Cross-Cohort Changes in Parent-Rated Child Mental Health over Two Decades

   Background: research on time trends in child mental health is needed to clarify the effects of the COVID-19 pandemic, and to predict later developmental pathways. However, the results obtained in different countries may be relatively culture specific.

   The aim was to compare levels of child mental health in three comparable cohorts assessed with identical measures before and during the COVID-19 pandemic, taking age, gender and family sociodemographic characteristics into account.

   Participants and methods:: three cohorts of 2–14-year-old children from a large Siberian city were compared: 1436 (52 % boys) assessed in 2001–2004, 1508 (49 % boys) assessed in 2014–2017 and 1276 (52 % boys) assessed in 2020–2021. Parents completed the Strengths and Difficulties Questionnaire designed for a quantitative assessment of child and adolescent psychiatric problems and prosocial behaviour. Linear regression analyses examined cross-cohort changes by age and gender controlling for family composition, parental education and occupation.

   Results: from 2001 to 2021, levels of child psychiatric problems and their impact on daily functioning decreased, whereas levels of prosocial behaviour increased. During the COVID-19 pandemic, there was an increase in levels of emotional symptoms and conduct problems and a decrease in levels of prosocial behaviour compared to the prepandemic period. Time trends in child mental health were similar for both boys and girls of different ages and did not depend on family composition or parental education and occupation.

   Conclusions: over 20 years, there were positive trends in child mental health; however, psychosocial stress during the pandemic was accompanied by negative changes. Further studies will need to clarify possible determinants of secular trends in Russian child mental health and different developmental pathways.

1. Collishaw S, Sellers R. Trends in child and adolescent mental health prevalence, outcomes, and inequalities. In Taylor E et al., eds. Mental health and illness of children and adolescents. Singapore: Springer. 2020:1–11. doi: 10.1007/978-981-10-2348-4_9

2. Bor W, Dean AJ, Najman J, Hayatbakhsh R. Are child and adolescent mental health problems increasing in the 21^st century? A systematic review. Aust N Z J Psychiatry. 2014;48:606–616. doi: 10.1177/0004867414533834

3. Slobodskaya HR. Secular Trends in Child and Adolescent Mental Health. Psychiatry (Moscow) (Psikhiatriya). 2022;20(1):120–128. (In Russ.). URL: https://www.journalpsychiatry.com/jour/article/view/785

4. Kartseva MA, Kuznetsova PO. Short-term effects of the COVID-19 pandemic on employment and income of the Russian population: which groups were affected the most? Population and Economics. 2022;6:21–42. (In Russ.). doi: 10.3897/popecon.6.e90410

5. Hossain MM, Nesa F, Das J, Aggad R, Tasnim S, Bairwa M, Ma P, Ramirez G. Global burden of mental health problems among children and adolescents during COVID-19 pandemic: An umbrella review. Psychiatry Res. 2022;317:114814. doi: 10.1016/j.psychres.2022.114814

6. Samji H, Wu J, Ladak A, Vossen C, Stewart E, Dove N, Long D, Snell G. Review: Mental health impacts of the COVID-19 pandemic on children and youth — a systematic review. Child Adolesc Ment Health. 2022;27(2):173–189. doi: 10.1111/camh.12501 Epub 2021 Aug 28. PMID: 34455683; PMCID: PMC8653204.

7. Theberath M, Bauer D, Chen W, Salinas M, Mohabbat AB, Yang J, Chon TY, Bauer BA, Wahner-Roedler DL. Effects of COVID-19 pandemic on mental health of children and adolescents: A systematic review of survey studies. SAGE Open Medicine. 2022;10:20503121221086712. doi: 10.1177/20503121221086712

8. Kauhanen L, Wan Mohd Yunus WM, Lempinen L, Peltonen K, Gyllenberg D, Mishina K, Gilbert S, Bastola K, Brown JS, Sourander A. A systematic review of the mental health changes of children and young people before and during the COVID-19 pandemic. Eur Child Adolesc Psychiatry. 2023;32(6):995–1013. doi: 10.1007/s00787-022-02060-0

9. Saleem S, Burns S, Falenchuk O, Varmuza P, Perlman M. Heterogeneity in maternal and child mental health responses to the COVID-19 pandemic. Early Child Res Q. 2022;59:203–214. doi: 10.1016/j.ecresq.2021.12.004

10. Slobodskaya HR, Safronova MV, Kharchenko II, Rezun EV, Kornienko OS. Russian adolescent mental health in 2002, 2015 and during the COVID-19 pandemic in 2021. Child Adolesc Ment Health. 2022;28(1):158–166. doi: 10.1111/camh.12591

11. Goodman R, Slobodskaya HR, Knyazev GG. Russian child mental health: a cross-sectional study of prevalence and risk factors. Eur Child Adolesc Psychiatry. 2005;14:28–33. doi: 10.1007/s00787-005-0420-8

12. Goodman R. Psychometric properties of the Strengths and Difficulties Questionnaire. J Am Acad Child Adolesc Psychiatry. 2001;40:1337–1345. doi: 10.1097/00004583-200111000-00015

13. Goodman A, Heiervang E, Fleitlich-Bilyk B, Alyahri A, Patel V, Mullick MSI, Slobodskaya H, dos Santos DN, Goodman R. Cross-national differences in questionnaires do not necessarily reflect comparable differences in disorder prevalence. Soc Psychiatry Psychiatr Epidemiol. 2012,47:1321–1331. doi: 10.1007/s00127-011-0440-2

14. Trushchelev SA. Diagnostic tests in psychiatry: conditions of application (analytical review). Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2014;5:81–91. (In Russ.).

15. Newlove-Delgado T, Russell AE, Mathews F, Cross L, Bryant E, Gudka R, Ukoumunne OC, Ford TJ. Annual Research Review: The impact of Covid-19 on psychopathology in children and young people world-wide: systematic review of studies with pre-and within-pandemic data. J Child Psychol Psychiatry. 2023;64:611–640. doi: 10.1111/jcpp.13716

16. Achenbach TM, Rescorla L. Multicultural understanding of child and adolescent psychopathology: Implications for mental health assessment. Guilford Press; 2007.

17. Collishaw S, Goodman R, Pickles A, Maughan B. Modelling the contribution of changes in family life to time trends in adolescent conduct problems. Soc Sci Med. 2007;65:2576–2587. doi: 10.1016/j.socscimed.2007.06.010

18. Collishaw S. Annual research review: secular trends in child and adolescent mental health. J Child Psychol Psychiatry. 2015;56:370–393. doi: 10.1111/jcpp.12372