Effect of the COVID-19 pandemic on adolescent mental health and substance use up to March, 2022, in Iceland: a repeated, cross-sectional, population-based study
BACKGROUND: Poor mental health in the first year of the COVID-19 pandemic has been well documented in adolescents; however, less is known about the longer-term effect of the pandemic. We aimed to examine adolescent mental health and substance use as well as covariates associated with these outcomes...
Published in: | The Lancet Child & Adolescent Health |
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Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10005790/ http://www.ncbi.nlm.nih.gov/pubmed/36913961 https://doi.org/10.1016/S2352-4642(23)00022-6 |
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ftpubmed:oai:pubmedcentral.nih.gov:10005790 2023-05-15T16:49:43+02:00 Effect of the COVID-19 pandemic on adolescent mental health and substance use up to March, 2022, in Iceland: a repeated, cross-sectional, population-based study Thorisdottir, Ingibjorg Eva Agustsson, Gudjon Oskarsdottir, Saeunn Yr Kristjansson, Alfgeir Logi Asgeirsdottir, Bryndis Bjork Sigfusdottir, Inga Dora Valdimarsdottir, Heiddis Bjork Allegrante, John Philip Halldorsdottir, Thorhildur 2023-03-10 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10005790/ http://www.ncbi.nlm.nih.gov/pubmed/36913961 https://doi.org/10.1016/S2352-4642(23)00022-6 en eng Elsevier Ltd. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10005790/ http://www.ncbi.nlm.nih.gov/pubmed/36913961 http://dx.doi.org/10.1016/S2352-4642(23)00022-6 © 2023 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. Lancet Child Adolesc Health Articles Text 2023 ftpubmed https://doi.org/10.1016/S2352-4642(23)00022-6 2023-03-19T01:38:26Z BACKGROUND: Poor mental health in the first year of the COVID-19 pandemic has been well documented in adolescents; however, less is known about the longer-term effect of the pandemic. We aimed to examine adolescent mental health and substance use as well as covariates associated with these outcomes 1 year or more into the pandemic. METHODS: A nationwide sample of adolescents aged 13–18 years enrolled in school in Iceland were invited to complete surveys administered during October–November or February–March, 2018, October–November, 2020, February–March or October–November, 2021, and February–March 2022. The survey was in Icelandic for all administrations and offered to adolescents aged 13–15 years in English in 2020 and 2022 and in Polish in 2022. Surveys assessed depressive symptoms (Symptom Checklist-90); mental wellbeing (Short Warwick Edinburgh Mental Wellbeing Scale); and the frequency of cigarette smoking, e-cigarette use, and alcohol intoxication. Covariates comprised age, gender, and migration status as determined by language spoken at home, level of social restrictions based on residency, parental social support, and sleep duration (≥8 h nightly). Weighted mixed-effect models were used to determine the effect of time and the covariates on mental health and substance use. The main outcomes were assessed in all participants with more than 80% of the necessary data, and multiple imputation was used to handle missing data. Bonferroni corrections were used to adjust for multiple testing and analyses were considered significant at a p value of <0·0017. FINDINGS: 64 071 responses were submitted and analysed between 2018 and 2022. Elevated depressive symptoms and worsened mental wellbeing across girls and boys aged 13–18 years were observed to have been maintained up to 2 years into the pandemic (p>0·0017). Alcohol intoxication initially decreased during the pandemic but increased again as social restrictions eased (p<0·0001). No changes were observed in cigarette smoking and e-cigarette use during the ... Text Iceland PubMed Central (PMC) The Lancet Child & Adolescent Health |
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Articles Thorisdottir, Ingibjorg Eva Agustsson, Gudjon Oskarsdottir, Saeunn Yr Kristjansson, Alfgeir Logi Asgeirsdottir, Bryndis Bjork Sigfusdottir, Inga Dora Valdimarsdottir, Heiddis Bjork Allegrante, John Philip Halldorsdottir, Thorhildur Effect of the COVID-19 pandemic on adolescent mental health and substance use up to March, 2022, in Iceland: a repeated, cross-sectional, population-based study |
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description |
