Cited by 159COVID-19 and Mental HealthDigital Mental Health InterventionsImpact of Technology on Adolescents

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Social isolation, mental health, and use of digital interventions in youth during the COVID-19 pandemic: A nationally representative survey

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Rauschenberg, Christian, Schick, Anita, Goetzl, Christian, Roehr, Susanne, Riedel-Heller, Steffi G., Koppe, Georgia, Durstewitz, Daniel, Krumm, Silvia, Reininghaus, Ulrich·2021·European Psychiatry

DOI 10.1192/j.eurpsy.2021.17PMC PMC7985650

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Abstract

Background: Public health measures to curb SARS-CoV-2 transmission rates may have negative psychosocial consequences in youth. Digital interventions may help to mitigate these effects. We investigated the associations between social isolation, COVID-19-related cognitive preoccupation, worries, and anxiety, objective social risk indicators, and psychological distress, as well as use of, and attitude toward, mobile health (mHealth) interventions in youth. Methods: Data were collected as part of the “Mental Health And Innovation During COVID-19 Survey”—a cross-sectional panel study including a representative sample of individuals aged 16–25 years ( N = 666; M age = 21.3; assessment period: May 5, 2020 to May 16, 2020). Results: Overall, 38% of youth met criteria for moderate or severe psychological distress. Social isolation worries and anxiety, and objective risk indicators were associated with psychological distress, with evidence of dose–response relationships for some of these associations. For instance, psychological distress was progressively more likely to occur as levels of social isolation increased (reporting “never” as reference group: “occasionally”: adjusted odds ratio [aOR] 9.1, 95% confidence interval [CI] 4.3–19.1, p < 0.001; “often”: aOR 22.2, CI 9.8–50.2, p < 0.001; “very often”: aOR 42.3, CI 14.1–126.8, p < 0.001). There was evidence that psychological distress, worries, and anxiety were associated with a positive attitude toward using mHealth interventions, whereas psychological distress, worries, and anxiety were associated with actual use. Conclusions: Public health measures during pandemics may be associated with poor mental health outcomes in youth. Evidence-based digital interventions may help mitigate the negative psychosocial impact without risk of viral infection given there is an objective need and subjective demand.

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Additional file 2 of Artificial intelligence-informed mobile mental health apps for young people: a mixed-methods approach on users’ and stakeholders’ perspectives
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Additional file 6 of Artificial intelligence-informed mobile mental health apps for young people: a mixed-methods approach on users’ and stakeholders’ perspectives
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Authors: Rauschenberg, C., Schick, A., Goetzl, C., Roehr, S., Riedel-Heller, S. G., Koppe, G., Durstewitz, D., Krumm, S., & Reininghaus, U.
Affiliations: Heidelberg University (DE)
Leipzig University (DE)
Universität Ulm (DE)
King's College London (GB)
Corresponding author: Rauschenberg, Christian
ORCID: Rauschenberg, Christian
Schick, Anita
Riedel-Heller, Steffi G.
Koppe, Georgia
Durstewitz, Daniel
Krumm, Silvia
Reininghaus, Ulrich
Venue: European Psychiatry
Publisher: Royal College of Psychiatrists
Published: 2021
Volume: 64
Issue: 1
Pages: e20-e20
ISSN: 0924-9338 (ISSN-L)
1778-3585
DOI: 10.1192/j.eurpsy.2021.17
PMC: PMC7985650
OpenAlex: W3134046440
Cited by: 158
References: 60
Citations by year: 2026: 6 · 2025: 21 · 2024: 27 · 2023: 37 · 2022: 38 · 2021: 28
FWCI: 22.34
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/4.0/ (unspecified, 67 d)
Locations: European Psychiatry (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Research Publications (Maastricht University) (publishedVersion, cc-by-nc-nd)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Research Portal (King's College London) (submittedVersion, other-oa)
PsyArXiv (OSF Preprints) (submittedVersion, cc-by)
PsyArXiv (OSF Preprints) (submittedVersion)
Research Publications (Maastricht University) (submittedVersion, other-oa)
Topics: Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
Keywords: social isolation, youth mental health, COVID-19 pandemic, mobile health intervention, digital interventions, psychological distress, anxiety, worry, public health measures, adolescents and young adults
MeSH terms: Internet-Based Intervention, COVID-19, SARS-CoV-2, Anxiety, Cross-Sectional Studies, Female, Germany, Humans, Male, Mental Health, Quarantine, Social Isolation, Stress, Psychological, Telemedicine, Young Adult

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Social isolation, mental health, and use of digital interventions in youth during the COVID-19 pandemic: A nationally representative survey

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