Abstracts for the 15th International Conference on Child and Adolescent Psychopathology (ICCAP 2023), Kuching, Sarawak (on Borneo Island), August 7 –9, 2023

Background: COVID-19 and the related public health measures have led to major disruptions to families, with different pressures arising for children and young people (CYPs) over time.However, little is known about long-term recovery patterns.Aims: This study aimed to examine longer-term consequences on CYPs' mental health and identify who is and is not 'bouncing back'.Methods: Parent-reported SDQ data for 3,073 CYPs (aged 4-16) from the Co-SPACE study were analysed.First, we employed latent profi le analysis to reveal hidden profi les across conduct, emotional, attentional symptoms and their impact.Second, we used latent transition analysis to investigate movement among profi les across four waves between March 2020 to March 2022.Third, we used multinomial logistic regression to predict profi le and transition membership based on family and background characteristics.Results: We identifi ed three mental health profi les (high, medium, low), with the majority of CYPs (72-77%) classifi ed as having low emotional, conduct, attentional symptoms and impact.CYPs who had high mental health symptoms at the beginning of the pandemic (~9%), they were less likely to recover and tended to have persistent diffi culties across sub-scales.CYPs with pre-existing mental health diagnosis, SEN and neurodevelopmental diagnoses were less likely to recover after the fi rst national lockdown, whilst adolescents were less likely to recover longer-term.Conclusions: CYPs showed different rates of recovery, with the majority experiencing low symptoms and impact over-time.Yet, these fi ndings emphasize the need to consider resilience and recovery patterns for the small proportion who were the most impacted by the pandemic.