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Child and Adolescent Psychiatry and Mental Health

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Open Access 01-12-2023 | COVID-19 | Research

Subgroups of perceptions and related behaviors during the COVID-19 lockdown: experience of adolescents in the PARIS birth cohort

Authors: Antoine Citerne, Célina Roda, Fanny Rancière, Isabelle Momas

Published in: Child and Adolescent Psychiatry and Mental Health | Issue 1/2023

Abstract

Background

Adolescents may not all have reacted similarly to the COVID-19 lockdown. This study aimed to identify subgroups of perceptions in adolescents from the PARIS cohort during the first French lockdown, and to investigate whether adolescent behaviors differed according to these subgroups.

Methods

Online questionnaires were sent to 1,549 PARIS adolescents aged 13–17 years who reported on possible infection with SARS-CoV-2, their perceptions, and behaviors during lockdown. Ascending hierarchical clustering was performed on the perception variables. Associations of behaviors with perception clusters were analyzed using multivariable multinomial logistic regression.

Results

Three perception clusters were identified among 791 adolescents (response rate 51%). One cluster “happy” (39%) had good mental health and did not feel stressed during lockdown. Another cluster “unhappy” (19%) was mainly unhappy, felt stressed, suffered from overcrowded living conditions, and experienced deteriorating relationships with family members. A further cluster “intermediate” (42%) experienced moderate well-being and stress, felt more supported by family, and worried about the health of their relatives. Compared with the “happy” cluster, the unhappy adolescents were more affected by COVID-19, had difficulty doing school activities, spent more time on social networks and less time on video games, slept less, and reported a deterioration in their diet. Adolescents “intermediate” with moderate well-being were more often girls, spent more time on social networks, were more physically active, slept less, and more often reported eating fruit and vegetables and drinking alcohol.

Conclusions

Not all adolescents experienced lockdown in the same way. This study highlighted subgroups that differed in terms of well-being and health-related behaviors. These results should motivate public authorities to consider the benefit/risk ratio of implementing strict lockdowns by taking into account family disparities and inequities among adolescents.

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Archived, WHO Timeline - COVID-19. Available at: https://www.who.int/news/item/27-04-2020-who-timeline---covid-19. Accessed October 28, 2022.

Orben A, Tomova L, Blakemore S-J. The effects of social deprivation on adolescent development and mental health. Lancet Child Adolesc Health. 2020;4:634–40. https://doi.org/10.1016/S2352-4642(20)30186-3.CrossRefPubMedPubMedCentral

Blakemore S-J. Adolescence and mental health. Lancet. 2019;393:2030–1. https://doi.org/10.1016/S0140-6736(19)31013-X.CrossRefPubMed

Kessler RC, Berglund P, Demler O, et al. Lifetime prevalence and age-of-onset distributions of DSM-IV Disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62:593–602. https://doi.org/10.1001/archpsyc.62.6.593.CrossRefPubMed

Panchal U, Salazar de Pablo G, Franco M, et al. The impact of COVID-19 lockdown on child and adolescent mental health: systematic review. Eur Child Adolesc Psychiatry. 2021;1–27. https://doi.org/10.1007/S00787-021-01856-W.

Qi M, Zhou S-J, Guo Z-C, et al. The Effect of Social Support on Mental Health in Chinese Adolescents during the outbreak of COVID-19. J Adolesc Health. 2020;67:514–8. https://doi.org/10.1016/j.jadohealth.2020.07.001.CrossRefPubMedPubMedCentral

Ren H, He X, Bian X, et al. The protective roles of Exercise and maintenance of Daily Living Routines for chinese adolescents during the COVID-19 Quarantine Period. J Adolesc Health. 2021;68:35–42. https://doi.org/10.1016/j.jadohealth.2020.09.026.CrossRefPubMed

Magson NR, Freeman JYA, Rapee RM, et al. Risk and protective factors for prospective changes in adolescent Mental Health during the COVID-19 pandemic. J Youth Adolesc. 2021;50:44–57. https://doi.org/10.1007/s10964-020-01332-9.CrossRefPubMed

Asanov I, Flores F, McKenzie D, et al. Remote-learning, time-use, and mental health of ecuadorian high-school students during the COVID-19 quarantine. World Dev. 2021;138:105225. https://doi.org/10.1016/j.worlddev.2020.105225.CrossRefPubMed

10.

Zhou S-J, Zhang L-G, Wang L-L, et al. Prevalence and socio-demographic correlates of psychological health problems in chinese adolescents during the outbreak of COVID-19. Eur Child Adolesc Psychiatry. 2020;29:749–58. https://doi.org/10.1007/s00787-020-01541-4.CrossRefPubMedPubMedCentral

11.

