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Research Article

Research on the Interventions for Chinese Adolescents' Mental Health Issues Caused by the Great Pandemic

Mingxin ZhangInstitution of Education, University College London, London, UK*

* Corresponding author: [email protected]

Abstract

In today’s world, mental health issues are being treated more and more seriously than 20 years ago. Adolescents, a transition phase from childhood to adulthood, are a group of people whose family, surroundings, and peers easily influence and are widely diagnosed with depression and anxiety symptoms. The Great Pandemic, as a worldwide influential phenomenon, also played a significant role in affecting people’s mental states, especially for adolescents. In most countries in the world, adolescents' mental health conditions are severely worsened by the emergence of COVID-19; not only are adolescents who are already diagnosed as patients with mental disorders deteriorating, but also, more and more youths are showing a propensity for mental disorders, such as depression and anxiety. However, in China, where the implementation of policy, education system, and cultural factors are different from most Western countries, several techniques appear to alleviate adolescents’ mental health. In this literature review, the researcher aims to discuss how emotional competence and family mutuality contribute to improving the mental health condition of Chinese adolescents during COVID-19 and give suggestions about how to apply these strategies in children's daily lives.

Keywords: In today’s world; mental health issues are being treated more and more seriously than 20 years ago. Adolescents; a transition phase from childhood to adulthood; are a group of people whose family; surroundings; and peers easily influence and are widely diagnosed with depression and anxiety symptoms. The Great Pandemic; as a worldwide influential phenomenon; also played a significant role in affecting people’s mental states; especially for adolescents. In most countries in the world; adolescents' mental health conditions are severely worsened by the emergence of COVID-19; not only are adolescents who are already diagnosed as patients with mental disorders deteriorating; but also; more and more youths are showing a propensity for mental disorders; such as depression and anxiety. However; in China; where the implementation of policy; education system; and cultural factors are different from most Western countries; several techniques appear to alleviate adolescents’ mental health. In this literature review; the researcher aims to discuss how emotional competence and family mutuality contribute to improving the mental health condition of Chinese adolescents during COVID-19 and give suggestions about how to apply these strategies in children's daily lives.
Published: June 6, 2025
DOI: 10.54254/2753-7064/2024.23645
Volume: CHR Vol.68
pp. 186-195
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References

  1. De Oliveira, W. A., Da Silva, J. L., Andrade, A. L. M., De Micheli, D., Carlos, D. M., & Silva, M. a. I. (2020, August 28). Adolescents’ health in times of COVID-19: a scoping review. https://www.scielo.br/j/csp/a/HFr6JFJ7SqTLk8KLBPgTQZP/?lang=en#
  2. Durante, J. C., & Lau, M. (2022). Adolescents, suicide, and the COVID-19 pandemic. Pediatric Annals, 51(4). https://doi.org/10.3928/19382359-20220317-02
  3. Banati, P., Jones, N., & Youssef, S. (2020). Intersecting Vulnerabilities: The impacts of COVID-19 on the psycho-emotional lives of young people in Low- and Middle-Income countries. European Journal of Development Research, 32(5), 1613–1638. https://doi.org/10.1057/s41287-020-00325-5
  4. Adıbelli, D., & Sümen, A. (2020). The effect of the coronavirus (COVID-19) pandemic on health-related quality of life in children. Children and Youth Services Review, 119, 105595. https://doi.org/10.1016/j.childyouth.2020.105595
  5. Adıbelli, D., & Sümen, A. (2020). The effect of the coronavirus (COVID-19) pandemic on health-related quality of life in children. Children and Youth Services Review, 119, 105595. https://doi.org/10.1016/j.childyouth.2020.105595
  6. Liang, L., Ren, H., Cao, R., Hu, Y., Qin, Z., Li, C., & Mei, S. (2020). The effect of COVID-19 on youth mental health. Psychiatric Quarterly, 91(3), 841–852. https://doi.org/10.1007/s11126-020-09744-3
  7. World Health Organization: WHO. (2021, November 17). Mental health of adolescents. https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health
  8. Kessler RC, Angermeyer M, Anthony JC, De Graaf RON, Demyttenaere K, Gasquet I, et al. Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization's World Mental Health Survey initiative. World Psychiatry. (2007) 6:168–76.
