• Young teenagers were more likely to use some drugs (e-cigs, prescription drugs, inhalants) during the first year of the pandemic than before the pandemic.
• Teens with more pre-existing difficulties or in families with fewer resources used the most substances.
• Parents can support teens in avoiding drug use by modeling healthy coping behaviors and keeping connected to their children.

Teenagers and the COVID-19 pandemic

Teens’ lives changed a lot during the COVID-19 pandemic. Many were attending school online, social distancing from friends and neighbors, and spending more time than they had before the pandemic with family. Many were dealing with stress, uncertainty, and depression. Did these changes result in different patterns of drinking and drug use?

Compared to before the pandemic, fewer teens reported using alcohol after the pandemic started. More teens said they used nicotine products (e.g., vaping), misused prescription drugs, or used inhalants after the start of the pandemic.

To find out, my colleagues and I repeatedly surveyed 9,270 teenagers from 11 to 13 years old across the United States who were participating in an ongoing study – the Adolescent Brain and Cognitive Development (ABCD) Study. Teens completed one survey before the pandemic and seven more surveys during the first year of the pandemic (between May 2020 and May 2021).

How did teen substance use shift after the pandemic started?

Just like before the pandemic, the most common substances teens reported using were alcohol and nicotine (e.g., vaping). However, compared to before the pandemic, fewer teens reported using alcohol after the pandemic started. More teens said they used nicotine products (e.g., vaping), misused prescription drugs, or used inhalants after the start of the pandemic.

The pandemic appears to have shifted which substances young teenagers were using, away from alcohol and toward drugs. Since we surveyed only young teenagers (11- to 13-year-olds), our results do not address what changes the pandemic may have brought for older teens.

Photo: Wallpaper Flare.

What happened as the pandemic wore on?

Surprisingly, the decreases in alcohol use grew even larger in 2021, with teens continuing to report even lower rates. We expected that as teens’ lives began returning closer to their pre-pandemic routines, their alcohol use would also become closer to pre-pandemic levels – but instead we saw further decreases.

As the pandemic wore on, the increases in teens’ inhalant use and prescription drug misuse shrank but remained. In May 2021, young teenagers were still more likely to use these substances than they were before the pandemic. Furthermore, the increase in teens’ nicotine use (e.g., vaping) early in the pandemic (May 2020) shrunk over time and disappeared by May 2021.

Teens were less likely to use substances during the first year of the pandemic when their parents made an effort to stay connected with them and to keep track of what their teens were doing.

Larger impacts among families with fewer resources and youth with pre-existing difficulties

Was the early impact of the pandemic the same for all teenagers? No. Teens whose families had less income exhibited larger increases in substance use during the first year of the pandemic.

This probably occurred because families with lower incomes had fewer resources to buffer against stressful pandemic-related changes (e.g., a parent being laid off).

Also, teens who reported more behavior problems, depression, and anxiety before the pandemic tended to engage in more drinking and drug use during the first year of the pandemic. The additional stress brought by the pandemic likely increased the burden these teens were already feeling.

Parents can help by being a role model and connecting

Our surveys yielded some good news: There are ways parents might be able to protect teens from pandemic-related increases in drinking alcohol or using drugs.

First, teens’ substance use during the first year of the pandemic was correlated with parents’ substance use during that time. Therefore, parents who modelled healthy coping behaviors in the face of pandemic-related stress could have helped protect their teens.

Photo: ottawagraphics. Pixabay.

Second, teens were less likely to use substances during the first year of the pandemic when their parents made an effort to stay connected with them and to keep track of what their teens were doing (e.g., where they were, who their friends were, what was going on at school). When parents increased how much they were keeping track of their teens, youth’s substance use decreased substantially.

Next steps

We are continuing to survey the same teenagers to see how their substance use changed as the pandemic continued in 2022 and 2023. For now, we recommend that parents support their teens by staying connected, keeping track of teens’ activities, and being a role model for healthy coping with the stressful life changes brought by the pandemic.

The post Teenage drinking and drug use during the COVID-19 pandemic appeared first on Child and Family Blog.

A consistent theme in family adaptation is the family’s ability to make sense of their experience. When a caregiver is away at war, the stress on the family is immediate and can have lasting effects, especially on very young children.

Family Stress

Families of service members deployed to war are forced to live with both the hope and expectation of a safe return and the acute awareness of possible loss of life. During times of war, risk varies for different family members and different family systems.

“When a caregiver is away at war, the stress on the family is immediate and can have lasting effects, especially on very young children.”

Stressful life events and normative life events before notification of deployment, during separation, and after reunion contribute to the overall adaptation of the family.

