Abstract
The social isolation, economic downturn, and school disruptions of the COVID-19 pandemic influences youth mental health. Social isolation across developmental periods has a cumulative, dose-response relationship to poor physical and mental health. Economic downturns impact adult employment, mental health, intrafamily violence, and thereby youth mental health. School disruptions impact nutrition, mental health services, and education, and thus youth mental health. Given that most mental health disorders begin in childhood, and siblings provide the primary social context for development, it is imperative to examine the sibling relationship during the pandemic.
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