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ORCID: https://orcid.org/0000-0001-8538-3175, Hidalgo-Mazzei, Diego ORCID: https://orcid.org/0000-0002-2693-6849, Vieta, Eduard ORCID: https://orcid.org/0000-0002-0548-0053, Gonzalez-Peñas, Javier ORCID: https://orcid.org/0000-0002-3850-3012, Fortea, Lydia ORCID: https://orcid.org/0000-0001-6778-2316, Parellada, Mara, Fullana, Miquel A. ORCID: https://orcid.org/0000-0003-3863-5223, Verdolini, Norma ORCID: https://orcid.org/0000-0001-9488-2881, Andrlíková, Eva, Janků, Karolina ORCID: https://orcid.org/0000-0002-6804-6967, Millan, Mark J., Honciuc, Mihaela ORCID: https://orcid.org/0009-0003-9641-2260, Moniuszko-Malinowska, Anna ORCID: https://orcid.org/0000-0002-3994-8785, Łoniewski, Igor, Samochowiec, Jerzy ORCID: https://orcid.org/0000-0003-1438-583X, Kiszkiel, Łukasz ORCID: https://orcid.org/0000-0002-0712-3260, Marlicz, Maria ORCID: https://orcid.org/0009-0004-4285-612X, Sowa, Paweł ORCID: https://orcid.org/0000-0002-8357-5816, Marlicz, Wojciech ORCID: https://orcid.org/0000-0002-2649-5967, Spies, Georgina ORCID: https://orcid.org/0000-0003-0853-2813, Stubbs, Brendon ORCID: https://orcid.org/0000-0001-7387-3791, Firth, Joseph, Sullivan, Sarah ORCID: https://orcid.org/0000-0002-1446-8478, Darcin, Asli Enez ORCID: https://orcid.org/0000-0001-5831-3040, Aksu, Hatice ORCID: https://orcid.org/0000-0001-6882-1129, Dilbaz, Nesrin ORCID: https://orcid.org/0000-0003-0724-3489, Noyan, Onur ORCID: https://orcid.org/0000-0002-4819-1032, Kitazawa, Momoko ORCID: https://orcid.org/0000-0002-8160-8418, Kurokawa, Shunya ORCID: https://orcid.org/0000-0001-6451-5263, Tazawa, Yuki ORCID: https://orcid.org/0009-0001-5644-2161, Anselmi, Alejandro ORCID: https://orcid.org/0000-0001-5628-6405, Cracco, Cecilia ORCID: https://orcid.org/0000-0003-3953-001X, Machado, Ana Inés ORCID: https://orcid.org/0000-0003-0197-6083, Estrade, Natalia ORCID: https://orcid.org/0009-0007-7339-3158, De Leo, Diego ORCID: https://orcid.org/0000-0001-8255-6480, Curtis, Jackie ORCID: https://orcid.org/0000-0001-6884-0098, Berk, Michael ORCID: https://orcid.org/0000-0002-5554-6946, Carvalho, Andre F., Ward, Philip ORCID: https://orcid.org/0000-0002-5779-7722, Teasdale, Scott ORCID: https://orcid.org/0000-0001-6769-8421, Rosenbaum, Simon ORCID: https://orcid.org/0000-0002-8984-4941, Marx, Wolfgang ORCID: https://orcid.org/0000-0002-8556-8230, Horodnic, Adrian Vasile ORCID: https://orcid.org/0000-0001-6274-5049, Oprea, Liviu ORCID: https://orcid.org/0000-0002-9410-6732, Alexinschi, Ovidiu ORCID: https://orcid.org/0009-0000-5938-4094, Ifteni, Petru ORCID: https://orcid.org/0000-0003-1053-106X, Turliuc, Serban ORCID: https://orcid.org/0009-0005-7695-0509, Ciuhodaru, Tudor ORCID: https://orcid.org/0009-0003-8498-3568, Bolos, Alexandra ORCID: https://orcid.org/0009-0007-1247-0383, Matei, Valentin ORCID: https://orcid.org/0000-0001-6255-3100, Nieman, Dorien H. 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ORCID: https://orcid.org/0000-0002-7254-5646 (2024) Collaborative outcomes study on health and functioning during infection times (COH-FIT): global and risk-group stratified course of well-being and mental health during the COVID-19 pandemic in adolescents. Journal of the American Academy of Child & Adolescent Psychiatry (JAACAP). ISSN 0890-8567 (Print), 1527-5418 (Online) (doi:10.1016/j.jaac.2024.07.932)

PDF (Author's Accepted Manuscript) 48703 THOMPSON_Collaborative_Outcomes_Study_On_Health_And_Functioning_During_Infection_Times_(COH-FIT)_(AAM)_2024.pdf - Accepted Version Restricted to Repository staff only until 24 November 2025. Available under License Creative Commons Attribution Non-commercial No Derivatives. Download (2MB) | Request a copy

Abstract

Objective: To identify the COVID-19 impact on well-being/mental health, coping strategies and risk factors in adolescent worldwide.
Method: Anonymous online multi-national/language survey in the general population (representative/weighted non-representative samples, 14-17years), measuring change in well-being (WHO-5/range=0-100) and psychopathology (validated composite P-score/range=0-100), WHO-5 <50 and <29, pre- versus during COVID-19 pandemic (26/04/2020-26/06/2022). Coping strategies, nine a-priori defined individual/cumulative risk factors were measured. χ2, penalized cubic splines, linear regression, and correlation analyses were conducted.
Results: Analyzing 8,115 of 8,762 initiated surveys (representative=75.1%), the pre-pandemic WHO-5 and P-score remained stable during the study (excluding relevant recall bias/drift), but worsened intra-pandemic by 5.55±17.13 (standard deviation) and 6.74±16.06 points, respectively (effect size d=0.27 and d=0.28). The proportion of adolescents with WHO-5 scores suggesting depression screening (<50) and major depression (<29) increased from 9% to 17% and 2% to 6%. WHO-5 worsened (descending magnitude, with cumulative effect) in adolescents with a mental or physical disorder, female gender, and with school closure. Results were similar for P-score, with the exception of school closure (not significant) and living in a low-income country, as well as not living in a large city (significant). Changes were significantly but minimally related to COVID-19 deaths/restrictions, returning to near-pre-pandemic values after >2 years. The three most subjectively effective coping strategies were internet use, exercise/walking, and social contacts.
Conclusion: Overall, well-being/mental health worsened (small effect sizes) during early stages of COVID-19, especially in vulnerable subpopulations. Identified at-risk groups, association with pandemic-related measures, and coping strategies can inform individual behaviours and global public health strategies.

Item Type:	Article
Additional Information:	Part of the international "COH-FIT project". - MP
Uncontrolled Keywords:	COVID-19, pandemic, survey, WHO-5, p-factor, well-being, mental health, psychiatry, adolescents
Subjects:	B Philosophy. Psychology. Religion > BF Psychology H Social Sciences > HD Industries. Land use. Labor > HD61 Risk Management R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Faculty / School / Research Centre / Research Group:	Faculty of Education, Health & Human Sciences Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development > Centre for Chronic Illness and Ageing Faculty of Education, Health & Human Sciences > School of Human Sciences (HUM)
Last Modified:	27 Nov 2024 15:21
URI:	http://gala.gre.ac.uk/id/eprint/48703

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