Distinct patterns of emotional and behavioral change in child psychiatry outpatients during the COVID-19 pandemic.
Distinct patterns of emotional and behavioral change in child psychiatry outpatients during the COVID-19 pandemic.
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DOI：
10.1186/s13034-022-00441-6
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发表时间：
2022-02-17
影响因子：
5.6
通讯作者：
Braaten EB
中科院分区：
文献类型：
--
作者：
Doyle AE;Colvin MK;Beery CS;Koven MR;Vuijk PJ;Braaten EB
研究正在记录新冠肺炎大流行对青少年心理健康的影响。我们通过描述2020-2021年学年中期美国的一个儿童精神科门诊样本来扩展这一文献。我们还使用了一种计算策略来识别精神病理学症状变化的不同模式，并检查了这种变化的相关因素和预测因素。潜在的预测因素包括认知和临床诊断，这在以前没有在这种背景下进行过研究。研究对象为父母在新冠肺炎上填写的神经精神病学评估对象，年龄10.6 ± 3.1。问卷包括8个精神病学领域和6个心理社会领域，在大流行之前和目前进行评估时进行了追溯评级。我们用Wilcoxon符号等级检验检验了各个域的严重程度的变化。我们使用潜伏期分析(LPA)来识别具有明显症状变化谱的组。使用多项Logistic回归，我们检验了LPA衍生组的潜在预测因素和相关性。模型根据年龄、性别和评估日期进行控制，并针对多次测试进行修正。尽管在2020-2021学年期间，大多数个体精神病理学领域的平均状况都更差，但年轻人表现出了截然不同的症状变化模式。除了症状相对稳定的大组(72.2%)和改善大多数症状的小组(6.4%)外，还有两组症状恶化的不同星座。这两组人都表现出更多的悲伤、焦虑和对抗性；然而，其中一组多动/冲动增加，绝望没有改变，而另一组表现出更大的绝望，多动没有改变。与这些群体的可区分领域相关的症状预测了群体成员身份，屏幕时间的变化、与父母的冲突和社会孤立与病情恶化相关。认知和终生临床诊断未能预测群体成员。在青少年门诊患者中，在2020年春季新冠肺炎被封锁后的一个学年里，精神和心理社会困难平均更严重；然而，一些年轻人经历了更大和独特的症状变化。随着年轻人走出这一时期，可能需要一种个性化的支助方法。网上版载有补充材料，可在10.1186/s13034-022-00441-6查阅。
Studies are documenting the impact of the COVID-19 pandemic on youth mental health. We extended this literature by characterizing a child psychiatric outpatient sample in the United States during the middle of the 2020–2021 school year. We also used a computational strategy to identify distinct patterns of psychopathology symptom change and examined correlates and predictors of such change. Among potential predictors were cognition and clinical diagnoses, which have not been studied in this context previously. Participants were 171 youth (aged 10.6 ± 3.1) referred for neuropsychiatric evaluation who enrolled in research and whose parents filled out a survey on COVID-19. The questionnaire included eight psychiatric and six psychosocial domains rated retrospectively prior to the pandemic and currently at the time of evaluation. We examined change in severity of individual domains with Wilcoxon signed-rank tests. We used a latent profile analysis (LPA) to identify groups with distinct symptom change profiles. Using multinomial logistic regression, we examined potential predictors and correlates of LPA-derived groups. Models controlled for age, sex, and assessment date and corrected for multiple testing. Although the majority of individual psychopathology domains were worse on average during the 2020–2021 school year, youth showed distincive patterns of symptom change. In addition to a large group (72.2%) with relatively stable symptoms and a small group (6.4%) that improved on most symptoms, there were two groups with different constellations of worsening symptoms. These latter groups both showed increased sadness, anxiety and oppositionality; however, one had increased hyperactivity/impulsivity and no change in hopelessness while the other showed greater hopelessness and no change in hyperactivity. Symptoms related to the distinguishable domains of these groups predicted group membership, and changes in screen time, conflict with parents and social isolation were correlates of worsening. Cognition and lifetime clinical diagnoses failed to predict group membership. In youth outpatients, psychiatric and psychosocial difficulties were worse on average during the school year following the spring 2020 COVID-19 lockdown; yet, some youth experienced greater and distinctive symptom change. A personalized approach to support may be needed as youth emerge from this period. The online version contains supplementary material available at 10.1186/s13034-022-00441-6.
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DOI：
10.3390/ijerph18073432
发表时间：
2021-03-26
影响因子：
--
作者：
Meherali S;Punjani N;Louie-Poon S;Abdul Rahim K;Das JK;Salam RA;Lassi ZS
通讯作者：
Lassi ZS
影响因子：
6.4
作者：
Cost KT;Crosbie J;Anagnostou E;Birken CS;Charach A;Monga S;Kelley E;Nicolson R;Maguire JL;Burton CL;Schachar RJ;Arnold PD;Korczak DJ
通讯作者：
Korczak DJ
DOI：
10.1037/tra0000924
发表时间：
2020-08-01
影响因子：
6.3
作者：
Fitzpatrick, Kevin M.;Harris, Casey;Drawve, Grant
通讯作者：
Drawve, Grant
影响因子：
8
作者：
Gassman-Pines, Anna;Ananat, Elizabeth Oltmans;Fitz-Henley, John, II
通讯作者：
Fitz-Henley, John, II
影响因子：
7.6
作者：
Jefsen, Oskar Hougaard;Rohde, Christopher;Ostergaard, Bettina NorremarkSoren Dinesen
通讯作者：
Ostergaard, Bettina NorremarkSoren Dinesen