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Adise S, West AE, Rezvan PH, Marshall AT, Betts S, Kan E, Sowell ER. Socioeconomic Disadvantage and Youth Mental Health During the COVID-19 Pandemic Lockdown. JAMA Netw Open 2024; 7:e2420466. [PMID: 38967921 PMCID: PMC11227076 DOI: 10.1001/jamanetworkopen.2024.20466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Accepted: 05/06/2024] [Indexed: 07/06/2024] Open
Abstract
Importance Adolescence is a period in which mental health problems emerge. Research suggests that the COVID-19 lockdown may have worsened emotional and behavioral health. Objective To examine whether socioeconomic status was associated with mental health outcomes among youths during the COVID-19 pandemic. Design, Setting, and Participants The Adolescent Brain Cognitive Development (ABCD) Study is a multisite 10-year longitudinal study of youth neurocognitive development in the US. Recruitment was staggered where the baseline visit (ages 9 to 10 years) occurred from 2016 to 2018, and visits occurred yearly. The COVID-19 lockdown halted research collection during the 2-year follow-up visits (ages 11 to 12 years), but eventually resumed. As some youths already underwent their 2-year visits prior to lockdown, this allowed for a natural experiment-like design to compare prepandemic and intrapandemic groups. Thus, data were gathered from the 1-year follow-up (pre-COVID-19 lockdown for all youths) and the 2-year follow-up, of which a portion of youths had data collected after the lockdown began, to compare whether a period of near social isolation was associated with mental health symptoms in youths. The prepandemic group consisted of youths with a 2-year follow-up visit collected prior to March 11, 2020, and the intrapandemic group had their 2-year follow-up visit after lockdown restrictions were lifted. Main Outcomes and Measures Assessments included measures on income-to-needs ratio (INR; derived from total household income), the Child Behavior Checklist (a measure of mental health symptomology), and the Family Environmental Scale. Results The final sample included 10 399 youths; 3947 (52.3%) were male; 2084 (20.3%) were Latinx/Hispanic; 6765 (66.0%) were White; 4600 (44.2%) reported caregiver education levels below a 4-year college degree; and 2475 (26.2%) had INR either below 100% (indicating poverty) or between 100% and less than 200% (near poverty). Among youths in the intrapandemic group, worse mental health symptoms (eg, more total problems, greater depression, and greater anxiety) over time were associated with being from a household with higher socioeconomic status (eg, when comparing individuals who differed by 1 unit on INR between prepandemic and intrapandemic groups from 1-year to 2-year follow-up, their expected difference in total problems score was 0.79 [95% CI, 0.37-1.22]; false discovery rate-corrected P < .001). Conclusions and Relevance This cohort study found that the COVID-19 lockdown was associated with disproportionately negative mental health outcomes among youths from higher socioeconomic status backgrounds. Although this study does not shed light on the direct mechanisms driving these associations, it does provide some support for positive outcomes for youths. Future studies are needed to understand whether these associations persist over longer periods of time.
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Affiliation(s)
- Shana Adise
- Department of Pediatrics, Division of Endocrinology, Diabetes and Metabolism, Children’s Hospital Los Angeles, Los Angeles, California
| | - Amy E. West
- Department of Pediatrics, Division of General Pediatrics, Children’s Hospital Los Angeles, Los Angeles, California
| | - Panteha Hayati Rezvan
- Biostatistics and Data Management Core, The Saban Research Institute, Children’s Hospital of Los Angeles, Los Angeles, California
| | - Andrew T. Marshall
- Department of Pediatrics, Division of Pediatric Research Administration, Children’s Hospital of Los Angeles, Los Angeles, California
| | - Samantha Betts
- Department of Pediatrics, Division of Endocrinology, Diabetes and Metabolism, Children’s Hospital Los Angeles, Los Angeles, California
| | - Eric Kan
- Department of Pediatrics, Division of Pediatric Research Administration, Children’s Hospital of Los Angeles, Los Angeles, California
| | - Elizabeth R. Sowell
- Department of Pediatrics, Division of Neurology, Children’s Hospital Los Angeles, Los Angeles, California
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Patel KN, Lincoln B, Gomez LAM, Lopez AC, Ting T, Lund TJ, Liang B. MentorOn: A peer mentoring program developed for COVID-19 times. JOURNAL OF COMMUNITY PSYCHOLOGY 2023; 51:3152-3170. [PMID: 36950766 DOI: 10.1002/jcop.23030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Revised: 03/02/2023] [Accepted: 03/07/2023] [Indexed: 06/18/2023]
Abstract
Burgeoning research has documented COVID-19's detrimental impacts globally, especially on the lives of adolescents. The present study examined the positive influences of a virtual, cross-age peer mentoring program on the development of adolescent participants in the face of the hardships created by the pandemic. In particular, this study focuses on the experiences of high school participants who served as both mentors and mentees in the program. Semi-structured interviews with participating high schoolers (n = 13) were coded and analyzed using the thematic analysis process. The interview data indicated that increased social support, the agency in prosocial pursuits, and greater purpose engagement resulted from their participation in the program. Results are discussed in the context of self-determination theory: youths' needs for relatedness, competence, and autonomy. The program met these basic needs among participants which in turn supported purpose exploration during the pandemic.
