Earlier Bedtime and Effective Coping Skills Predict a Return to Low-Risk of Depression in Young Adults during the COVID-19 Pandemic.
Earlier Bedtime and Effective Coping Skills Predict a Return to Low-Risk of Depression in Young Adults during the COVID-19 Pandemic.
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DOI：
10.3390/ijerph191610300
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发表时间：
2022-08-18
影响因子：
--
通讯作者：
Baker, Fiona C.
中科院分区：
文献类型：
--
作者：
Zhao, Qingyu;Wang, Kevin;Kiss, Orsolya;Yuksel, Dilara;de Zambotti, Massimiliano;Clark, Duncan B.;Goldston, David B.;Nooner, Kate B.;Brown, Sandra A.;Tapert, Susan F.;Thompson, Wesley K.;Nagel, Bonnie J.;Pfefferbaum, Adolf;Sullivan, Edith V.;Pohl, Kilian M.;Baker, Fiona C.
为了确定大流行对年轻人心理健康的持续影响，我们对抑郁症状轨迹进行了分类，并寻找促进高危人群抑郁症状减轻的因素。具体来说，纵向分析调查了美国参加全国青少年酒精和神经发育联盟（nanda）研究的399名年轻人（57%为女性，年龄范围：22.8±2.6岁）在大流行之前和期间抑郁症风险的变化。流行病学研究中心抑郁量表（CES-D-10）在大流行之前和期间多次使用。得分≥10分表明个体有抑郁的高风险。在控制人口因素的情况下，将大流行开始时自我报告的睡眠行为、药物使用和应对技能作为回归低风险水平的预测因素进行评估。该分析确定了关于抑郁风险的四个轨迹组，其中38%的人在2021年之前处于低风险大流行前，14%的人在2021年之前表现出持续的高风险大流行前，其余的人在2020年6月（30%）或之后（18%）转为高风险。在2020年6月成为高风险的人中，51%的人在2021年不再处于高风险状态。逻辑回归显示，对于年龄较大的参与者（25岁左右）来说，更早的就寝时间和更好的应对技能与这种风险的下降有关。结果表明抑郁症状的轨迹存在差异，相当多的年轻人出现持续的抑郁症状。在大流行背景下，健康的睡眠行为和特定的应对技能有可能促进缓解抑郁症状。
To determine the persistent effects of the pandemic on mental health in young adults, we categorized depressive symptom trajectories and sought factors that promoted a reduction in depressive symptoms in high-risk individuals. Specifically, longitudinal analysis investigated changes in the risk for depression before and during the pandemic until December 2021 in 399 young adults (57% female; age range: 22.8 ± 2.6 years) in the United States (U.S.) participating in the National Consortium on Alcohol and NeuroDevelopment in Adolescence (NCANDA) study. The Center for Epidemiologic Studies Depression Scale (CES-D-10) was administered multiple times before and during the pandemic. A score ≥10 identified individuals at high-risk for depression. Self-reported sleep behavior, substance use, and coping skills at the start of the pandemic were assessed as predictors for returning to low-risk levels while controlling for demographic factors. The analysis identified four trajectory groups regarding depression risk, with 38% being at low-risk pre-pandemic through 2021, 14% showing persistent high-risk pre-pandemic through 2021, and the remainder converting to high-risk either in June 2020 (30%) or later (18%). Of those who became high-risk in June 2020, 51% were no longer at high-risk in 2021. Logistic regression revealed that earlier bedtime and, for the older participants (mid to late twenties), better coping skills were associated with this declining risk. Results indicate divergence in trajectories of depressive symptoms, with a considerable number of young adults developing persistent depressive symptoms. Healthy sleep behavior and specific coping skills have the potential to promote remittance from depressive symptoms in the context of the pandemic.
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影响因子：
3.8
作者：
Garnefski, N;Legerstee, J;Teerds, J
通讯作者：
Teerds, J
就寝时间拖延对中国医学生抑郁症状的影响
影响因子：
2.5
作者：
Guo, Jing;Meng, Dexin;Mu, Li
通讯作者：
Mu, Li
DOI：
10.15288/jsa.1998.59.427
发表时间：
1998-07-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
Brown, SA;Myers, MG;Vik, PW
通讯作者：
Vik, PW
影响因子：
3.4
作者：
Brown, Sandra A.;Brumback, T. Y.;Tapert, Susan F.
通讯作者：
Tapert, Susan F.
影响因子：
6.9
作者：
Hawes MT;Szenczy AK;Klein DN;Hajcak G;Nelson BD
通讯作者：
Nelson BD