The longitudinal impact of the COVID-19 pandemic on adolescents' internalizing symptoms, substance use, and digital media use

Shoshani, Anat; Kor, Ariel

doi:10.1007/s00787-023-02269-7

Cited by 8 publications

(4 citation statements)

References 67 publications

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“…Children with mental illnesses often live with caregivers of mental illnesses [42]. Thus, the association between children's and parents' mental health is currently discussed as an important issue [43]. The present results confirm this association.…”

Section: Discussionsupporting

confidence: 83%

“…Fifth, the high level of digital media use among children and adolescents is an ongoing concern. Although its use for educational purposes has also decreased since school closures and distance learning in South Tyrol [10,11], screen time for private purposes remains high and has been implicated as a significant predictor of mental health problems [43][44][45][46]. These non-pandemic-related items as well as sports behaviors were clearly associated with adolescents' mental health, suggesting that the best mental health outcomes are achieved by doing four or five days a week for at least 60 minutes of sports and using digital media for private concerns one hour or less per day.…”

Section: Discussionmentioning

confidence: 99%

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Parental Mental Health, Gender, and Lifestyle Effects on Post-Pandemic Child and Adolescent Psychosocial Problems: A Cross-Sectional Survey in Northern Italy

Barbieri,

Piccoliori,

Engl

et al. 2024

Preprint

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Background: The exacerbation of psychosocial problems among children and adolescents during the coronavirus disease 2019 (COVID-19) pandemic necessitates an assessment of the long-term mental health impact of pandemic interventions. Focusing on both pandemic-related factors and demographic variables, such as gender and daily habits, an analysis was conducted to under-stand how these elements continue to affect young populations in the post-pandemic era. Methods: In April 2023, a comprehensive online survey was administered to families in South Tyrol, Italy, with children aged 7–19 years, to ensure age and gender representation. The survey included par-ent ratings and adolescent (11–19 years) self-reports using standardized instruments to measure the symptoms of mental health problems (Strengths and Difficulties Questionnaire, SDQ), anxiety (Screen for Child Anxiety Related Emotional Disorders, SCARED), and depression (Patient Health Questionnaire-2, PHQ-2). Statistical analyses included descriptive statistics, chi-square tests, and unadjusted odds ratios (ORs). Results: Of the 4,525 valid responses, 1,831 were self-reported by adolescents. Notable gender differences in mental health outcomes were identified, along with significant demographic predictors, such as age, single parenthood, parental mental health problems, and immigrant background. Negative effects were associated with reduced family climate and increased screen time, whereas physical activity showed beneficial effects. Proxy reports overestimated adolescents' mental health problems, whereas self-report tended to underestimate them. Conclusions: Persistent mental health problems and gender disparities high-light the need for a public health approach. This should include accessible support services, resili-ence building, targeted support for vulnerable families and gender-specific interventions.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Parental Mental Health, Gender, and Lifestyle Effects on Post-Pandemic Child and Adolescent Psychosocial Problems: A Cross-Sectional Survey in Northern Italy

Barbieri,

Piccoliori,

Engl

et al. 2024

Preprint

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“…Opioids used in hospitalizations or those purchased illicitly could not be included in our analyses, leading to potential underestimation of sustained use. However, because inpatient opioid use is usually relatively short, and illicit purchases are unlikely to be common in children in Israel, 42 the effect of such missing information on our analysis should be minor. In addition, we could not distinguish between prescriptions made by the same or different doctors, and thus detect “doctor shopping.” 31 However, this would not affect the identification of patients as sustained users, per the definition used here.…”

Section: Discussionmentioning

confidence: 99%

Opioid trends and risk factors for sustained use among children and adolescents in Israel: a retrospective cohort study

Tuttnauer,

Atias,

Reznik

et al. 2024

Pain

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Despite growing global concern over opioids, little is known about the epidemiology of opioid use in children and adolescents. This retrospective study investigated opioid use trends and identified risk factors associated with sustained opioid use among outpatient children and adolescents in Israel. Electronic health records of 110,955 children and adolescents were used to establish opioid purchase trends in outpatient settings between 2003 and 2021. Of these, data from 2012 to 2021, n = 32,956, were included in a Cox proportional hazards analysis to identify demographic, clinical, and pharmacological risk factors for sustained opioid use. An increase in opioid use was observed, with a notable rise among strong opioids, peripheral areas, and noncancer patients. Prevalence of sustained opioid users was approximately 2.5%. Risk factors with significant adjusted hazard ratios for sustained use included history of frequent doctor visits 1.82 (95% CI [1.50-2.22]) and drug purchases 1.30 (95% CI [1.07-1.58]), malignancy 1.50 (95% CI [1.07-2.09]), history of cardiovascular (1.44 (95% CI [1.04-1.98]) and pain-related conditions 1.34 (95% CI [1.14-1.58]), and different opioid substances (relative to codeine use): tramadol 2.38 (95% CI [1.73-3.27]), oxycodone 4.29 (95% CI [3.00-6.16]), and “other strong opioids” 6.05 (95% CI [3.59-10.2]). Awareness of observed increase in opioid purchases is crucial for doctors and public health practitioners. Additional monitoring and secondary prevention of children and adolescents possessing the identified risk factors should facilitate where appropriate reducing sustained opioid use when it is unnecessary.

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“…It may be that in some families the COVID-19 pandemic precipitated the occurrence of parental symptoms of anxiety and depression, which in turn had a negative impact on parent-child interactions-possibly during critical periods of development-and therefore exert long-term consequences on youth well-being [16]. Third, the COVID-19 appears to have had an impact on social behaviours that may have consequences on children's and adolescents' psychological difficulties-in particular an increase in the levels of screen use [17] and a decrease in social leisure activities which, as shown by the study conducted by Timonen et al in this month's issue of ECAP are an important sources of positive mental health and appear to mediate the relationship between early signs of psychological distress and later psychiatric morbidity [18].…”

mentioning

confidence: 99%

The long shadow of the COVID-19 pandemic on children and adolescents’ mental health

Melchior

2023

Eur Child Adolesc Psychiatry

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The longitudinal impact of the COVID-19 pandemic on adolescents' internalizing symptoms, substance use, and digital media use

Cited by 8 publications

References 67 publications

Parental Mental Health, Gender, and Lifestyle Effects on Post-Pandemic Child and Adolescent Psychosocial Problems: A Cross-Sectional Survey in Northern Italy

Parental Mental Health, Gender, and Lifestyle Effects on Post-Pandemic Child and Adolescent Psychosocial Problems: A Cross-Sectional Survey in Northern Italy

Opioid trends and risk factors for sustained use among children and adolescents in Israel: a retrospective cohort study

The long shadow of the COVID-19 pandemic on children and adolescents’ mental health

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