Cited by 192COVID-19 and Mental HealthChild and Adolescent Psychosocial and Emotional DevelopmentMental Health Treatment and Access

Youth mental health in the time of COVID-19

Open access
Power, E., Hughes, S., Cotter, D., Cannon, M.·2020·Irish Journal of Psychological Medicine

Abstract

Youth mental health is a rapidly developing field with a focus on prevention, early identification, treatment innovation and service development. In this perspective piece, we discuss the effects of COVID-19 on young people’s mental health. The psychosocial effects of COVID-19 disproportionately affect young people. Both immediate and longer-term factors through which young people are affected include social isolation, changes to the delivery of therapeutic services and almost complete loss of all structured occupations (school, work and training) within this population group. Longer-term mechanisms include the effects of the predicted recession on young people’s mental health. Opportunities within this crisis exist for service providers to scale up telehealth and digital services that may benefit service provision for young people’s mental health in the future.

AI snapshot

Written from the paper’s full text.

TL;DR

This perspective piece argues that COVID-19’s psychosocial effects disproportionately affect young people through social isolation, disrupted education/work transitions, service curtailment, and predicted recession. It highlights opportunities to scale up telehealth and digital mental health services for youth.

Key findings

  • Young people face immediate and longer-term harms from loss of structured occupations (school, work, training), social isolation, changes to therapeutic service delivery, and recession-related economic insecurity.
  • In Ireland, 51% of young people aged 15–24 in the labour force were unemployed, almost 2.5 times the adult unemployment rate and almost 2.5 times the peak rate for the same age group during the most recent recession (CSO, 2020).
  • In a UK YoungMinds survey, 83% of young people with mental health needs believed COVID-19 adversely affected their mental health, and one in four previously accessing mental health supports reported no longer having access because of the crisis; 8% reported an opportunity to spend more time with family.
  • The authors identify opportunities to scale up digital and telehealth interventions, noting telepsychiatry is broadly acceptable to many young people with severe mental disorders such as psychosis, with caveats around potentially increased treatment dropout.

Methods

  • Design: a perspective piece, not an empirical study; it presents argument and synthesis rather than original data collection.
  • Data/sample: cites existing literature, reports, and surveys, including CSO 2020 unemployment data, YoungMinds 2020 survey findings, and early reports from China on youth mental health during the pandemic.
  • Analysis: narrative synthesis of cited evidence to outline COVID-19’s psychosocial effects on youth, research priorities, and service opportunities.

Limitations

  • The paper states no limitations.
  • Evident from the text: it is a perspective/commentary rather than a systematic review or primary study, so it relies on selected cited sources and early survey reports without formal quality appraisal or original data.
  • Evident from the text: the evidence base discussed is rapidly emerging during the early pandemic period, and several cited findings are from surveys or reports rather than longitudinal youth mental health outcome studies.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1017/ipm.2020.84

Cites

42 of 42 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 55 cited sources checked · 0 supported · 0 flagged

  • Premisecitation

    Early intervention for other specific serious mental disorders is in earlier phases of development.

    “Early intervention for other specific serious mental disorders is in earlier phases of development (Chanen et al. 2017; Vieta et al. 2018).”
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    • cites Chanen et al. 2017

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    • cites Vieta et al. 2018

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  • Premisecitation

    Young people, particularly adolescents, have different cognitive approaches to making social decisions in comparison to adults.

    “Young people, particularly adolescents, have different cognitive approaches to making social decisions in comparison to adults (Blakemore & Choudhury, 2006).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Blakemore & Choudhury, 2006

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  • Premisecitation

    One recent study from Italy suggests that young highly educated women are at most increased risk of poorer mental health due to economic insecurity during periods of recession.

    “One recent study from Italy suggests that young highly educated women are at most increased risk of poorer mental health due to economic insecurity during periods of recession (Fiori et al. 2016).”
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    • cites Fiori et al. 2016

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  • Premisecitation

    Early intervention services for adolescents and young people at primary care level (such as Jigsaw in Ireland and Headspace in Australia) are being rolled out in line with international best practice.

    “Early intervention services for adolescents and young people at primary care level (such as Jigsaw in Ireland and Headspace in Australia) are also being rolled out in line with international best practice (Hetrick et al. 2017; McGorry et al. 2013).”
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    • cites Hetrick et al. 2017 source

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    • cites McGorry et al. 2013

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  • Premisecitation

    A recent survey of Child and Adolescent Mental Health Services consultants showed high levels of burnout.

