‘You’re just there, alone in your room with your thoughts’: a qualitative study about the psychosocial impact of the COVID-19 pandemic among young people living in the UK
Open accessPublished version of a preprint
Abstract
Objectives: Adolescents and young adults have been greatly affected by quarantine measures during the COVID-19 pandemic, but little is understood about how restrictions have affected their well-being, mental health, and social life. We therefore aimed to learn more about how UK quarantine measures affected the social lives, mental health and well-being of adolescents and young adults. Design: Qualitative interview study. The data were analysed using reflexive thematic analysis, with particular attention paid to contextual factors (such as age, gender, ethnicity and health status) when analysing each individual transcript. Setting: Data collection took place remotely across the UK via audio or video call, between June 2020 and January 2021. Participants: We conducted semi-structured interviews with 37 participants (aged 13–24 years) to elicit their views. Results: Authors generated four themes during the qualitative analysis: (a) concerns about disruption to education, (b) missing social contact during lockdown, (c) changes to social relationships and (d) improved well-being during lockdown. Many participants said they struggled with a decline in mental health during the pandemic, lack of support and concern about socialising after the pandemic. However, some participants described experiences and changes brought on by the pandemic as helpful, including an increased awareness of mental health and feeling more at ease when talking about it, as well as stronger relationship ties with family members. Conclusions: Findings suggest that young people may have felt more comfortable when talking about their mental health compared with prepandemic, in part facilitated by initiatives through schools, universities and employers. However, many were worried about how the pandemic has affected their education and social connections, and support for young people should be tailored accordingly around some of these concerns.
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Written from the paper’s full text.
TL;DR
This qualitative interview study explored how UK COVID-19 restrictions affected 37 adolescents and young adults aged 13–24, generating four themes: education disruption, missing social contact, changed social relationships, and improved well-being during lockdown. Many described mental health decline, loneliness, and lack of support, while some reported greater mental health awareness and stronger family ties.
Key findings
- Four themes were generated: (a) concerns about disruption to education, (b) missing social contact during lockdown, (c) changes to social relationships, and (d) improved well-being during lockdown.
- Many participants reported a decline in mental health, loneliness/isolation, lack of support, and concern about socialising after the pandemic; some felt “robbed” of exams or rites of passage and described increased workload and uncertainty.
- Some participants described improved mental health during the first lockdown, increased self-awareness, increased awareness of mental health, and stronger family relationship ties; some used gaming, social media, and dating apps to maintain or adapt social connections.
- The sample included 37 participants with an average age of 18 (range 13–24); 62% were female, 73% were White British, and 16 reported an existing physical and/or mental health condition.
Methods
- Qualitative interview study within the COVID-19 Social Study; semi-structured remote interviews by telephone or video with 37 UK participants aged 13–24, conducted June 2020–January 2021; interviews ranged from 17 to 65 min, average 38 min.
- Recruitment used a convenience sample informed by purposive/quota and snowballing strategies; data collection was split into adolescent (13–17) and young adult (18–24) groups.
- Reflexive thematic analysis with inductive and deductive coding; transcripts imported into NVivo V.12; double coding of three transcripts in each age group; themes developed iteratively with internal team feedback.
Limitations
- Stated: the sample contained more 15- and 16-year-olds and more White participants than other age groups/ethnic groups; data were not collected on socioeconomic status, sexual orientation, or gender expression; self-selection and remote interviewing may have excluded those less comfortable discussing experiences or with limited online access; no member checking was used.
- Stated in the abstract: participants were not asked to provide sociodemographic status, and the sample may be biased toward those with the digital and economic means to participate in a remote interview.
- Evident from the text: despite screening, the sample was ultimately recruited by convenience, and no participant response rates were recorded, which may limit representativeness.
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Claims the paper makes
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- Findingown data
Some participants described stronger relationship ties with family members.
“However, some participants described experiences and changes brought on by the pandemic as helpful, including an increased awareness of mental health and feeling more at ease when talking about it, as well as stronger relationship ties with family members.”
Quote in the paperNot a substantial claim - Findingown data
Many participants said they struggled with concern about socialising after the pandemic.
“Many participants said they struggled with a decline in mental health during the pandemic, lack of support and concern about socialising after the pandemic.”
Quote in the paperNot a substantial claim - Findingown data
Some participants described experiences and changes brought on by the pandemic as helpful, including an increased awareness of mental health and feeling more at ease when talking about it.
“However, some participants described experiences and changes brought on by the pandemic as helpful, including an increased awareness of mental health and feeling more at ease when talking about it, as well as stronger relationship ties with family members.”
Quote in the paperNot a substantial claim - Findingown data
Many participants said they struggled with a decline in mental health during the pandemic.
“Many participants said they struggled with a decline in mental health during the pandemic, lack of support and concern about socialising after the pandemic.”
Quote in the paperSubstantial claim - Findingown data
Many participants said they struggled with a lack of support during the pandemic.
“Many participants said they struggled with a decline in mental health during the pandemic, lack of support and concern about socialising after the pandemic.”