  9. Penner, F., Ortiz, J. H., & Sharp, C. (2021). Change in youth mental health during the COVID-19 pandemic in a majority Hispanic/Latinx US sample. Journal of the American Academy of Child & Adolescent Psychiatry, 60(4), 513–523. https://doi.org/10.1016/j.jaac.2020.12.027
  10. Barrett, P., & Turner, C. (2001). Prevention of anxiety symptoms in primary school children: Preliminary results from a universal school‐based trial. British Journal of Clinical Psychology, 40(4), 399–410. https://doi.org/10.1348/014466501163887
  11. Zhou, S., Zhang, L., Wang, L., Guo, Z., Wang, J., Chen, J., Liu, M., Chen, X., & Chen, J. (2020). Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. European Child & Adolescent Psychiatry, 29(6), 749–758. https://doi.org/10.1007/s00787-020-01541-4
  12. Pierce, M., Hope, H., Ford, T., Hatch, S., Hotopf, M., John, A., Kontopantelis, E., Webb, R., Wessely, S., McManus, S., & Abel, K. M. (2020). Mental health before and during the COVID-19 pandemic: a longitudinal probability sample survey of the UK population. The Lancet Psychiatry, 7(10), 883–892. https://doi.org/10.1016/s2215-0366(20)30308-4
  13. Elmer, T., Mepham, K., & Stadtfeld, C. (2020). Students under lockdown: Comparisons of students’ social networks and mental health before and during the COVID-19 crisis in Switzerland. PLoS ONE, 15(7), e0236337. https://doi.org/10.1371/journal.pone.0236337
  14. Chen, B., Sun, J., & Feng, Y. (2020). How have COVID-19 isolation policies affected young people’s mental health? – Evidence from Chinese college students. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.01529
  15. Wu, S., Zhang, K., Parks-Stamm, E. J., Hu, Z., Ji, Y., & Cui, X. (2021). Increases in anxiety and depression during COVID-19: a large longitudinal study from China. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.706601
  16. Qi, M., Zhou, S., Guo, Z., Zhang, L., Min, H., Li, X., & Chen, J. (2020). The effect of social support on mental health in Chinese adolescents during the outbreak of COVID-19. Journal of Adolescent Health, 67(4), 514–518. https://doi.org/10.1016/j.jadohealth.2020.07.001
  17. Qi, M., Zhou, S., Guo, Z., Zhang, L., Min, H., Li, X., & Chen, J. (2020). The effect of social support on mental health in Chinese adolescents during the outbreak of COVID-19. Journal of Adolescent Health, 67(4), 514–518. https://doi.org/10.1016/j.jadohealth.2020.07.001
  18. Chi, X., Liang, K., Chen, S., Huang, Q., Huang, L., Yu, Q., Jiao, C., Guo, T., Stubbs, B., Hossain, M. M., Yeung, A., Kong, Z., & Zou, L. (2021). Mental health problems among Chinese adolescents during the COVID-19: The importance of nutrition and physical activity. International Journal of Clinical and Health Psychology, 21(3), 100218. https://doi.org/10.1016/j.ijchp.2020.100218
  19. Qu, Y., Li, X., Ni, B., He, X., Zhang, K., & Wu, G. (2021). Identifying the role of parent–child conflict and intimacy in Chinese adolescents’ psychological distress during school reopening in COVID-19 pandemic. Developmental Psychology, 57(10), 1735–1747. https://doi.org/10.1037/dev0001218
  20. Cao, C., Wang, L., Fang, R., Liu, P., Bi, Y., Luo, S., Grace, E., & Olff, M. (2022). Anxiety, depression, and PTSD symptoms among high school students in china in response to the COVID-19 pandemic and lockdown. Journal of Affective Disorders, 296, 126–129. https://doi.org/10.1016/j.jad.2021.09.052
  21. Tang, W., Hu, T., Yang, L., & Xu, J. (2020). The role of alexithymia in the mental health problems of home-quarantined university students during the COVID-19 pandemic in China. Personality and Individual Differences, 165, 110131. https://doi.org/10.1016/j.paid.2020.110131
