ArticleBMJ open2021
Youth in a pandemic: a longitudinal examination of youth mental health and substance use concerns during COVID-19.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Substance Use Among Youth During the COVID-19 Pandemic: a Systematic Review.Current psychiatry reports · 2022Pooled it
- Youth-developed recommendations on public health planning for future pandemics or public health emergencies: a national Delphi study.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Trends in Sedative-Hypnotic Prescription Among Insomnia Patients: A Nationwide Cohort Study From 2010 to 2022 in Korea.Journal of Korean medical science · 2026Article
- Social Skills as a Predictor of Mental Health Trajectories among Autistic Youth and Youth with ADHD during the COVID-19 Pandemic.Research on child and adolescent psychopathology · 2025Article
- Are we out of the woods yet? Youth-developed recommendations on recovery from the COVID-19 pandemic: A national Delphi study.Canadian journal of public health = Revue canadienne de sante publique · 2025Article
- "Dual Pandemics": Intersecting Influences of Anti-Black Racism and the COVID-19 Pandemic on the Mental Health of Black Youth.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2025Article
- Citizen Worry and Adherence in Response to Government Restrictions in Switzerland During the COVID-19 Pandemic: Repeated Cross-Sectional Online Surveys.Interactive journal of medical research · 2025Article
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- Loneliness, emotional support and the mental health of young adults and their parents in New York, US during the COVID-19 pandemic: a cohort study.BMC psychiatry · 2024Article
- Supporting young people through the COVID-19 pandemic and beyond: a multi-site qualitative longitudinal study.BMC health services research · 2024Article
- 'Is It Safe? Is it not?' A Youth-Led Photovoice Study of Youth Perspectives of COVID-19 Vaccine Confidence.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Building on Strong Foundations: Deploying Enhanced Replicating Effective Programs for evidence-based prevention curriculum adaptation.Translational behavioral medicine · 2024Article
- The longitudinal impact of the COVID-19 pandemic on adolescents' internalizing symptoms, substance use, and digital media use.European child & adolescent psychiatry · 2024Article
- Persistence of anxiety among Asian Americans: racial and ethnic heterogeneity in the longitudinal trends in mental well-being during the COVID-19 pandemic.Social psychiatry and psychiatric epidemiology · 2024Article
- Conduct problems, hyperactivity, and screen time among community youth: can mindfulness help? an exploratory study.Frontiers in psychiatry · 2024Article
- "Pictures helped me understand it in a way words couldn't": Youth reflections participating in a youth-led photovoice study.PloS one · 2024Article
- Monthly correlates of longitudinal child mental health during the COVID-19 pandemic according to children and caregivers.European child & adolescent psychiatry · 2023Article
- Heterogeneity in the trajectories of psychological distress among late adolescents during the COVID-19 pandemic.JCPP advances · 2023Article
- National trends in alcohol and substance use among adolescents from 2005 to 2021: a Korean serial cross-sectional study of one million adolescents.World journal of pediatrics : WJP · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveThis study analyses longitudinal data to understand how youth mental health and substance use are evolving over the course of the COVID-19 pandemic, which is critical to adjusting mental health response strategies.
settingParticipants were recruited from among existing participants in studies conducted in an urban academic hospital in Ontario, Canada.
participantsA total of 619 youth aged 14-28 years participated in the study (62.7% girls/young women; 61.4% Caucasian). MEASURES: Data on mood, substance use and COVID-19-related worries were collected over four time points, that is, every 2 months beginning in the early stages of the pandemic in April 2020. Latent class analyses were conducted on the longitudinal data to identify distinct groups of youth who have different trajectory profiles of pandemic impact on their mood, substance use and COVID-19-related worries.
resultsFor the majority of participants, mood concerns increased early in the pandemic, declined over Canada's summer months and subsequently increased in autumn. Among the youth with the highest level of mood symptoms at the beginning of the pandemic, increases in mental health concerns were sustained. Substance use remained relatively stable over the course of the pandemic. COVID-19-related worries, however, followed a trajectory similar to that of mood symptoms. Girls/young women, youth living in urban or suburban areas, in larger households, and with poorer baseline mental and physical health are the most vulnerable to mental health concerns and worries during the pandemic.
conclusionsYouth mental health symptom levels and concerns are evolving over the course of the COVID-19 pandemic, in line with the evolution of the pandemic itself, and longitudinal monitoring is therefore required. It is also essential that we engage directly with youth to cocreate pandemic response strategies and mental health service adaptations to best meet the needs of young people.
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