Quote in the paperSubstantial claim
- Findingown data
In comparison to a majority of participants who reported struggling with their well-being during the pandemic, a smaller group of adolescents described how their mental health had improved during the first lockdown.
“In comparison to a majority of participants who reported struggling with their well-being during the pandemic, a smaller group of adolescents described how their mental health had improved during the first lockdown.”
Quote in the paperNot a substantial claim - Findingown data
School closures and a shift to online learning, particularly for those not preparing for examinations, meant that some participants had less work to do.
“School closures and a shift to online learning, particularly for those who were not preparing for their examinations, meant that some had less work to do.”
Quote in the paperNot a substantial claim - Findingown data
Throughout the pandemic, some participants had more time to take up hobbies and exercise.
“Throughout the course of the pandemic, some participants had more time to take up hobbies and exercise”
Quote in the paperNot a substantial claim - Findingown data
Some participants worried about the longer-term impact of education closures on their future career and learning prospects.
“others worried about the longer-term impact of education closures on their future career and learning prospects.”
Quote in the paperNot a substantial claim - Findingown data
Some participants sought support to help cope with pandemic-related distress, either informally through friends and family, or formally through education providers, health services or employers.
“Some participants sought support to help cope with pandemic-related distress, either informally through friends and family, or formally through education providers, health services or employers.”
Quote in the paperNot a substantial claim - Findingown data
The closure of schools and universities meant an increased workload for some participants.
“the closure of schools and universities meant an increased workload for some”
Quote in the paperNot a substantial claim - Findingown data
In some cases, regular offers of support and check-ins by educational staff were sufficiently reassuring to know that help was on hand if needed.
“In some cases, regular offers of support and check-ins by educational staff were sufficiently reassuring to know that help was on hand if needed.”
Quote in the paperNot a substantial claim - Findingown data
Most participants said that their mental health was affected by social distancing restrictions.
“Most participants said that their mental health was affected by social distancing restrictions.”
Quote in the paperSubstantial claim - Findingown data
For other participants, social isolation added strain and divisions.
“while for others, social isolation added strain and divisions.”
Quote in the paperNot a substantial claim - Findingown data
For some participants, the flexibility of choosing what to do between lessons and during free time meant the lockdown felt like a 'really long summer holiday'.
“the flexibility of choosing what to do between lessons and during free time meant the lockdown felt ‘like a really long summer holiday’ for others.”
Quote in the paperNot a substantial claim - Findingown data
Participants spoke of distress and anger regarding family and friendship tensions during the pandemic.
“Participants spoke of distress and anger regarding family and friendship tensions during the pandemic.”
Quote in the paperNot a substantial claim - Findingown data
Some participants said they had not paid attention to their mental health in the past compared with now, having been through a pandemic and enforced social isolation.
“Some said they had not paid attention to their mental health in the past compared with now, having been through a pandemic and enforced social isolation.”
Quote in the paperNot a substantial claim - Findingown data
The study noted concern among participants who had access to online learning but were unable to sit examinations and finish their coursework.
“We noted concern among those who had access to online learning but were unable to sit examinations and finish their coursework.”
Quote in the paperNot a substantial claim - Findingown data
Many participants discussed feeling stressed, particularly at the start of lockdown, when there was a lack of clear guidance over how schools and universities would manage coursework and examinations amid education closures.
“Many participants discussed feeling stressed, particularly at the start of lockdown, when there was a lack of clear guidance over how schools and universities would manage coursework and examinations amid education closures.”
Quote in the paperNot a substantial claim - Findingown data
Some participants said they felt an increased awareness of their own mental health and how to protect it during the pandemic, through initiatives driven by workplaces and education providers.
“Some participants said they felt an increased awareness of their own mental health and how to protect it during the pandemic, through initiatives driven by workplaces and education providers.”
Quote in the paperNot a substantial claim - Findingown data
Concern about having to socialise was especially present in those returning to secondary school after months in lockdown, following difficulties in keeping in touch with friends and maintaining positive friendships.
“Concern about having to socialise was especially present in those returning to secondary school after months in lockdown, following difficulties in keeping in touch with friends and maintaining positive friendships.”
Quote in the paperNot a substantial claim - Findingown data
In response to social distancing measures, participants described the ways in which they had adapted their social lives during the pandemic, including trying new methods of online communication.
“In response to social distancing measures, participants described the ways in which they had adapted their social lives during the pandemic, including trying new methods of online communication.”
Quote in the paperNot a substantial claim - Findingown data
Several young adults commented on personal growth and increased self-awareness that they had observed during the pandemic.
“several young adults also commented on the personal growth and increased self-awareness that they had observed.”
Quote in the paperNot a substantial claim - Findingown data
Many participants spoke of feeling disappointment that their social plans for secondary school or university had not materialised due to pandemic-related closures and disruptions.
“Many participants spoke of feeling disappointment that their social plans for secondary school or university had not materialised due to pandemic-related closures and disruptions.”