Individuals who have strong connections to family and community support and can identify and use these supports adapt to the changes and continue to thrive after deployment. For others, the cumulative and chronic nature of stressors on their family system increases uncertainty about individual and family well-being.

Infants and toddlers also experience separation and loss, but their needs can be overlooked when caring adults are overwhelmed and assume that children will not remember this time. Yet the young are the most vulnerable.

Separation during deployment affects an infant’s attachment relationship with the service member. Boundary ambiguity about who is in or out of the family, as well as both visible and invisible wounds of war, represent other losses in the parent-child relationship.

Injuries sustained in war may be visible or invisible to children. Invisible injuries are more difficult for children to understand because there are no obvious physical signs.

Invisible injuries such as post-traumatic stress syndrome (PTSD), traumatic brain injury, and depression can harm the quality of the parent-child relationship because these wounds often are associated with parental irritability, rapid mood swings, emotional numbing, memory loss, and lack of behavior control.

Any of these can enhance children’s risk for disorganized attachment, psychological distress, emotion and behavior dysregulation, and poor health and well-being.

Children growing up in homes with a depressed parent are at increased risk for depression themselves, as are children raised by parents with substance abuse disorders, especially when they occur with high levels of aggression and violence. Children traumatized by parental violence may themselves develop symptoms of PTSD.

Separation during deployment affects an infant’s attachment relationship with the service member.

The nature of the invisible injury may directly harm family functioning and the quality of parent-child relationships necessary for promoting optimal child development. While all types of parental combat injuries influence various components of family functioning, evidence suggests that families are more resilient when there are visible wounds and struggle more with changes related to invisible ones.

Ambiguous Loss

The realities of stress on non-deployed parents can make it difficult for them to be emotionally present with their child during and after deployment. Uncertainty about the extent of the loss and the inability to bring closure to these losses make them ambiguous.

Psychologists describe two types of ambiguous loss: when a loved one is physically absent but psychologically present, and when a loved one is physically present but psychologically absent.

The concept of ambiguous loss became significant when research with families of U.S. military sent to fight in the Vietnam War looked at the psychological presence of a father declared missing in action.

Studies showed that the effect of the father’s absence was influenced by the mother’s adjustment in the first few years after receiving notification of the father’s missing-in-action status. Later studies revealed that ambiguous loss during a parent’s deployment changed not only children’s relationship with the deployed parent but also their relationship with the non-deployed parent.

During Deployment

Certainly, both deployed parents and children at home experience the loss of shared developmental milestones (e.g., first smile, step, word). Lengthy separations are thought to have greater implications for young children, who are developmentally unable to process the cause of the separation, time of the parent’s absence, or explanations of the parent’s return.

When the service member is absent, the non-deployed caregiver and that caregiver’s attunement to the developmental milestones of the child or the impact of stressors on the young child are critical for normal attachment and development of young children.

“Infants and toddlers also experience separation and loss, but their needs can be overlooked when caring adults are overwhelmed.”

Ongoing fear for the loved one’s safety and a fixation on the war can result in the non-deployed parent or caregiver being psychologically absent during the deployment.

While they are physically present, they may be unable to maintain normal routines or care for children. For these adults, feelings of despair can lead to ambivalence, guilt, anxiety, depression, and incapacitation.

Boundary ambiguity about who is in or out of the family unit or what roles individuals play in a family can be conceptualized on a continuum with varying degrees of psychological presence or absence, as well as changing physical presence or absence.

When a parent is deployed or absent from the home for an extended period, other family members assume their roles within the family and may not be interested in relinquishing some of those responsibilities when the service member returns.

Reunion

Community supports in place during deployment might assume that once the service member is home, life will quickly return to normal. However, when service members return, they have to deal with not only their wartime experiences but also the loss of family as they knew it prior to their deployment.

Many become acutely aware of developmental milestones missed and the ability of the family to go on without them. As the boundaries of who is in or out of the family change and the future seems uncertain, families may experience turmoil.

Building an attachment relationship is influenced by parents’ ability to be both physically and psychologically present for their child during all phases of the deployment cycle, including the reunion and reintegration of family.

When service members return, they have to deal with not only their wartime experiences but also the loss of family as they knew it prior to their deployment.

Military families and community support need to understand and normalize bodily responses to chronic stress and how these responses create ambiguity.

The stress response that activated to help the service member or at-home caregiver survive their stressful experience takes a toll on the human body. Over time, the endemic stress affects bodily functions like heart rate, blood pressure, immunity, sleep, attention, and moods.

Furthermore, thinking about negative events that happened in the past or fearing for the future can continue to hijack the stress response, making it more difficult to manage everyday relationships.

When parents are consumed with thoughts and fears, they are unable to be present and attuned to their child in the moment, that is, they might be physically present but psychologically absent. This can happen at any stage of the deployment cycle.