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Affiliation(s)
- Kira N Patel
- Department of Counseling, Developmental and Educational Psychology, Boston College, Chestnut Hill, Massachusetts, USA
| | - Brenna Lincoln
- Department of Counseling, Developmental and Educational Psychology, Boston College, Chestnut Hill, Massachusetts, USA
| | | | - Ana C Lopez
- Department of Counseling, Developmental and Educational Psychology, Boston College, Chestnut Hill, Massachusetts, USA
| | - Tobin Ting
- Social Studies Department, Lexington High School, Lexington, Massachusetts, USA
| | - Terese J Lund
- Psychology Department, Wingate University, Wingate, North Carolina, USA
| | - Belle Liang
- Department of Counseling, Developmental and Educational Psychology, Boston College, Chestnut Hill, Massachusetts, USA
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Betts SS, Adise S, Hayati Rezvan P, Marshall AT, Kan E, Johnson DL, Sowell ER. Socioeconomic Adversity and Weight Gain During the COVID-19 Pandemic. JAMA Pediatr 2023; 177:1102-1105. [PMID: 37578771 PMCID: PMC10425859 DOI: 10.1001/jamapediatrics.2023.2823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Accepted: 05/30/2023] [Indexed: 08/15/2023]
Abstract
This cohort study uses a natural experimental design to assess the impact of the COVID-19 lockdown on weight gain as associated with socioeconomic disadvantage in a diverse population of US youth.
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Affiliation(s)
- Samantha S Betts
- Department of Pediatrics, Keck School of Medicine, University of Southern California, Division of Neurology, Children's Hospital Los Angeles, Los Angeles
| | - Shana Adise
- Department of Pediatrics, University of Southern California, Division of Endocrinology, Diabetes, and Metabolism, Children's Hospital Los Angeles, Los Angeles
| | - Panteha Hayati Rezvan
- Biostatistics and Data Management Core, The Saban Research Institute, Children's Hospital Los Angeles, Los Angeles, California
| | - Andrew T Marshall
- Department of Pediatrics, Keck School of Medicine, University of Southern California, Division of Neurology, Children's Hospital Los Angeles, Los Angeles
| | - Eric Kan
- Department of Pediatrics, Division of Pediatric Research Administration, Children's Hospital Los Angeles, Los Angeles, California
| | - David L Johnson
- Department of Pediatrics, Keck School of Medicine, University of Southern California, Division of Neurology, Children's Hospital Los Angeles, Los Angeles
| | - Elizabeth R Sowell
- Department of Pediatrics, Keck School of Medicine, University of Southern California, Division of Neurology, Children's Hospital Los Angeles, Los Angeles
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Marshall AT, Hackman DA, Kan E, Abad S, Baker FC, Baskin-Sommers A, Dowling GJ, Gonzalez MR, Guillaume M, Kiss O, McCabe CJ, McCandliss BD, Pelham WE, Tapert SF, Van Rinsveld A, Sowell ER. Location matters: Regional variation in association of community burden of COVID-19 with caregiver and youth worry. Health Place 2022; 77:102885. [PMID: 35963164 PMCID: PMC9359938 DOI: 10.1016/j.healthplace.2022.102885] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Revised: 06/10/2022] [Accepted: 07/23/2022] [Indexed: 02/08/2023]
Abstract
Our study characterized associations between three indicators of COVID-19's community-level impact in 20 geographically diverse metropolitan regions and how worried youth and their caregivers in the Adolescent Brain Cognitive Development℠ Study have been about COVID-19. County-level COVID-19 case/death rates and monthly unemployment rates were geocoded to participants' addresses. Caregivers' (vs. youths') COVID-19-related worry was more strongly associated with COVID-19's community impact, independent of sociodemographics and pre-pandemic anxiety levels, with these associations varying by location. Public-health agencies and healthcare providers should avoid adopting uniform "one-size-fits-all" approaches to addressing COVID-19-related emotional distress and must consider specific communities' needs, challenges, and strengths.