Quote in the paperNot a substantial claim - Findingown data
The cancellation of assessments and closure of schools and universities were described as a source of loss, concern and uncertainty for most participants.
“The cancellation of assessments and closure of schools and universities were described as a source of loss, concern and uncertainty for most participants.”
Quote in the paperNot a substantial claim - Findingown data
Participants who described improved mental health during the first lockdown described busy or stressful school lives prior to the pandemic.
“They described busy or stressful school lives prior to the pandemic.”
Quote in the paperNot a substantial claim - Findingown data
Around half of the participants described that their feelings about in-person social interactions had changed since the start of the pandemic.
“Around half of the participants described how their feelings about in-person social interactions had changed since the start of the pandemic.”
Quote in the paperNot a substantial claim - Findingown data
Many participants felt unsupported in their transition to online, remote learning.
“Many felt unsupported in their transition to online, remote learning”
Quote in the paperNot a substantial claim - Findingown data
Some participants described feeling more vigilant about being around other people and about the risks associated with future virus transmission.
“Some described this in terms of feeling more vigilant about being around other people and of the risks associated with future virus transmission.”
Quote in the paperNot a substantial claim - Findingown data
Adolescents in particular said they felt apprehensive about future social situations from not having been exposed to 'real life' and becoming accustomed to life in lockdown.
“Adolescents in particular said they felt apprehensive about future social situations from not having been exposed to ‘real life’ and becoming accustomed to life in lockdown.”
Quote in the paperNot a substantial claim - Findingown data
Many participants reported a decline in well-being due to feeling lonely and isolated, particularly at the start of lockdown.
“Many participants reported a decline in well-being due to feeling lonely and isolated, particularly at the start of lockdown.”
Quote in the paperSubstantial claim - Findingown data
Many participants described feeling that there was a lack of support for their mental health and well-being from education providers during the pandemic.
“Many participants described feeling that there was a lack of support for their mental health and well-being from education providers during the pandemic.”
Quote in the paperNot a substantial claim - Findingnone given
The increased ability to talk about mental health was at times facilitated by top-down efforts from education providers, employers and parents.
“This was, at times, facilitated by top–down efforts from education providers, employers and parents.”
Quote in the paperNot a substantial claim - Findingown data
The study highlights the detrimental impact that an absence of information and support had on young people's mental health.
“We also highlight the detrimental impact that an absence of information and support had on young people’s mental health.”
Quote in the paperSubstantial claim - Findingown data
Most participants in the study struggled with their well-being and loneliness during the pandemic.
“Most participants in our study struggled with their well-being and loneliness during the pandemic”
Quote in the paperSubstantial claim - Findingcitation
In this study and others, many have been reminded of the importance of family and friends during experiences of adversity.
“In this study and others,20 we found that many have been reminded of the importance of family and friends during experiences of adversity.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [20] source
Not checked in the free run.
- Findingnone given
When the pandemic began and restrictions were introduced, many young people lost a sense of certainty, community and belonging provided by their routines, social circles and education providers.
“When the pandemic began and restrictions were introduced, many young people lost a sense of certainty, community and belonging provided by their routines, social circles and education providers.”
Quote in the paperSubstantial claim - Findingown data
Many young people the authors spoke with are worried about how the pandemic has affected their education and social connections.
“Many young people we spoke with are worried about how the pandemic has affected their education and social connections”
Quote in the paperSubstantial claim - Premisecitation
The effect of pandemic-related disruptions in routine may be felt more acutely by children and young people with pre-existing conditions, such as autism spectrum disorder.
“The effect of pandemic-related disruptions in routine may be felt more acutely by children and young people with pre-existing conditions, such as autism spectrum disorder.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [7] source
Not checked in the free run.
- Interpretationown data
Many young people were worried about how the pandemic has affected their education and social connections.
“However, many were worried about how the pandemic has affected their education and social connections”
Quote in the paperSubstantial claim - Premisecitation
The effects of pandemic-related measures on youth have the potential to be long-lasting, even after restrictions have lifted.
“with the potential for some effects to be long-lasting, even after restrictions have lifted.”
Quote in the paperSubstantial claim0 of 2 sources checked - Premisecitation
Social distancing restrictions have resulted in adverse psychological consequences across general populations.
“there is evidence to suggest that they have resulted in adverse psychological consequences across general populations.”
Quote in the paperSubstantial claim0 of 2 sources checked - Premisecitation
Emerging evidence suggests that young people have experienced the greatest decline in mental health in the first wave of COVID-19, in comparison to people in other age ranges.
“Emerging evidence suggests that young people have experienced the greatest decline in mental health in the first wave of COVID-19, in comparison to people in other age ranges”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [11] source
Not checked in the free run.
- Premisecitation
Youth experience measures aimed at preventing the spread of viruses as particularly distressing.
“Lessons learnt from previous epidemics suggest that youth experience measures aimed at preventing the spread of viruses as particularly distressing”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [4] source
Not checked in the free run.