Family Functioning

When parents experience stress that takes them away from being attuned to and present with their children, there is strength is seeking help from professionals. Meaningful treatment focused on the injury, role changes, and loss of personal and family dreams is central in the process of healing.

A multi-level, systemic, resilience-building approach is needed to strengthen family and community resources, rather than focusing solely on individual deficits. Considering parents’ combat injuries, interventions should respect individual, family, military, and community differences.

Having strong social support facilitates better adjustment for the injured and has a buffering effect on the family. When social supports reduce the stress experienced by the military family, the parent can focus on being emotionally responsive and attuned to the needs of their child.

“When service members return, they have to deal with not only their wartime experiences but also the loss of family as they knew it prior to their deployment.”

The early life trajectory is shaped largely by infants’ relational world of family, community, and life contexts.

During times of stress, parents can provide comfort and security for their children by establishing and maintaining routines. Age-appropriate tasks may help children feel that they are contributing positively to the family.

Children need to make sense of what the stress means for their life. When adults communicate age-appropriate information, it supports children’s intuitive sense that something is wrong.

Parents can also create an environment where the child knows it is acceptable to ask questions. What children want and need to know changes as they grow. Children express a broad range of emotions, and they often need their caregivers to help them name and regulate their emotions.

Child development studies consistently promote the benefits of children maintaining a relationship with both parents. Children need the adults in their life to plan activities and rituals that help them feel connected to a parent who is physically absent.

During wartime deployments, events inevitably occur outside families’ control. Family members’ beliefs, values, goals, and perceptions of themselves in the context of their community may influence whether the family views their situation as manageable.

Community supports can focus on reducing parental stress, mitigating mental health challenges, building confidence in parents’ engagement, and supporting strategies that enable parents to live in ways that are consistent with their values.

The post Children and war: Loss, family stress, and attachment relationships appeared first on Child and Family Blog.

These young people may have very different experiences, but children who show resilience almost invariably share at least one fundamental protective factor. Typically, in the background, there are people connected to these children – usually parents and teachers – who are holding it together amid chaos and trauma to buffer children in their care from the dangers that surround them.

For example, over the years, I have seen a lot of effective parenting in emergency shelters. Despite scary situations and uncertainty, many caregivers manage to hold steady, even when they do not know where their family is going to live or how they will feed their children.

Buffering children does not mean shielding them from all stress. But it does mean keeping stress manageable. Children need to learn how to handle stress, setbacks, and failure, as well as what to do when they become overwhelmed. As an analogy, consider the functioning of our immune systems. Research tells us it is unwise to protect immune systems from all exposure to germs, although it is helpful to bolster them with vaccinations.

“Parents have often felt as though they were the first and last line of defense.”

Likewise, children need some exposure to challenges, supported by effective caregivers and teachers who ensure that they are not exposed to overwhelming trauma. All lives have major blows and face many kinds of adversities. Problem-solving skills, social support, and confidence that one can overcome adversity are important for resilience, but they develop best when they grow over time, honed by experiences of overcoming manageable challenges.

Systems and families have protected children

During COVID-19, we have seen impressive examples of family, education, health, and other community systems mobilizing to protect children. Parents, schools, health care, and social services – as well as neighborhood communities – have stepped up to shield and buffer children. They have tried to provide safe spaces to play and learn despite turmoil and unseen dangers. Not all those efforts have been successful, in part because the pandemic was so disruptive. We also discovered profound gaps in our preparedness for this kind of widespread catastrophe. Yet clearly, many systems eventually succeeded in protecting children from at least some of the dangers around them.

Parents carried the burden

Parents, in particular, have often felt as though they were the first and last line of defense. This was particularly true during the early stages of the pandemic, when many schools and child care facilities did not function as they usually did. During this time, a heavier burden of educating and caring for children passed to parents, even though they, too, were often struggling. Parents were expected to keep their children safe, healthy, and learning, even when they were juggling nearly impossible demands of work and family, illness or loss, and worries about paying the rent.

It is remarkable how the resilience of multi-layered systems – such as families and communities – springs into action in times of such stress. The surge in support from these quarters has been impressive during the two-plus years of the pandemic. But systems cannot keep surging capacity indefinitely. It is essential for parents and other protective systems to recharge and replenish their capacity.

If support systems are not maintained and restored, they may not work well when they are needed to take the strain again. The same is true for systems surrounding children. That is why maintaining children’s resilience requires a clear focus on looking after those who carry the greatest load of responsibilities for protecting and nurturing children. Bolster children’s buffers and you will strengthen children’s capacities to withstand blows, recover, and even thrive, in spite of trauma or disaster.

Photo: risingthermals. Creative Commons.

Capacities to cope for long periods

We know from research that many people weather long-lasting, difficult situations. Studies of those who survive prolonged conflicts or natural disasters show that recovery is possible even in situations of severe and chronic adversity, especially when the recovery environment is supportive. People help each other, often relying on cultural and religious practices that provide comfort and concrete supports such as food to those in need.

Although the mobilization of resilience may lag behind the challenges confronting families in unexpected and severe situations of adversity, the complexity and speed of resilience responses can be impressive. During the COVID-19 pandemic, we have witnessed many striking surges in resilience capacity – from the expansion of intensive care units and globally coordinated vaccine development to individual volunteering and giving.

Such acts of kindness benefit not only recipients but can help the givers feel better, too. I saw this after Hurricane Katrina in the United States. Schools developed programs for children to help their community prepare and plan for future disasters, and taught them to make “go bags” or put together care packages for families. Kind and helpful activities provide children with positive feelings while at the same time countering the sense of helplessness and loss of control that often accompanies experiences of severe adversity.

“Maintaining children’s resilience requires a clear focus on looking after those who carry the greatest load of responsibilities for protecting and nurturing them.”

However, the length and complicated challenges of this pandemic have sorely tested the resilience of systems and individuals supporting children. The pandemic itself may continue, perhaps in a diminished form, for some time. Additionally, lingering consequences may continue to affect families well into the future.

Many parents, teachers, and health care workers already feel worn out, yet they must remain on the front lines of defending and fostering children’s well-being for the long term.

The burden is great among disadvantaged families

The experience of the pandemic has also exposed weaknesses in the supports that protect disadvantaged families. When child care centers and schools were closed or struggling to continue serving children, some better-off families could mitigate the worst effects of the resulting disruptions on their children. They could hire nannies and tutors, team up to create learning pods, and afford private education systems that were more likely to stay open than publicly funded schools.

In contrast, low-income families often struggled with poor digital access and food insecurity as they waited for public systems to swing into action. The pandemic amplified, at least in the United States, effects of long-term underinvestment in child care facilities, health care for children, parental leave, and public school systems.

Support those feeling burned out

Now that we may be starting to see the light at the end of the tunnel, there is an important and much-needed debate about how to help children “catch up” in their academic and social skills. But it is also vital to focus on how to support the people and systems that serve as the primary buffers for children in these difficult times.

Many caregivers and educators have run a marathon and they are exhausted. They need our collective support to recharge and carry on the crucial work of protecting children in the present and nurturing their resilience for the future. That support can take many different forms from family, friends, employers, NGOs, and governments, including listening, childcare, organized activities for children, family-oriented celebrations, flex-time, or tax credits. The well-being of children depends on the adaptive capacity of these unsung champions and, in turn, the future resilience of all our societies depends on developing resilience in children, preparing them for the life adversities they will inevitably encounter.

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In times of adversity, children should be given space to use different forms of play as a coping mechanism to explore their emotions and adapt to their current situation. In this article, we draw on the findings of three qualitative studies conducted in various countries with different levels of economic development to demonstrate how children use play to cope with challenges associated with the COVID-19 pandemic.

“Play serves a protective function even in the most difficult of circumstances.”

Models of adversity and resilience outline the multisystem influences on how families and children respond to difficult experiences (e.g., war, statelessness, poverty, natural disasters) across cultures. At the heart of resilience is the human capability to face, adapt to, and gather strength from adversity. One way children demonstrate resilience is through playful activities.

Play serves a protective function even in the most difficult circumstances, unmasks the psychosocial difficulties (e.g., anxiety, depression, emotional distress) children may encounter, and highlights the adaptive qualities they use to cope with adversities. Play permits children to express emotional connectedness, a perspective that aligns well with the contention that play is key to emotional survival.

At different stages of the ongoing COVID–19 pandemic, researchers examined how children used playful activities to cope with social isolation and school closures, and to gain an understanding of the virus itself. An examination of the play of Israeli children during the early stages of the pandemic revealed an increase in play interactions with siblings and parents, and marked changes in the nature and themes of sociodramatic play (i.e., acting out imaginary stories and situations; Cohen & Bamberger, 2021).

Photo: Cyprien Hauser. Creative Commons.

Sociodramatic themes reflected attempts to cope with fear of the virus through imaginary protection, seeking refuge from COVID-19, and beating it. Children turned to humor and displayed acts of moral concern for others in the family. According to parents, children grew in self-care, language, and motor skills.

