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
| 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 |
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| Authors: | Agorastos A.; Thompson T.; Solmi M.; Cortese S.; Estrade A.; Radua J.; Dragioti E.; Vancampfort D.; Thygesen L. C.; Aschauer H.; Schlogelhofer M.; Aschauer E.; Schneeberger A.; Huber C. G.; Hasler G.; Conus P.; Do Cuenod K. Q.; von Kanel R.; Arrondo G.; Fusar-Poli P.; Gorwood P.; Llorca P. -M.; Krebs M. -O.; Scanferla E.; Kishimoto T.; Rabbani G.; Skonieczna-Zydecka K.; Brambilla P.; Favaro A.; Takamiya A.; Zoccante L.; Colizzi M.; Bourgin J.; Kaminski K.; Moghadasin M.; Seedat S.; Matthews E.; Wells J.; Vassilopoulou E.; Gadelha A.; Su K. -P.; Kwon J. S.; Kim M.; Lee T.; Papsuev O.; Mankova D.; Boscutti A.; Gerunda C.; Saccon D.; Righi E.; Monaco F.; Croatto G.; Cereda G.; Demurtas J.; Brondino N.; Veronese N.; Enrico P.; Politi P.; Ciappolino V.; Pfennig A.; Bechdolf A.; Meyer-Lindenberg A.; Kahl K. G.; Domschke K.; Bauer M.; Koutsouleris N.; Winter S. M.; Borgwardt S.; Bitter I.; Balazs J.; Czobor P.; Unoka Z.; Mavridis D.; Tsamakis K.; Bozikas V. P.; Tunvirachaisakul C.; Maes M.; Rungnirundorn T.; Supasitthumrong T.; Haque A.; Brunoni A. R.; Costardi C. G.; Schuch F. B.; Polanczyk G.; Luiz J. M.; Fonseca L.; Aparicio L. V.; Valvassori S. S.; Nordentoft M.; Vendsborg P.; Hoffmann S. H.; Sehli J.; Sartorius N.; Heuss S. C.; Guinart D.; Hamilton J.; Kane J.; Rubio J.; Sand M.; Koyanagi A.; Solanes A.; Andreu-Bernabeu A.; Caceres A. S. J.; Arango C.; Diaz-Caneja C. M.; Hidalgo-Mazzei D.; Vieta E.; Gonzalez-Penas J.; Fortea L.; Parellada M.; Fullana M. A.; Verdolini N.; Andrlikova E.; Janku K.; Millan M. J.; Honciuc M.; Moniuszko-Malinowska A.; Loniewski I.; Samochowiec J.; Kiszkiel L.; Marlicz M.; Sowa P.; Marlicz W.; Spies G.; Stubbs B.; Firth J.; Sullivan S.; Darcin A. E.; Aksu H.; Dilbaz N.; Noyan O.; Kitazawa M.; Kurokawa S.; Tazawa Y.; Anselmi A.; Cracco C.; Machado A. I.; Estrade N.; De Leo D.; Curtis J.; Berk M.; Carvalho A. F.; Ward P.; Teasdale S.; Rosenbaum S.; Marx W.; Horodnic A. V.; Oprea L.; Alexinschi O.; Ifteni P.; Turliuc S.; Ciuhodaru T.; Bolos A.; Matei V.; Nieman D. H.; Sommer I.; van Os J.; van Amelsvoort T.; Sun C. -F.; Guu T. -W.; Jiao C.; Zhang J.; Fan J.; Zou L.; Yu X.; Chi X.; de Timary P.; van Winkel R.; Ng B.; Pena E.; Arellano R.; Roman R.; Sanchez T.; Movina L.; Morgado P.; Brissos S.; Aizberg O.; Mosina A.; Krinitski D.; Mugisha J.; Sadeghi-Bahmani D.; Sheybani F.; Sadeghi M.; Hadi S.; Brand S.; Errazuriz A.; Crossley N.; Ristic D. I.; Lopez-Jaramillo C.; Efthymiou D.; Kuttichira P.; Kallivayalil R. A.; Javed A.; Afridi M. I.; James B.; Seb-Akahomen O. J.; Fiedorowicz J.; Daskalakis J.; Yatham L. N.; Yang L.; Okasha T.; Dahdouh A.; Tiihonen J.; Shin J. I.; Lee J.; Mhalla A.; Gaha L.; Brahim T.; Altynbekov K.; Negay N.; Nurmagambetova S.; Jamei Y. A.; Weiser M.; Correll C. U. |
| Contributors: | Agorastos, A.; Thompson, T.; Solmi, M.; Cortese, S.; Estrade, A.; Radua, J.; Dragioti, E.; Vancampfort, D.; Thygesen, L. C.; Aschauer, H.; Schlogelhofer, M.; Aschauer, E.; Schneeberger, A.; Huber, C. G.; Hasler, G.; Conus, P.; Do Cuenod, K. Q.; Von Kanel, R.; Arrondo, G.; Fusar-Poli, P.; Gorwood, P.; Llorca, P. -M.; Krebs, M. -O.; Scanferla, E.; Kishimoto, T.; Rabbani, G.; Skonieczna-Zydecka, K.; Brambilla, P.; Favaro, A.; Takamiya, A.; Zoccante, L.; Colizzi, M.; Bourgin, J.; Kaminski, K.; Moghadasin, M.; Seedat, S.; Matthews, E.; Wells, J.; Vassilopoulou, E.; Gadelha, A.; Su, K. -P.; Kwon, J. S.; Kim, M.; Lee, T.; Papsuev, O.; Mankova, D.; Boscutti, A.; Gerunda, C.; Saccon, D.; Righi, E.; Monaco, F.; Croatto, G.; Cereda, G.; Demurtas, J.; Brondino, N.; Veronese, N.; Enrico, P.; Politi, P.; Ciappolino, V.; Pfennig, A.; Bechdolf, A.; Meyer-Lindenberg, A.; Kahl, K. G.; Domschke, K.; Bauer, M.; Koutsouleris, N.; Winter, S. M.; Borgwardt, S.; Bitter, I.; Balazs, J.; Czobor, P.; Unoka, Z.; Mavridis, D.; Tsamakis, K.; Bozikas, V. P.; Tunvirachaisakul, C.; Maes, M.; Rungnirundorn, T.; Supasitthumrong, T.; Haque, A.; Brunoni, A. R.; Costardi, C. G.; Schuch, F. B.; Polanczyk, G.; Luiz, J. M.; Fonseca, L.; Aparicio, L. V.; Valvassori, S. S.; Nordentoft, M.; Vendsborg, P.; Hoffmann, S. H.; Sehli, J.; Sartorius, N.; Heuss, S. C.; Guinart, D.; Hamilton, J.; Kane, J.; Rubio, J.; Sand, M.; Koyanagi, A. |
| Publication Year: | 2026 |
| Collection: | Università degli Studi di Udine: CINECA IRIS |
| Subject Terms: | Children; COVID-19; Mental health; Pandemic; Psychiatry; Survey; Well-being; WHO-5 |
| 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 |
| Language: | English |
| Relation: | volume:104; firstpage:112741; journal:EUROPEAN NEUROPSYCHOPHARMACOLOGY; https://hdl.handle.net/11390/1323064 |
| DOI: | 10.1016/j.euroneuro.2025.112741 |
| Availability: | https://hdl.handle.net/11390/1323064; https://doi.org/10.1016/j.euroneuro.2025.112741 |
| Rights: | info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by/4.0/ |
| Accession Number: | edsbas.CAE3C97 |
| Database: | BASE |