Health-related quality of life among US young adults during the COVID-19 pandemic: Psychiatric symptoms and emotional experiences to target within clinical practice
Health-related quality of life among US young adults during the COVID-19 pandemic: Psychiatric symptoms and emotional experiences to target within clinical practice
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DOI：
10.12788/acp.0033
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发表时间：
2021-08-01
影响因子：
1.3
通讯作者：
Hahm, Hyeouk Chris
中科院分区：
文献类型：
--
作者：
Liu, Cindy H.;Zhang, Emily;Hahm, Hyeouk Chris
背景技术背景：目前的研究旨在确定心理体验在COVID-19大流行期间的作用（抑郁、焦虑、孤独和COVID-19相关的悲伤和担忧）对年轻成年人身心健康功能的影响，通过健康相关生活质量（HRQoL）进行测量。使用分层多元回归分析，这项横断面研究调查了年轻人身心健康功能的心理预测因素（年龄18 - 30岁），2020年4月13日至9月5日。结果：既往抑郁症诊断（β =-0.124，P <0.001）、当前抑郁症状（β =-0.298，P <0.001）和与COVID-19相关的担忧（β =-0.142，P <0.001）显著预测了较差的身体健康功能。当前的抑郁和焦虑症状（beta = -0.342和beta = -0.268），孤独（beta = -0.135）和COVID-19相关的悲伤（beta = -0.180）预测自我报告的心理健康功能较低（P <0.001）。黑色（β = -0.072）和西班牙裔/拉丁裔受试者（β = -0.082）更可能表明身体健康功能较差（P < .01）相对于白色参与者，而女性报告的心理健康相对于男性较差（β =-0.047，P < .05）。这项研究确定了在COVID-19大流行期间，与大流行相关的心理体验对年轻人健康的潜在负面影响。在设计解决对健康的长期影响的工作时，需要考虑心理健康的心理学、与COVID-19相关的经历、种族和性别。
BACKGROUND: The current study aimed to determine the role of psychological experiences during the COVID-19 pandemic (depression, anxiety, loneliness, and COVID-19-related grief and worry) on young adult physical and mental health functioning as measured by health-related quality of life (HRQoL).METHODS: Using hierarchical multiple regression analyses, this cross-sectional study examined psychological predictors of physical and mental health functioning among young adults (age 18 to 30 years) from April 13 to September 5, 2020.RESULTS: Pre-existing depression diagnoses (beta = -0.124, P < .001), current depression symptoms (beta = -0.298, P < .001), and COVID-19-related worry (beta = -0.142, P < .001) significantly predicted poorer physical health functioning. Current depression and anxiety symptoms (beta = -0.342 and beta = -0.268), loneliness (beta = -0.135), and COVID-19-related grief (beta = -0.180) predicted lower self-reported mental health functioning (P < .001). Black (beta = -0.072) and Hispanic/Latinx participants (beta = -0.082) were more likely to indicate poorer physical health functioning (P < .01) relative to White participants, whereas women reported poorer mental health relative to men (beta = -0.047, P < .05).CONCLUSIONS: This study identifies potential negative impacts of pandemic-related psychological experiences for young adults' health during the COVID-19 pandemic. There is a need to consider mental health symptomatology, COVID-19-related experiences, race, and gender when designing efforts to address long-term implications on health.