  22. Li, Y., Luan, S., Li, Y., & Hertwig, R. (2021). Changing emotions in the COVID-19 pandemic: A four-wave longitudinal study in the United States and China. Social Science & Medicine, 285, 114222. https://doi.org/10.1016/j.socscimed.2021.114222
  23. Samji, H., Wu, J., Ladak, A., Vossen, C., Stewart, E., Dove, N., Long, D., & Snell, G. (2021). Review: Mental health impacts of the COVID‐19 pandemic on children and youth – a systematic review. Child and Adolescent Mental Health, 27(2), 173–189. https://doi.org/10.1111/camh.12501
  24. Dong, H., Yang, F., Lu, X., & Hao, W. (2020). Internet addiction and related psychological factors among children and adolescents in China during the coronavirus disease 2019 (COVID-19) epidemic. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.00751
  25. Hu, Y., & Qian, Y. (2021). COVID-19 and adolescent mental health in the United Kingdom. Journal of Adolescent Health, 69(1), 26–32. https://doi.org/10.1016/j.jadohealth.2021.04.005
  26. Cheshmehzangi, A., Zou, T., & Su, Z. (2022). The digital divide impacts on mental health during the COVID-19 pandemic. Brain Behavior and Immunity, 101, 211–213. https://doi.org/10.1016/j.bbi.2022.01.009
  27. Felix, E. D., Afifi, T. D., Horan, S. M., Meskunas, H., & Garber, A. (2020). Why Family Communication Matters: the Role of Co-rumination and Topic Avoidance in Understanding Post-Disaster Mental Health. Journal of Abnormal Child Psychology, 48(11), 1511–1524. https://doi.org/10.1007/s10802-020-00688-7
  28. Felix, E. D., Afifi, T. D., Horan, S. M., Meskunas, H., & Garber, A. (2020). Why Family Communication Matters: the Role of Co-rumination and Topic Avoidance in Understanding Post-Disaster Mental Health. Journal of Abnormal Child Psychology, 48(11), 1511–1524. https://doi.org/10.1007/s10802-020-00688-7
  29. Pavitra, K., Kalmane, S., Kumar, A., & Gowda, M. (2019). Family matters! – The caregivers’ perspective of Mental Healthcare Act 2017. Indian Journal of Psychiatry, 61(10), 832. https://doi.org/10.4103/psychiatry.indianjpsychiatry_141_19
  30. Shi, W., Yuan, G. F., Hall, B. J., Zhao, L., & Jia, P. (2022). Chinese adolescents’ depression, anxiety, and family mutuality before and after COVID‐19 lockdowns: Longitudinal cross‐lagged relations. Family Relations, 72(1), 77–91. https://doi.org/10.1111/fare.12761
  31. Shi, W., Yuan, G. F., Hall, B. J., Liu, X., Su, Y., Zhao, L., & Jia, P. (2021). Mental disorders and emotional competence among Chinese adolescents before and during COVID-19 pandemic: a longitudinal mediation model. Frontiers in Public Health, 9. https://doi.org/10.3389/fpubh.2021.767004
  32. Jiang, W., Liu, X., Zhang, J., & Feng, Z. (2020). Mental health status of Chinese residents during the COVID-19 epidemic. BMC Psychiatry, 20(1). https://doi.org/10.1186/s12888-020-02966-6
  33. Cheong, Y., Zhu, Q., Wang, C., He, M., & Ye, Y. (2022). COVID-19 Stressful Life Events and Chinese Adolescents’ Mental Health: Examining resilience, peer relationship, and parenting as moderators. The Journal of Early Adolescence, 43(5), 577–602. https://doi.org/10.1177/02724316221114091
  34. Huang, B., Guo, P., Liu, J., Leng, S. X., & Wang, L. (2022). Investigating adolescent mental health of Chinese students during the COVID-19 pandemic: Multicenter cross-sectional comparative investigation. World Journal of Psychiatry, 12(11), 1323–1334. https://doi.org/10.5498/wjp.v12.i11.1323
  35. Yang, X., Harrison, P., Huang, J., Liu, Y., & Zahn, R. (2021). The impact of COVID-19-Related lockdown on adolescent mental health in China: a prospective study. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.3792956
  36. Saarni, C. (1999). The development of emotional competence. Guilford Press. https://www.guilford.com/books/The-Development-of-Emotional-Competence/Carolyn-Saarni/9781572304345.
