Quality of life and mental health in children and adolescents during the first year of the COVID-19 pandemic: results of a two-wave nationwide population-based study.

BACKGROUND: The COVID-19 pandemic has disrupted the lives of children and adolescents worldwide. The German COPSY study is among the first population-based longitudinal studies to examine the mental health impact of the pandemic. The objective of the study was to assess changes in health-related quality of life (HRQoL) and mental health in children and adolescents and to identify the associated risk and resource factors during the pandemic. METHODS: A nationwide longitudinal survey was conducted with two waves during the pandemic (May/June 2020 and December 2020/January 2021). In total, n = 1923 children and adolescents aged 7 to 17 years and their parents participated (retention rate from wave 1 to wave 2: 85%). The self-report and parent-proxy surveys assessed HRQoL (KIDSCREEN-10), mental health problems (SDQ with the subscales emotional problems, conduct problems, hyperactivity, and peer problems), anxiety (SCARED), depressive symptoms (CES-DC, PHQ-2) and psychosomatic complaints (HBSC-SCL). Mixed model panel regression analyses were conducted to examine longitudinal changes in mental health and to identify risk and resource factors. RESULTS: The HRQoL of children and adolescents decreased during the pandemic, and emotional problems, peer-related mental health problems, anxiety, depressive and psychosomatic symptoms increased over time, however the change in global mental health problems from wave 1 to wave 2 was not significant, and some changes were negligible. Socially disadvantaged children and children of mentally burdened parents were at particular risk of impaired mental health, while female gender and older age were associated with fewer mental health problems. A positive family climate and social support supported the mental health of children and adolescents during the pandemic. DISCUSSION: Health promotion, prevention and intervention strategies could support children and adolescents in coping with the pandemic and protect and maintain their mental health.

Influence of movement kinematics on visuomotor adaptation.

It is still unknown whether visuomotor adaptation depends on the time during which a person is exposed to distorted vision, or rather on the number of movements executed under the distortion. To find out, we analysed the pointing errors and movement kinematics of 52 participants adapting with online visual feedback to a 60° visual rotation and 39 participants adapting to a 75° visual rotation without time constraints. We found that movement time was not related with participants' success during adaptation, whereas peak velocity was inversely associated to adaptive success. However, peak velocity lost its association to adaptation when other parameters were taken into account. Movement kinematics during adaptation had little influence on participants' performance during de-adaptation. Our data suggest that adaptation does not depend primarily on the duration but rather on the number of movements executed under distorted vision. It further suggests that the measured kinematic parameters are consequences of error corrections rather than determinants of the adaptive success. We further have evidence for the view that adaptive recalibration is independent of movement kinematics during adaptation. This outcome generalizes across different visual rotations and is in accordance with earlier work where online visual feedback of the hand was unavailable.

Three years into the pandemic: results of the longitudinal German COPSY study on youth mental health and health-related quality of life.

Purpose: For the past three years, the German longitudinal COPSY (COVID-19 and PSYchological Health) study has monitored changes in health-related quality of life (HRQoL) and the mental health of children and adolescents during the COVID-19 pandemic. Methods: A nationwide, population-based survey was conducted in May-June 2020 (W1), December 2020-January 2021 (W2), September-October 2021 (W3), February 2022 (W4), and September-October 2022 (W5). In total, n = 2,471 children and adolescents aged 7-17 years (n = 1,673 aged 11-17 years with self-reports) were assessed using internationally established and validated measures of HRQoL (KIDSCREEN-10), mental health problems (SDQ), anxiety (SCARED), depressive symptoms (CES-DC, PHQ-2), psychosomatic complaints (HBSC-SCL), and fear about the future (DFS-K). Findings were compared to prepandemic population-based data. Results: While the prevalence of low HRQoL increased from 15% prepandemic to 48% at W2, it improved to 27% at W5. Similarly, overall mental health problems rose from 18% prepandemic to W1 through W2 (30-31%), and since then slowly declined (W3: 27%, W4: 29%, W5: 23%). Anxiety doubled from 15% prepandemic to 30% in W2 and declined to 25% (W5) since then. Depressive symptoms increased from 15%/10% (CES-DC/PHQ-2) prepandemic to 24%/15% in W2, and slowly decreased to 14%/9% in W5. Psychosomatic complaints are across all waves still on the rise. 32-44% of the youth expressed fears related to other current crises. Conclusion: Mental health of the youth improved in year 3 of the pandemic, but is still lower than before the pandemic.

