The changing association between pandemic-related stressors and child and adolescent mental health during the waning phase of the COVID-19 pandemic.
Anxiety
COVID-19 pandemic
Child and adolescent mental health
India
Internalizing
Lockdowns
Stressors
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
28 10 2024
28 10 2024
Historique:
received:
27
06
2024
accepted:
22
10
2024
medline:
29
10
2024
pubmed:
29
10
2024
entrez:
29
10
2024
Statut:
epublish
Résumé
This study examined the relation between pandemic-related stressors and mental health among young people (YP) in India during two time points in the waning phase of the pandemic. We use data from two cross-sectional waves of over 20,000 YP aged 5-19 in February 2022, during the peak of the Omicron wave, and October 2022, during a reduction in infections and easing of restrictions. COVID illness/death in the family's social network, current lockdown stringency, and significant change in household income were examined in relation to adult respondents' reports of YP internalizing symptoms. Internalizing symptoms declined slightly from February to October 2022. COVID-19 illness/death in the family's network was generally associated with more internalizing symptoms. Higher lockdown stringency was associated with lower levels of internalizing symptoms. YP in households with increases in income tended to have more internalizing symptoms. Many associations were driven by older adolescents and were stronger during the earlier (Feb-2022) than later (Oct-2022) data collection time-points. The findings illustrate the importance of anchoring results within a study's specific geographic context, including concurrent events during the study period. Importantly, findings that may initially seem counterintuitive ultimately illuminate the dynamic and complex processes underlying child and adolescent mental health.
Identifiants
pubmed: 39468260
doi: 10.1038/s41598-024-77411-9
pii: 10.1038/s41598-024-77411-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
25843Subventions
Organisme : Eunice Kennedy Shriver National Institute of Child Health and Human Development
ID : HD107420
Organisme : Eunice Kennedy Shriver National Institute of Child Health and Human Development
ID : HD107420
Organisme : Eunice Kennedy Shriver National Institute of Child Health and Human Development
ID : HD107420
Organisme : Eunice Kennedy Shriver National Institute of Child Health and Human Development
ID : HD107420
Organisme : Eunice Kennedy Shriver National Institute of Child Health and Human Development
ID : HD107420
Organisme : Eunice Kennedy Shriver National Institute of Child Health and Human Development
ID : HD107420
Informations de copyright
© 2024. The Author(s).
Références
Deng, J. et al. Prevalence of mental health symptoms in children and adolescents during the COVID-19 pandemic: a meta-analysis. Ann. N. Y. Acad. Sci. 1520, 53–73. https://doi.org/10.1111/nyas.14947 (2023).
doi: 10.1111/nyas.14947
pubmed: 36537131
Kauhanen, L. et al. A systematic review of the mental health changes of children and young people before and during the COVID-19 pandemic. Eur. Child. Adolesc. Psych. 32, 995–1013. https://doi.org/10.1007/s00787-022-02060-0 (2023).
doi: 10.1007/s00787-022-02060-0
Ludwig-Walz, H., Dannheim, I., Pfadenhauer, L. M., Fegert, J. M. & Bujard, M. Anxiety increased among children and adolescents during pandemic-related school closures in Europe: a systematic review and meta-analysis. Child Adolesc. Psychiatry Mental Health. 17, 74. https://doi.org/10.1186/s13034-023-00612-z (2023).
doi: 10.1186/s13034-023-00612-z
Newlove-Delgado, T. et al. Annual Research Review: the impact of Covid-19 on psychopathology in children and young people worldwide: systematic review of studies with pre- and within-pandemic data. J. Child Psychol. Psychiatry Allied Discip. 64, 611–640. https://doi.org/10.1111/jcpp.13716 (2023).
doi: 10.1111/jcpp.13716
Thorisdottir, I. E. et al. Effect of the COVID-19 pandemic on adolescent mental health and substance use up to March, 2022, in Iceland: a repeated, cross-sectional, population-based study. Lancet Child. Adolesc. Health. 7, 347–357. https://doi.org/10.1016/s2352-4642(23)00022-6 (2023).
doi: 10.1016/s2352-4642(23)00022-6
pubmed: 36913961
pmcid: 10005790
Zijlmans, J. et al. The effects of COVID-19 on child mental health: biannual assessments up to April 2022 in a clinical and two general population samples. JCPP Adv. 3, e12150. https://doi.org/10.1002/jcv2.12150 (2023).
doi: 10.1002/jcv2.12150
pubmed: 37753155
pmcid: 10519731
Bhandari, N., & Gupta, S. Trends in Mental Wellbeing of US children, 2019–2022: erosion of mental health continued in 2022. Int. J. Environ. Res. Public Health. 21 (2024).