    “A recent survey of Child and Adolescent Mental Health Services consultants showed high levels of burnout (McNicholas et al. 2020).”
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    • cites McNicholas et al. 2020

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  • Classified as probably not a substantial claim. 16
  • May combine two claims. 20
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Interpretationreasoning

    Opportunities within the COVID-19 crisis exist for service providers to scale up telehealth and digital services that may benefit service provision for young people's mental health in the future.

    “Opportunities within this crisis exist for service providers to scale up telehealth and digital services that may benefit service provision for young people’s mental health in the future.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    In periods of recession, more highly educated youths have moderate long-lasting reductions in income for at least a period of 10 years, whilst losses are restored for lower educated youths more quickly.

    “In periods of recession, more highly educated youths have moderate long-lasting reductions in income for at least a period of 10 years, whilst losses are restored for lower educated youths more quickly (Cockx, 2016).”
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    • cites Cockx, 2016

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    Premisecitation

    Early intervention programmes in psychosis show reductions in mortality and improvements in significant and pragmatic indicators of psychosocial functioning.

    “Early intervention programmes in psychosis show reductions in mortality and improvements in significant and pragmatic indicators of psychosocial functioning (McGorry, 2015; Pollard et al. 2020).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites McGorry, 2015

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    • cites Pollard et al. 2020

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    Premisecitation

    The effects of periods of unemployment in youth have disproportionate and long-lasting effects on income and health beyond the period of economic recession as well as risks of concurrent and future insecure employment.

    “The effects of periods of unemployment in youth have disproportionate and long-lasting effects on income and health beyond the period of economic recession as well as risks of concurrent and future insecure employment (Kahn, 2010; Cockx, 2016).”
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    • cites Kahn, 2010

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    • cites Cockx, 2016

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    Premisecitation

    The youth unemployment rate in Ireland is almost 2.5 times the unemployment rate in adults and almost 2.5 times the peak unemployment rate in the same age reference category during the most recent economic recession.

    “This represents almost 2.5 times the unemployment rate in adults and almost 2.5 times the peak unemployment rate in the same age reference category during the most recent economic recession (CSO, 2020).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites CSO, 2020

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  • May combine two claims.

    Interpretationnone given

    Immediate and longer-term factors through which young people are affected by COVID-19 include social isolation, changes to the delivery of therapeutic services, and almost complete loss of all structured occupations (school, work and training).

    “Both immediate and longer-term factors through which young people are affected include social isolation, changes to the delivery of therapeutic services and almost complete loss of all structured occupations (school, work and training) within this population group.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Young people who remain free of mental disorder have longitudinally better outcomes.

    “Young people who remain free of mental disorder have longitudinally better outcomes (Caspi et al. 2020).”
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    • cites Caspi et al. 2020

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    Premisecitation

    Analysis from the Economic and Social Research Institute predicts Ireland to experience a severe economic recession in the coming year.

    “Analysis from the Economic and Social Research Institute predicts Ireland to experience a severe economic recession in the coming year (McQuinn et al. 2020).”
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    • cites McQuinn et al. 2020

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Up to 80% of mental disorders first occur before the age of 26.

    “Up to 80% of mental disorders first occur before the age of 26 (Caspi et al. 2020; Kessler et al. 2005).”
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    • cites Caspi et al. 2020

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    • cites Kessler et al. 2005

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    Premisecitation

    The magnitude of the effects of mental health problems in youth over the life course far surpasses the effects of early physical health problems.

    “The magnitude of the effects of mental health problems in youth over the life course far surpasses the effects of early physical health problems (Goodman et al. 2011).”
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    • cites Goodman et al. 2011

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    Premisecitation

    Social connectedness and social identity have more prominence in youth and high rates of reported loneliness are reported in young people.

    “Social connectedness and social identity have more prominence in youth and high rates of reported loneliness are reported in young people (Matthews et al. 2019).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Matthews et al. 2019

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Entering the labour force from education marks one of the most significant transitions that takes place during a young person's life, and this transition has become more complex in recent decades.

    “Entering the labour force from education marks one of the most significant transitions that takes place during a young person’s life, and this transition has become more complex in recent decades (Arnett 2000).”
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    • cites Arnett 2000

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  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationnone given

    Longer-term mechanisms of COVID-19's effect on young people's mental health include the effects of the predicted recession.

