P.0509 Emotion de-regulation in a cohort of young europeans during the spring 2020 lockdown

Steff, A.; Godinot, Matthieu; Gourlan, C.; Robinson, Lauren; L, Vidya N; Winterer, Jeanne; Bobou, Marina; Desrivières, Sylvane; Papadopoulos, Dimitris I; Walter, Henrik; Stringaris, Argyris; Paillère, M.L.; Schumann, Günter; Martinot, Jean‐Luc; Artiges, Éric

doi:10.1016/j.euroneuro.2021.10.481

Cited by 1 publication

(1 citation statement)

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“…Our observations of differences in mental health trajectories between young people from the general population and those with a clinical diagnosis suggest that pre-pandemic symptoms may have been a protective factor, and that the general population was more likely to be affected by the lockdowns than patients, which our analyses confirmed. The clinical cohort seemed to be resilient in the face of the pandemic, confirming previous reports for depression from the early stages of the pandemic 10 , 11 , 35 and further indicating that this effect persisted as the pandemic progressed. By contrast, and in agreement with previous assessments of depression in adults 9 and adolescents, 12 young people without depressive or eating disorder symptoms showed an increase in these symptoms during the pandemic, whereas those with the highest pre-pandemic risk experienced a decrease.…”

Section: Discussionsupporting

confidence: 87%

Differing impact of the COVID-19 pandemic on youth mental health: combined population and clinical study

Qi,

Zhang,

Robinson

et al. 2023

BJPsych open

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Background Identifying youths most at risk to COVID-19-related mental illness is essential for the development of effective targeted interventions. Aims To compare trajectories of mental health throughout the pandemic in youth with and without prior mental illness and identify those most at risk of COVID-19-related mental illness. Method Data were collected from individuals aged 18–26 years (N = 669) from two existing cohorts: IMAGEN, a population-based cohort; and ESTRA/STRATIFY, clinical cohorts of individuals with pre-existing diagnoses of mental disorders. Repeated COVID-19 surveys and standardised mental health assessments were used to compare trajectories of mental health symptoms from before the pandemic through to the second lockdown. Results Mental health trajectories differed significantly between cohorts. In the population cohort, depression and eating disorder symptoms increased by 33.9% (95% CI 31.78–36.57) and 15.6% (95% CI 15.39–15.68) during the pandemic, respectively. By contrast, these remained high over time in the clinical cohort. Conversely, trajectories of alcohol misuse were similar in both cohorts, decreasing continuously (a 15.2% decrease) during the pandemic. Pre-pandemic symptom severity predicted the observed mental health trajectories in the population cohort. Surprisingly, being relatively healthy predicted increases in depression and eating disorder symptoms and in body mass index. By contrast, those initially at higher risk for depression or eating disorders reported a lasting decrease. Conclusions Healthier young people may be at greater risk of developing depressive or eating disorder symptoms during the COVID-19 pandemic. Targeted mental health interventions considering prior diagnostic risk may be warranted to help young people cope with the challenges of psychosocial stress and reduce the associated healthcare burden.

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