Child and Adolescent Mental Health During the COVID-19 Pandemic: Results of the Three-Wave Longitudinal COPSY Study.

PURPOSE: The German population-based longitudinal COVID-19 andPsychological Health study monitors changes in health-related quality of life (HRQoL) and mental health of children and adolescents during the COVID-19 pandemic and identifies vulnerable groups. METHODS: A nationwide, population-based survey was conducted in May 2020 to June 2020 (Wave 1), December 2020 to January 2021 (Wave 2), and September 2021 to October 2021 (Wave 3). In total, n = 2,097 children and adolescents aged 7-17 years were investigated using measures to assess HRQoL (KIDSCREEN-10), mental health problems (SDQ), anxiety (SCARED), depressive symptoms(PHQ-2), and psychosomatic complaints(HBSC-SCL). RESULTS: The prevalence of low HRQoL increased from 15% prepandemic to 40% and 48% in Waves 1 and 2 and improved slightly to 35% in Wave 3 (all differences significant). Similarly, overall mental health problems increased from 18% prepandemic to 29% in Wave 1 and 31% in Wave 2 to 28% in Wave 3 (all differences significant, except Wave 3 vs. 2), anxiety increased from 15% prepandemic to 24% and 30% in Waves 1 and 2 and was still 27% in Wave 3. Depressive symptoms increased from 10% prepandemic to 11% and 15% in Waves 1 and 2 and were 11% in Wave 3. A group with low parental education, restricted living conditions, migration background, and parental mental health problems was at significantly increased risk of HRQoL and mental health impairments. DISCUSSION: The prevalence of low HRQoL, mental health problems, and anxiety has been elevated throughout the pandemic. Thus, mental health promotion, prevention, and intervention strategies need to be implemented to support adolescents-particularly those at risk.

A three-year data set of gaseous field emissions from crop sequence at three sites in Germany.

The purpose of the StaPlaRes project was to evaluate two innovative techniques of urea fertiliser application and to quantify greenhouse gas (GHG) emissions. All GHG emissions, as well as other gaseous emissions, agronomic and environmental variables were collected for three years (2016/2017-2018/2019) at three experimental field sites in Germany. All management activities were consistently documented. Multi-variable data sets of gas fluxes (N2O and NH3), crop parameters (grain and straw yield, N content, etc.), soil characteristics (NH4-N, NO3-N, etc.), continuously recorded meteorological variables (air and soil temperatures, radiation, precipitation, etc.), management activities (sowing, harvest, soil tillage, fertilization, etc.), were documented and metadata (methods, further information about variables, etc.) described. Additionally, process-related tests were carried out using lab (N2 emissions), pot and lysimeter experiments (nitrate leaching). In total, 2.5 million records have been stored in a Microsoft Access database (StaPlaRes-DB-Thuenen). The database is freely available for (re)use by others (scientists, stakeholders, etc.) on the publication server and data repository OpenAgrar for meta-analyses, process modelling and other environmental studies.

The role of cognition for different stages of visuomotor adaptation in younger and older adults.

A recent model identified three stages of learning, the first drawing on cognitive flexibility, the second on inhibition, and the third on automation. We explored the validity of this model for visuomotor learning and found that adaptation is associated with inhibition early during adaptation and with automaticity later on. An initial association with cognitive flexibility remained inconclusive. This work employs another marker of cognitive flexibility and extends our work to older adults. Twenty young and 20 older adults completed three cognitive tasks (switch task, Stroop task and four-choice-reaction-time-task). They performed a visuomotor adaptation task under 60° rotation of visual feedback. Based on their cognitive scores, participants were divided into good and poor performers. Young adults outperformed older adults in visuomotor adaptation tasks and in cognitive tasks. Switch task performance was not associated with adaptation in either age group. Stroop performance was associated with early and four-choice-reaction-time-task with late adaptation in young adults. In older adults, Stroop performance was associated with early as well as late adaptation whereas four-choice-reaction-time-task was not associated with adaptation. All associations were present during adaptation, but not during de-adaptation. Our findings do not confirm the existence of the first postulated learning stage for the case of adaptation. They support the second and third stage in young persons for strategical components of adaptation. In older adults, the duration of the second stage seems to extend so that the third stage was not reached within the duration of our experiment. We conclude that degraded cognition in older age could explain why adaptation is impaired while aftereffects remain intact.

