Pre-pandemic mental health and brain characteristics predict adolescent stress and emotions during the COVID-19 pandemic

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Wydane w:PLoS One vol. 20, no. 10 (Oct 2025), p. e0334028
1. autor: Risner, Matthew
Kolejni autorzy: Hu, Linfeng, Stamoulis, Catherine
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Public Library of Science
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100 1 |a Risner, Matthew 
245 1 |a Pre-pandemic mental health and brain characteristics predict adolescent stress and emotions during the COVID-19 pandemic 
260 |b Public Library of Science  |c Oct 2025 
513 |a Journal Article 
520 3 |a The COVID-19 pandemic had profound effects on developing adolescents that, to date, remain incompletely understood. Youth with preexisting mental health problems and associated brain alterations were at increased risk for higher stress and poor mental health. This study investigated impacts of adolescent pre-pandemic mental health problems and their neural correlates on stress, negative emotions and poor mental health during the first 15 months of the COVID-19 pandemic. N = 2,641 adolescents (median age = 12.0 years) from the Adolescent Brain Cognitive Development (ABCD) cohort were studied, who had pre-pandemic data on anxiety, depression, and behavioral (attention, aggression, social withdrawal, internalizing, externalizing) problems, longitudinal survey data on mental health, stress and emotions during the first 15 months following the outbreak, structural MRI, and resting-state fMRI. Data were analyzed using mixed effects mediation and moderation models. Preexisting mental health and behavioral problems predicted higher stress, negative affect and negative emotions (β = 0.09–0.21, CI=[0.03,0.32]), and lower positive affect (β = −0.21 to −0.09, CI=[−0.31,-0.01]) during the first ~6 months of the outbreak. Pre-pandemic structural characteristics of brain regions supporting social function and emotional processing (insula, superior temporal gyrus, orbitofrontal cortex, and the cerebellum) mediated some of these relationships (β = 0.10–0.15, CI=[0.01,0.24]). The organization of pre-pandemic brain circuits moderated (attenuated) associations between preexisting mental health and pandemic stress and negative emotions (β = −0.17 to −0.06, CI=[−0.27,-0.01]). Preexisting mental health problems and their structural brain correlates were risk factors for youth stress and negative emotions during the early months of the outbreak. In addition, the organization of some brain circuits was protective and attenuated the effects of preexisting mental health issues on youth responses to the pandemic’s stressors. 
653 |a Pandemics 
653 |a Health problems 
653 |a Mental health 
653 |a Functional magnetic resonance imaging 
653 |a Cerebellum 
653 |a Adolescents 
653 |a Brain 
653 |a Circuit protection 
653 |a Brain architecture 
653 |a COVID-19 
653 |a Emotions 
653 |a Outbreaks 
653 |a Mental disorders 
653 |a Superior temporal gyrus 
653 |a Minority & ethnic groups 
653 |a Temporal lobe 
653 |a Risk factors 
653 |a Intellectual development 
653 |a Information processing 
653 |a Teenagers 
653 |a Temporal gyrus 
653 |a Prefrontal cortex 
653 |a Social 
700 1 |a Hu, Linfeng 
700 1 |a Stamoulis, Catherine 
773 0 |t PLoS One  |g vol. 20, no. 10 (Oct 2025), p. e0334028 
786 0 |d ProQuest  |t Health & Medical Collection 
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