    “Longer-term mechanisms include the effects of the predicted recession on young people’s mental health.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationcitation

    Young people may find it more difficult to cope with the current crisis as their coping skills are not equivalent to that of a fully-fledged adult, as coping is a developmentally acquired skill.

    “Young people may also find it more difficult to cope with the current crisis as their coping skills are not equivalent to that of a fully-fledged adult as coping is a developmentally acquired skill (Fields & Prinz, 1997).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Fields & Prinz, 1997

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  • May combine two claims.

    Premisecitation

    Telepsychiatry is broadly acceptable to a large majority of young people with severe mental disorders such as psychosis, with some caveats around potentially increased dropout from treatment.

    “Telepsychiatry is broadly acceptable to a large majority of young people with severe mental disorders such as psychosis, with some caveats around potentially increased dropout from treatment (Lal et al. 2020).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Lal et al. 2020

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  • May combine two claims.

    Premisecitation

    In a recent UK survey, 83% of young people with mental health needs believed that COVID-19 had an adverse impact on their mental health, with specific concerns around loss of social contact and structured activities.

    “In this recent UK survey, 83% of young people with mental health needs believed that COVID-19 had an adverse impact on their mental health, with specific concerns around loss of social contact and structured activities.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites YoungMinds, 2020

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  • May combine two claims.

    Premisecitation

    Young people in temporary accommodation or direct provision and their family members face an already higher burden of mental health risk as well as direct increased risks of COVID infection due to unsuitable accommodation.

    “These groups of individuals and their family members face an already higher burden of mental health risk as well as direct increased risks of COVID infection due to unsuitable accommodation (Rosenthal et al. 2020).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Rosenthal et al. 2020

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    Interpretationcitation

    These emerging platforms are scalable, effective and youth-friendly alternatives to traditional therapies.

    “These are scalable, effective and youth-friendly alternatives to traditional therapies.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Chapman et al. 2016

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  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationreasoning

    Opportunities exist for health care professionals to change work practices to rapidly scale up effective digital and digital-hybrid interventions.

    “Opportunities exist for health care professionals to change work practices to rapidly scale up effective digital and digital-hybrid interventions.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Many young people will have unique opportunities to spend more time with their families and a small minority (8%) in the YoungMinds survey reported this.

    “Many young people will have unique opportunities to spend more time with their families and a small minority (8%) in the YoungMinds survey reported this (YoungMinds, 2020).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites YoungMinds, 2020

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  • May combine two claims.

    Premisecitation

    Access to a supportive adult is a protective factor for a young person's mental health and some will have lost this protective factor during this crisis through loss of supports outside the family home.

    “Access to a supportive adult is a protective factor for a young person’s mental health and some will have lost this protective factor during this crisis through loss of supports outside the family home (Dooley et al. 2015).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Dooley et al. 2015

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  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationnone given

    Digital services may also reduce costs associated with obtaining mental health care for young people and their caregivers.

    “Digital services may also reduce costs associated with obtaining mental health care for young people and their caregivers.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Negative physical health consequences such as poorer sleep, poorer diet, increased sedentary behaviour and loss of cardiometabolic fitness are more common and are likely to relate to poorer mental health during COVID.

    “Negative physical health consequences such as poorer sleep, poorer diet, increased sedentary behaviour and loss of cardiometabolic fitness are more common and these are likely to relate to poorer mental health during COVID (Wang et al. 2020).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Wang et al. 2020

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  • May combine two claims.

    Premisecitation

    Whilst digital interfaces in mental health can be effective, clinician resistance is cited as hindering widespread uptake.

    “Whilst digital interfaces in mental health can be effective, clinician resistance is cited as hindering widespread uptake (Wind et al. 2020).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Wind et al. 2020

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  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Interpretationnone given

    The COVID-19 pandemic will be a catalyst to rethink the delivery of services and to provide more accessible, equitable and efficient services in the future.

    “The COVID-19 pandemic will however be a catalyst to rethink the delivery of services and to provide more accessible, equitable and efficient services in the future.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Interpretationreasoning

    The COVID-19 pandemic presents an 'acute on chronic crisis' for services for young people where demand on services is likely to increase but supply of services is further constrained and inconsistent.

    “This COVID-19 pandemic presents an ‘acute on chronic crisis’ for services for young people where demand on services is likely to increase but supply of services is further constrained and inconsistent.”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: In the current pandemic crisis, educational, health and social care services have had to curtail the level of service offered to young people and their families.
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Interpretationcitation

    For caregivers working from home or temporarily furloughed, current remote working arrangements could offer opportunities for longer-term flexible working conditions that are common in many Nordic countries and appear to have a well-being dividend for young people and their families.