Influence of divergent and convergent thinking on visuomotor adaptation in young and older adults.

Visuomotor adaptation declines in older age. This has been attributed to cognitive impairments. One relevant cognitive function could be creativity, since creativity is implicated as mediator of early learning. The present study therefore evaluates whether two aspects of creativity, divergent and convergent thinking, are differentially involved in the age-dependent decline of visuomotor adaptation. In 25 young and 24 older volunteers, divergent thinking was assessed by the alternative-uses-task (AUT), convergent thinking by the Intelligenz-Struktur-Test-2000 (IST), and sensorimotor-adaptation by a pointing task with 60° rotated visual feedback. Young participants outperformed older participants in all three tasks. AUT scores were positively associated with young but not older participants' adaptive performance, whereas IST scores were negatively associated with older but not young participants' adaptive performance. This pattern of findings could be attributed to a consistent relationship between AUT, IST and adaptation; taking this into account, adaptation deficits of older participants were no longer significant. We conclude that divergent thinking supports workaround-strategies during adaptation, but doesn't influence visuomotor recalibration. Furthermore, the decay of divergent thinking in older adults may explain most of age-related decline of adaptive strategies. When the age-related decay of divergent thinking coincides with well-preserved convergent thinking, adaptation suffers most.

Does Visuomotor Adaptation Proceed in Stages? An Examination of the Learning Model by Chein and Schneider (2012).

A new 3-stage model based on neuroimaging evidence is proposed by Chein and Schneider (2012). Each stage is associated with different brain regions, and draws on cognitive abilities: the first stage on creativity, the second on selective attention, and the third on automatic processing. The purpose of the present study was to scrutinize the validity of this model for 1 popular learning paradigm, visuomotor adaptation. Participants completed tests for creativity, selective attention and automated processing before attending in a pointing task with adaptation to a 60° rotation of visual feedback. To examine the relationship between cognitive abilities and motor learning at different times of practice, associations between cognitive and adaptation scores were calculated repeatedly throughout adaptation. The authors found no benefit of high creativity for adaptive performance. High levels of selective attention were positively associated with early adaptation, but hardly with late adaptation and de-adaptation. High levels of automated execution were beneficial for late adaptation, but hardly for early and de-adaptation. From this we conclude that Chein and Schneider's first learning stage is difficult to confirm by research on visuomotor adaptation, and that the other 2 learning stages rather relate to workaround strategies than to actual adaptive recalibration.

Impact of a high magnetic field on the orientation of gravitactic unicellular organisms--a critical consideration about the application of magnetic fields to mimic functional weightlessness.

The gravity-dependent behavior of Paramecium biaurelia and Euglena gracilis have previously been studied on ground and in real microgravity. To validate whether high magnetic field exposure indeed provides a ground-based facility to mimic functional weightlessness, as has been suggested earlier, both cell types were observed during exposure in a strong homogeneous magnetic field (up to 30 T) and a strong magnetic field gradient. While swimming, Paramecium cells were aligned along the magnetic field lines; orientation of Euglena was perpendicular, demonstrating that the magnetic field determines the orientation and thus prevents the organisms from the random swimming known to occur in real microgravity. Exposing Astasia longa, a flagellate that is closely related to Euglena but lacks chloroplasts and the photoreceptor, as well as the chloroplast-free mutant E. gracilis 1F, to a high magnetic field revealed no reorientation to the perpendicular direction as in the case of wild-type E. gracilis, indicating the existence of an anisotropic structure (chloroplasts) that determines the direction of passive orientation. Immobilized Euglena and Paramecium cells could not be levitated even in the highest available magnetic field gradient as sedimentation persisted with little impact of the field on the sedimentation velocities. We conclude that magnetic fields are not suited as a microgravity simulation for gravitactic unicellular organisms due to the strong effect of the magnetic field itself, which masks the effects known from experiments in real microgravity.