Wong, S. M. Y. et al. Prevalence, time trends, and correlates of major depressive episode and other psychiatric conditions among young people amid major social unrest and COVID-19 in Hong Kong: a representative epidemiological study from 2019 to 2022. Lancet Reg. Health West. Pac. 40, 100881. https://doi.org/10.1016/j.lanwpc.2023.100881 (2023).
doi: 10.1016/j.lanwpc.2023.100881
pubmed: 37654623
pmcid: 10465929
Aksunger, N. et al. COVID-19 and mental health in 8 low- and middle-income countries: a prospective cohort study. PLoS Med. 20, e1004081. https://doi.org/10.1371/journal.pmed.1004081 (2023).
doi: 10.1371/journal.pmed.1004081
pubmed: 37023021
pmcid: 10079130
Chung, G. K. et al. Socioeconomic inequalities in psychosocial well-being among adolescents under the COVID-19 pandemic: a cross-regional comparative analysis in Hong Kong, mainland China, and the Netherlands. Soc. Psychiatry Psychiatr Epidemiol. https://doi.org/10.1007/s00127-024-02649-7 (2024).
doi: 10.1007/s00127-024-02649-7
pubmed: 38573376
Madigan, S. et al. Changes in depression and anxiety among children and adolescents from before to during the COVID-19 pandemic: a systematic review and Meta-analysis. JAMA Pediatr. 177, 567–581. https://doi.org/10.1001/jamapediatrics.2023.0846 (2023).
doi: 10.1001/jamapediatrics.2023.0846
pubmed: 37126337
pmcid: 10152379
UNICEF. The Situation of Children in South Asia, (2024). https://www.unicef.org/rosa/children-south-asia
Deb, S. et al. A cross-sectional study on mental health of school students during the COVID-19 pandemic in India. Data 7 (2022).
Pandit, M., Margaret, B. & Yashoda, S. Impact of Covid-19 lockdown on health-related quality of life, mental well-being, and daily routines among high school children of Udupi District, Karnataka, India: a cross-sectional study. Clin. Epidemiol. Global Health. 24, 101452. https://doi.org/10.1016/j.cegh.2023.101452 (2023).
doi: 10.1016/j.cegh.2023.101452
Patra, S., Patro, B. K. & Acharya, S. P. COVID-19 lockdown and school closure: Boon or bane for child mental health, results of a telephonic parent survey. Asian J. Psychiatr. 54, 102395. https://doi.org/10.1016/j.ajp.2020.102395 (2020).
doi: 10.1016/j.ajp.2020.102395
pubmed: 33271696
pmcid: 7836815
Lucci, T. K., David, V. F., Prist, R. & Otta, E. Some lessons learned from the COVID-19 pandemic: subjective well-being before and during the pandemic among Brazilian adults. Curr. Res. Ecol. Soc. Psychol. 3, 100070. https://doi.org/10.1016/j.cresp.2022.100070 (2022).
doi: 10.1016/j.cresp.2022.100070
pubmed: 36405988
pmcid: 9647418
Nichols, E. et al. Trajectories and correlates of poor mental health in India over the course of the COVID-19 pandemic: a nationwide survey. BMJ Global Health. 9, e013365. https://doi.org/10.1136/bmjgh-2023-013365 (2024).
doi: 10.1136/bmjgh-2023-013365
pubmed: 38286516
pmcid: 10826618
Brooks, S. K. et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 395, 912–920. https://doi.org/10.1016/S0140-6736(20)30460-8 (2020).
doi: 10.1016/S0140-6736(20)30460-8
pubmed: 32112714
pmcid: 7158942
Robertson, E. L. et al. Longitudinal transactional relationships between caregiver and child mental health during the COVID-19 global pandemic. Child Adolesc. Psychiatry Mental Health. 15, 66. https://doi.org/10.1186/s13034-021-00422-1 (2021).
doi: 10.1186/s13034-021-00422-1
Morgül, E., Kallitsoglou, A. & Essau, C. A. Caregiver Worry of Infection and Family Co-existence Difficulty and Association with Change in Children’s internalizing and externalizing symptoms during the initial COVID-19 lockdown in the UK and Turkey. Psychol. Rep. https://doi.org/10.1177/00332941221149183 (2023).