- Interpretationreasoning
Social distancing restrictions and pandemic-related closures provided an opportunity for some participants to relax and reflect.
“Social distancing restrictions and pandemic-related closures therefore provided an opportunity to relax and reflect.”
Quote in the paperNot a substantial claim - Premisecitation
These experiences were likely felt most acutely by those already affected by socioeconomic marginalisation and deprivation.
“These experiences were likely felt most acutely by those already affected by socioeconomic marginalisation and deprivation.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [17] Waite P , Pearcey S , Shum A . How did the mental health of children and adolescents change during early lockdown during the COVID-19 pandemic in the UK? [Internet]. PsyArXiv, 2020. Available: https://osf.io/t8rfx [Accessed 26 Feb 2021]. source
Not checked in the free run.
- Premisecitation
Young people have reported some of the highest rates of loneliness during the pandemic.
“Young people have reported some of the highest rates of loneliness during the pandemic,39”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [39] source
Not checked in the free run.
- Interpretationcitation
The study's findings build on previous research involving young people during the first national lockdown, including the sense of loss and uncertainty frequently reported by this group.
“These findings build on those shown in previous research involving young people during the first national lockdown,41 including the sense of loss and uncertainty frequently reported by this group.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [41] et al Demkowicz O , Ashworth E , O’Neill A . Teenagers’ Experiences of Life in Lockdown: The TELL study briefing, 2020. Available: https://www.seed.manchester.ac.uk/education/research/impact/teenagers-experiences-of-life-in-lockdown/
Not checked in the free run.
- Interpretationcitation
The changes to education during the pandemic will likely have long-term consequences requiring ongoing support.
“These changes will likely have long-term consequences requiring ongoing support,31”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [31] The British Academy . THE COVID DECADE Understanding the long-term societal impacts of COVID-19 [Internet], 2021. Available: https://www.thebritishacademy.ac.uk/documents/3238/COVID-decade-understanding-long-term-societal-impacts-COVID-19.pdf
Not checked in the free run.
- Interpretationown data
For those who experienced busy and stressful lives prior to the pandemic, social distancing restrictions provided a chance to pause and reflect, with resultant mental health benefits.
“For those who experienced busy and stressful lives prior to the pandemic, social distancing restrictions provided a chance to pause and reflect, with resultant mental health benefits.”
Quote in the paperNot a substantial claim - Premisecitation
Disruptions to education on this scale have not occurred since the second World War.
“disruptions to education on this scale have not occurred since the second World War.30”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [30] d’Orville, 2020, COVID-19 causes unprecedented educational disruption: is there a road towards a new normal?, Prospects source
Not checked in the free run.
- Premisecitation
Academic challenges have been frequently reported by young people during the pandemic, particularly among secondary school-aged youth.
“Academic challenges have also been frequently reported by young people during the pandemic, particularly among secondary school-aged youth.32”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [32] Scott, 2021, "I Hate This": A Qualitative Analysis of Adolescents' Self-Reported Challenges During the COVID-19 Pandemic, J Adolesc Health source
Not checked in the free run.
- Interpretationcitation
If unaddressed, the loss of learning may restrict opportunities for employment and social mobility available to young people in the future.
“If unaddressed, this may restrict opportunities for employment and social mobility available to young people in the future.31”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [31] The British Academy . THE COVID DECADE Understanding the long-term societal impacts of COVID-19 [Internet], 2021. Available: https://www.thebritishacademy.ac.uk/documents/3238/COVID-decade-understanding-long-term-societal-impacts-COVID-19.pdf
Not checked in the free run.
- Premisecitation
A loss of learning has already been observed by teaching staff in the UK.
“A loss of learning has already been observed by teaching staff in the UK,34”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [34] Kim L , Leary R , Asbury K . ‘We need clear directions, if we’re going to move forward. It’s as simple as that’: Teachers’ narratives during partial school reopenings in the COVID-19 pandemic. PsyArXiv 2021. source
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- Interpretationown data
The study's findings suggest that the loss of learning may be linked to increased workloads, sharing small workspaces at home, and difficulties with concentration.
“our findings suggest this may be linked to increased workloads, sharing small workspaces at home, and difficulties with concentration.”
Quote in the paperSubstantial claim - Study design and conductnone given
Some data likely to have influenced participant experiences during the pandemic were not collected, including socioeconomic status, sexual orientation and gender expression.
“there were some data we did not collect that is likely to have influenced participant experiences during the pandemic, including socioeconomic status, sexual orientation and gender expression.”
Quote in the paperNot a substantial claim - Interpretationcitation
The effects of isolation and loneliness for young people are likely to persist for some time, even after social distancing restrictions have lifted.
“The effects of isolation and loneliness for young people are likely to persist for some time, even after social distancing restrictions have lifted.42”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [42] Loades, 2020, Rapid systematic review: the impact of social isolation and loneliness on the mental health of children and adolescents in the context of COVID-19, J Am Acad Child Adolesc Psychiatry source
Not checked in the free run.
