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Article: Anxiety in Older Adolescents at the Time of COVID-19.

Smirni, Pietro / Lavanco, Gioacchino / Smirni, Daniela

2020 Volume 9, Issue 10

Abstract: ... the state of anxiety and emotional awareness in a sample of healthy older adolescents, 84 females and 64 ... may be a risk condition for an increased state of anxiety in older adolescents and suggested the need ... males, aged 17 to 19, during the pandemic lockdown, using the Self-Rating Anxiety Scale and the Italian ...

Abstract	Corona Virus Disease-19 (COVID-19) is a catastrophic health risk, with psychological, emotional, social, and relational implications. From the early stages of the virus spread, the elderly population was identified as the most vulnerable, and health authorities have rightly focused on this frailer population. Conversely, less attention was given to the emotional and psychological dimensions of children and adolescents. Moreover, even though they were the subjects whose lives and health were at low risk, they, nevertheless, had to face a reality full of anxiety, fears, and uncertainties. The current study investigated the state of anxiety and emotional awareness in a sample of healthy older adolescents, 84 females and 64 males, aged 17 to 19, during the pandemic lockdown, using the Self-Rating Anxiety Scale and the Italian Emotion Awareness Questionnaire. An unexpected anxious phenomenology was found, affecting anxiety and the ideo-affective domain, while somatic symptomatology appeared to be less severe. The highest anxiety symptoms were breathing difficulties. These findings supported the hypothesis that the COVID-19 pandemic may be a risk condition for an increased state of anxiety in older adolescents and suggested the need to provide (1) an effective, empathic communication system with direct participation of older adolescents, (2) a psychological counseling service for the stress management of adolescents.
Keywords	covid19
Language	English
Publishing date	2020-09-23
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm9103064
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Anxiety in Older Adolescents at the Time of COVID-19

Smirni, Pietro / Lavanco, Gioacchino / Smirni, Daniela

2020

Abstract	Corona Virus Disease-19 (COVID-19) is a catastrophic health risk, with psychological, emotional, social, and relational implications. From the early stages of the virus spread, the elderly population was identified as the most vulnerable, and health authorities have rightly focused on this frailer population. Conversely, less attention was given to the emotional and psychological dimensions of children and adolescents. Moreover, even though they were the subjects whose lives and health were at low risk, they, nevertheless, had to face a reality full of anxiety, fears, and uncertainties. The current study investigated the state of anxiety and emotional awareness in a sample of healthy older adolescents, 84 females and 64 males, aged 17 to 19, during the pandemic lockdown, using the Self-Rating Anxiety Scale and the Italian Emotion Awareness Questionnaire. An unexpected anxious phenomenology was found, affecting anxiety and the ideo-affective domain, while somatic symptomatology appeared to be less severe. The highest anxiety symptoms were breathing difficulties. These findings supported the hypothesis that the COVID-19 pandemic may be a risk condition for an increased state of anxiety in older adolescents and suggested the need to provide (1) an effective, empathic communication system with direct participation of older adolescents, (2) a psychological counseling service for the stress management of adolescents.
Keywords	breathing difficulty ; emotion awareness ; fear of contagion ; healthy adolescents ; state anxiety ; virus’ transmission ; COVID-19 pandemic ; Settore M-PSI/02 - Psicobiologia E Psicologia Fisiologica ; Settore M-PSI/07 - Psicologia Dinamica ; Settore M-PSI/08 - Psicologia Clinica ; covid19
Language	English
Publishing country	it
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Anxiety in Older Adolescents at the Time of COVID-19