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Affiliation(s)
- Andrew T Marshall
- Children's Hospital Los Angeles, and the Department of Pediatrics, University of Southern California, Los Angeles, CA, USA.
| | - Daniel A Hackman
- USC Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, CA, USA
| | - Eric Kan
- Children's Hospital Los Angeles, and the Department of Pediatrics, University of Southern California, Los Angeles, CA, USA
| | - Shermaine Abad
- Department of Radiology, University of California, San Diego, CA, USA
| | - Fiona C Baker
- Center for Health Sciences, SRI International, Menlo Park, CA, USA
| | | | - Gayathri J Dowling
- Division of Extramural Research, National Institute on Drug Abuse, Rockville, MD, USA
| | | | - Mathieu Guillaume
- Graduate School of Education, Stanford University, Stanford, CA, USA
| | - Orsolya Kiss
- Center for Health Sciences, SRI International, Menlo Park, CA, USA
| | - Connor J McCabe
- Department of Psychiatry, University of Washington, Seattle, WA, USA
| | | | - William E Pelham
- Department of Psychiatry, University of California, San Diego, CA, USA
| | - Susan F Tapert
- Department of Psychiatry, University of California, San Diego, CA, USA
| | | | - Elizabeth R Sowell
- Children's Hospital Los Angeles, and the Department of Pediatrics, University of Southern California, Los Angeles, CA, USA.
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Zhao Q, Wang K, Kiss O, Yuksel D, de Zambotti M, Clark DB, Goldston DB, Nooner KB, Brown SA, Tapert SF, Thompson WK, Nagel BJ, Pfefferbaum A, Sullivan EV, Pohl KM, Baker FC. Earlier Bedtime and Effective Coping Skills Predict a Return to Low-Risk of Depression in Young Adults during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191610300. [PMID: 36011934 PMCID: PMC9408272 DOI: 10.3390/ijerph191610300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Revised: 08/13/2022] [Accepted: 08/15/2022] [Indexed: 05/24/2023]
Abstract
To determine the persistent effects of the pandemic on mental health in young adults, we categorized depressive symptom trajectories and sought factors that promoted a reduction in depressive symptoms in high-risk individuals. Specifically, longitudinal analysis investigated changes in the risk for depression before and during the pandemic until December 2021 in 399 young adults (57% female; age range: 22.8 ± 2.6 years) in the United States (U.S.) participating in the National Consortium on Alcohol and NeuroDevelopment in Adolescence (NCANDA) study. The Center for Epidemiologic Studies Depression Scale (CES-D-10) was administered multiple times before and during the pandemic. A score ≥10 identified individuals at high-risk for depression. Self-reported sleep behavior, substance use, and coping skills at the start of the pandemic were assessed as predictors for returning to low-risk levels while controlling for demographic factors. The analysis identified four trajectory groups regarding depression risk, with 38% being at low-risk pre-pandemic through 2021, 14% showing persistent high-risk pre-pandemic through 2021, and the remainder converting to high-risk either in June 2020 (30%) or later (18%). Of those who became high-risk in June 2020, 51% were no longer at high-risk in 2021. Logistic regression revealed that earlier bedtime and, for the older participants (mid to late twenties), better coping skills were associated with this declining risk. Results indicate divergence in trajectories of depressive symptoms, with a considerable number of young adults developing persistent depressive symptoms. Healthy sleep behavior and specific coping skills have the potential to promote remittance from depressive symptoms in the context of the pandemic.
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Affiliation(s)
- Qingyu Zhao
- Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA 94304, USA
| | - Kevin Wang
- Department of Computer Science, Stanford University, Stanford, CA 94305, USA
| | - Orsolya Kiss
- Center for Health Sciences, SRI International, Menlo Park, CA 94025, USA
| | - Dilara Yuksel
- Center for Health Sciences, SRI International, Menlo Park, CA 94025, USA
| | | | - Duncan B. Clark
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15260, USA
| | - David B. Goldston
- Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC 27708, USA
| | - Kate B. Nooner
- Department of Psychology, University of North Carolina Wilmington, Wilmington, NC 28403, USA
| | - Sandra A. Brown
- Department of Psychiatry, University of California, San Diego, CA 92093, USA
| | - Susan F. Tapert
- Department of Psychiatry, University of California, San Diego, CA 92093, USA
| | - Wesley K. Thompson
- Population Neuroscience and Genetics Lab, University of California, San Diego, CA 92093, USA
- Department of Radiology, University of California, San Diego, CA 92093, USA
| | - Bonnie J. Nagel
- Departments of Psychiatry and Behavioral Neuroscience, Oregon Health & Science University, Portland, OR 97239, USA
| | - Adolf Pfefferbaum
- Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA 94304, USA
- Center for Health Sciences, SRI International, Menlo Park, CA 94025, USA
| | - Edith V. Sullivan
- Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA 94304, USA
- Center for Health Sciences, SRI International, Menlo Park, CA 94025, USA
| | - Kilian M. Pohl
- Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA 94304, USA
- Center for Health Sciences, SRI International, Menlo Park, CA 94025, USA
| | - Fiona C. Baker
- Center for Health Sciences, SRI International, Menlo Park, CA 94025, USA
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