- Premisecitation
Evidence suggests that young people's altruistic motivations and prosocial behaviours have increased during the pandemic, including providing practical support to others and donating to charities.
“Despite the many negative effects of the pandemic on mental health in young people identified to date, evidence also suggests that young people’s altruistic motivations45 46 and prosocial behaviours have increased, including providing practical support to others and donating to charities.47”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [45] August, 2020, Benefit finding in the COVID-19 pandemic: College students’ positive coping strategies, Journal of Positive School Psychology source
Not checked in the free run.
- cites [46] Fisher, 2021, Experiences of the coronavirus disease-19 (COVID-19) pandemic from the perspectives of young people: rapid qualitative study, Public Health Pract source
Not checked in the free run.
- cites [47] Alvis L , Douglas R , Shook N . Associations between Adolescents’ Prosocial Experiences and Mental Health During the COVID-19 Pandemic. PsyArXiv 2020 https://psyarxiv.com/2s73n source
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- May combine two claims. 34
- Classified as probably not a substantial claim. 16
May combine two claims.
Findingown dataThe qualitative analysis generated four themes: concerns about disruption to education, missing social contact during lockdown, changes to social relationships, and improved well-being during lockdown.
“Authors generated four themes during the qualitative analysis: (a) concerns about disruption to education, (b) missing social contact during lockdown, (c) changes to social relationships and (d) improved well-being during lockdown.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataSome participants, particularly adolescents, described socialising less during the lockdown and reported feelings of loneliness or social withdrawal.
“some, particularly adolescents, described socialising less during the lockdown and reported feelings of loneliness or social withdrawal.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataParticipants described feeling lonely throughout different stages of the pandemic, as though the world felt smaller from being at home during the lockdown without any social contact.
“Participants described feeling lonely throughout different stages of the pandemic, as though the world felt smaller from being at home during the lockdown without any social contact.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataParticipants living with family members said that they experienced difficulties getting along with parents and siblings during lockdown, particularly when living together in small homes or when everyone was working from home.
“Participants living with family members said that they experienced difficulties getting along with parents and siblings during lockdown, particularly when living together in small homes or when everyone was working from home.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe social distancing restrictions were especially challenging for participants who had prior mental health concerns, many of whom reported that their well-being had declined while they were socially isolating.
“The social distancing restrictions were especially challenging for participants who had prior mental health concerns, many of whom reported that their well-being had declined while they were socially isolating.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe study found that while some participants felt isolated and lonely, they were also apprehensive about social distancing restrictions easing and life returning to 'normal'.
“We found that paradoxically, while some participants felt isolated and lonely, they were also apprehensive about social distancing restrictions easing and life returning to ‘normal’.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataSome young people felt paradoxically isolated but also hesitant about reintegrating with others as the lockdown restrictions eased.
“Our findings highlight how some felt paradoxically isolated but also hesitant about reintegrating with others as the lockdown restrictions eased.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataWhen announcements were made that examinations would be cancelled, many participants felt upset or disappointed and some reported feeling 'robbed' of the chance to complete their education as planned.
“When announcements were made that examinations would be cancelled, many said that they felt upset or disappointed and some reported feeling 'robbed' of the chance to complete their education as planned.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataFor some participants, the pandemic and associated restrictions provided a platform for new relationships to develop and existing relationships to strengthen.
“For some, the pandemic and associated restrictions provided a platform for new relationships to develop and existing relationships to strengthen”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataSome participants used dating apps, chatting through gaming platforms and sharing COVID-related 'memes' as a way to cope with difficult things and enhance their sense of social connectedness with others.
“Some said they were using dating apps, chatting through gaming platforms and sharing COVID-related ‘memes’ as a way ‘to cope with difficult things’ and enhance their sense of social connectedness with others.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataYoung people described mental health consequences associated with education closures and lockdown measures, including loneliness, frustration, a sense of loss about cancelled plans and assessments, and uncertainty about socialising in the future.
“Young people described mental health consequences associated with education closures and lockdown measures, including loneliness, frustration, a sense of loss about cancelled plans and assessments, and uncertainty about socialising in the future.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataHaving more choice about how to spend free time was described by participants as relaxing and removed previous sources of stress.
“Having more choice about how to spend free time was described by participants as relaxing and removed previous sources of stress.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe study found evidence of a potentially positive change during the pandemic, including an increased awareness of mental health self-management, and having more open conversations about mental health compared with prepandemic times.
“Despite the challenges, we found evidence of a potentially positive change during the pandemic, including an increased awareness of mental health self-management, and having more open conversations about mental health compared with prepandemic times.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataSeveral young people felt they did not demonstrate their full potential when their examinations were cancelled and did not want to be known as the generation who were given a 'free pass'.
“Several young people felt they did not demonstrate their full potential when their examinations were cancelled and did not want to be known as the generation who were given a ‘free pass’.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataDespite relationship tensions, participants also described feeling closer with their family members throughout the pandemic and specifically during lockdown periods spent together.