  37. Mikolajczak, M., Avalosse, H., Vancorenland, S., Verniest, R., Callens, M., Van Broeck, N., Fantini-Hauwel, C., & Mierop, A. (2015). A nationally representative study of emotional competence and health. Emotion, 15(5), 653–667. https://doi.org/10.1037/emo0000034
  38. Schutte, N. S., Malouff, J. M., Thorsteinsson, E. B., Bhullar, N., & Rooke, S. E. (2007). A meta-analytic investigation of the relationship between emotional intelligence and health. Personality and Individual Differences, 42(6), 921–933. https://doi.org/10.1016/j.paid.2006.09.003
  39. Matte-Gagné, C., Harvey, B., Stack, D. M., & Serbin, L. A. (2015). Contextual Specificity in the Relationship between Maternal Autonomy Support and Children’s Socio-emotional Development: A Longitudinal Study from Preschool to Preadolescence. Journal of Youth and Adolescence, 44(8), 1528–1541. https://doi.org/10.1007/s10964-014-0247-z
  40. Barlow, D. H. (2000). Unraveling the mysteries of anxiety and its disorders from the perspective of emotion theory. American Psychologist, 55(11), 1247–1263. https://doi.org/10.1037/0003-066x.55.11.1247
  41. Nelis D, Kotsou I, Quoidbach J, Hansenne M, Weytens F, Dupuis P, et al. Increasing emotional competence improves psychological and physical well-being, social relationships, and employability. Emotion. (2011) 11:354–66. doi: 10.1037/a0021554
  42. Martins A, Ramalho N, Morin E. A comprehensive meta-analysis of the relationship between emotional intelligence and health. Pers Individ Diff. (2010) 49:554–64. doi: 10.1016/j.paid.2010.05.029
  43. Mathews BL, Koehn AJ, Abtahi MM, Kerns KA. Emotional competence and anxiety in childhood and adolescence: a meta-analytic review. Clin Child Fam Psychol Rev. (2016) 19:162–84. doi: 10.1007/s10567-016-0204-3
  44. Yu, L., & Zhou, X. (2021). Emotional competence as a mediator of the relationship between internet addiction and negative emotion in young adolescents in Hong Kong. Applied Research in Quality of Life, 16(6), 2419–2438. https://doi.org/10.1007/s11482-021-09912-y
  45. Guze, S. B. (1995). Diagnostic and Statistical Manual of Mental Disorders, 4th ed. (DSM-IV). American Journal of Psychiatry, 152(8), 1228. https://doi.org/10.1176/ajp.152.8.1228
  46. Gross, J. J., & Levenson, R. W. (1997). Hiding feelings: The acute effects of inhibiting negative and positive emotion. Journal of Abnormal Psychology, 106(1), 95–103. https://doi.org/10.1037/0021-843x.106.1.95
  47. Ciarrochi, J. V., Deane, F. P., & Anderson, S. (2002). Emotional intelligence moderates the relationship between stress and mental health. Personality and Individual Differences, 32(2), 197–209. https://doi.org/10.1016/s0191-8869(01)00012-5
  48. Mikolajczak, M., Menil, C., & Luminet, O. (2007). Explaining the protective effect of trait emotional intelligence regarding occupational stress: Exploration of emotional labour processes. Journal of Research in Personality, 41(5), 1107–1117. https://doi.org/10.1016/j.jrp.2007.01.003
