Examining socioeconomic disparities in changes in adolescent mental health before and during different phases of the coronavirus disease 2019 pandemic

Stress Health. 2023 Feb;39(1):169-181. doi: 10.1002/smi.3179. Epub 2022 Jul 3.

Abstract

This study examined socioeconomic disparities in changes in adolescent mental health between fall 2019 (pre-COVID-19), spring 2020 (initial coronavirus disease 2019 (COVID-19) phase), and fall 2020 (prevailing COVID-19 phase). Using data from 1429 adolescents (Mage = 17.9) from tertiary vocational schools in the Netherlands with n = 386 participating in all three waves, linear and latent basis growth curve models were assessed and multigroup analyses conducted. Results showed a small but significant decrease in life satisfaction and small but significant increases in emotional problems, peer relationship problems, conduct problems, and hyperactivity-inattention problems. For emotional problems and peer relationship problems, increases between pre-COVID-19 and the initial COVID-19 phase were more pronounced than increases between the initial and prevailing COVID-19 phase. In contrast, linear decreases were found for life satisfaction and linear increases for conduct problems and hyperactivity-inattention problems over the course of the study. Mental health patterns were largely comparable for adolescents from families with varying socioeconomic status.

Keywords: COVID-19; SES; adolescence; mental health.

MeSH terms

  • Adolescent
  • COVID-19* / epidemiology
  • Humans
  • Mental Disorders* / epidemiology
  • Mental Disorders* / psychology
  • Mental Health
  • Pandemics
  • Socioeconomic Disparities in Health