Westrupp, E. M. et al. Parent and child mental health trajectories April 2020 to May 2021: strict lockdown versus no lockdown in Australia. Aust. New. Z. J. Psychiatry. 56, 1491–1502. https://doi.org/10.1177/00048674211065365 (2022).
doi: 10.1177/00048674211065365
Bu, F., Steptoe, A. & Fancourt, D. Depressive and anxiety symptoms in adults during the COVID-19 pandemic in England: a panel data analysis over 2 years. PLoS Med. 20, e1004144. https://doi.org/10.1371/journal.pmed.1004144 (2023).
doi: 10.1371/journal.pmed.1004144
pubmed: 37071605
pmcid: 10112796
Yang, X. et al. Positive effects of the COVID-19 pandemic on depression and anxiety in Chinese adolescents. Eur. Child. Adolesc. Psych. https://doi.org/10.1007/s00787-023-02263-z (2023).
doi: 10.1007/s00787-023-02263-z
Costa-Font, J., Knapp, M. & Vilaplana-Prieto, C. The ‘welcomed lockdown’ hypothesis? Mental wellbeing and mobility restrictions. Eur. J. Health Econ. 24, 679–699. https://doi.org/10.1007/s10198-022-01490-6 (2023).
doi: 10.1007/s10198-022-01490-6
pubmed: 35960372
Breaux, R. et al. Impacts of COVID-19 quarantine and isolation on adolescent social functioning. Curr. Opin. Psychol. 52, 101613. https://doi.org/10.1016/j.copsyc.2023.101613 (2023).
doi: 10.1016/j.copsyc.2023.101613
pubmed: 37364468
pmcid: 10232930
Gupta, M., Sarangi, R., Sharma, S. & Patnaik, L. Mental health issues and lifestyle changes associated with the COVID-19 pandemic in adolescents: a cross-sectional study in selected schools of Eastern India. J. Educ. Health Promot. 13, 80. https://doi.org/10.4103/jehp.jehp_392_23 (2024).
doi: 10.4103/jehp.jehp_392_23
pubmed: 38559482
pmcid: 10979783
Rogers, E. M., Melde, C., Williams, J., Heinze, J. & McGarrell, E. Adolescent Mental Health and Resilience before and during the COVID-19 pandemic. J. Adolesc. Health. https://doi.org/10.1016/j.jadohealth.2024.02.023 (2024).
doi: 10.1016/j.jadohealth.2024.02.023
pubmed: 38493399
Li, J. B., Dou, K. & Liu, Z. H. Profiles of positive changes in life outcomes over the COVID-19 pandemic in Chinese adolescents: the role of resilience and mental health consequence. Child Adolesc. Psychiatry Mental Health. 16, 13. https://doi.org/10.1186/s13034-022-00451-4 (2022).
doi: 10.1186/s13034-022-00451-4
Koenig, J. et al. The impact of COVID-19 related lockdown measures on self-reported psychopathology and health-related quality of life in German adolescents. Eur. Child. Adolesc. Psych. 32, 113–122. https://doi.org/10.1007/s00787-021-01843-1 (2023).
doi: 10.1007/s00787-021-01843-1
Chen, S., Cheng, Z. & Wu, J. Risk factors for adolescents’ mental health during the COVID-19 pandemic: a comparison between Wuhan and other urban areas in China. Global Health. 16, 96. https://doi.org/10.1186/s12992-020-00627-7 (2020).
doi: 10.1186/s12992-020-00627-7
pubmed: 33036622
pmcid: 7545801
Panchal, U. et al. The impact of COVID-19 lockdown on child and adolescent mental health: systematic review. Eur. Child. Adolesc. Psych. 27. https://doi.org/10.1007/s00787-021-01856-w (2021).
