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. 2021 Apr;68(4):666-675.
doi: 10.1016/j.jadohealth.2021.01.009. Epub 2021 Feb 13.

CCopeY: A Mixed-Methods Coproduced Study on the Mental Health Status and Coping Strategies of Young People During COVID-19 UK Lockdown

Lindsay H Dewa  1 , Caroline Crandell  2 , Elizabeth Choong  2 , Jack Jaques  2 , Alex Bottle  3 , Catherine Kilkenny  4 , Anna Lawrence-Jones  4 , Martina Di Simplicio  5 , Dasha Nicholls  5 , Paul Aylin  6
Affiliations

CCopeY: A Mixed-Methods Coproduced Study on the Mental Health Status and Coping Strategies of Young People During COVID-19 UK Lockdown

Lindsay H Dewa et al. J Adolesc Health. 2021 Apr.

Abstract

Purpose: Exploring the impact of the COVID-19 pandemic on young people's mental health is an increasing priority. Studies to date are largely surveys and lack meaningful involvement from service users in their design, planning, and delivery. The study aimed to examine the mental health status and coping strategies of young people during the first UK COVID-19 lockdown using coproduction methodology.

Methods: The mental health status of young people (aged 16-24) in April 2020 was established utilizing a sequential explanatory coproduced mixed methods design. Factors associated with poor mental health status, including coping strategies, were also examined using an online survey and semi-structured interviews.

Results: Since the lockdown, 30.3% had poor mental health, and 10.8% had self-harmed. Young people identifying as Black/Black-British ethnicity had the highest increased odds of experiencing poor mental health (odds ratio [OR] 3.688, 95% CI .54-25.40). Behavioral disengagement (OR 1.462, 95% CI 1.22-1.76), self-blame (OR 1.307 95% CI 1.10-1.55), and substance use (OR 1.211 95% CI 1.02-1.44) coping strategies, negative affect (OR 1.109, 95% CI 1.07-1.15), sleep problems (OR .915 95% CI .88-.95) and conscientiousness personality trait (OR .819 95% CI .69-.98) were significantly associated with poor mental health. Three qualitative themes were identified: (1) pre-existing/developed helpful coping strategies employed, (2) mental health difficulties worsened, and (3) mental health and nonmental health support needed during and after lockdown.

Conclusion: Poor mental health is associated with dysfunctional coping strategies. Innovative coping strategies can help other young people cope during and after lockdowns, with digital and school promotion and application.

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Figures

Figure 1
Figure 1
Co-produced thematic map.
See this image and copyright information in PMC

References

    1. Johns Hopkins Coronavirus Resource Center. https://coronavirus.jhu.edu/map.html Available at:
    1. Public Health England . Public Health England; London: 2020. Disparities in the risk and outcomes of COVID-19.
    1. Holmes E.A., O’Connor R.C., Perry V.H., et al. Multidisciplinary research priorities for the COVID-19 pandemic: A call for action for mental health science. Lancet Psychiatry. 2020;7:547–560. - PMC - PubMed
    1. Kessler R.C., Berglund P., Demler O., et al. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry. 2005;62:593–602. - PubMed
    1. Office for National Statistics Suicides in the UK: 2018 registrations. https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarri... Available at: