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Journal of Health Policy and Management

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Lewis Jones*
 
Editorial Office, Journal of Health Policy and Management, Singapore, Singapore, Email: editor.jhpm@scholarlymed.com
 
*Correspondence: Lewis Jones, Editorial Office, Journal of Health Policy and Management, Singapore, Singapore, Email: editor.jhpm@scholarlymed.com

Received: 06-Jan-2022, Manuscript No. PULHPM-22-4130; Editor assigned: 08-Jan-2022, Pre QC No. PULHPM-22-4130(PQ); Reviewed: 18-Jan-2022 QC No. PULHPM-22-4130 (Q); Revised: 20-Jan-2022, Manuscript No. PULHPM-22-4130 (R); Published: 28-Jan-2022, DOI: 10.37532/pulhpm.22.5(1).3-4

Citation: Jones L. The effects of covid-19 on psychological distress and antisocial behavior in youth. J Health Pol Manage. 2022;5(1): 3-4.

This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC) (http://creativecommons.org/licenses/by-nc/4.0/), which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes. For commercial reuse, contact reprints@pulsus.com

Abstract

COVID-19-related stress affects justice-involved youth. This study looked at changes in psychological distress and antisocial behaviour indicators in 557 probationary teenagers who completed two assessments before COVID-19 and two assessments after COVID-19. The study used multivariate latent growth models based on Agnew's General Strain Theory to look at (a) changes in psychological distress and antisocial behaviour over time, (b) the associations between the changes, and (c) differences in changes in psychological distress across sex, race, and ethnicity. Results show that indices of psychological distress and antisocial behaviour rose during post-COVID-19 conditions when compared to pre-COVID-19 settings for the entire sample and subsamples of youth grouped by sex, race, and ethnicity, supporting the General Strain Theory.

Introduction

After the first instances in Wuhan, China in December of 2019, COVID-19 quickly spread over the world [1]. Stay-at-home orders were issued in various parts of the United States in accordance with the Canter’s for Disease Control and Prevention’s guidelines on social distance. Social isolation and other impacts of the epidemic have had a substantial psychosocial toll, in addition to the significant economic toll [2]. COVID-19 poses an existential threat to children’s mental health, according to the WHO, who advocates increased caring and emotional support for all children. Given the health disadvantages that those connected in the justice system suffer, justice-involved youth confront unique issues related to the epidemic, including an increased risk of COVID-19-related health complications many incarcerated teenagers were released into the community during COVID-19 to minimise the increased danger of contracting COVID-19 in a detention facility [3]. While reasonable, the unplanned release of jailed juveniles into the community put a strain on scarce resources such as mental health services and recreational programming [4].

In addition to the physiological hazards associated with obtaining COVID-19, new evidence reveals that COVID-19 has a significant mental health impact on children and adolescents. Several COVID-19 experiences, such as social distancing rules and fear of getting the virus, have been linked to levels of adult suicidal ideation during the pandemic, according to studies examining suicide rates during the pandemic [5]. Suicidal ideation in adolescents has been linked to the COVID-19 pandemic, which is mediated by depression, according to research. According to research on attempted suicide emergency department visits, ER visits for suspected suicide attempts began to rise in May 2020. There was an average increase of 50.6% among girls and 3.7% among boys aged 12 to 20 between February 21 and March 20, 2021 [6]. Similarly, findings from a study of suicidal thoughts and actions among adolescents in mental facilities found that suicide attempts and ideation were greater during COVID-19 than the previous year at the same period. Furthermore, new data reveals that during COVID-19’s lockdown and stayat-home directives, aggressive behaviour increased. COVID-19 exposure in particular, is linked to increased cyberbullying and interfamilial aggression in individuals with higher stress levels [7]. A survey of 104 parents with children who have engaged in aggression toward their parents and 47 practitioners who have worked with families experiencing child/adolescent to parent violence found that, in addition to increased aggressive behaviours in adults, there has been an overall increase in youth aggressive behaviours toward parents [8]. Parents reported a 70% increase in violent incidents, and a 69% increase in referrals for these behaviours, according to the findings. Furthermore, 64% of practitioners noted that the severity of young violent episodes had increased.