Tomono, M., Yamauchi, T., Suka, M. & Yanagisawa, H. Impact of overtime working and social interaction on the deterioration of mental well-being among full-time workers during the COVID-19 pandemic in Japan: focusing on social isolation by household composition. J. Occup. Health. 63, e12254. https://doi.org/10.1002/1348-9585.12254 (2021).
doi: 10.1002/1348-9585.12254
pubmed: 34302306
pmcid: 8302453
Baranov, V., Grosjean, P., Khan, F. J. & Walker, S. The impact of COVID-related economic shocks on household mental health in Pakistan. Health Econ. 31, 2208–2228. https://doi.org/10.1002/hec.4571 (2022).
doi: 10.1002/hec.4571
pubmed: 35822574
pmcid: 9350311
Donnelly, R. & Farina, M. P. How do state policies shape experiences of household income shocks and mental health during the COVID-19 pandemic? Soc. Sci. Med. 269, 113557. https://doi.org/10.1016/j.socscimed.2020.113557 (2021).
doi: 10.1016/j.socscimed.2020.113557
pubmed: 33308909
Pinto da Costa, M. & Stewart, R. Investigating time-dependent COVID-19 pandemic mental health data: challenges and opportunities of using panel data analysis. PLoS Med. 20, e1004219. https://doi.org/10.1371/journal.pmed.1004219 (2023).
doi: 10.1371/journal.pmed.1004219
pubmed: 37071617
pmcid: 10112801
Carey, E. G., Ridler, I., Ford, T. J. & Stringaris, A. Editorial Perspective: when is a ‘small effect’ actually large and impactful? J. Child Psychol. Psychiatry. 64, 1643–1647. https://doi.org/10.1111/jcpp.13817 (2023).
doi: 10.1111/jcpp.13817
pubmed: 37226639
Cohen, J. R., So, F. K., Young, J. F., Hankin, B. L. & Lee, B. A. Youth depression screening with parent and self-reports: assessing current and prospective depression risk. Child. Psychiat Hum. Dev. 50, 647–660. https://doi.org/10.1007/s10578-019-00869-6 (2019).
doi: 10.1007/s10578-019-00869-6
Bajeux, E. et al. Factors associated with parent–child discrepancies in reports of mental health disorders in young children. Child. Psychiat Hum. Dev. 49, 1003–1010. https://doi.org/10.1007/s10578-018-0815-7 (2018).
doi: 10.1007/s10578-018-0815-7
Kabir, R. et al. The effect of COVID-19 on the mental health of the people in the Indian subcontinent: a scoping review. Nepal. J. Epidemiol. 13, 1268–1284. https://doi.org/10.3126/nje.v13i2.52766 (2023).
doi: 10.3126/nje.v13i2.52766
pubmed: 37692909
pmcid: 10484499
Vyas, M. Survey Design and Sample (Centre for Monitoring Indian Economy, 2020).
Hale, T. et al. A global panel database of pandemic policies (Oxford COVID-19 Government Response Tracker). Nat. Hum. Behav. 5, 529–538. https://doi.org/10.1038/s41562-021-01079-8 (2021).
doi: 10.1038/s41562-021-01079-8
pubmed: 33686204
Gardner, W. et al. The PSC-17: a brief pediatric symptom checklist with psychosocial problem subscales. A report from PROS and ASPN. Ambul. Child. Health. 5, 225–236 (1999).
Spence, S., Rapee, R., McDonald, C. & Ingram, M. The structure of anxiety symptoms among preschoolers. Behav. Res. Ther. 39, 1293–1316 (2001).
doi: 10.1016/S0005-7967(00)00098-X
pubmed: 11686265
Spence, S. H. A measure of anxiety symptoms among children. Behav. Res. Ther. 36, 545–566. https://doi.org/10.1016/s0005-7967(98)00034-5 (1998).
doi: 10.1016/s0005-7967(98)00034-5
pubmed: 9648330
Vyas, M. Household Groups: Consumper Pyramids Household Survey (Centre for Monitoring Evaluation India, 2020).