Sciberras E, Patel P, Stokes MA, et al. Physical Health, Media Use, and Mental Health in Children and adolescents with ADHD during the COVID-19 pandemic in Australia. J Atten Disord. 2022;26:549–62. https://doi.org/10.1177/1087054720978549.CrossRefPubMed

12.

Giannopoulou I, Efstathiou V, Triantafyllou G, et al. Adding stress to the stressed: senior high school students’ mental health amidst the COVID-19 nationwide lockdown in Greece. Psychiatry Res. 2021;295:113560. https://doi.org/10.1016/j.psychres.2020.113560.CrossRefPubMed

13.

Zhou J, Yuan X, Qi H, et al. Prevalence of depression and its correlative factors among female adolescents in China during the coronavirus disease 2019 outbreak. Global Health. 2020;16:69. https://doi.org/10.1186/s12992-020-00601-3.CrossRefPubMedPubMedCentral

14.

Nagata JM, Cortez CA, Cattle CJ, et al. Screen Time Use among US Adolescents during the COVID-19 pandemic: findings from the adolescent brain Cognitive Development (ABCD) study. JAMA Pediatr. 2022;176:94–6. https://doi.org/10.1001/jamapediatrics.2021.4334.CrossRefPubMed

15.

Albrecht JN, Werner H, Rieger N, et al. Association between Homeschooling and adolescent sleep duration and Health during COVID-19 Pandemic High School Closures. JAMA Netw Open. 2022;5:e2142100. https://doi.org/10.1001/jamanetworkopen.2021.42100.CrossRefPubMedPubMedCentral

16.

Xiang M, Zhang Z, Kuwahara K. Impact of COVID-19 pandemic on children and adolescents’ lifestyle behavior larger than expected. Prog Cardiovasc Dis. 2020;63:531–2. https://doi.org/10.1016/j.pcad.2020.04.013.CrossRefPubMedPubMedCentral

17.

Brakspear L, Boules D, Nicholls D, et al. The impact of COVID-19-Related living restrictions on eating Behaviours in Children and Adolescents: a systematic review. Nutrients. 2022;14:3657. https://doi.org/10.3390/nu14173657.CrossRefPubMedPubMedCentral

18.

Cauberghe V, Van Wesenbeeck I, De Jans S, et al. How adolescents use social media to cope with feelings of loneliness and anxiety during COVID-19 lockdown. Cyberpsychol Behav Soc Netw. 2021;24:250–7. https://doi.org/10.1089/cyber.2020.0478.CrossRefPubMed

19.

Duncan MJ, Riazi NA, Faulkner G, et al. The association of physical activity, sleep, and screen time with mental health in canadian adolescents during the COVID-19 pandemic: a longitudinal isotemporal substitution analysis. Ment Health Phys Act. 2022;23:100473. https://doi.org/10.1016/j.mhpa.2022.100473.CrossRefPubMedPubMedCentral

20.

Clarisse B, Nikasinovic L, Poinsard R, et al. The Paris prospective birth cohort study: which design and who participates? Eur J Epidemiol. 2007;22:203–10. https://doi.org/10.1007/s10654-007-9109-2.CrossRefPubMed

21.

Citerne A, Rancière F, Roda C, et al. Coronavirus Disease 2019 (COVID-19) lockdown: morbidity, perception, Behaviors, and attitudes in french families from the PARIS Birth Cohort. Front Public Health. 2022;10. https://doi.org/10.3389/fpubh.2022.907456.

22.

ECDC. Case definition for coronavirus disease 2019 (COVID-19), as of 3 December 2020. Available at: https://www.ecdc.europa.eu/en/covid-19/surveillance/case-definition. Accessed October 28, 2022.

23.

Tennant R, Hiller L, Fishwick R, et al. The Warwick-Edinburgh Mental Well-being scale (WEMWBS): development and UK validation. Health Qual Life Outcomes. 2007;5:63. https://doi.org/10.1186/1477-7525-5-63.CrossRefPubMedPubMedCentral

24.

Trousselard M, Steiler D, Dutheil F, et al. Validation of the Warwick-Edinburgh Mental Well-Being scale (WEMWBS) in french psychiatric and general populations. Psychiatry Res. 2016;245:282–90. https://doi.org/10.1016/j.psychres.2016.08.050.CrossRefPubMed

25.

Clarke A, Friede T, Putz R, et al. Warwick-Edinburgh Mental Well-being scale (WEMWBS): validated for teenage school students in England and Scotland. A mixed methods assessment. BMC Public Health. 2011;11:487. https://doi.org/10.1186/1471-2458-11-487.CrossRefPubMedPubMedCentral

26.

Moulin F, Jean F, Melchior M, et al. Longitudinal impact of the COVID19 pandemic on mental health in a general population sample in France: evidence from the COMET Study. J Affect Disord. 2022;320:275–83. https://doi.org/10.1016/j.jad.2022.09.142.CrossRefPubMedPubMedCentral

27.