    “For caregivers working from home or temporarily furloughed, current remote working arrangements could offer opportunities for longer-term flexible working conditions that are common in many Nordic countries and appear to have a well-being dividend for young people and their families (Caan & Jenkins 2008).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Caan & Jenkins 2008

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  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    Public institutions buffer childhood adversity through mechanisms such as providing free school meals, providing a physically safe environment for part of the day through school participation, support through voluntary services and mandated child welfare/protection reporting.

    “This is through a multitude of mechanisms such as providing free school meals, providing a physically safe environment for part of the day through school participation, support through voluntary services and mandated child welfare/protection reporting.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Known precipitants to burnout in CAMHS are insufficient staffing, incomplete coverage and long waiting lists.

    “Known precipitants to this are insufficient staffing, incomplete coverage and long waiting lists (McNicholas, 2018).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites McNicholas, 2018

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  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Interpretationnone given

    Digital services have many practical advantages, as access to services is contingent on geography, particularly in Ireland.

    “Digital services have many practical advantages, as access to services is contingent on geography, particularly in Ireland.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Interpretationnone given

    Digital platforms have potential to improve quality of care particularly in non-urban areas where there may be no or insufficient access to services locally.

    “Digital platforms have potential to improve quality of care particularly in non-urban areas where there may be no or insufficient access to services locally.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationnone given

    One positive outcome of the pandemic is that clinicians and patients have had the opportunity to use digital or tele-platforms where previously this option would not have been available to them.

    “One positive outcome of the pandemic is that clinicians and patients have had the opportunity to use digital or tele-platforms where previously this option would not have been available to them.”
    Quote in the paperNot a substantial claim
32 of 32
  • The paper relies on this without support.

    New service models for psychosis are only selectively available to a small proportion of the population depending on geographical area.

    “Despite these innovations, new service models for psychosis are only selectively available to a small proportion of the population depending on geographical area.”
  • The paper relies on this without support.

    Incomplete coverage is a specific issue for primary care services such as Jigsaw.

    “Incomplete coverage is a specific issue for primary care services such as Jigsaw.”
  • The paper relies on this without support.

    In the current pandemic crisis, educational, health and social care services have had to curtail the level of service offered to young people and their families.

    “In this current pandemic crisis, educational, health and social care services have had to curtail the level of service offered to young people and their families.”
  • The paper relies on this without support.

    Young people’s mental health is strongly influenced by the well-being of their caregivers.

    “Young people’s mental health is strongly influenced by the well-being of their caregivers.”
  • The paper relies on this without support.

    Young people are digital natives who look online first for information related to their mental health.

    “Digital platform development is specifically important for youth as young people are digital natives who look online first for information related to their mental health.”
5 of 5

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Cites

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Research works printed but not linked: 3

  1. 2020, Coronavirus: Impact on young people with mental health needs
  2. 2020, Statistical Release Monthly Unemployment
  3. 2020, Mental health and psychosocial considerations during the COVID-19 outbreak

Cited by

Sorted by citations

Authors
Power, E., Hughes, S., Cotter, D., & Cannon, M.
Affiliations
Royal College of Surgeons in Ireland (IE)
Corresponding author
Power, E.
Venue
Irish Journal of Psychological Medicine
Published
2020-07-02
Volume
37
Issue
4
Pages
301-305
ISSN
  • 0790-9667 (ISSN-L)
  • 2051-6967
OpenAlex
W3040151859
Cited by
192
References
42
Citations by year
2026: 10 · 2025: 18 · 2024: 33 · 2023: 38 · 2022: 45 · 2021: 45 · 2020: 3
FWCI
13.03
Type
journal article
Language
en
Open access
Locations
  • Irish Journal of Psychological Medicine (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Figshare (submittedVersion, cc-by)
  • Lenus, The Irish Health Repository (Dr Steevens Hospital Library) (submittedVersion)
Funders
  • Health Research Board (CDA-2018-001)
  • University of Cambridge
Topics
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
youth mental health, COVID-19 pandemic, social isolation, mental health service delivery, school closures, economic recession, telemedicine, digital mental health services, psychosocial impact
MeSH terms
COVID-19, Adolescent, Mental Disorders, Humans, Mental Health, Mental Health Services, Telemedicine, Young Adult, Pandemics

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