“Despite relationship tensions, participants also described feeling closer with their family members throughout the pandemic and specifically during lockdown periods spent together.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataParticipants in the study frequently cited mental health consequences due to social isolation and loneliness, which some used gaming platforms, social media and online dating apps to help address.
“Participants in our study frequently cited mental health consequences due to social isolation and loneliness, which some used gaming platforms, social media and online dating apps to help address.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataSome participants reported feeling safer during lockdown away from other people and less exposed to the perceived risk of catching COVID-19.
“some participants reported feeling safer during lockdown away from other people and less exposed to the perceived risk of catching COVID-19.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataFor some participants, well-being was enhanced by support from others and an increased public awareness of mental health self-management during lockdown.
“For some, their well-being was enhanced by support from others and an increased public awareness of mental health self-management during lockdown.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataSome participants reflected on stark changes in their lives during the pandemic compared with prepandemic and said they felt differently about how they wanted their life to be when social distancing restrictions eased.
“Some participants reflected on the stark changes in their lives during the pandemic compared with prepandemic and said they felt differently about how they wanted their life to be when social distancing restrictions eased.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationYoung people identifying as Black and Black British have been most affected in the UK compared with other ethnic groups.
“young people identifying as Black and Black British have been most affected in the UK compared with other ethnic groups.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [12] Dewa, 2021, CCopeY: a mixed-methods Coproduced study on the mental health status and coping strategies of young people during COVID-19 UK Lockdown, J Adolesc Health source
Not checked in the free run.
May combine two claims.
Interpretationown dataFindings suggest that young people may have felt more comfortable when talking about their mental health compared with prepandemic, in part facilitated by initiatives through schools, universities and employers.
“Findings suggest that young people may have felt more comfortable when talking about their mental health compared with prepandemic, in part facilitated by initiatives through schools, universities and employers.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationAround 60% of students living in affluent areas had access to online learning during the pandemic, compared with 23% of students living in more deprived areas.
“Around 60% of students living in affluent areas had access to online learning during the pandemic, compared with 23% of students living in more deprived areas.33”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [33] Cullinane C , Montacute R . COVID-19 and Social Mobility Impact Brief #1: School Closures [Internet], 2020. Available: https://www.suttontrust.com/wp-content/uploads/2021/01/School-Shutdown-Covid-19.pdf
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataThe list of themes and subthemes was developed iteratively through weekly internal meetings with the CSS research team to gain formative feedback on the comprehensibility of codes and preliminary findings, and findings were revised and finalised based on this feedback.
“The list of themes and subthemes were developed iteratively: ARM presented themes and subthemes during weekly internal meetings with the CSS research team, in order to gain formative feedback on the comprehensibility of codes and preliminary findings. Findings were revised and finalised based on this feedback.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationIt is estimated more than half of students have experienced adverse psychological well-being during the COVID-19 pandemic.
“It is estimated more than half of students have experienced adverse psychological well-being during the COVID-19 pandemic.35”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [35] Office for National Statistics . Coronavirus and the impact on students in higher education in England: September to December 2020 [Internet], 2020. Available: https://www.ons.gov.uk/peoplepopulationandcommunity/educationandchildcare/articles/coronavirusandtheimpactonstudentsinhighereducationinenglandseptembertodecember2020/2020-12-21
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationLoneliness during the pandemic has been associated with a decline in psychological well-being.
“which have been associated with a decline in psychological well-being.40”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [40] Lee, 2020, Increases in loneliness among young adults during the COVID-19 pandemic and association with increases in mental health problems, J Adolesc Health source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductreasoningThe purposive recruitment approach was aligned with quota sampling, whereby a minimum number of participants in each group (based on age, ethnicity, living situation) were recruited to ensure learning about the richness of experience across groups.
“Our purposive recruitment approach was aligned with ‘quota sampling’, whereby a minimum number of participants in each group (based on age, ethnicity, living situation) were recruited to ensure we were able to learn about the richness of experience across groups.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationSome adolescents and young adults faced additional stressors during COVID-19, including a decline in parental well-being, child maltreatment and bereavement, all of which may compound changes in circumstances brought on by the pandemic.
“some adolescents and young adults faced additional stressors during COVID-19, including a decline in parental well-being, child maltreatment and bereavement, all of which may compound changes in circumstances brought on by the pandemic”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [15] Romanou E , Belton E . Isolated and struggling: Social isolation and the risk of child maltreatment, in lockdown and beyond. [Internet], 2020. Available: https://learning.nspcc.org.uk/media/2246/isolated-and-struggling-social-isolation-risk-child-maltreatment-lockdown-and-beyond.pdf
Not checked in the free run.
- cites [16] Young Minds . Coronavirus: Impact on young people with mental health needs. [Internet], 2021. Available: https://youngminds.org.uk/media/4350/coronavirus-report-winter.pdf
Not checked in the free run.
Classified as probably not a substantial claim. May combine two claims.