In India, amid tight lockdowns, parents from low-income backgrounds in rural and peri-urban areas reported that they noticed few changes in their children’s play activities (Chaudhary, Kapoor, & Pillai, 2021). In urban settings, confinement prompted children to find new play spaces (e.g., under stairways, in the corner of a terrace) and to venture to street corners to play, often evading the scrutiny of authorities. Solitary and parallel play increased and interest in outdoor play rose. With dramatic increases in technology use, children in more well-off families turned to online games. Children were creative in modifying existing games by inserting themes they invented. As the pandemic progressed into the second year, parents noticed that their children continued to play in diverse ways and that they had become more considerate of others.

As in Israel and India, in neighborhoods of Toronto, Canada, photographs of children’s outdoor play demonstrated a tremendous sense of hope (Brownell, 2022). By participating in animal scavenger hunts for Teddy Bears in windows, locating stuffed animals hidden in trees, playing “I spy” games, and designing bunny trails, children learned to play with anonymous others on their street and around the block.

“Children continue to turn to play activities, either alone or with others, to navigate their way through the pandemic.”

Chalk sketches on sidewalks (e.g., hopscotch, galaxies, UFOs, underwater creatures, blue skies, grassy knolls, flowers) served to transport people to experiences beyond the immediate present. “Chalk talk” extolled hope (“you can do it,” “you are not alone,” “it will pass”) and prompted others to be safe (“stay six feet apart,” “no Halloween candy due to COVID”). These outdoor activities were not synchronous in that specific groups of children were involved. During a pandemic, they reflect children’s desire to invite others to play in their absence and offer hope to those in their neighborhood.

Amid daily challenges — online education, home schooling, and anxieties about the COVID–19 pandemic — these accounts indicate that children used various adaptive strategies to invent play spaces and engage in different play activities. In doing so, much emphasis was placed on different modes of play and children’s cognitive and social skills development.

As they do when dealing with other difficult circumstances, children continue to turn to play activities, either alone or with others, to navigate their way through the pandemic. At the bottom of it all, play permits us to express our humanity, examine our vulnerabilities, and extend social and moral concern for others in a global world community.

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The nature of climate anxiety

Climate change worries people, youth included, in different ways. It threatens people and places we love. It threatens people far away and future generations, as well as nature and animals. For some it is already destroying their livelihoods, cultures, and well-being. Actually experiencing extreme weather events increases individuals’ commitment to taking action, as in the response of Indigenous people to drought (Australia), Inuit people to the loss of sea ice, Indian farmers to temperatures that destroy their crops, and Inupiat communities to flooding (NW Alaska).

How do children respond? Before adolescence, they may not have the capacity to comprehend the complexity and enormity of the problems. Ojala’s research finds that younger children are less prone to pessimism than older youth, who have greater capacity to comprehend the gravity of the situation.

The link between climate change worry and psychological well-being is not straightforward. Climate change anxiety can be associated with environment-friendly behaviors, as found in studies in Finland, Germany, Sweden, and the United States. It does not reliably predict poor mental well-being. Children with higher self-efficacy, or who have less to worry about on a day-to-day basis, may be more likely to have enough energy to worry about climate change and have adequate resources to engage positively.

Parents and teachers have a vital role in shaping how children react to climate change anxiety.

How children deal with climate anxiety

In her research, which is based on questionnaire responses by children, youth, and young adults, Ojala has articulated three coping strategies.

Problem focused. Children and young people seek information about what to do and take individual action, such as cycling to school, eating less meat, and saving energy. The danger in this response is that the burden of individual responsibility can harm children’s well-being. Some children undertake actions together as a group, providing a sense of solidarity. Older children are more likely than younger children to make a problem-focused response, perhaps because they are more mature and have more individual agency.

Emotion focused. Children and young people seek to manage their emotions in response to the anxiety. A small proportion of children simply deny climate change. Others just avoid the information and distract themselves with other things. Yet others seek social support, discussing the issue with people around them. A few older youth ruminate darkly, vent anger, and fall into fatalism.

“Ojala presents three recommendations about what teachers and parents can do to support children to respond positively to climate change.”

Meaning focused. Children and young people seek out positive aspects of the situation, for example, the overall increase in global awareness and action or the probability of solutions being found eventually. They have trust – in the science, in technology, in what others are doing, in environmental organizations, and in politicians. A leading global youth campaign, Fridays for the Future, is founded on trust in science.

How teachers and parents can support children to engage with climate change

Ojala presents three recommendations about what teachers and parents can do to support children to respond positively to climate change. She argues that more evaluation of particular approaches is needed, but in the meantime, she builds on youth’s responses to her questionnaires.

