A lost generation? COVID-19 and adolescent mental health.
A lost generation? COVID-19 and adolescent mental health.
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DOI：
10.1016/s2215-0366(21)00179-6
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发表时间：
2021-08
影响因子：
64.3
通讯作者：
Augusti, Else-Marie
中科院分区：
文献类型：
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作者：
Hafstad, Gertrud Sofie;Augusti, Else-Marie
媒体有关2019冠状病毒病大流行期间青少年心理健康的标题预测了大流行的严重短期和长期后果以及为限制病毒传播而采取的措施。大量新闻报道称，由于这一大流行病，青年人失去了重要的发展机会，因此存在所谓的“迷失的一代”。因此，我们应该适时地问：当前这一代青少年真的迷失了吗？Ingibjorg Thorisdottir及其同事1是第一批在青少年人群水平上用经验数据解决这个问题的人，他们对两个时间点（2016年和2018年）的抑郁症流行前症状的轨迹进行了出色的研究，并与COVID-19大流行期间的抑郁症症状进行了比较。冰岛有两个大型的代表性样本，包括近60 000名13-18岁的青少年，他们提供了独特的和非常需要的数据。Thorisdottir及其同事发现，在大流行期间，抑郁症状显著增加（β 0.57 [95%CI 0.53至0.60]），心理健康显著恶化（-0.46 [-0.49至-0.42]），这超出了人们根据过去十年青少年心理健康恶化趋势的预期。虽然观察到的变化不能完全归因于流行病和预防措施，但本研究清楚地表明，随着时间的推移，衡量青少年的心理健康状况迫在眉睫。在面临大流行病等全球危机时尤其如此。
Media headings about the mental health of the adolescent population during the COVID-19 pandemic have projected serious short-term and longer-term consequences of the pandemic and the measures taken to limit the spread of the virus. Headlines suggesting that there is a so-called lost generation of youth, deprived of central developmental opportunities due to the pandemic, have reached a wide audience. It is thus timely to ask: is the current generation of adolescents really lost?Ingibjorg Thorisdottir and colleagues1 are among the first to tackle this question with empirical data at an adolescent population level with their excellent study on trajectories of prepandemic symptoms of depression at two time points (2016 and 2018), compared with depressive symptoms during the COVID-19 pandemic. With two large and representative Icelandic samples comprising nearly 60 000 13–18-year-olds, they present unique and highly needed data. Thorisdottir and colleagues showed that depressive symptoms increased (β 0· 57 [95% CI 0· 53 to 0· 60]) and mental wellbeing worsened (–0· 46 [–0· 49 to–0· 42]) significantly during the pandemic, and more so than one could expect based on the observed trends in adolescent mental health deteriorating over the past decade. Although observed change could not entirely be attributed to the pandemic and preventive measures, the present study clearly shows that gauging the mental health status of adolescents over time is of imminent importance. This is especially the case when facing a global crisis like a pandemic.