Child and Adolescent Mental Health During the COVID-19 Pandemic: Results of the Three-Wave Longitudinal COPSY Study
Open accessAbstract
PURPOSE: The German population-based longitudinal COVID-19 andPsychological Health study monitors changes in health-related quality of life (HRQoL) and mental health of children and adolescents during the COVID-19 pandemic and identifies vulnerable groups. METHODS: A nationwide, population-based survey was conducted in May 2020 to June 2020 (Wave 1), December 2020 to January 2021 (Wave 2), and September 2021 to October 2021 (Wave 3). In total, n = 2,097 children and adolescents aged 7-17 years were investigated using measures to assess HRQoL (KIDSCREEN-10), mental health problems (SDQ), anxiety (SCARED), depressive symptoms(PHQ-2), and psychosomatic complaints(HBSC-SCL). RESULTS: The prevalence of low HRQoL increased from 15% prepandemic to 40% and 48% in Waves 1 and 2 and improved slightly to 35% in Wave 3 (all differences significant). Similarly, overall mental health problems increased from 18% prepandemic to 29% in Wave 1 and 31% in Wave 2 to 28% in Wave 3 (all differences significant, except Wave 3 vs. 2), anxiety increased from 15% prepandemic to 24% and 30% in Waves 1 and 2 and was still 27% in Wave 3. Depressive symptoms increased from 10% prepandemic to 11% and 15% in Waves 1 and 2 and were 11% in Wave 3. A group with low parental education, restricted living conditions, migration background, and parental mental health problems was at significantly increased risk of HRQoL and mental health impairments. DISCUSSION: The prevalence of low HRQoL, mental health problems, and anxiety has been elevated throughout the pandemic. Thus, mental health promotion, prevention, and intervention strategies need to be implemented to support adolescents-particularly those at risk.
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Socially restrictive measures, quarantines and lockdowns have been associated with reduced social interaction and increased loneliness that may lead to a rise in mental health problems such as symptoms of depression and anxiety.
“Socially restrictive measures, quarantines and lockdowns have been associated with reduced social interaction and increased loneliness that may lead to a rise in mental health problems such as symptoms of depression and anxiety.”
From A Longitudinal Study of Loneliness Before the End of the COVID-19 Pandemic: Trajectories, Predictors, and Impact on Chinese Adolescent Mental Health (2024) · cites this paper as [8]
The Results (page not provided) associate reduced social contacts with lower health-related quality of life, and report increased anxiety and a temporary increase in depressive symptoms among children and adolescents during the pandemic. The paper does not report increased loneliness or establish that loneliness linked restrictions to those symptoms. (LLM, conf=0.84)
Experimental — accuracy not yet measuredMeasures to stop the spread of the virus led to reduced social contact, likely increasing loneliness and negative emotions among young people (≤18 years).
“Measures to stop the spread of the virus led to reduced social contact, likely increasing loneliness and negative emotions”
From Adolescent Loneliness and Negative Affect during the COVID-19 Pandemic: The Role of Extraversion and Neuroticism (2023) · cites this paper as Ravens-Sieberer et al., 2022
The Results section (page unavailable) associates reduced social contact with a higher risk of low health-related quality of life, and the Discussion reports elevated emotional problems during the pandemic. The paper does not establish that reduced contact increased loneliness or directly link it to the rise in emotional problems. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThe COVID-19 pandemic led to an increase in mental health problems and psychiatric diagnoses among children and adolescents.
“Overall, the COVID-19 pandemic led to a decrease in children’s and adolescents’ general wellbeing, an increase of mental health problems and psychiatric diagnoses, and a growing demand for (non-specialized and specialized) mental health care.”
From Interventions to build resilience and to ameliorate negative psychosocial effects of the COVID-19 pandemic on children and adolescents: a systematic review and meta-analysis (2024) · cites this paper as [4]
The Results section (‘Changes in mental health during the pandemic’; page unavailable) reports that mental health problems among children and adolescents aged 7–17 rose from 17.6% before the pandemic to 28.8%–30.6% during it. The Methods (‘Measures’; page unavailable) describes questionnaire cutoffs for symptoms and problems, not psychiatric diagnoses. The increase in psychiatric diagnoses is therefore not supported by this paper. (LLM, conf=0.88)
Experimental — accuracy not yet measuredA rise in depressive symptoms, anxiety, suicidal ideation, loneliness, sleep disturbance, eating disorders, gaming and increased screen time has been reported among children and adolescents during the COVID-19 pandemic.
“Specifically, a rise in depressive symptoms, anxiety, suicidal ideation, loneliness, sleep disturbance, eating disorders, gaming and increased screen time has been reported [4–8].”
