Discussion
The COVID-19 pandemic triggered mental health issues among adolescents, including anxiety and COVID-19 anxiety (Panchal et al.,
2021). However, it is important to recognize that not all adolescents may be equally affected and some may require more targeted and urgent support through tailored prevention and intervention programs. One way of identifying these youth is by using a person-centered approach. The present study used the PYD framework and person-centered analysis to identify the patterns of positive outcomes among youth – that is, the Five Cs – to provide a scientific background for tailored prevention and intervention strategies. The data collection took place during the initial stages of the second closure in Slovenia, which involved prolonged school closures. Thus, this study presents a unique opportunity to observe youth’s adaptation mechanisms in an extremely stressful situation and can provide valuable implications for similar health and social isolation challenges in the future.
As anticipated, four distinctive profiles were found, namely High PYD profile, Self-efficacious profile, Socio-emotional profile, and Low PYD profile. The High PYD and Low PYD profiles are consistent with a previous study (Johnson,
2021) since a profile with high scores for all of the Five Cs and a profile with low scores for all of the Five Cs were identified in this study as well. Further, the Self-efficacious and Socio-emotional profiles are in line with a previous study (Årdal et al.,
2018) that proposed that the Five Cs can be differentiated into efficacious Cs (i.e., competence, confidence, and connection) and socioemotional Cs (i.e., caring and character). In addition, a similar profile was shown (Johnson,
2021), named “midpoint with a caring emphasis”, which was characterized by average overall PYD, although their caring was higher. The profiles identified in this study bear similarity to those observed prior to the onset of the COVID-19 pandemic. However, a decrease in PYD constructs during this global crisis was documented (Wang et al.,
2023). Therefore, it is possible that the distribution across the Five Cs may remain relatively stable and the levels of the Five Cs in each profile decreased due to the COVID-19 pandemic. Thus, these profiles may include a combination of stable individual characteristics and pandemic-specific influences on adolescents’ well-being. Additionally, the COVID-19 pandemic may have impacted some individuals more than others, therefore, some perceived greater changes in the Five Cs during the pandemic. However, it is important to note that the specific nature of these profiles in relation to the pandemic and their stability over time remain uncertain due to the cross-sectional study design.
To get a better insight into the characteristics of the profiles, the differences between the odds of being in the High PYD profile and the odds of being in the other profiles across the PYD profiles in gender and age were examined. Females had a higher chance than males of being in the Socio-emotional and Low PYD profiles, while males had a higher chance than females of being in the Self-efficacious profile. Our findings are in line with our expectations and previous research, which suggested that males are more likely to be present in profiles with higher levels of competence and confidence, such as the Self-efficacious profile in our study (Gomez‐Baya et al.,
2019). Conversely, females are more likely to be present in profiles characterized by higher levels of caring, character, and connection, such as the Socio-emotional profile in our study (Årdal et al.,
2018). It appears that higher levels of caring and character are the main characteristics that reflect differential male and female involvement across the different profiles, which can be explained by gender role expectations (e.g., Van der Graaff et al.,
2014). Specifically, these gender role expectations may contribute to the development of socialization processes that shape individuals' attitudes and behaviors. Such expectations may differ across genders, with females being encouraged to prioritize caring, and males being encouraged to prioritize competence and confidence. Based on the findings and the notion that elevated levels of the Five Cs contribute to enhanced adaptive developmental processes, targeted interventions tailored to the unique profiles, differentiated by gender, can be implemented. Specifically, for males, interventions focusing on supporting caring may prove beneficial, while for females, interventions designed to cultivate competence and confidence may be particularly effective.
With respect to age differences, our analysis showed that older students had higher odds of being in the Self-efficacious and Low PYD profiles than in the High PYD profile. While age-related differences were not anticipated due to the homogeneity of the sample, our findings are partially in line with previous studies (Conway et al.,
2015) that have reported higher levels of character, caring, connection, and overall PYD scores among younger adolescents. However, our results indicate that older participants in the Low PYD and Self-efficacious profiles reported lower levels of character and caring, while their levels of connection were either lower or average. This suggests that PYD, in general, may decline over adolescence (Conway et al.,
2015), which is consistent with findings that competence, confidence, and connection tend to decrease over time (Geldhof et al.,
2014b). Thus, specific prevention measures supporting all of the Five Cs with a particular emphasis on caring and character can be implemented for older students.