Pietro Smirni / Gioacchino Lavanco / Daniela Smirni

Journal of Clinical Medicine, Vol 9, Iss 3064, p

2020 Volume 3064

Abstract	Corona Virus Disease-19 (COVID-19) is a catastrophic health risk, with psychological, emotional, social, and relational implications. From the early stages of the virus spread, the elderly population was identified as the most vulnerable, and health authorities have rightly focused on this frailer population. Conversely, less attention was given to the emotional and psychological dimensions of children and adolescents. Moreover, even though they were the subjects whose lives and health were at low risk, they, nevertheless, had to face a reality full of anxiety, fears, and uncertainties. The current study investigated the state of anxiety and emotional awareness in a sample of healthy older adolescents, 84 females and 64 males, aged 17 to 19, during the pandemic lockdown, using the Self-Rating Anxiety Scale and the Italian Emotion Awareness Questionnaire. An unexpected anxious phenomenology was found, affecting anxiety and the ideo-affective domain, while somatic symptomatology appeared to be less severe. The highest anxiety symptoms were breathing difficulties. These findings supported the hypothesis that the COVID-19 pandemic may be a risk condition for an increased state of anxiety in older adolescents and suggested the need to provide (1) an effective, empathic communication system with direct participation of older adolescents, (2) a psychological counseling service for the stress management of adolescents.
Keywords	COVID-19 pandemic ; virus’ transmission ; fear of contagion ; breathing difficulty ; healthy adolescents ; emotion awareness ; Medicine ; R
Subject code	150
Language	English
Publishing date	2020-09-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Anxiety in Older Adolescents at the Time of COVID-19

Smirni, Pietro / Lavanco, Gioacchino / Smirni, Daniela

Journal of Clinical Medicine

Abstract	Corona Virus Disease-19 (COVID-19) is a catastrophic health risk, with psychological, emotional, social, and relational implications From the early stages of the virus spread, the elderly population was identified as the most vulnerable, and health authorities have rightly focused on this frailer population Conversely, less attention was given to the emotional and psychological dimensions of children and adolescents Moreover, even though they were the subjects whose lives and health were at low risk, they, nevertheless, had to face a reality full of anxiety, fears, and uncertainties The current study investigated the state of anxiety and emotional awareness in a sample of healthy older adolescents, 84 females and 64 males, aged 17 to 19, during the pandemic lockdown, using the Self-Rating Anxiety Scale and the Italian Emotion Awareness Questionnaire An unexpected anxious phenomenology was found, affecting anxiety and the ideo-affective domain, while somatic symptomatology appeared to be less severe The highest anxiety symptoms were breathing difficulties These findings supported the hypothesis that the COVID-19 pandemic may be a risk condition for an increased state of anxiety in older adolescents and suggested the need to provide (1) an effective, empathic communication system with direct participation of older adolescents, (2) a psychological counseling service for the stress management of adolescents
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #784020
Database	COVID19

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Article ; Online: Severe COVID anxiety among adults in the United Kingdom: cohort study and nested feasibility trial.

Crawford, Mike J / King, Jacob D / McQuaid, Aisling / Bassett, Paul / Leeson, Verity C / Tella, Oluwaseun / Di Simplicio, Martina / Tyrer, Peter / Tyrer, Helen / Watt, Richard G / Barnicot, Kirsten

BMC psychiatry

2024 Volume 24, Issue 1, Page(s) 27

Abstract: ... While the mental health of people with severe COVID anxiety appears to improve over time, many continue to experience high ... Cognitive Behavioural Therapy for Health Anxiety (CBT-HA). Exclusion criteria were recent COVID-19, current self-isolation, or ... among older people, those living with a vulnerable person, those with lower baseline COVID anxiety, and ...