Killgore WDS, Taylor EC, Cloonan SA, et al. Psychological resilience during the COVID-19 lockdown. Psychiatry Res. 2020;291:113216. https://doi.org/10.1016/j.psychres.2020.113216.CrossRefPubMedPubMedCentral

28.

Rogers AA, Ha T, Ockey S. Adolescents’ perceived Socio-Emotional Impact of COVID-19 and Implications for Mental Health: results from a U.S.-Based mixed-methods study. J Adolesc Health. 2021;68:43–52. https://doi.org/10.1016/j.jadohealth.2020.09.039.CrossRefPubMed

29.

Rose AJ, Rudolph KD. A review of sex differences in peer relationship processes: potential trade-offs for the emotional and behavioral development of girls and boys. Psychol Bull. 2006;132:98–131. https://doi.org/10.1037/0033-2909.132.1.98.CrossRefPubMedPubMedCentral

30.

Paruthi S, Brooks LJ, ’Ambrosio Carolyn D, et al. Recommended amount of Sleep for Pediatric populations: a Consensus Statement of the American Academy of Sleep Medicine. J Clin Sleep Med. 2016;12:785–6. https://doi.org/10.5664/jcsm.5866.CrossRefPubMedPubMedCentral

31.

Ng K, Cooper J, McHale F, et al. Barriers and facilitators to changes in adolescent physical activity during COVID-19. BMJ Open Sport Exerc Med. 2020;6:e000919. https://doi.org/10.1136/bmjsem-2020-000919.CrossRefPubMedPubMedCentral

32.

Kantomaa MT, Tammelin TH, Näyhä S, et al. Adolescents’ physical activity in relation to family income and parents’ education. Prev Med. 2007;44:410–5. https://doi.org/10.1016/j.ypmed.2007.01.008.CrossRefPubMed

33.

Rocka A, Jasielska F, Madras D, et al. The impact of digital screen time on Dietary Habits and physical activity in children and adolescents. Nutrients. 2022;14:2985. https://doi.org/10.3390/nu14142985.CrossRefPubMedPubMedCentral

34.

Farello G, D’Andrea M, Quarta A, et al. Children and adolescents dietary Habits and Lifestyle changes during COVID-19 lockdown in Italy. Nutrients. 2022;14:2135. https://doi.org/10.3390/nu14102135.CrossRefPubMedPubMedCentral

35.

van Deelen TRD, van den Putte B, Kunst AE et al. Dutch Youth’s Smoking Behaviour during a Partial Covid-19 Lockdown. J Public Health Res 2022;11:jphr.2021.2106. DOI: https://doi.org/10.4081/jphr.2021.2106.

36.

Ahmed MZ, Ahmed O, Aibao Z, et al. Epidemic of COVID-19 in China and associated psychological problems. Asian J Psychiatr. 2020;51:102092. https://doi.org/10.1016/j.ajp.2020.102092.CrossRefPubMedPubMedCentral

37.

Soteriades ES, DiFranza JR. Parent’s socioeconomic Status, Adolescents’ Disposable Income, and adolescents’ smoking status in Massachusetts. Am J Public Health. 2003;93:1155–60. https://doi.org/10.2105/ajph.93.7.1155.CrossRefPubMedPubMedCentral

38.

Lemstra M, Bennett NR, Neudorf C, et al. A Meta-analysis of Marijuana and Alcohol Use by Socio-economic status in adolescents aged 10–15 years. Can J Public Health. 2008;99:172–7. https://doi.org/10.1007/BF03405467.CrossRefPubMedPubMedCentral

39.

Walters T, Simkiss NJ, Snowden RJ, et al. Secondary school students’ perception of the online teaching experience during COVID-19: the impact on mental wellbeing and specific learning difficulties. Br J Educ Psychol. 2022;92:843–60. https://doi.org/10.1111/bjep.12475.CrossRefPubMed

40.

Webster D, Dunne L, Hunter R. Association between Social Networks and Subjective Well-Being in adolescents: a systematic review. Youth Soc. 2021;53:175–210. https://doi.org/10.1177/0044118X20919589.CrossRef

Title: Subgroups of perceptions and related behaviors during the COVID-19 lockdown: experience of adolescents in the PARIS birth cohort
Authors: Antoine Citerne
Célina Roda
Fanny Rancière
Isabelle Momas
Publication date: 01-12-2023
Publisher: BioMed Central
Keyword: COVID-19
Published in: Child and Adolescent Psychiatry and Mental Health / Issue 1/2023
Electronic ISSN: 1753-2000
DOI: https://doi.org/10.1186/s13034-023-00609-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Subgroups of perceptions and related behaviors during the COVID-19 lockdown: experience of adolescents in the PARIS birth cohort

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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