Once the profiles were identified, the differences between anxiety and COVID-19 anxiety among them were further investigated. The participants in the Low PYD profile seem to be the most at risk of general anxiety and possibly other general mental health issues. The combination of the lowest levels of competence, confidence, and connection alongside moderate levels of character and caring may contribute to excessive worrying. When individuals perceive that they lack necessary skills (i.e., in the school context, among peers), this increases feelings of uncertainty, which in turn leads to higher anxiety (Tahmassian & Moghadam,
2011). Additionally, lower perceived social support may contribute to social anxiety (Cavanaugh & Buehler,
2016). Moreover, participants in the Low PYD profile may be at risk of adopting maladaptive developmental regulations (Geldhof et al.,
2019), meaning that their actions may be detrimental to themselves and their context. For instance, they may use maladaptive coping strategies and risky behavior to please others and gain their attention (e.g., substance abuse, school avoidance) or avoid situations that trigger anxiety. Interestingly, participants in the Low PYD profile had moderate COVID-19 anxiety, which could be attributed to their lower level of connection with others and moderate caring. Thus, the lack of social ties and support combined with a moderate level of concern and empathy about significant others indicate a certain degree of COVID-19 anxiety but not to an excessive extent. Overall, this profile is the most at risk due to heightened levels of anxiety which may persist even after the COVID-19 pandemic.
The Socio-emotional profile, in comparison to all other profiles, reported the highest levels of COVID-19 anxiety and moderate anxiety. It consisted of participants with higher character and caring, moderate connection, and lower competence and confidence. It appears that the interaction between higher caring and lower competence and confidence is a key factor in COVID-19 anxiety across different profiles as prior research confirmed the maladaptive consequences of caring (Kozina et al.,
2021a) and the profile with higher caring and character scores reported more somatic complaints (Ferrer-Wreder et al.,
2021). These findings suggest that anxiety is positively associated with caring and offer valuable insights into understanding the relationship between anxiety and caring. Furthermore, a recent study showed that higher trait anxiety is associated with higher empathy during the COVID-19 pandemic (Guadagni et al.,
2020). Elevated levels of anxiety can be a result of a complex interplay between lower competence and higher caring that can be seen as a lack of metacognitive awareness (Kozina et al.,
2021a), which allows one to distinguish between one’s emotional state and that of others, thus, increasing the chance of emotional contagion or empathic over-arousal to occur (Hoffman,
2008). Additionally, the Socio-emotional profile may experience martyring developmental regulations (Geldhof et al.,
2019) as their heightened caring often leads to worrying about the welfare and safety of others, which can negatively impact themselves while others or their context may benefit from them. The burden of prevention measures for COVID-19 – the constant media messages showing the severe course of the disease (e.g., overcrowded hospitals, full morgues), and clear government messages stating that we are all a threat to other people and that we have to follow preventive measures to protect the most vulnerable groups, otherwise they will die – has been particularly harmful. For individuals in the Socio-emotional profile, who are often more empathetic and sympathetic (Panchal et al.,
2021), this was a "lethal" combination. Regarding contribution, which is a fundamental need of adolescents (Fuligni,
2019) and is embedded in the PYD perspective as a positive outcome of the Five Cs (Lerner et al.,
2015), it was found that prosocial acts during the COVID-19 pandemic were connected to greater anxiety (Alvis et al.,
2022). It is possible that individuals who perceived greater COVID-19 anxiety sought additional ways to help others with similar experiences. Conversely, contribution to others during the COVID-19 pandemic alleviated their anxiety (Alvis et al.,
2022).