Abstract	Background: People with severe COVID anxiety have poor mental health and impaired functioning, but the course of severe COVID anxiety is unknown and the quality of evidence on the acceptability and impact of psychological interventions is low. Methods: A quantitative cohort study with a nested feasibility trial. Potential participants aged 18 and over, living in the UK with severe COVID anxiety, were recruited online and from primary care services. We examined levels of COVID anxiety in the six months after recruitment, and factors that influenced this, using linear regression. Those scoring above 20 on the short Health Anxiety Inventory were invited to participate in a feasibility trial of remotely delivered Cognitive Behavioural Therapy for Health Anxiety (CBT-HA). Exclusion criteria were recent COVID-19, current self-isolation, or current receipt of psychological treatment. Key outcomes for the feasibility trial were the level of uptake of CBT-HA and the rate of follow-up. Results: 204 (70.2%) of 285 people who took part in the cohort study completed the six month follow-up, for whom levels of COVID anxiety fell from 12.4 at baseline to 6.8 at six months (difference = -5.5, 95% CI = -6.0 to -4.9). Reductions in COVID anxiety were lower among older people, those living with a vulnerable person, those with lower baseline COVID anxiety, and those with higher levels of generalised anxiety and health anxiety at baseline. 36 (90%) of 40 participants enrolled in the nested feasibility trial were followed up at six months. 17 (80.9%) of 21 people in the active arm of the trial received four or more sessions of CBT-HA. We found improved mental health and social functioning among those in the active, but not the control arm of the trial (Mean difference in total score on the Work and Social Adjustment Scale between baseline and follow up, was 9.7 (95% CI = 5.8-13.6) among those in the active, and 1.0 (95% C.I. = -4.6 to 6.6) among those in the control arm of the trial. Conclusions: While the mental health of people with severe COVID anxiety appears to improve over time, many continue to experience high levels of anxiety and poor social functioning. Health anxiety is highly prevalent among people with severe COVID anxiety and may provide a target for psychological treatment. Trial registration: Retrospectively registered at ISRCTN14973494 on 09/09/2021.
MeSH term(s)	Adolescent ; Adult ; Aged ; Humans ; Anxiety/therapy ; Cohort Studies ; COVID-19 ; Feasibility Studies ; United Kingdom/epidemiology
Language	English
Publishing date	2024-01-06
Publishing country	England
Document type	Clinical Trial ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2050438-X
ISSN	1471-244X ; 1471-244X
ISSN (online)	1471-244X
ISSN	1471-244X
DOI	10.1186/s12888-023-05446-9
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Article ; Online: Adolescent coping and social media use moderated anxiety change during the COVID-19 pandemic.

Myruski, Sarah / Pérez-Edgar, Koraly / Buss, Kristin A

Journal of adolescence

2023 Volume 96, Issue 1, Page(s) 177–195

Abstract: ... during the coronavirus disease 2019 (COVID-19) pandemic may be differentially related to anxiety symptom ... Older adolescents showed decreasing anxiety when avoidant coping declined and SMU increased ... 43.8% male) and one parent per adolescent. At two time points separated by ~6 months, adolescents ...

Abstract	Introduction: Adolescence is a sensitive period during which stressors and social disruptions uniquely contribute to anxiety symptoms. Adolescent's coping strategies (i.e., avoidance and approach) during the coronavirus disease 2019 (COVID-19) pandemic may be differentially related to anxiety symptom changes. Further, social media use (SMU) is ubiquitous and may serve as an avenue to deploy avoidant and/or approach coping. Method: Participants included 265 adolescents (ages 12-20 years; 55.8% female, 43.8% male) and one parent per adolescent. At two time points separated by ~6 months, adolescents reported on SMU and coping strategies, and parents and adolescents reported demographic information and adolescents' anxiety symptoms. Data were collected online in the United States, from summer 2020 through spring 2021. Results: Increases in avoidant coping predicted increasing anxiety, particularly when approach coping decreased. Decreases in both avoidant coping and SMU coincided with decreasing anxiety. Older adolescents showed decreasing anxiety when avoidant coping declined and SMU increased. Conclusion: Coping strategies and SMU predicted patterns of adolescent anxiety symptom change across 6 months during the COVID-19 pandemic. Results highlight that coping and SMU should be contextualized within the time course of stressors.
MeSH term(s)	Humans ; Male ; Adolescent ; Female ; COVID-19 ; Pandemics ; Adaptation, Psychological ; Social Media ; Anxiety/epidemiology
Language	English
Publishing date	2023-11-02
Publishing country	England
Document type	Journal Article
ZDB-ID	303529-3
ISSN	1095-9254 ; 0140-1971
ISSN (online)	1095-9254
ISSN	0140-1971
DOI	10.1002/jad.12267
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Article ; Online: Effects of COVID-19 pandemic on anxiety and depression in primary care: A retrospective cohort study.

Stephenson, Ellen / O'Neill, Braden / Kalia, Sumeet / Ji, Catherine / Crampton, Noah / Butt, Debra A / Tu, Karen

Journal of affective disorders

2022 Volume 303, Page(s) 216–222

Abstract: ... with the onset of the COVID-19 pandemic. By the end of 2020, more patients were seeking treatment for anxiety ... presenting with anxiety/depression symptoms in primary care varied across age groups, sex, and time ... were higher than pre-pandemic levels. Among older adults, incidence rates of anxiety/depression related ...