From Interventions to build resilience and to ameliorate negative psychosocial effects of the COVID-19 pandemic on children and adolescents: a systematic review and meta-analysis (2024) · cites this paper as [4]
The Results sections (page not supplied) report increased anxiety and depressive symptoms and more prevalent sleeping problems during the pandemic. The paper also reports increased screen time and eating, but not eating disorders; the passages searched do not substantiate rises in suicidal ideation, loneliness, or gaming. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThe COVID-19 pandemic led to a decrease in children's and adolescents' general wellbeing.
“Overall, the COVID-19 pandemic led to a decrease in children’s and adolescents’ general wellbeing, an increase of mental health problems and psychiatric diagnoses, and a growing demand for (non-specialized and specialized) mental health care.”
Six interventions were considered school-based.
“In regard to settings, six interventions were considered school-based [4, 42, 43, 45, 47, 48, 50] where interventions took place either at school or during (online) classes, or alternatively, participants were assigned to interventions based on their class affiliation (clustered study design).”
From Interventions to build resilience and to ameliorate negative psychosocial effects of the COVID-19 pandemic on children and adolescents: a systematic review and meta-analysis (2024) · cites this paper as [4]
The Results section discusses associations between schooling at home and health-related quality of life, not school-based interventions. Searches for “six interventions” and for school-based interventions or class-based assignment found no passage in our copy that reports this count or classification. (LLM, conf=0.76)
Experimental — accuracy not yet measuredControl conditions comprised no treatment or waitlist-control, active control, and alternative active control.
“Control conditions comprised no treatment or waitlist-control [44, 49, 51, 53, 54], active control (predominantly health education) [4, 42, 43, 47, 48, 52] and alternative active control (e.g. Mandala drawing, mindfulness-based meditation, expressing emotions) [45, 46, 50].”
From Interventions to build resilience and to ameliorate negative psychosocial effects of the COVID-19 pandemic on children and adolescents: a systematic review and meta-analysis (2024) · cites this paper as [4]
The Methods (Study design and sample; page unavailable) describe comparisons with prepandemic BELLA and HBSC data, not treatment or waitlist-control conditions. Searches for waitlist, active control, health education, and the named alternative activities found no passage addressing the claimed control-condition categories. (LLM, conf=0.76)
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Adolescent Mental and Behavioral Health: COVID-19 Exacerbation of a Prevailing Crisis
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Identification of methodologies to quantify education system resilience—A scoping review
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Commentary: School closures, the pandemic, and pediatric mental health: Scrutinizing the evidence.
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Overall volume of antibiotics prescribed, 2020
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»Die Corona-Pandemie hat mir wertvolle Zeit genommen«
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“Managing the COVID-19 situation during the specific developmental period between late adolescence and early adulthood is a challenge for most young people (e.g., Racine et al., 2021; Ravens-Sieberer et al., 2022).”
BackgroundFörderung der mentalen Gesundheitskompetenz im Jugendalter
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Anxiety, depression, and suicidal ideation among early adolescents during the COVID‐19 pandemic
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- Authors
- Ravens-Sieberer, U., Erhart, M., Devine, J., Gilbert, M., Reiss, F., Barkmann, C., Siegel, N. A., Simon, A. M., Hurrelmann, K., Schlack, R., Hölling, H., Wieler, L. H., & Kaman, A.
- Affiliations
- Alice-Salomon-Hochschule Berlin (DE)
- University Medical Center Hamburg-Eppendorf (DE)
- Hertie School (DE)
- Robert Koch Institute (DE)
- ORCID
- Venue
- Journal of Adolescent Health
- Publisher
- Elsevier BV
- Published
- 2022-11
- Volume
- 71
- Issue
- 5
- Pages
- 570-578
- ISSN
- 1054-139X (ISSN-L)
- PMC
- PMC9386895
- OpenAlex
- W4292241804
- Cited by
- 401
- References
- 53
- Citations by year
- 2026: 38 · 2025: 47 · 2024: 71 · 2023: 93 · 2022: 150 · 2012: 1
- FWCI
- 82.36
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Adolescent Health (publishedVersion, cc-by-nc-nd)
- SSRN Electronic Journal (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Publication server of the Robert Koch Institute (Robert Kock Institute) (submittedVersion, cc-by)
- OPUS 4 (Zuse Institute Berlin) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- child and adolescent mental health, COVID-19 pandemic, health-related quality of life, anxiety, depressive symptoms, mental illness, vulnerable populations, parental education, migration background, parental mental health, psychosomatic symptoms
- MeSH terms
- COVID-19, Adolescent, Anxiety, Child, Cross-Sectional Studies, Depression, Humans, Mental Health, Quality of Life, Pandemics
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