| Title: |
Mental health, coping and related risk factors during the first 2 years of the COVID-19 pandemic in children:Nationally representative, multi-wave, cross-sectional results from 12 countries from the global COH-FIT study |
| Authors: |
Agorastos,Agorastos; Thompson,Trevor; Solmi,Marco; Cortese,Samuele; Estradé,Andrés; Radua,Joaquim; Dragioti,Elena; Vancampfort,Davy; Thygesen,Lau Caspar; Aschauer,Harald; Schlögelhofer,Monika; Aschauer,Elena; Schneeberger,Andres; Huber,Christian G.; Hasler,Gregor; Conus,Philippe; Do Cuénod,Kim Q.; von Känel,Roland; Arrondo,Gonzalo; Fusar-Poli,Paolo; Gorwood,Philip; Llorca,Pierre Michel; Krebs,Marie Odile; Scanferla,Elisabetta; Kishimoto,Taishiro; Rabbani,Golam; Skonieczna-Żydecka,Karolina; Brambilla,Paolo; Favaro,Angela; Takamiya,Akihiro; Zoccante,Leonardo; Colizzi,Marco; Bourgin,Julie; Kamiński,Karol; Moghadasin,Maryam; Seedat,Soraya; Matthews,Evan; Wells,John; Vassilopoulou,Emilia; Gadelha,Ary; Su,Kuan Pin; Kwon,Jun Soo; Kim,Minah; Lee,Taeyoung; Papsuev,Oleg; Manková,Denisa; Boscutti,Andrea; Gerunda,Cristiano; Saccon,Diego; Righi,Elena; Monaco,Francesco; Croatto,Giovanni; Cereda,Guido; Demurtas,Jacopo; Brondino,Natascia; Veronese,Nicola; Enrico,Paolo; Politi,Pierluigi; Ciappolino,Valentina; Pfennig,Andrea; Bechdolf,Andreas; Meyer-Lindenberg,Andreas; Kahl,Kai G.; Domschke,Katharina; Bauer,Michael; Koutsouleris,Nikolaos; Winter,Sibylle M.; Borgwardt,Stefan; Bitter,Istvan; Balazs,Judit; Czobor,Pál; Unoka,Zsolt; Mavridis,Dimitris; Tsamakis,Konstantinos; Bozikas,Vasilios P.; Tunvirachaisakul,Chavit; Maes,Michael; Rungnirundorn,Teerayuth; Supasitthumrong,Thitiporn; Haque,Ariful; Brunoni,Andre R.; Costardi,Carlos Gustavo; Schuch,Felipe Barreto; Polanczyk,Guilherme; Luiz,Jhoanne Merlyn; Fonseca,Lais; Aparicio,Luana V.; Valvassori,Samira S.; Nordentoft,Merete; Vendsborg,Per; Hoffmann,Sofie Have; Sehli,Jihed; Sartorius,Norman; Heuss,Sabina C.; Guinart,Daniel; Hamilton,Jane; Kane,John; Rubio,Jose; Sand,Michael; Koyanagi,Ai; Solanes,Aleix; Andreu-Bernabeu,Alvaro; Cáceres,Antonia San José; Arango,Celso; Díaz-Caneja,Covadonga M.; Hidalgo-Mazzei,Diego; Vieta,Eduard; Gonzalez-Peñas,Javier; Fortea,Lydia; Parellada,Mara; Fullana,Miquel A.; Verdolini,Norma; Andrlíková,Eva; Janků,Karolina; Millan,Mark J.; Honciuc,Mihaela; Moniuszko-Malinowska,Anna; Łoniewski,Igor; Samochowiec,Jerzy; Kiszkiel,Łukasz; Marlicz,Maria; Sowa,Paweł; Marlicz,Wojciech; Spies,Georgina; Stubbs,Brendon; Firth,Joseph; Sullivan,Sarah; Darcin,Asli Enez; Aksu,Hatice; Dilbaz,Nesrin; Noyan,Onur; Kitazawa,Momoko; Kurokawa,Shunya; Tazawa,Yuki; Anselmi,Alejandro; Cracco,Cecilia; Machado,Ana Inés; Estrade,Natalia; De Leo,Diego; Curtis,Jackie; Berk,Michael; Carvalho,Andre F.; Ward,Philip; Teasdale,Scott; Rosenbaum,Simon; Marx,Wolfgang; Horodnic,Adrian Vasile; Oprea,Liviu; Alexinschi,Ovidiu; Ifteni,Petru; Turliuc,Serban; Ciuhodaru,Tudor; Bolos,Alexandra; Matei,Valentin; Nieman,Dorien H.; Sommer,Iris; van Os, Jim; van Amelsvoort,Therese; Sun,Ching Fang; Guu,Ta wei; Jiao,Can; Zhang,Jieting; Fan,Jialin; Zou,Liye; Yu,Xin; Chi,Xinli; de Timary,Philippe; van Winkel,Ruud; Ng,Bernardo; Pena,Edilberto; Arellano,Ramon; Roman,Raquel; Sanchez,Thelma; Movina,Larisa; Morgado,Pedro; Brissos,Sofia; Aizberg,Oleg; Mosina,Anna; Krinitski,Damir; Mugisha,James; Sadeghi-Bahmani,Dena; Sheybani,Farshad; Sadeghi,Masoud; Hadi,Samira; Brand,Serge; Errazuriz,Antonia; Crossley,Nicolas; Ristic,Dragana