Internalizing Problems Before and During the COVID-19 Pandemic in Dutch Children and Adolescents with and without Pre-Existing Mental Health Problems
Internalizing Problems Before and During the COVID-19 Pandemic in Dutch Children and Adolescents with and without Pre-Existing Mental Health Problems
Abstract The aim of the study was to assess internalizing problems before and during the pandemic with data from Dutch consortium Child and adolescent mental health and wellbeing in times of the COVID-19 pandemic, consisting of two Dutch general population samples (GS) and two clinical samples (CS) referred to youth/psychiatric care. In each sample, measures of internalizing problems were obtained from ongoing data collections pre-pandemic (NGS= 35,357; NCS= 4,487) and twice during the pandemic, in Apr.–May 2020 (NGS= 3,938; clinical: NCS= 1,008) and in Nov.–Dec. 2020 (NGS= 1,489; NCS= 1,536), in children and adolescents (8-18 years) with parent- (Brief Problem Monitor) and/or child reports (Patient-Reported Outcomes Measurement Information System?). Results show significantly greater proportions of worrisome internalizing problems (based on validated cut-offs) and significantly higher internalizing problems mean levels from pre-pandemic to pandemic measurements in the general population. These levels stabilized or decreased over the course of the pandemic. In the clinical sample, we found an increase in child-reported internalizing problems measures over the course of the pandemic, but parents reported no differences in internalizing problems measures over the course of the pandemic, nor from pre-pandemic to during the pandemic. Overall, the findings indicate that children and adolescents of both the general and clinical population were affected negatively by the pandemic in terms of their internalizing problems. Attention is therefore warranted to investigate what long-term effects this may cause and to monitor if internalizing problems return back to pre-pandemic levels or if they remain elevated post-pandemic.
Fischer Karen、Polderman Tinca J. C.、Popma Arne、van der Mheen Malindi、Vermeiren Robert、Cornet Ronald、Bartels Meike、Buitelaar Jan、Zijlmans Josjan、van Oers Hedy A.、Ruisch I. Hyun、van der Doelen Dani?l、Tieskens Jacintha M.、Klip Helen、van Ewijk Hanneke、De Meyer Ronald、Haverman Lotte、Teela Lorynn、Hoekstra Pieter J.、van den Berg Germie、Staal Wouter、Bruining Hilgo、van Muilekom Maud M.、Lindauer Ram¨?n、Luijten Michiel A. J.、van der Lans Rikkert M.、de Groot Rowdy、van der Rijken Rachel、Oostrom Kim J.
Department of Biological Psychology, Vrije Universiteit Amsterdam||Amsterdam Public Health Research Institute, Amsterdam University Medical CentresAmsterdam Public Health Research Institute, Amsterdam University Medical Centres||LUMC Curium ¨C Child and Adolescent Psychiatry, Leiden University Medical Center||Amsterdam University Medical Center, Vrije Universiteit Amsterdam, Department of Child and Adolescent Psychiatry & Psychosocial Care||Karakter Child and Adolescent Psychiatry University Centre||University of Groningen, University Medical Center Groningen, Department of Child and Adolescent PsychiatryAmsterdam Public Health Research Institute, Amsterdam University Medical Centres||Amsterdam University Medical Center, Vrije Universiteit Amsterdam, Department of Child and Adolescent Psychiatry & Psychosocial Care||Levvel, Academic Center for Child and Adolescent PsychiatryAmsterdam Public Health Research Institute, Amsterdam University Medical Centres||Levvel, Academic Center for Child and Adolescent Psychiatry||Amsterdam University Medical Center, University of Amsterdam, Department of Child and Adolescent PsychiatryLUMC Curium ¨C Child and Adolescent Psychiatry, Leiden University Medical Center||Youz, Parnassia Psychiatric InstituteAmsterdam Public Health Research Institute, Amsterdam University Medical Centres||Amsterdam University Medical Center, University of Amsterdam, Department of Medical InformaticsDepartment of Biological Psychology, Vrije Universiteit Amsterdam||Amsterdam Public Health Research Institute, Amsterdam University Medical CentresKarakter Child and Adolescent Psychiatry University Centre||Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and BehaviourAmsterdam Public Health Research Institute, Amsterdam University Medical Centres||Amsterdam University Medical Center, Vrije Universiteit Amsterdam, Department of Child and Adolescent Psychiatry & Psychosocial CareAmsterdam Public Health Research Institute, Amsterdam University Medical Centres||Emma Children?