Alexa Kuenburg

  • Marco Solmi

  • Trevor Thompson

  • June 1, 2026

  • 0 min

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Objective:

To examine the change in well-being and mental health from pre-pandemic to intra-pandemic times in an Austrian representative general population sample, identify vulnerable subgroups (e.g., those with pre-existing conditions), and explore effective coping strategies.

Key Findings:
  • Mean WHO-5 well-being score decreased by 7.5 points from pre-pandemic (73.2) to intra-pandemic (65.7) (p<.001).
  • Proportion of individuals scoring <50 (indicating depression) increased from 12.6% to 25.1%, and those scoring <29 (indicating major depression) increased from 3.3% to 9.7% (both p<.001).
  • The ‘P-score’ increased by 9.6 points from 24.1 to 33.7 (p<.001).
  • Greatest deterioration in well-being and ‘P-score’ occurred during mid-pandemic (04/2021).
  • Helpful coping strategies included internet use, physical activity, media consumption, social media interaction, and engaging in meaningful hobbies.
Interpretation:

COVID-19 had a persistent negative impact on well-being and mental health in Austria, particularly affecting vulnerable subgroups such as those with pre-existing health conditions and unemployment, which should be defined further.

Limitations:
  • The study relies on self-reported data, which may be subject to bias.
  • The findings are based on a specific national context, which may limit generalizability.
  • Potential limitations in survey methodology, such as response bias or sample representativeness, should be acknowledged.
Conclusion:

The findings highlight the need for public health measures and targeted interventions for vulnerable populations.

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