Ignjatovic; López-Jaramillo,Carlos; Efthymiou,Dimitris; Kuttichira,Praveenlal; Kallivayalil,Roy Abraham; Javed,Afzal; Afridi,Muhammad Iqbal; James,Bawo; Seb-Akahomen,Omonefe Joy; Fiedorowicz,Jess; Daskalakis,Jeff; Yatham,Lakshmi N.; Yang,Lin; Okasha,Tarek; Dahdouh,Aïcha; Tiihonen,Jari; Shin,Jae Il; Lee,Jinhee; Mhalla,Ahmed; Gaha,Lotfi; Brahim,Takoua; Altynbekov,Kuanysh; Negay,Nikolay; Nurmagambetova,Saltanat; Jamei,Yasser Abu; Weiser,Mark; Correll,Christoph U.; Hersenen-Medisch 1; Brain |
| Publication Year: |
2026 |
| Subject Terms: |
Children; COVID-19; Mental health; Pandemic; Psychiatry; Survey; Well-being; WHO-5; Pharmacology; Neurology; Clinical Neurology; Psychiatry and Mental health; Biological Psychiatry; Pharmacology (medical) |
| Description: |
Few multinational studies have assessed risk factors and coping strategies associated with the impact of the COVID-19 pandemic on children’s mental health over time. The Collaborative Outcomes study on Health and Functioning during Infection Times (COH-FIT) is the largest transcontinental, multi-wave, cross-sectional survey collecting multi-nation data on well-being and psychopathology during the pandemic. We analyzed country-specific, general-population-based, representative COH-FIT data of 6067 children aged 6–13 years from 12 countries across repeated cross-sectional waves over a period of >2 years (Apr/2020–May/2022), addressing through current and retrospective assessment pre- to intra-pandemic changes in well-being (WHO-5) and general psychopathology scores (Pc) (0–100) in relation to COVID-related deaths, stringency index, eight a priori risk factors, and 16 coping strategies in different responders at each wave. From pre- to intra-pandemic, WHO-5 scores decreased (−4.59, 95 %CI=−6.18 to −2.99, p < 0.001), while PC-scores increased (+6.68, 95 %CI=4.48–8.88, p < 0.001) significantly, following distinct time patterns but both returning to near pre-pandemic levels. Changes in both scores varied by country. WHO-5 scores correlated strongly with PC and subdomain scores. Both score changes were significantly but minimally associated to COVID-19 deaths/stringency index. The proportion of children screening positive for depression increased from 3.9 % to 8.3 % (χ²=145.70, p < 0.001) and for major depression from 0.6 % to 2.2 % (χ²=68.64, p < 0.001) intrapandemic. WHO-5 and PC-score changes were significantly associated with female gender, school closure, and pre-existing physical and mental conditions, with cumulative effects. The five most frequently endorsed coping strategies were family contact (85.2 %), friends (67.3 %), outdoor play (54.0 %), pet interaction (51.5 %), and internet use (50.9 %). Identified risk groups and coping strategies can inform targeted interventions and global public ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| ISSN: |
0924-977X |
| Relation: |
https://dspace.library.uu.nl/handle/1874/468959 |
| Availability: |
https://dspace.library.uu.nl/handle/1874/468959 |
| Rights: |
info:eu-repo/semantics/OpenAccess |
| Accession Number: |
edsbas.78C7C643 |
| Database: |
BASE |