BACKGROUND: Poor mental health in the first year of the COVID-19 pandemic has been well documented in adolescents; however, less is known about the longer-term effect of the pandemic. We aimed to examine adolescent mental health and substance use as well as covariates associated with these outcomes 1 year or more into the pandemic. METHODS: A nationwide sample of adolescents aged 13–18 years enrolled in school in Iceland were invited to complete surveys administered during October–November or February–March, 2018, October–November, 2020, February–March or October–November, 2021, and February–March 2022. The survey was in Icelandic for all administrations and offered to adolescents aged 13–15 years in English in 2020 and 2022 and in Polish in 2022. Surveys assessed depressive symptoms (Symptom Checklist-90); mental wellbeing (Short Warwick Edinburgh Mental Wellbeing Scale); and the frequency of cigarette smoking, e-cigarette use, and alcohol intoxication. Covariates comprised age, gender, and migration status as determined by language spoken at home, level of social restrictions based on residency, parental social support, and sleep duration (≥8 h nightly). Weighted mixed-effect models were used to determine the effect of time and the covariates on mental health and substance use. The main outcomes were assessed in all participants with more than 80% of the necessary data, and multiple imputation was used to handle missing data. Bonferroni corrections were used to adjust for multiple testing and analyses were considered significant at a p value of <0·0017. FINDINGS: 64 071 responses were submitted and analysed between 2018 and 2022. Elevated depressive symptoms and worsened mental wellbeing across girls and boys aged 13–18 years were observed to have been maintained up to 2 years into the pandemic (p>0·0017). Alcohol intoxication initially decreased during the pandemic but increased again as social restrictions eased (p<0·0001). No changes were observed in cigarette smoking and e-cigarette use during the ... |
format |
Text |
author |
Thorisdottir, Ingibjorg Eva Agustsson, Gudjon Oskarsdottir, Saeunn Yr Kristjansson, Alfgeir Logi Asgeirsdottir, Bryndis Bjork Sigfusdottir, Inga Dora Valdimarsdottir, Heiddis Bjork Allegrante, John Philip Halldorsdottir, Thorhildur |
author_facet |
Thorisdottir, Ingibjorg Eva Agustsson, Gudjon Oskarsdottir, Saeunn Yr Kristjansson, Alfgeir Logi Asgeirsdottir, Bryndis Bjork Sigfusdottir, Inga Dora Valdimarsdottir, Heiddis Bjork Allegrante, John Philip Halldorsdottir, Thorhildur |
author_sort |
Thorisdottir, Ingibjorg Eva |
title |
Effect of the COVID-19 pandemic on adolescent mental health and substance use up to March, 2022, in Iceland: a repeated, cross-sectional, population-based study |
title_short |
Effect of the COVID-19 pandemic on adolescent mental health and substance use up to March, 2022, in Iceland: a repeated, cross-sectional, population-based study |
title_full |
Effect of the COVID-19 pandemic on adolescent mental health and substance use up to March, 2022, in Iceland: a repeated, cross-sectional, population-based study |
title_fullStr |
Effect of the COVID-19 pandemic on adolescent mental health and substance use up to March, 2022, in Iceland: a repeated, cross-sectional, population-based study |
title_full_unstemmed |
Effect of the COVID-19 pandemic on adolescent mental health and substance use up to March, 2022, in Iceland: a repeated, cross-sectional, population-based study |
title_sort |
effect of the covid-19 pandemic on adolescent mental health and substance use up to march, 2022, in iceland: a repeated, cross-sectional, population-based study |
publisher |
Elsevier Ltd. |
publishDate |
2023 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10005790/ http://www.ncbi.nlm.nih.gov/pubmed/36913961 https://doi.org/10.1016/S2352-4642(23)00022-6 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Lancet Child Adolesc Health |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10005790/ http://www.ncbi.nlm.nih.gov/pubmed/36913961 http://dx.doi.org/10.1016/S2352-4642(23)00022-6 |
op_rights |
© 2023 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
op_doi |
https://doi.org/10.1016/S2352-4642(23)00022-6 |
container_title |
The Lancet Child & Adolescent Health |
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1766039919339241472 |