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Differing impact of the COVID-19 pandemic on youth mental health: combined population and clinical study

BackgroundIdentifying youths most at risk to COVID-19-related mental illness is essential for the development of effective targeted interventions.AimsTo compare trajectories of mental health throughout the pandemic in youth with and without prior mental illness and identify those most at risk of COV...

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Hauptverfasser: Qi, Lu (VerfasserIn) , Zhang, Zuo (VerfasserIn) , Robinson, Lauren (VerfasserIn) , Bobou, Marina (VerfasserIn) , Gourlan, Chantal (VerfasserIn) , Winterer, Jeanne (VerfasserIn) , Adams, Rebecca (VerfasserIn) , Agunbiade, Kofoworola (VerfasserIn) , Zhang, Yuning (VerfasserIn) , King, Sinead (VerfasserIn) , Vaidya, Nilakshi (VerfasserIn) , Artiges, Eric (VerfasserIn) , Banaschewski, Tobias (VerfasserIn) , Bokde, Arun L. W. (VerfasserIn) , Broulidakis, M. John (VerfasserIn) , Brühl, Rüdiger (VerfasserIn) , Flor, Herta (VerfasserIn) , Fröhner, Juliane (VerfasserIn) , Garavan, Hugh (VerfasserIn) , Grigis, Antoine (VerfasserIn) , Heinz, Andreas (VerfasserIn) , Hohmann, Sarah (VerfasserIn) , Martinot, Marie-Laure Paillère (VerfasserIn) , Millenet, Sabina (VerfasserIn) , Nees, Frauke (VerfasserIn) , Noort, Betteke Maria van (VerfasserIn) , Orfanos, Dimitri Papadopoulos (VerfasserIn) , Poustka, Luise (VerfasserIn) , Sinclair, Julia (VerfasserIn) , Smolka, Michael (VerfasserIn) , Whelan, Robert (VerfasserIn) , Stringaris, Argyris (VerfasserIn) , Walter, Henrik (VerfasserIn) , Martinot, Jean-Luc (VerfasserIn) , Schumann, Gunter (VerfasserIn) , Schmidt, Ulrike (VerfasserIn) , Desrivières, Sylvane (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 20 November 2023
In: BJPsych Open
Year: 2023, Jahrgang: 9, Heft: 6, Pages: 1-10
ISSN:2056-4724
DOI:10.1192/bjo.2023.601
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1192/bjo.2023.601
Verlag, lizenzpflichtig, Volltext: https://www.cambridge.org/core/journals/bjpsych-open/article/differing-impact-of-the-covid19-pandemic-on-youth-mental-health-combined-population-and-clinical-study/939EDB00D962E84F86DC362C16B82A14
Volltext
Verfasserangaben:Lu Qi, Zuo Zhang, Lauren Robinson, Marina Bobou, Chantal Gourlan, Jeanne Winterer, Rebecca Adams, Kofoworola Agunbiade, Yuning Zhang, Sinead King, Nilakshi Vaidya, Eric Artiges, Tobias Banaschewski, Arun L. W. Bokde, M. John Broulidakis, Rüdiger Brühl, Herta Flor, Juliane H. Fröhner, Hugh Garavan, Antoine Grigis, Andreas Heinz, Sarah Hohmann, Marie-Laure Paillère Martinot, Sabina Millenet, Frauke Nees, Betteke Maria van Noort, Dimitri Papadopoulos Orfanos, Luise Poustka, Julia Sinclair, Michael N. Smolka, Robert Whelan, Argyris Stringaris, Henrik Walter, Jean-Luc Martinot, Gunter Schumann, Ulrike Schmidt, Sylvane Desrivières, ESTRA Consortium and STRATIFY Consortium IMAGEN Consortium
Beschreibung
Zusammenfassung:BackgroundIdentifying youths most at risk to COVID-19-related mental illness is essential for the development of effective targeted interventions.AimsTo compare trajectories of mental health throughout the pandemic in youth with and without prior mental illness and identify those most at risk of COVID-19-related mental illness.MethodData were collected from individuals aged 18-26 years (N = 669) from two existing cohorts: IMAGEN, a population-based cohort; and ESTRA/STRATIFY, clinical cohorts of individuals with pre-existing diagnoses of mental disorders. Repeated COVID-19 surveys and standardised mental health assessments were used to compare trajectories of mental health symptoms from before the pandemic through to the second lockdown.ResultsMental health trajectories differed significantly between cohorts. In the population cohort, depression and eating disorder symptoms increased by 33.9% (95% CI 31.78-36.57) and 15.6% (95% CI 15.39-15.68) during the pandemic, respectively. By contrast, these remained high over time in the clinical cohort. Conversely, trajectories of alcohol misuse were similar in both cohorts, decreasing continuously (a 15.2% decrease) during the pandemic. Pre-pandemic symptom severity predicted the observed mental health trajectories in the population cohort. Surprisingly, being relatively healthy predicted increases in depression and eating disorder symptoms and in body mass index. By contrast, those initially at higher risk for depression or eating disorders reported a lasting decrease.ConclusionsHealthier young people may be at greater risk of developing depressive or eating disorder symptoms during the COVID-19 pandemic. Targeted mental health interventions considering prior diagnostic risk may be warranted to help young people cope with the challenges of psychosocial stress and reduce the associated healthcare burden.
Beschreibung:Gesehen am 12.09.2024
Beschreibung:Online Resource
ISSN:2056-4724
DOI:10.1192/bjo.2023.601

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