1. Support a problem-focused response. Teachers should show concrete examples of pro-environmental behavior. Offering specific examples, rather than getting children to search for and plan actions, helps avoid the risk of children feeling the burden of individual responsibility. Teachers can encourage children to come together to build a sense of togetherness around action.
2. Support an emotion-focused response. Teachers and parents should take seriously children’s fears and emotions about climate change, acknowledging, validating, and encouraging discussion about them. Ojala recommends promoting “critical emotional awareness.” For example, children could be invited to consider what emotions are “allowed,” whose emotions are taken seriously, how boys and girls might react differently, why different children react differently, or the difference between individual and collective responses.
3. Support a meaning-focused response. Teachers can promote hope and trust by inviting climate actors from different generations into schools to share their contributions to tackling climate change. Teachers and parents can turn the discussion to one about values, such as caring for people who are suffering and for animals. These adults can introduce children and youth to opportunities to act collectively with other young people, for example, by taking part in youth climate campaigns.

As teachers and parents themselves become more aware of the climate crisis – driven largely by the campaigns of young people – the challenge of raising children in the shadow of such a threat becomes more and more acute. Ojala provides a useful set of actions that parents and teachers can take, based on what children and young people themselves say about what works.

The Climate Psychology Alliance lists resources and networks for young people, resources for parents, teachers and carers, and courses on climate psychology. 

The post Three Ways to Help Children Channel Climate Change Anxiety Into Positive Action appeared first on Child and Family Blog.

They found that for most youth, rates of serious depression and anxiety were lower than rates in similar surveys before the pandemic, but rates did not decline for Hispanic and gender non-binary youth.

They also looked at how 10 potential drivers of mental health functioned overall and in different subgroups (defined by ethnicity, gender, and age).

The biggest influence on young people’s depression and anxiety during COVID-19, by a factor of 1.5-2, was how young people rated parent support, which was measured by two items: parents’ helpfulness in sorting out their feelings and low levels of stress caused by parents.

Many other studies have shown that COVID-19 has substantially increased levels of psychological disturbance among parents which, in turn, negatively affects parenting behaviors. On this basis, the main policy recommendation from Luthar and colleagues’ research is to ensure ongoing support for parents and other caregivers in times of crisis such as COVID-19. “Monitoring ongoing parent mental health and parenting needs, and intervening where appropriate, should be of high importance for public health efforts to promote child well-being,” the researchers suggest.

How the research was designed

The study included children and young people in middle and high school, that is, from 11 to 18 years  old. It took place during the first three months of COVID-19 in 2020 in the United States. Just over one third of the children were of color and just under one third lived in families that received financial aid.

“The biggest influence on young people’s depression and anxiety during COVID-19, by a factor of 1.5-2, was how young people rated parent support.”

The students were from 49 relatively high performing schools with high Standard Assessment Test scores – 40 independent/private day schools, 8 boarding schools and one public school. Previous research has shown that  students in these schools are at risk due to the very high pressures to achieve and the intense competition they face. At the same time, resilience studies indicate that findings on powerful risk and protective factors tend to generalize across different subgroups, meaning that the results from this study may have relevance beyond students in high-achieving schools.

The study asked students about 10 factors known from earlier research to influence mental health: (1) perceptions of parent support, (2) concerns heard at school, (3) adults to confide in, (4) friends to confide in, (5) learning effectiveness (“how well are you able to learn new school materials these days?”), (6) time for fun, (7) worry about grades, (8) worry about life after graduating, (9) worry about parents’ jobs and finances, and (10) worry about family health.

The findings

The first question addressed was whether there had been any changes in rates of serious depression and anxiety from 2019 to the first months of COVID-19. Levels of serious or clinically significant depression and anxiety, which had ranged from 5-10% in pre-pandemic 2019 research, were typically half those during COVID-19 in 2020. The notable exception to this were two groups: Depression in Hispanic young people hardly decreased at all and depression in gender non-binary young people increased a little.

Considering mental health as well as its potential drivers, the researchers drew attention to the unique experiences of several subgroups.

• Black youth reported lower levels of anxiety on average than White youth. At the same time, they reported somewhat lower parent support, more worry about family jobs, more concern about not having adults to confide in, and not having their concerns heard at school. Asian youth had the most confidence in their ability to learn during the pandemic. At the same time, they were more worried than White youth about their academic grades, their futures, and their families’ health and jobs.
• Hispanic youth were at a disadvantage compared to White youth on several dimensions, and unlike other groups of color, there was no area in which they fared better than White youth. Also, when tracked across the first 12 weeks of mandatory distance learning, students of Hispanic heritage showed steep increases in symptoms of anxiety, problems with learning, and worries about grades. Hispanic students described blatant experiences of discrimination at school and a relative lack of systematic attention to this.
• Even when comparisons of ethnic groups were statistically significant, the overall size of associations was small. By contrast, effects by gender were medium to large on both depression and anxiety. Compared to both males and females, gender non-binary youth reported higher levels of depression and lower levels of concerns heard at school and confiding in friends. This may have been because they had less access to support from professionals and friends as a result of being confined at home.
• Girls showed higher levels of depression and anxiety than boys, as is generally the case. They also reported somewhat less support from parents, less ability to confide in adults, less feeling that their concerns were heard at school, and more worries about family jobs and family health.
• Older students (high-school age) reported slightly higher levels of anxiety and depression than younger students (middle-school age), as well as less parent support. On two aspects of academics – effectiveness of learning and worry about their futures – older students were considerably more troubled than younger students.