ˉs Hospital, Amsterdam University Medical Center, University of Amsterdam, Child and Adolescent Psychiatry & Psychosocial Care, Amsterdam Reproduction and DevelopmentUniversity of Groningen, University Medical Center Groningen, Department of Child and Adolescent PsychiatryKarakter Child and Adolescent Psychiatry University CentreLUMC Curium ¨C Child and Adolescent Psychiatry, Leiden University Medical CenterKarakter Child and Adolescent Psychiatry University CentreLUMC Curium ¨C Child and Adolescent Psychiatry, Leiden University Medical CenterPraktikonAmsterdam Public Health Research Institute, Amsterdam University Medical Centres||Emma Children?ˉs Hospital, Amsterdam University Medical Center, University of Amsterdam, Child and Adolescent Psychiatry & Psychosocial Care, Amsterdam Reproduction and DevelopmentAmsterdam Public Health Research Institute, Amsterdam University Medical Centres||Emma Children?ˉs Hospital, Amsterdam University Medical Center, University of Amsterdam, Child and Adolescent Psychiatry & Psychosocial Care, Amsterdam Reproduction and DevelopmentUniversity of Groningen, University Medical Center Groningen, Department of Child and Adolescent PsychiatryNetherlands Youth InstituteKarakter Child and Adolescent Psychiatry University CentreAmsterdam University Medical Center, Vrije Universiteit Amsterdam, Department of Child and Adolescent Psychiatry & Psychosocial CareAmsterdam Public Health Research Institute, Amsterdam University Medical Centres||Emma Children?ˉs Hospital, Amsterdam University Medical Center, University of Amsterdam, Child and Adolescent Psychiatry & Psychosocial Care, Amsterdam Reproduction and DevelopmentLevvel, Academic Center for Child and Adolescent Psychiatry||Amsterdam University Medical Center, University of Amsterdam, Department of Child and Adolescent PsychiatryAmsterdam Public Health Research Institute, Amsterdam University Medical Centres||Emma Children?ˉs Hospital, Amsterdam University Medical Center, University of Amsterdam, Child and Adolescent Psychiatry & Psychosocial Care, Amsterdam Reproduction and Development||Amsterdam University Medical Center, Vrije Universiteit Amsterdam, Epidemiology and Data ScienceLUMC Curium ¨C Child and Adolescent Psychiatry, Leiden University Medical CenterAmsterdam Public Health Research Institute, Amsterdam University Medical Centres||Amsterdam University Medical Center, University of Amsterdam, Department of Medical InformaticsPraktikonAmsterdam Public Health Research Institute, Amsterdam University Medical Centres||Emma Children?ˉs Hospital, Amsterdam University Medical Center, University of Amsterdam, Child and Adolescent Psychiatry & Psychosocial Care, Amsterdam Reproduction and Development
神经病学、精神病学医学研究方法
Internalizing problemsmental healthCOVID-19anxietydepressionchildren and adolescentscoronavirus
Fischer Karen,Polderman Tinca J. C.,Popma Arne,van der Mheen Malindi,Vermeiren Robert,Cornet Ronald,Bartels Meike,Buitelaar Jan,Zijlmans Josjan,van Oers Hedy A.,Ruisch I. Hyun,van der Doelen Dani?l,Tieskens Jacintha M.,Klip Helen,van Ewijk Hanneke,De Meyer Ronald,Haverman Lotte,Teela Lorynn,Hoekstra Pieter J.,van den Berg Germie,Staal Wouter,Bruining Hilgo,van Muilekom Maud M.,Lindauer Ram¨?n,Luijten Michiel A. J.,van der Lans Rikkert M.,de Groot Rowdy,van der Rijken Rachel,Oostrom Kim J..Internalizing Problems Before and During the COVID-19 Pandemic in Dutch Children and Adolescents with and without Pre-Existing Mental Health Problems[EB/OL].(2025-03-28)[2025-05-22].https://www.medrxiv.org/content/10.1101/2021.10.05.21264160.点此复制
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