Abstract	Background: Population-based surveys indicate that many people experienced increased psychological distress during the COVID-19 pandemic. We aimed to determine if there was a corresponding increase in patients receiving services for anxiety and depression from their family physicians. Methods: Electronic medical records from the University of Toronto Practice Based-Research Network (UTOPIAN; N = 322,920 patients) were used to calculate incidence rates for anxiety/depression related visits and antidepressant prescriptions before the COVID-19 pandemic (January 2018-February 2020) and during the COVID-19 pandemic (March-December 2020). Data from the pre-pandemic period were used to predict expected rates during the pandemic period which was compared to the observed rate. Results: The number of patients presenting with anxiety/depression symptoms in primary care varied across age groups, sex, and time since pandemic onset. Among the youngest patients (ages 10-18 years), there were fewer patients than pre-pandemic visiting for new episodes of anxiety/depression and being prescribed antidepressants in April 2020, but by the end of 2020 this trend had reversed such that incidence rates for anxiety/depression related visits were higher than pre-pandemic levels. Among older adults, incidence rates of anxiety/depression related visits increased in April 2020 with the onset of the pandemic, and remained higher than expected throughout 2020. Limitations: A convenience sample of 362 family physicians in Ontario was used. Conclusion: Demand for mental health services from family physicians varied by patient age and sex and changed with the onset of the COVID-19 pandemic. By the end of 2020, more patients were seeking treatment for anxiety/depression related concerns.
MeSH term(s)	Adolescent ; Aged ; Anxiety/drug therapy ; Anxiety/epidemiology ; COVID-19/epidemiology ; Child ; Depression/drug therapy ; Depression/epidemiology ; Humans ; Pandemics ; Primary Health Care ; Retrospective Studies ; SARS-CoV-2
Language	English
Publishing date	2022-02-06
Publishing country	Netherlands
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	135449-8
ISSN	1573-2517 ; 0165-0327
ISSN (online)	1573-2517
ISSN	0165-0327
DOI	10.1016/j.jad.2022.02.004
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Article ; Online: COVID-19-related anxiety and trauma symptoms predict decreases in body image satisfaction in children.

Aucoin, Philip / Gardam, Olivia / St John, Elizabeth / Kokenberg-Gallant, Laila / Corbeil, Sophie / Smith, Jonathan / Guimond, Fanny-Alexandra

Child psychiatry and human development

2022 Volume 54, Issue 6, Page(s) 1666–1677

Abstract: ... satisfaction and COVID-19-related trauma and anxiety symptoms. The first cohort (n = 136 children) was ... at Time 1 predicted significant decreases in body image satisfaction at Time 2. Older children were ... The present study investigated short-term longitudinal effects of COVID-19-related trauma and ...

Abstract	The present study investigated short-term longitudinal effects of COVID-19-related trauma and separation, social, and generalized anxiety symptoms on children's body image satisfaction. Participants were 247 Canadian children (121 boys, 123 girls) aged between 7 and 12 years (M = 9.04). Two cohorts of parents were recruited to complete a questionnaire at two time points on their children's body image satisfaction and COVID-19-related trauma and anxiety symptoms. The first cohort (n = 136 children) was recruited in Summer 2020 and the second cohort (n = 111 children) was recruited in Winter 2021. For each cohort, follow-up surveys were completed approximately five months later, therefore covering an entire year with both cohorts. Multilevel regression analyses showed that children's trauma and anxiety at Time 1 predicted significant decreases in body image satisfaction at Time 2. Older children were especially at risk of decreased body image satisfaction as a result of their COVID-19-related trauma, social anxiety and generalized anxiety symptoms. Younger girls were susceptible to decreased body image satisfaction as a result of their separation anxiety symptoms. Given that children's body image dissatisfaction is a precursor to the development of eating disorders, these findings shed light on potential targets for early intervention with children who are at-risk of developing such difficulties.
MeSH term(s)	Male ; Female ; Humans ; Child ; Adolescent ; Body Image ; COVID-19 ; Canada ; Anxiety ; Personal Satisfaction
Language	English
Publishing date	2022-05-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	223895-0
ISSN	1573-3327 ; 0009-398X
ISSN (online)	1573-3327
ISSN	0009-398X
DOI	10.1007/s10578-022-01364-1
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Article ; Online: The Trajectory of Depression and Anxiety Among Children and Adolescents over Two Years of the COVID-19 Pandemic