The second question addressed in the study was, of the 10 drivers of mental health assessed, which ones were strongly related to students’ mental health?

“Hispanic youth were at a disadvantage compared to White youth on several dimensions, and unlike other groups of color, there was no area in which they fared better than White youth.”

Each of the 10 risk and protective influences listed earlier was statistically related to levels of depression and anxiety, but one stood out as the most influential: perceived parental support. This pattern of findings generally held true in different student subgroups based on students’ ethnicity, gender, and age (middle versus high school). Following parent support, other dimensions important for mental health were effectiveness of learning online, concerns heard by school adults, and worries about grades and about the future.

In addition to recommending support for parents, the researchers stressed the importance of supporting teachers, who have been pivotal in boosting young people’s mental health during COVID-19. When asked what was going well at school during school closures, students in this study mentioned support from their teachers most frequently. In the months ahead, schools will need to help buffer against burnout and emotional exhaustion among their faculty and staff as a result of high, longstanding burdens of caregiving.

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Being resilient does not mean being invulnerable. Resilience and invulnerability are sometimes confused. For example, more educational support for children with learning disabilities may make them more resilient within a learning environment, but it will not make them less vulnerable to stigma or bullying.

Resilience may be displayed in ways that not all consider positive. Over-optimistic expectations that have little chance of being met – “false hopes” – can lead to failure, as can excessive self-reliance. Similarly, excessively high self-esteem can slide into narcissism. Resilience may manifest as a lack of appropriate emotional response to adversity, for example, in the case of bereavement.

A focus on resilience may distract from the need to challenge adversity rather than adapt to it – the resilience paradox.

Resilience according to whom? The Antarctic explorer Ernest Shackleton managed to survive with his team for two years in a cold wilderness. Was this heroic resilience, as was celebrated at the time, or did taking his crew into such a situation recklessly endanger their lives? When soldiers reach a personal limit in training, is resilience showing grit or is it extracting themselves to focus on something that suits them better mentally or physically? Were the survivors of the 2002 flooding in the Solomon Islands resilient when they responded with self-reliance by rebuilding houses that could not withstand another flood? Was the 19^th-century belief in opium as a relief from anxiety a form of resilience?

A focus on resilience may distract from the need to challenge adversity rather than adapt to it – the resilience paradox. One could argue that adapting to climate change is counterproductive when the only safe response is to challenge it and try to stop it. The same could be argued for racism, poverty, violence, maltreatment, and social injustice. In all cases, resilience by a compliant individual may only make matters worse. This is called the resilience paradox. Expecting resilience in such contexts could even be considered cruel.

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Based on years of research, the framework – called the Intergenerational and Cumulative Adverse and Resilient Experiences (ICARE) model – identifies 10 types of ACEs, as well as 10 protective and compensatory experiences (PACEs) that build resilience.

The ICARE model also recommends a wide set of interventions that address the many ways ACEs can harm children’s development. At the heart of the approach is supporting the protective factors that are already in place in families and helping families become stronger.

The ICARE model shows the pathway by which ACEs can disadvantage children’s future and harm the next generation.

Neurobiological and epigenetic impacts of ACEs

Prolonged activation of stress responses that are typically used in brief crisis-response situations results in biological and neurobiological changes that can become embedded in a child. The body’s immune system can be harmed, as well as the development of brain structures and functions. Epigenetic changes to DNA as a result of adversity – the methylation of certain genes that change how they function – embed the impact of ACEs, influencing how the child responds to stress later in life. Epigenetic changes are heritable, passed from mothers and fathers to their biological children.

The ICARE model shows the pathway by which ACEs can disadvantage children’s future and harm the next generation.

Developmental impacts of ACEs

The most significant developmental system in early childhood is attachment. Secure attachment evolves when an infant’s needs are consistently met, creating a safe and predictable place where caregivers can be trusted. Attachment also has a biological/neurobiological dimension, for example, with the action of the hormones dopamine and oxytocin. ACEs can disrupt attachment, which is associated with a wide range of behavioral, social, and emotional problems later in life.

ACEs can also damage cognitive development. Skills associated with executive function, such as working memory, inhibitory control, and focused attention, can be harmed in children who have experienced adversity. This can lead to problems with learning during education and training.