  49. Schutte, N. S., Malouff, J. M., Simunek, M., McKenley, J., & Hollander, S. (2002). Characteristic emotional intelligence and emotional well-being. Cognition & Emotion, 16(6), 769–785. https://doi.org/10.1080/02699930143000482
  50. Gallagher, E. N., & Vella-Brodrick, D. A. (2008). Social support and emotional intelligence as predictors of subjective well-being. Personality and Individual Differences, 44(7), 1551–1561. https://doi.org/10.1016/j.paid.2008.01.011
  51. Gannon, N., & Ranzijn, R. (2005). Does emotional intelligence predict unique variance in life satisfaction beyond IQ and personality? Personality and Individual Differences, 38(6), 1353–1364. https://doi.org/10.1016/j.paid.2004.09.001
  52. Mikolajczak, M., & Luminet, O. (2008). Trait emotional intelligence and the cognitive appraisal of stressful events: An exploratory study. Personality and Individual Differences, 44(7), 1445–1453. https://doi.org/10.1016/j.paid.2007.12.012
  53. Mikolajczak, M., Nelis, D., Hansenne, M., & Quoidbach, J. (2008). If you can regulate sadness, you can probably regulate shame: Associations between trait emotional intelligence, emotion regulation and coping efficiency across discrete emotions. Personality and Individual Differences, 44(6), 1356–1368. https://doi.org/10.1016/j.paid.2007.12.004
  54. Abed, M., Raeisi, Z., Rezaei-Jamalouei, H., & Ansari Shahidi, M. (2020). Effectiveness of Berking’s Emotional Competence Intervention in Emotional Self-Regulation of Veterans with Spinal Cord Injury in Isfahan Province. Iranian Journal of War and Public Health, 12(3), 141–147. https://doi.org/10.52547/ijwph.12.3.141
  55. Laughlin, L. L. (2013). Who’s minding the kids? Child Care Arrangements: Spring 2005/Summer 2006. Current Population Reports. p70-121. https://eric.ed.gov/?id=ED585393
  56. Samman, E., Presler-Marshall, E., Jones, N., Bhatkal, T., Melamed, C., Stavropoulou, M., & Wallace, J. (2016). Women’s work: Mothers, children and the global childcare crisis. In Early childhood matters. https://www.odi.org/sites/odi.org.uk/files/resource-documents/10680.pdf
  57. Berlinski, S., & Schady, N. (2015). The early years: Child well-being and the role of public policy. New York, NY: Palgrave Macmillan.
  58. Anderson, C. T., Behrman, J. R., Bhutta, Z. A., Black, M. M., Britto, P. R., Cerezo, A., & Yousfazi, A. (2016). Advancing early childhood development: From science to scale. The Lancet. http://www.thelancet.com/pb-assets/Lancet/stories/series/ecd/Lancet_ECD_Executive_Summary.pdf.
  59. Skills, I. P. |. I. Y. E. (2016). I-YES project | Improve Your Emotional skills. I-YES Project. https://iyes-project.eu/index.php/iyes/iyes-background
  60. “KidsMatter: Social and Emotional Learning.” (2017). https://www.kidsmatter.edu.au/mental-health-matters/social-and-emotional-learning.