The participants in the Self-efficacious profile exhibited higher levels of competence and confidence while they had the lowest caring and character among all profiles, as well as having the lowest anxiety and COVID-19 anxiety. Higher levels of competence and confidence may offer a possible explanation for these phenomena since both characteristics were found to correlate negatively with anxiety (e.g., Mazzone et al.,
2007; Soleimani et al.,
2017). These results further support our finding that the Self-efficacious profile has the lowest levels of COVID-19 anxiety. A study based on a sample of emerging adults during the COVID-19 pandemic (Germani et al.,
2020) showed that participants in the group with low anxiety had the highest levels of self-esteem and self-efficacy, suggesting that these participants may have been more resilient to the challenges society was facing at that time. Additionally, higher levels of confidence have been shown to help individuals to cope more successfully with day-to-day challenges (Soleimani et al.,
2017). High competence and confidence are undeniably valuable assets that help participants in this group to cope better. However, this group should be given additional attention as the interaction of high competence and confidence with low levels of character and caring may make participants in this profile less likely to engage in prosocial behavior (e.g. Geldhof et al.,
2019). During the COVID-19 pandemic in particular, individuals with similar characteristics were less likely to engage in healthy behaviors and tended to continue living as if nothing had happened (Triberti et al.,
2021).
Participants in the High PYD profile had the highest Five Cs, the lowest anxiety, and moderate COVID-19 anxiety. This suggests that higher competence, confidence, and connection can buffer the maladaptive effect of higher caring on anxiety. These findings highlight the importance of supporting all of the Five Cs to prevent youth from adverse consequences. However, the findings about moderate COVID-19 anxiety suggest that it is also important to assess situation-specific anxiety in times of extremely stressful situations to be able to offer additional support even to those who are at the lowest risk of general anxiety. It seems that the current COVID-19 situation has affected a large proportion of adolescents, especially those with higher caring. However, participants in the High PYD profile had moderate COVID-19 anxiety, so besides competence and confidence, connection might have protected them from having even higher COVID-19 anxiety. This confirms a finding that friendship satisfaction at the start of the first lockdown was a negative predictor of anxiety one month later (Stevic et al.,
2022). Participants in the High PYD profile with higher scores on all Five Cs experience adaptive developmental regulations (Lerner et al.,
2005) and may have higher contribution than youth in other profiles (Johnson & Ettekal,
2023). However, during the COVID-19 pandemic, their higher caring has led to increased worrying about their significant others and generated COVID-19 anxiety (Panchal et al.,
2021). This suggests that even the most well-adapted adolescents can experience martyring developmental regulations during extreme crises, potentially negatively impacting their mental health. Thus, it is essential to prioritize the mental health of all adolescents during future crises.
Implications for Practice
The findings of the present study have practical implications for alleviating anxiety and COVID-19 anxiety among adolescents. The results indicate that particularly higher levels of competence and confidence can mitigate the maladaptive effect of higher caring in the case of general anxiety. Hence, it is crucial to create supportive environments that promote positive developmental trajectories for all students. Such support can facilitate the adaptive developmental regulations (Geldhof et al.,
2019) and equip them to overcome possible future challenges, even in High PYD and Self-efficacious profiles, which had low or moderate levels of anxiety and COVID-19 anxiety. Furthermore, given the potential for maladaptive developmental outcomes for profiles with the highest anxiety and COVID-19 anxiety, additional attention and support are needed. Participants in the Socio-emotional profile with martyring developmental regulations should benefit from incorporating social and emotional learning in school with a particular focus on self-awareness (i.e., identifying positive beliefs about oneself and one’s achievements and recognizing one’s potential), self-management, and relationship skills. Prevention and intervention measures should focus in particular on helping them differentiate their emotional states from those of their significant others, especially during periods of heightened stress such as the COVID-19 pandemic. Emphasizing social belonging (to achieve higher connection) is also crucial (Slavich et al.,
2021), and introducing relaxation techniques may help manage the negative effects of the pandemic. Participants in the Low PYD profile should particularly benefit from interventions that target competence, confidence, and connection. Techniques from cognitive behavioral therapy, such as cognitive restructuring, relaxation, stress reduction techniques, identification of negative or distorted thoughts, thought stopping, and problem-solving, may be useful. Additionally, support groups, social skills training, and providing additional support to improve their relationships with peers, parents, and teachers can boost their connection with others.