Intergenerational transmission

ACEs can disadvantage the next generation in two ways: Parents who have been adversely affected by ACEs in their own lives are more likely to struggle with parenting. And parents may pass to their children epigenetic changes that affect the child’s biological response to stress.

Strategies to mitigate the negative impacts of ACEs

The foundation of the strategic approach proposed by the ICARE model starts with assessing and mobilizing protective factors that already exist or could exist around the child. Researchers point to successful support programs in five categories:

1. Supporting parents and caregivers with their own psychological and emotional well-being
2. Supporting parents and caregivers with attachment and parenting skills
3. Supporting children directly, for example, by encouraging their participation in sports, hobbies, and friendships
4. Psychological therapies for children that address the past traumas
5. Play-based therapeutic activities for children and parents together

The authors of the framework explain that the ICARE model “suggests new opportunities to design and implement multilevel prevention and intervention programs across the various pathways by which adverse and protective experiences influence outcomes.”

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During the current pandemic, many new parents have found themselves with little support, but there are simple things parents can do at home to nurture essential interactions with their baby.

Around this time last year, an inexorable force swept into people’s lives. It upended everything — relationships, friendships, routines, work life, independence, and sense of control. In this respect, the COVID-19 pandemic has similarities to another dramatic event — becoming a parent. And just like the pandemic, nothing quite prepares you for it.

For all those who became parents in the last year, these two realties have collided. New parents have been left without many of the usual support networks that help support them through the early days. Those networks include their own parents, parent-baby groups, informal social networks, and in-person postnatal and breastfeeding support groups. Added to all this is the constant threat from a life-threatening virus.

“We hope it is a comfort to know that there is something simple and easy to do together, safely and in the comfort of home, that lays positive foundations for the developing brain.”

It is too soon to say what effect these extraordinary circumstances will have on babies born during the pandemic, but the effect on parents is already being felt. Numerous studies show that parents have found lockdowns extremely hard emotionally, and that the strain they are under has affected their ability to parent, which has consequences for children. The lockdowns have been linked to an increase in parental anxiety, depression, and hostility. And the pandemic has put women at increased risk of anxiety and depression in the perinatal period. At the same time, increased parental support has been shown to help decrease stress associated with the pandemic. The brunt of this burden has fallen on certain groups, including single parents and low-income families.

Because of this, it is vital that new parents receive additional support at this difficult time, especially in terms of their mental health.

There are some very simple, intuitive ways parents can work on laying the foundations for their children’s development from the very early days. One of the simplest of these is to pick up a book and read together.

Plenty of evidence shows how important it is to read with children, not least for their cognitive development and vocabulary. In one study, both the quality of the books and the amount of reading time starting at six months were important predictors of literacy and vocabulary four years later. New parents might be surprised to learn that a shared activity like reading promotes a kind of back-and-forth interaction between child and caregiver that can trigger a chain reaction of long-lasting beneficial effects, and that these interactions might also help reduce the stress parents are feeling.

Adults who interact sensitively with a child — for instance, reading or singing, looking at the same things, and copying sounds and faces — help children feel safe and secure. In turn, these feelings can help children cope better in challenging situations later on — something we know is important during the pandemic. These interactions also encourage children to explore more, which helps them develop problem-solving skills. All this builds to the kind of learning and development that prepares children for big steps in life, like starting school.

This cascade of development is supported by the science of early learning, which shows that parents and caregivers lay the foundation for secure caregiver-child attachment relationships, which help children develop the ability to focus and pay attention, remember instructions, and demonstrate self-control (also called executive function). Positive caregiver-child interactions also help children develop social-emotional skills, such as cooperating and playing well with others, and managing feelings appropriately. Together, secure relationships and strong social-emotional and executive function skills in children are related to resilience and school readiness.

“New parents might be surprised to learn that a shared activity like reading or singing together promotes a kind of back-and-forth interaction between child and caregiver that can trigger a chain reaction of long-lasting beneficial effects.”

The children are not the only ones who benefit. Positive and engaging interactions between children and the adults in their lives are also good for the adults, helping them become more confident caregivers. Reading to children may also help with parental stress and even depression.

It can feel strange to read books to very young babies. Even without a pandemic, the early days of parenthood can be overwhelming and it can be hard for parents to know what they should be doing, especially given the deluge of parenting advice. Parents also underestimate just how early the care they provide has long-term impacts on their children’s development. For instance, in one survey, parents said they believed what they did started to make a difference at six months, but we know that the impact starts from birth. At a time when uncertainty abounds, especially for new parents, we hope it is a comfort to know that there is something simple and easy to do together, safely and in the comfort of home. And that the simple back and forth that reading and rhyming creates can extend beyond the pages of the book and lay positive foundations for the developing brain that last for many years.

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