  61. Kumschick, I. R., Beck, L., Eid, M., Witte, G., Klann-Delius, G., Heuser, I., Steinlein, R., & Menninghaus, W. (2014). READING and FEELING: the effects of a literature-based intervention designed to increase emotional competence in second and third graders. Frontiers in Psychology, 5. https://doi.org/10.3389/fpsyg.2014.01448
  62. Arias, A. J., Steinberg, K., Banga, A., & Trestman, R. L. (2006). Systematic review of the efficacy of meditation techniques as Treatments for Medical illness. The Journal of Alternative and Complementary Medicine, 12(8), 817–832. https://doi.org/10.1089/acm.2006.12.817
  63. Frey, K. S., Nolen, S. B., Van Schoiack Edstrom, L., & Hirschstein, M. K. (2005). Effects of a school-based social–emotional competence program: Linking children’s goals, attributions, and behavior. Journal of Applied Developmental Psychology, 26(2), 171–200. https://doi.org/10.1016/j.appdev.2004.12.002
  64. Riggs, N. R., Jahromi, L. B., Razza, R. P., Dillworth-Bart, J. E., & Mueller, U. (2006). Executive function and the promotion of social–emotional competence. Journal of Applied Developmental Psychology, 27(4), 300–309. https://doi.org/10.1016/j.appdev.2006.04.002
  65. Shi, W., & Hall, B. J. (2020). What can we do for people exposed to multiple traumatic events during the coronavirus pandemic? Asian Journal of Psychiatry, 51, 102065. https://doi.org/10.1016/j.ajp.2020.102065
  66. Rowe, J. (2011). Great expectations: a systematic review of the literature on the role of family carers in severe mental illness, and their relationships and engagement with professionals. Journal of Psychiatric and Mental Health Nursing, 19(1), 70–82. https://doi.org/10.1111/j.1365-2850.2011.01756.x
  67. Bekhet, A. K., Johnson, N. L., & Zauszniewski, J. A. (2012). Resilience in Family Members of Persons with Autism Spectrum Disorder: A Review of the Literature. Issues in Mental Health Nursing, 33(10), 650–656. https://doi.org/10.3109/01612840.2012.671441
  68. Liu, C. H., Zhang, E., Wong, G. T. F., Hyun, S., & Hahm, H. “. (2020). Factors associated with depression, anxiety, and PTSD symptomatology during the COVID-19 pandemic: Clinical implications for U.S. young adult mental health. Psychiatry Research, 290, 113172. https://doi.org/10.1016/j.psychres.2020.113172
  69. Bray, J. H., Harvey, D. M., & Williamson, D. S. (1987). Intergenerational family relationships: An evaluation of theory and measurement. Psychotherapy, 24(3S), 516–528. https://doi.org/10.1037/h0085749
  70. Gallegos, M. I., Zaring‐Hinkle, B., & Bray, J. H. (2021). COVID‐19 pandemic stresses and relationships in college students. Family Relations, 71(1), 29–45. https://doi.org/10.1111/fare.12602
  71. Hoagwood, K. E., Cavaleri, M. A., Olin, S. S., Burns, B. J., Slaton, E., Gruttadaro, D., & Hughes, R. (2009). Family Support in Children’s Mental Health: A review and synthesis. Clinical Child and Family Psychology Review, 13(1), 1–45. https://doi.org/10.1007/s10567-009-0060-5
  72. Shek, D. T. L., & S, C. M., MA. (2009). The Chinese Family Assessment Instrument (C-FAI). Research on Social Work Practice, 20(1), 112–123. https://doi.org/10.1177/1049731509355145
  73. Shi, W., & Hall, B. J. (2021). Help-seeking intention among Chinese college students exposed to a natural disaster: an application of an extended theory of planned behavior (E-TPB). Social Psychiatry and Psychiatric Epidemiology, 56(7), 1273–1282. https://doi.org/10.1007/s00127-020-01993-8
  74. Crist, J. D., Escandón, S., Stewart, B. J., & Archbold, P. G. (2008). The Spanish version of the Mutuality Scale: Evidence for the cultural equivalence of mutuality in Mexican American families. Research in Gerontological Nursing, 1(4), 285–294. https://doi.org/10.3928/19404921-20081001-05
  75. Jabbari B, Schoo C, Rouster AS. Family Dynamics. [Updated 2023 Sep 16]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK560487/
  76. Streck, B. P., Wardell, D. W., & Wood, G. L. (2020). Family Caregiver-Receiver mutuality. Advances in Nursing Science, 43(2), E71–E79. https://doi.org/10.1097/ans.0000000000000302
  77. Elgar, F. J., Craig, W., & Trites, S. J. (2013). Family dinners, communication, and mental health in Canadian adolescents. Journal of Adolescent Health, 52(4), 433–438. https://doi.org/10.1016/j.jadohealth.2012.07.012
  78. Provisional COVID-19 deaths by sex and age | Data | Centers for Disease Control and Prevention. (2023, September 27). https://data.cdc.gov/NCHS/Provisional-COVID-19-Deaths-by-Sex-and-Age/9bhg-hcku/data_preview