Increases in depression and anxiety symptoms in adolescents and young adults during the COVID-19 pandemic.
Increases in depression and anxiety symptoms in adolescents and young adults during the COVID-19 pandemic.
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DOI：
10.1017/s0033291720005358
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发表时间：
2022-10
影响因子：
6.9
通讯作者：
Nelson BD
中科院分区：
文献类型：
--
作者：
Hawes MT;Szenczy AK;Klein DN;Hajcak G;Nelson BD
冠状病毒 [2019 年冠状病毒病 (COVID-19)] 大流行给人们的生活带来了非同寻常的变化和压力，尤其是在青少年和年轻人中。初步报告表明，在 COVID-19 期间，抑郁和焦虑会加剧，但之前没有研究探讨过人体内的变化。目前的研究探讨了从大流行之前到 2020 年春季首次达到顶峰后不久的抑郁和焦虑症状的变化，研究对象是居住在纽约长岛的青少年和年轻人 (N = 451)，纽约长岛是美国 COVID-19 的早期震中。2014 年 12 月至 2019 年 7 月期间评估了抑郁症（儿童抑郁量表）和焦虑症状（儿童焦虑相关症状筛查），并且，连同 COVID-19 经历、症状 2020 年 3 月 27 日至 5 月 15 日期间进行了重新评估。在参与者中，无论年龄如何，广泛性焦虑和社交焦虑症状均有所增加。在女性中，抑郁和恐慌/躯体症状也有所增加。多变量线性回归表明，对 COVID-19 学校的更大关注与抑郁症状的增加有独特的相关性。对 COVID-19 居家隔离的担忧分别与广泛性焦虑症状的增加和社交焦虑症状的减少相关。美国 COVID-19 大流行早期中心的青少年和年轻人的抑郁和焦虑症状有所增加，尤其是女性。与大流行相关的学校和家庭限制问题与症状的变化独立相关。总体而言，该报告表明，COVID-19 大流行正在对青少年的心理健康产生多方面的不利影响。
The coronavirus [coronavirus disease 2019 (COVID-19)] pandemic has introduced extraordinary life changes and stress, particularly in adolescents and young adults. Initial reports suggest that depression and anxiety are elevated during COVID-19, but no prior study has explored changes at the within-person level. The current study explored changes in depression and anxiety symptoms from before the pandemic to soon after it first peaked in Spring 2020 in a sample of adolescents and young adults (N = 451) living in Long Island, New York, an early epicenter of COVID-19 in the U.S. Depression (Children's Depression Inventory) and anxiety symptoms (Screen for Child Anxiety Related Symptoms) were assessed between December 2014 and July 2019, and, along with COVID-19 experiences, symptoms were re-assessed between March 27th and May 15th, 2020. Across participants and independent of age, there were increased generalized anxiety and social anxiety symptoms. In females, there were also increased depression and panic/somatic symptoms. Multivariable linear regression indicated that greater COVID-19 school concerns were uniquely associated with increased depression symptoms. Greater COVID-19 home confinement concerns were uniquely associated with increased generalized anxiety symptoms, and decreased social anxiety symptoms, respectively. Adolescents and young adults at an early epicenter of the COVID-19 pandemic in the U.S. experienced increased depression and anxiety symptoms, particularly amongst females. School and home confinement concerns related to the pandemic were independently associated with changes in symptoms. Overall, this report suggests that the COVID-19 pandemic is having multifarious adverse effects on the mental health of youth.