Korczak, Daphne J / Lo, Ronda F / Rizek, Jala / Crosbie, Jennifer / Charach, Alice / Anagnostou, Evdokia / Birken, Catherine / Monga, Suneeta / Kelley, Elizabeth / Nicolson, Rob / Arnold, Paul / Maguire, Jonathon / Schachar, Russell James / Georgeadis, Stelios / Burton, Christie L / Cost, Katherine

medRxiv

Abstract: ... old. Children 10 years and older completed validated measures of depression and anxiety. Latent growth ... Longitudinal research examining childrens mental health (MH) over the course of the COVID-19 ... timepoints (April 2020 to June 2022). Parents completed validated measures of depression and anxiety ...

Abstract	Longitudinal research examining childrens mental health (MH) over the course of the COVID-19 pandemic is scarce. We examined trajectories of depression and anxiety over two pandemic years among children with and without MH disorders. Parents and children 2 to 18 years completed surveys at seven timepoints (April 2020 to June 2022). Parents completed validated measures of depression and anxiety for children 8to 18 years, and validated measures of emotional/behavioural symptoms for children 2 to 7 years old. Children 10 years and older completed validated measures of depression and anxiety. Latent growth curve analysis determined depression and anxiety trajectories, accounting for demographics, child and parent MH. Data were available on 1315 unique children (1259 parent-reports, 550 child-reports). Trajectories were stable across the study period, however individual variation in trajectories was statistically significant. Of included covariates, only initial symptom level predicted symptom trajectories. Among participants with pre-COVID data, a significant increase in depression symptoms relative to pre-pandemic levels was observed. Children and adolescents experienced elevated and sustained levels of depression and anxiety during the two-year period. Findings have direct policy implications in the prioritization and of maintenance of educational, recreational, and social activities with added MH supports in the face of future events.
Keywords	covid19
Language	English
Publishing date	2023-10-05
Publisher	Cold Spring Harbor Laboratory Press
Document type	Article ; Online
DOI	10.1101/2023.10.04.23296430
Database	COVID19

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Article ; Online: The association between COVID-19 diagnosis or having symptoms and anxiety among Canadians: A repeated cross-sectional study.

Nigatu, Yeshambel T / Elton-Marshall, Tara / Wells, Samantha / Jankowicz, Damian / Wickens, Christine M / Hamilton, Hayley A

Anxiety, stress, and coping

2021 Volume 34, Issue 5, Page(s) 503–512

Abstract: ... by the pandemic remained stable over time. Individuals or those with someone close diagnosed with COVID-19 had ... cross-sectional surveys were conducted among Canadians aged 18 and older (: Results: Anxiety among individuals affected ... Background: The mental health effects of being diagnosed with COVID-19 are unknown. The present ...

Abstract	Background: The mental health effects of being diagnosed with COVID-19 are unknown. The present study examined whether individuals or those with someone close to them with a COVID-19 diagnosis differentially experienced anxiety during the pandemic. Methods: Four web-based repeated cross-sectional surveys were conducted among Canadians aged 18 and older ( Results: Anxiety among individuals affected by the pandemic remained stable over time. Individuals or those with someone close diagnosed with COVID-19 had greater odds of having anxiety ( Conclusions: This evidence highlights the importance of targeted psychosocial interventions for those directly impacted by the COVID-19 virus.
MeSH term(s)	Adolescent ; Adult ; Anxiety/etiology ; COVID-19/complications ; COVID-19/diagnosis ; COVID-19/epidemiology ; COVID-19/psychology ; Canada/epidemiology ; Cross-Sectional Studies ; Female ; Humans ; Logistic Models ; Male ; Middle Aged ; Psychiatric Status Rating Scales ; Socioeconomic Factors ; Young Adult
Language	English
Publishing date	2021-05-25
Publishing country	England
Document type	Journal Article
ZDB-ID	1115932-7
ISSN	1477-2205 ; 1061-5806
ISSN (online)	1477-2205
ISSN	1061-5806
DOI	10.1080/10615806.2021.1932837
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