Understanding the impact of the COVID-19 pandemic on stress, mood, and substance use among young adults in the greater Minneapolis-St. Paul area: Findings from project EAT.
Understanding the impact of the COVID-19 pandemic on stress, mood, and substance use among young adults in the greater Minneapolis-St. Paul area: Findings from project EAT.
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DOI：
10.1016/j.socscimed.2021.113826
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发表时间：
2021-05
期刊：
影响因子：
--
通讯作者：
Neumark-Sztainer D
中科院分区：
文献类型：
--
作者：
Emery RL;Johnson ST;Simone M;Loth KA;Berge JM;Neumark-Sztainer D
有必要了解正在进行的新冠肺炎大流行如何影响美国年轻人的心理和行为健康。本研究使用定量和定性的调查数据来确定在美国新冠肺炎爆发期间心理困扰的最高风险年轻人，并进一步了解大流行如何影响他们的压力、情绪和药物使用。参与者是2010年至2018年基于人群的纵向研究Eat的670名年轻人队列成员(年龄在21-29岁之间)，他们参与了C-Eat研究(新冠肺炎的进食和随着时间的推移的活动)。在样本中，84%(n=1561)报告了与大流行有关的情绪或压力变化，33%(n=221n)报告了他们物质使用的变化。线性回归分析确定了在大流行期间导致较高心理痛苦的几个有意义的风险因素，包括女性、白人、大流行前较高的抑郁症状和感觉到的压力，以及大流行前较低的压力管理能力。专题分析进一步确定了与新冠肺炎爆发后压力和情绪变化有关的五大主题，描述了具体的情绪反应、与大流行直接影响有关的压力以及人际联系和经济因素，以及管理压力的战略。此外，确定了与大流行期间药物使用有关的两个主要主题，详细说明了药物使用的具体变化和动机。这些发现强调了开发有效、可扩展和可快速部署的公共卫生资源的必要性，这些资源针对年轻人普遍经历的压力源，以改善他们在这次大流行期间的心理健康。
There is a need to understand how the ongoing COVID-19 pandemic has affected the mental and behavioral health of young adults in the U.S. This study used quantitative and qualitative survey data to identify young adults at highest risk for psychological distress during the U.S. outbreak of COVID-19 and to further understand how the pandemic has impacted their stress, mood, and substance use. Participants were 670 young adult cohort members (ages 21–29) of the population-based longitudinal study EAT 2010–2018 who participated in the C-EAT study (COVID-19 Eating and Activity over Time). Among the sample, 84% (n = 561) reported pandemic-related changes to their mood or stress and 33% (n = 221) reported changes to their substance use. Linear regression analyses identified several meaningful risk factors for higher psychological distress during the pandemic, including female gender, White race, higher pre-pandemic depressive symptoms and perceived stress, and lower pre-pandemic stress management ability. A thematic analysis further identified five major themes related to changes in stress and mood following the COVID-19 outbreak describing specific emotional reactions, stress related to the direct impact of the pandemic as well as interpersonal connectedness and economic factors, and strategies for managing stress. In addition, two major themes were identified related to substance use during the pandemic detailing specific changes in and motivations for substance use. These findings underscore the need to develop effective, scalable, and rapidly deployable public health resources that target the stressors commonly experienced among young adults to improve their psychological wellbeing during this pandemic.
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作者：
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