Children and Adolescents' Psychological Well-Being Became Worse in Heavily Hit Chinese Provinces during the COVID-19 Epidemic.
Children and Adolescents' Psychological Well-Being Became Worse in Heavily Hit Chinese Provinces during the COVID-19 Epidemic.
复制标题
DOI：
10.20900/jpbs.20210020
复制
发表时间：
2021-10-01
期刊：
影响因子：
--
通讯作者：
Liu, Chunyu
中科院分区：
文献类型：
--
作者：
Ma, Jing;Ding, Jun;Liu, Chunyu
鉴于新型冠状病毒（COVID-19）对全球公共卫生的威胁，我们试图阐明COVID-19对中国儿童和青少年心理健康的影响。通过在线自我报告问卷，我们旨在发现大流行的心理影响及其在年轻人中产生心理健康症状的相关风险因素。在全国封城后期，我们通过在线社交媒体、微信和QQ在中国五个确诊COVID-19病例最多的省份发布了一项心理健康调查。我们使用自制的问卷，询问6至18岁的儿童和青少年的人口统计信息，心理状况，以及其他生活方式和COVID相关变量。共有17，740名儿童和青少年参与了这项研究。与COVID-19爆发前相比，分别有10，022（56.5%）、11，611（65.5%）、10，697（60.3%）、6868（38.7%）和6225（35.1%）名参与者出现了更多的抑郁、焦虑、强迫、注意力不集中和睡眠相关问题。高中生比初中生和小学生在抑郁和焦虑方面有更大的变化。尽管在这项研究中，只有极少数儿童（0.1%）或其家庭成员（0.1%）感染了病毒，但大流行的心理影响显然是深刻的。父亲的焦虑似乎对孩子的心理症状影响最大，解释了孩子整体症状变化的33%。一旦父母的焦虑被考虑在内，其他因素只能解释不到2%的症状变异。在参与者看来，COVID-19的传播显著影响了儿童和青少年的心理状态。很明显，儿童和青少年，特别是年龄较大的青少年，在大流行期间需要心理健康支持。我们发现的风险因素表明，减少父亲的焦虑对解决这一时期年轻人的心理健康问题尤为重要。
In light of the novel coronavirus's (COVID-19's) threat to public health worldwide, we sought to elucidate COVID-19's impacts on the mental health of children and adolescents in China. Through online self-report questionnaires, we aimed to discover the psychological effects of the pandemic and its associated risk factors for developing mental health symptoms in young people. We disseminated a mental health survey through online social media, WeChat, and QQ in the five Chinese provinces with the most confirmed cases of COVID-19 during the late stage of the country-wide lockdown. We used a self-made questionnaire that queried children and adolescents aged 6 to 18 on demographic information, psychological status, and other lifestyle and COVID-related variables. A total of 17,740 children and adolescents with valid survey data participated in the study. 10,022 (56.5%), 11,611 (65.5%), 10,697 (60.3%), 6868 (38.7%), and 6225 (35.1%) participants presented, respectively, more depressive, anxious, compulsive, inattentive, and sleep-related problems compared to before the outbreak of COVID-19. High school students reported a greater change in depression and anxiety than did middle school and primary school students. Despite the fact that very few children (0.1%) or their family members (0.1%) contracted the virus in this study, the psychological impact of the pandemic was clearly profound. Fathers' anxiety appeared to have the strongest influence on a children's psychological symptoms, explaining about 33% of variation in the child's overall symptoms. Other factors only explained less than 2% of the variance in symptoms once parents' anxiety was accounted for. The spread of COVID-19 significantly influenced the psychological state of children and adolescents in participants' view. It is clear that children and adolescents, particularly older adolescents, need mental health support during the pandemic. The risk factors we uncovered suggest that reducing fathers' anxiety is particularly critical to addressing young people's mental health disorders in this time.