Discussion

Agnew’s General Strain Theory (GST), which is expected to be effective in explaining the links between stress, negative emotion, and antisocial conduct, proposes that people who are stressed create negative feelings, which might lead to antisocial behaviour as a coping mechanism. Stressors, according to GST, can arise from the real or threatened loss of something valuable as well as the actual or threatened presentation of feared or hated stimuli [9]. Furthermore, it was hypothesised that certain types of stressors, particularly those of greater magnitude and those that weaken social bonds, increase the risk of antisocial behaviour significantly. COVID-19 and social isolation caused by post-COVID-19 restrictions suit the descriptions of stressors of increasing scale that are harmful to social ties.

During COVID-19, this study looked at changes in psychological distress and antisocial behaviour among justice-involved juveniles. When comparing preand post-COVID-19 circumstances, researchers discovered increases in indices of psychological distress and antisocial behaviour [10]. These findings add to a growing body of evidence that COVID-19 conditions have a significant impact on youth’s mental health and antisocial behaviour. While there were minor differences in the study findings by sex, colour, and ethnicity, the overall findings confirmed increases in aggressive behaviour, poor frustration tolerance, school conduct difficulties, and drug use problems after COVID-19 [11]. In the overall sample and all subsamples, increases in frustration were linked to increases in aggressive behaviour, school conduct issues, or drug use issues. The findings of this study back up General’s claims. The outcomes of this study back with General Strain Theory’s predictions that stress affects negative emotions, lowering youth’s ability to manage antisocial conduct. Multiple, chronic, or extended adversities, aggravated by COVID-19, is likely to make it difficult for kids to regulate their emotions, leading to an increase in antisocial conduct [12]. A trauma-informed approach is needed to address the intersection of COVID-19, ACEs, and health inequalities because of the disproportionately high levels of strain in the form of ACEs experienced by justice-involved adolescents, which is now compounded by COVID-19 circumstances.

Although we were unable to use multivariate growth modelling to look at suicide attempts or ideas over time, the bivariate analysis revealed a small but statistically significant rise in suicidal thoughts or attempts between the pre- and post-COVID-19 evaluation [13].This is consistent with studies of increased suicide ideation and suicide attempts in both kids and adults during the COVID-19 lockout. In light of these findings, a call for suicide prevention in the post-COVID-19 onset phase is undoubtedly required. While this study addresses a significant gap in the increasing literature on the impact of COVID-19 on justice-involved kids by employing longitudinal research methodologies to examine psychological distress and antisocial behaviour, it has several limitations. It’s worth noting that the constructs investigated in this study were limited to the CAT assessment’s items/responses. Aggressive behaviour, for example, included violent outbursts, temper outbursts, and uncontrollable anger indicating the potential for harm, all of which could be considered very different actions/behaviours. In the CAT assessment, however, the actions/behaviours were all grouped together as one response. However, while this group of activities was clustered together, it represented the most extreme/severe response in the CAT, indicating that we are catching the most aggressive of the youngsters during each wave. Furthermore, only children who had two pre- and two post-COVID assessments were included in the sample, implying that only data from kids who had been on probation for at least 9 months (first assessment plus three 90-day reassessments) were investigated, potentially resulting in selection bias. In addition, the findings are limited to Florida’s justice-involved adolescents and may not apply to youth in other parts of the country. To confirm the findings of this study, similar research studies from other parts of the country are needed, all with distinct COVID-related restrictions, ordinances, and re-opening stages, all with possibly varied effects on adolescent psychological distress.

In conclusion, the outcomes of the study support the necessity for mental health treatments for youth on probation. The implications of this study for caregivers and youth service providers can be daunting, but there are steps that can be taken in small steps to implement a trauma-informed response to COVID-19, such as providing caregiver and staff training on the effects of trauma, identifying existing interventions that aid healing, and screening all youth for trauma [13]. Having supportive relationships during times of stress is the most effective approach to avoid stress becoming traumatic and having long-term implications. COVID-19 safety protocols, ironically, cause social isolation and a lack of connection.

 

Conclusion

As a result, novel approaches to addressing social isolation and providing adolescents with secure, stable, and caring interactions are required. Tele mental health and virtual connections could be quick solutions to address social isolation and increasing psychological discomfort among young people on probation, as well as mitigate the impact of COVID-19’s restricted inperson services. To improve their capacity to offer such creative services for adolescents during the pandemic, funding support for child welfare and juvenile justice programmes must be increased. 

REFERENCES

 
Google Scholar citation report
Citations : 13

Journal of Health Policy and Management received 13 citations as per Google Scholar report

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