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. 2022 Nov;63(11):1392-1404.
doi: 10.1111/jcpp.13586. Epub 2022 Feb 23.

Covid-19, social restrictions, and mental distress among young people: a UK longitudinal, population-based study

Gemma Knowles  1   2 , Charlotte Gayer-Anderson  1   2 , Alice Turner  1   2 , Lynsey Dorn  1   2 , Joseph Lam  1   2 , Samantha Davis  1   2 , Rachel Blakey  1   2 , Katie Lowis  2 ; Schools Working Group; Young Persons Advisory Group; Vanessa Pinfold  3 , Natalie Creary  4 , Jacqui Dyer  4 , Stephani L Hatch  2   5 , George Ploubidis  6 , Kamaldeep Bhui  7 , Seeromanie Harding  8 , Craig Morgan  1   2
Affiliations

Covid-19, social restrictions, and mental distress among young people: a UK longitudinal, population-based study

Gemma Knowles et al. J Child Psychol Psychiatry. 2022 Nov.

Abstract

Background: Adolescence is a critical period for social and emotional development. We sought to examine the impacts of Covid-19 and related social restrictions and school closures on adolescent mental health, particularly among disadvantaged, marginalised, and vulnerable groups.

Methods: We analysed four waves of data - 3 pre-Covid-19 (2016-2019) and 1 mid-Covid-19 (May-Aug 2020; n, 1074; 12-18 years old, >80% minority ethnic groups, 25% free school meals) from REACH (Resilience, Ethnicity, and AdolesCent Mental Health), an adolescent cohort based in inner-London, United Kingdom. Mental health was assessed using validated measures at each time point. We estimated temporal trends in mental distress and examined variations in changes in distress, pre- to mid-Covid-19, by social group, and by pre- and mid-pandemic risks.

Results: We found no evidence of an overall increase in mental distress midpandemic (15.9%, 95% CI: 13.0, 19.4) compared with prepandemic (around 18%). However, there were variations in changes in mental distress by subgroups. There were modest variations by social group and by pre-Covid risks (e.g., a small increase in distress among girls (b [unstandardised beta coefficient] 0.42 [-0.19, 1.03]); a small decrease among boys (b - 0.59 [-1.37, 0.19]); p for interaction .007). The most notable variations were by midpandemic risks: that is, broadly, increases in distress among those reporting negative circumstances and impacts (e.g., in finances, housing, social support and relationships, and daily routines) and decreases in distress among those reporting positive impacts.

Conclusions: We found strong evidence that mental distress increased among young people who were most negatively impacted by Covid-19 and by related social restrictions during the first lockdown in the United Kingdom.

Keywords: Covid-19; adolescence; cohort; mental distress.

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Figures

Figure 1
Figure 1
Weighted prevalence of probable mental health problems (SDQ scores ≥18) at each time point
Figure 2
Figure 2
Histogram of crude change in SDQ total difficulties scores between T3 and T4 (mid‐Covid)
See this image and copyright information in PMC

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