Study design and conductreasoningData collection was conducted as two separate groups according to participant age (adolescents aged 13-17 years and young adults aged 18-24) to focus on experiences specific to different stages of development.
“We conducted data collection as two separate groups according to participant age (group 1: adolescents aged 13–17 years, group 2: young adults aged 18–24). We made this decision in order to focus on experiences that were specific to different stages of development in adolescence and ‘emerging’ adulthood.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataMember checking methods were not used during the study.
“We did not use member checking methods during the study.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductreasoningAlthough participants were screened to ensure people from multiple groups were included, the sample was ultimately recruited by convenience.
“Although we screened participants to ensure people from multiple groups were included, the nature of our recruitment process meant our sample was ultimately recruited by convenience.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataThe perceived change in mental health awareness helped make it feel easier to talk to others about their well-being, and for some, this 'opened up' a dialogue with friends and family that had never been achieved before.
“This perceived change in mental health awareness helped make it feel easier to talk to others about their well-being, and for some, this ‘opened up’ a dialogue with friends and family that had never been achieved before.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataARM and JD double coded three transcripts in the adolescent group to ensure consistency between coders in identifying topics of salience.
“ARM and JD double coded three transcripts in the adolescent group to ensure consistency between coders in identifying topics of salience.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenARM and TM double coded three interview transcripts in the young adult group and discussed these to ensure coder consistency.
“ARM and TM double coded three interview transcripts in the young adult group and discussed these to ensure coder consistency.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S4 (based).
InterpretationreasoningYoung people and adolescents were at risk of unique psychosocial consequences from the pandemic compared with other population groups.
“In these contexts, young people and adolescents were at risk of unique psychosocial consequences from the pandemic compared with other population groups”
Quote in the paperNot a substantial claim- Rests on an assumption: For children or young people in need of mental health support, the closing down of schools and universities removed access to coping resources or infrastructures located in these settings (eg, mental health services and peer support).
- Rests on an assumption: The age span from adolescence to young adulthood is a particularly sensitive one as young people experience many major life transitions.
- Rests on an assumption: There is limited work exploring young people's individual perceptions at various stages of the pandemic.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationScott et al found young people reported feeling less confident and like an 'imposter' following cancelled examinations due to the pandemic.
“Scott et al also found young people reported feeling less confident and like an ‘imposter’ following cancelled examinations due to the pandemic.38”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [38] Scott, 2021, 'I'm Gonna Tell You about How Mrs Rona Has Affected Me'. Exploring Young People's Experiences of the COVID-19 Pandemic in North East England: A Qualitative Diary-Based Study, Int J Environ Res Public Health source
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductnone givenThe data were analysed using reflexive thematic analysis, with particular attention paid to contextual factors (such as age, gender, ethnicity and health status) when analysing each individual transcript.
“The data were analysed using reflexive thematic analysis, with particular attention paid to contextual factors (such as age, gender, ethnicity and health status) when analysing each individual transcript.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataThe study's results suggest how social isolation led to these effects, including what felt like missed opportunities to create memories with friends and missed social events seen as rites of passage in young adulthood.
“Our results build on this by suggesting how social isolation led to these effects, including what felt like missed opportunities to create memories with friends and missed social events seen as rites of passage in young adulthood.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Interpretationnone givenTo the authors' knowledge, this is the first UK study to use qualitative interviewing methods to learn more about the mental health and well-being of young people (aged 13-24) during multiple phases of the COVID-19 pandemic.
“To our knowledge, this is the first UK study to use qualitative interviewing methods to learn more about the mental health and well-being of young people (aged 13–24) during multiple phases of the COVID-19 pandemic.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductown dataDespite purposive recruitment, the sample contained more 15 and 16 year olds than other age groups, and participants who identified as White than other ethnic groups.
“but despite this, our sample contained more 15 years old and 16 years old than other age groups, and participants who identified as White than other ethnic groups.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenPurposive recruitment strategies were used to try to increase the variability of experiences within the group of participants interviewed.
“Purposive recruitment strategies were used to try and increase the variability of experiences within the group of participants interviewed”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataSome participants in the study reported feeling more able to talk about their mental health compared with prepandemic, suggesting less social stigma perceived by young people in this study to be associated with mental health and well-being.
“It is encouraging that some participants in this study reported feeling more able to talk about their mental health compared with prepandemic, suggesting less social stigma perceived by young people in this study to be associated with mental health and well-being.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).
InterpretationreasoningThese changes represent a potentially positive side effect of the pandemic, providing they are supported and maintained.
“These changes represent a potentially positive side effect of the pandemic, providing they are supported and maintained.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataThe study's findings suggest that young people in the study may have felt less stigma when talking about their mental health now compared with prepandemic, which was in part facilitated by initiatives through schools, universities and employers.
“Findings suggest that young people in the study may have felt less stigma when talking about their mental health now compared with prepandemic, which was in part facilitated by initiatives through schools, universities and employers.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenRemote interviewing techniques may have excluded some groups with limited online access.
