Differential Psychological and Social Impact of the COVID-19 Pandemic on Spanish Youth With and Without Non-Suicidal Self-Injury: A Longitudinal Analysis.

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Title: Differential Psychological and Social Impact of the COVID-19 Pandemic on Spanish Youth With and Without Non-Suicidal Self-Injury: A Longitudinal Analysis.
Authors: Schmidt, Carlos1,2, Otero, Daniela1,2,3, Pascual, Juan C.4,5 jpascualmateos@gmail.com, Romero, Soledad5,6, Puntí, Joaquim5,7, Lara, Anaís8, Sintes, Anna9, Méndez, Iria10, Nicolaou, Stella1, Soler, Joaquim2,3,5, Vega, Daniel1
Source: Actas Espanolas de Psiquiatria. 2026, Vol. 54 Issue 2, p287-300. 14p.
Subjects: Self-injurious behavior, COVID-19 pandemic, Academic achievement, Youth health, Longitudinal method, Spaniards, Psychological factors, Social support
Abstract: Background: Non-suicidal self-injury (NSSI) in adolescents and young adults is a serious public health concern. The COVID-19 pandemic significantly impacted mental health worldwide. This longitudinal study aimed to investigate the differential impacts of COVID-19 on psychological health, social support, and academic performance among young adults with and without previous history of NSSI. Methods: From an initial sample of 603 college students, 241 (40%) completed this 2.5-year follow-up study. The first assessment was in January-February/2020 (pre-pandemic) and the second in June-July/2022 (post-pandemic). Participants were grouped based on the presence or absence of NSSI at baseline. Variables assessed included sociodemographic data, academic performance, COVID-19-related experiences, clinical characteristics, and perceived social support. Results: A significant reduction in the prevalence of NSSI behaviors was observed over the follow-up period, decreasing from 35% to 8.7%. The NSSI group endorsed worse academic performance post-pandemic. While they maintained stable clinical severity with no observed worsening, during pandemic period they experienced an improvement in perceived social support. In contrast, the Non-NSSI group experienced a decline in perceived social support during the same period. Conclusions: Contrary to previous studies, our findings indicate that young adults with NSSI significantly reduced self-harm behaviors after the COVID-19 pandemic. Although their academic performance was negatively affected, their clinical severity and social support did not worsen compared to those without NSSI. Findings indicate that the COVID-19 outbreak did not increase NSSI behaviors or exacerbate psychopathology in individuals with NSSI. [ABSTRACT FROM AUTHOR]
Copyright of Actas Espanolas de Psiquiatria is the property of Maria Lopez-Ibor and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Differential Psychological and Social Impact of the COVID-19 Pandemic on Spanish Youth With and Without Non-Suicidal Self-Injury: A Longitudinal Analysis.
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  Data: <searchLink fieldCode="AR" term="%22Schmidt%2C+Carlos%22">Schmidt, Carlos</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Otero%2C+Daniela%22">Otero, Daniela</searchLink><relatesTo>1,2,3</relatesTo><br /><searchLink fieldCode="AR" term="%22Pascual%2C+Juan+C%2E%22">Pascual, Juan C.</searchLink><relatesTo>4,5</relatesTo><i> jpascualmateos@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Romero%2C+Soledad%22">Romero, Soledad</searchLink><relatesTo>5,6</relatesTo><br /><searchLink fieldCode="AR" term="%22Puntí%2C+Joaquim%22">Puntí, Joaquim</searchLink><relatesTo>5,7</relatesTo><br /><searchLink fieldCode="AR" term="%22Lara%2C+Anaís%22">Lara, Anaís</searchLink><relatesTo>8</relatesTo><br /><searchLink fieldCode="AR" term="%22Sintes%2C+Anna%22">Sintes, Anna</searchLink><relatesTo>9</relatesTo><br /><searchLink fieldCode="AR" term="%22Méndez%2C+Iria%22">Méndez, Iria</searchLink><relatesTo>10</relatesTo><br /><searchLink fieldCode="AR" term="%22Nicolaou%2C+Stella%22">Nicolaou, Stella</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Soler%2C+Joaquim%22">Soler, Joaquim</searchLink><relatesTo>2,3,5</relatesTo><br /><searchLink fieldCode="AR" term="%22Vega%2C+Daniel%22">Vega, Daniel</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Actas+Espanolas+de+Psiquiatria%22">Actas Espanolas de Psiquiatria</searchLink>. 2026, Vol. 54 Issue 2, p287-300. 14p.
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  Data: <searchLink fieldCode="DE" term="%22Self-injurious+behavior%22">Self-injurious behavior</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19+pandemic%22">COVID-19 pandemic</searchLink><br /><searchLink fieldCode="DE" term="%22Academic+achievement%22">Academic achievement</searchLink><br /><searchLink fieldCode="DE" term="%22Youth+health%22">Youth health</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Spaniards%22">Spaniards</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+factors%22">Psychological factors</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Non-suicidal self-injury (NSSI) in adolescents and young adults is a serious public health concern. The COVID-19 pandemic significantly impacted mental health worldwide. This longitudinal study aimed to investigate the differential impacts of COVID-19 on psychological health, social support, and academic performance among young adults with and without previous history of NSSI. Methods: From an initial sample of 603 college students, 241 (40%) completed this 2.5-year follow-up study. The first assessment was in January-February/2020 (pre-pandemic) and the second in June-July/2022 (post-pandemic). Participants were grouped based on the presence or absence of NSSI at baseline. Variables assessed included sociodemographic data, academic performance, COVID-19-related experiences, clinical characteristics, and perceived social support. Results: A significant reduction in the prevalence of NSSI behaviors was observed over the follow-up period, decreasing from 35% to 8.7%. The NSSI group endorsed worse academic performance post-pandemic. While they maintained stable clinical severity with no observed worsening, during pandemic period they experienced an improvement in perceived social support. In contrast, the Non-NSSI group experienced a decline in perceived social support during the same period. Conclusions: Contrary to previous studies, our findings indicate that young adults with NSSI significantly reduced self-harm behaviors after the COVID-19 pandemic. Although their academic performance was negatively affected, their clinical severity and social support did not worsen compared to those without NSSI. Findings indicate that the COVID-19 outbreak did not increase NSSI behaviors or exacerbate psychopathology in individuals with NSSI. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Actas Espanolas de Psiquiatria is the property of Maria Lopez-Ibor and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.62641/aep.v54i2.2043
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      – Code: eng
        Text: English
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        PageCount: 14
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      – SubjectFull: Self-injurious behavior
        Type: general
      – SubjectFull: COVID-19 pandemic
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      – SubjectFull: Academic achievement
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      – SubjectFull: Youth health
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      – SubjectFull: Spaniards
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              Text: 2026
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