Limitations and Implications for Future Studies
One of the notable strengths of our study is that it is one of the first to examine PYD profiles based on the Five Cs, providing novel insights into the relationship between these profiles and anxiety, including COVID-19 anxiety. By incorporating situation-specific anxiety into the PYD perspective, our study extends previous research examining the complex relationship between the Five Cs and anxiety, particularly with regard to caring (e.g., Geldhof et al.,
2019). Further, our data were collected during a period of heightened stress, amidst the second wave of the COVID-19 pandemic and school closures in Slovenia.
Notwithstanding the strengths of our study, it is important to acknowledge several limitations. The response format was adapted to COVID-19 restrictions (online and paper-pencil forms were used) and the COVID-19 pandemic affected the rate of responses due to school closures. Furthermore, our reliance solely on self-reports may have introduced bias and influenced the accuracy of the results. Nevertheless, the study aimed to capture adolescents’ current experiences during the COVID-19 pandemic. Additionally, a cross-sectional research design was utilized, thus we do not know if the profiles are situation-specific or stable. However, using a cross-sectional research design allowed us to capture better insight into specific stressful situations since the context did not change as rapidly as it does when a longitudinal research design is employed. Another limitation is the exclusion of the contribution which was made based on the primary focus of our study that builds on the established empirical association between the Five Cs and anxiety. Lastly, while our study included students with a migrant background, this characteristic was not specifically addressed in our analysis. However, it is essential to recognize that individuals with a migrant background may have experienced unique challenges and adversities during the COVID-19 pandemic (e.g., language constraints).
In order to get an answer on the stability of the profiles and their dependence on the COVID-19 context, it makes sense that future studies employ longitudinal designs, such as latent transition analysis, to explore the changes in the PYD profiles over time, or growth mixture modeling to obtain a more normative picture of the PYD. Further, considering contribution as one of the Six Cs in profile identification would provide more insight into youth development. In addition, migration status and socioeconomic position can also be examined to provide more information on the challenges faced by youth from different backgrounds. Moreover, other characteristics (e.g., internalizing and externalizing behaviors) should be included in the examination of differences among the PYD profiles to capture a more comprehensive picture of the relationships between the Five Cs and various outcomes.
Conclusion
Despite the well-documented rise in anxiety and COVID-19 anxiety during the COVID-19 pandemic, the supportive mechanisms from the PYD perspective have not yet been identified. To address this gap, the present study employed latent profile analysis to identify distinctive profiles based on the Five Cs, which were subsequently compared in anxiety and COVID-19 anxiety. Four distinct profiles were identified, illustrating the diverse nature of youth development: High PYD (high scores on all Five Cs), Self-efficacious (higher competence and confidence, lower character and caring, moderate connection), Socio-emotional (lower competence and confidence, higher character and caring, moderate connection), and Low PYD (lowest competence, confidence, and connection, moderate character and caring). These profiles exhibited distinct patterns in anxiety and COVID-19 anxiety, with the Low PYD profile showing the lowest anxiety and moderate COVID-19 anxiety, the Self-efficacious profile demonstrating the lowest anxiety and COVID-19 anxiety, the High PYD profile presenting the lowest anxiety and moderate COVID-19 anxiety, and the Socio-emotional profile displaying moderate anxiety and the highest COVID-19 anxiety. These findings suggest that higher levels of competence and confidence can serve as buffers against the negative effects of caring on anxiety, thereby providing a starting point for targeted interventions. Interestingly, the profiles exhibited distinct patterns of response in relation to COVID-19 anxiety, highlighting the complex interplay between the Five Cs and the unique challenges posed by the pandemic. This suggests that a combination of higher competence and confidence, along with lower caring, may contribute to a more adaptive response to the anxiety-inducing aspects of the COVID-19 situation. Overall, these findings significantly advance our understanding of adolescence by emphasizing the importance of considering the Five Cs and their intricate interplay with general anxiety and COVID-19 anxiety. By identifying distinct profiles and elucidating their associations with anxiety outcomes, this research provides valuable insights that can inform the development of interventions and support efforts aimed at promoting PYD and mitigating anxiety among adolescents, particularly during challenging times such as the COVID-19 pandemic.