“Remote interviewing techniques may have excluded some groups with limited online access”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductown dataParticipants were from a range of living situations and health statuses.
“Those whom we spoke with were from a range of living situations and health statuses”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductown dataOffering telephone calls and using remote data collection methods enabled the study to speak to more people from across the UK.
“we also offered to conduct telephone calls and remote data collection methods enabled us to speak to more people from across the UK.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductnone givenData were gathered throughout several key time points of the UK pandemic response, including as schools were reopening after the first lockdown, and as the second wave of the pandemic had begun.
“Data were gathered throughout several key time points of the UK pandemic response, including as schools were reopening after the first lockdown, and as the second wave of the pandemic had begun.”
Quote in the paperSubstantial claim
The paper relies on this without support.
For children or young people in need of mental health support, the closing down of schools and universities removed access to coping resources or infrastructures located in these settings (eg, mental health services and peer support).
“For children or young people in need of mental health support, the closing down of schools and universities removed access to coping resources or infrastructures located in these settings (eg, mental health services and peer support).”
The paper relies on this without support.
The age span from adolescence to young adulthood is a particularly sensitive one as young people experience many major life transitions.
“Second, the age span from adolescence to young adulthood is a particularly sensitive one as young people experience many major life transitions.”
The paper relies on this without support.
There is limited work exploring young people's individual perceptions at various stages of the pandemic.
“while others have sought to quantify the impact of the pandemic on young people’s mental health, there is limited work exploring young people’s individual perceptions at various stages of the pandemic.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Research suggests that young people express greater willingness and openness to discussing their emotional wellbeing now, than during pre-pandemic times.
“Despite this, research suggests that young people express greater willingness and openness to discussing their emotional wellbeing now, than during pre-pandemic times – so there is an opportunity to engage with and empower young people to shape post-pandemic social systems and mental health support [32].”
From Facilitators and barriers to social distancing for young people during the COVID-19 pandemic (2022) · cites this paper as [32]
Young people reported increases in feelings of loneliness during lockdown.
“Young people reported increases in feelings of loneliness during lockdown 32 , 33 , 34 and reported using social media as a means of coping with these feelings. 35”
From Social media use, online experiences, and loneliness among young adults: A cohort study (2025) · cites this paper as [34]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Ethnicity counts account for only 36 of 37 participants
MinorThe three ethnicity categories total 36 participants, although the table reports 37 participants and gives no missing or other ethnicity category.
Reported 37 · recomputed 36
“| | Participants, n=37 | | --- | --- | | Age | | | 13–14 | 4 | | 15–16 | 12 | | 17–18 | 8 | | 19–20 | 2 | | 21–22 | 6 | | 23–24 | 5 | | Sex | | | Female | 23 | | Male | 14 | | Ethnicity | | | White British | 27 | | Mixed Race* | 5 | | Asian and Asian British† | 4 |”
Claim that sociodemographic information was not requested conflicts with the questionnaire
MinorThe paper says participants were not asked for sociodemographic information, yet it reports questionnaire data on age, sex, ethnicity, qualifications and employment.
“We did not ask participants to provide information about sociodemographic status”
“All participants completed a demographics questionnaire (see table 1 for participant demographics).”
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“Despite this, research suggests that young people express greater willingness and openness to discussing their emotional wellbeing now, than during pre-pandemic times – so there is an opportunity to engage with and empower young people to shape post-pandemic social systems and mental health support [32].”
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- Authors
- McKinlay, A. R., May, T., Dawes, J., Fancourt, D., & Burton, A.
- Affiliations
- University College London (GB)
- Corresponding author
- McKinlay, Alison R
- Venue
- BMJ Open
- Publisher
- BMJ
- Published
- 2022-02
- Volume
- 12
- Issue
- 2
- Pages
- e053676
- ISSN
- 2044-6055 (ISSN-L)
- PMC
- PMC8829834
- OpenAlex
- W4210875035
- Cited by
- 115
- References
- 43
- Citations by year
- 2026: 2 · 2025: 16 · 2024: 37 · 2023: 31 · 2022: 26 · 2021: 3
- FWCI
- 25.08
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMJ Open (publishedVersion, cc-by)
- medRxiv (acceptedVersion, cc-by-nd)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- UCL Discovery (University College London) (submittedVersion)
- Explore Bristol Research (submittedVersion, cc-by)
- Bristol Research (University of Bristol) (submittedVersion)
- Funders
- Nuffield Foundation (WEL/FR-000022583)
- Wellcome Trust (205407/Z/16/Z, 221400/Z/20/Z)
- UK Research and Innovation (ES/S002588/1)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Safety Research › Social impacts of COVID-19
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Keywords
- COVID-19 pandemic, adolescents, young adults, lockdown, quarantine, mental health, well-being, interpersonal relationships, social isolation, educational disruption, family relationships, help-seeking
- MeSH terms
- COVID-19, SARS-CoV-2, Adolescent, Adult, Communicable Disease Control, United Kingdom, Humans, Young Adult, Pandemics
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