Impacts of COVID-19 on Youth Mental Health, Substance Use, and Well-being: A Rapid Survey of Clinical and Community Samples: Repercussions de la COVID-19 sur la sante mentale, l'utilisation de substances et le bien-etre des adolescents : un sondage rapide d'echantillons cliniques et communautaires
Impacts of COVID-19 on Youth Mental Health, Substance Use, and Well-being: A Rapid Survey of Clinical and Community Samples: Repercussions de la COVID-19 sur la sante mentale, l'utilisation de substances et le bien-etre des adolescents : un sondage rapide d'echantillons cliniques et communautaires
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DOI：
10.1177/0706743720940562
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发表时间：
2020-07-14
影响因子：
4
通讯作者：
Henderson, Joanna L.
中科院分区：
文献类型：
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作者：
Hawke, Lisa D.;Barbic, Skye Pamela;Henderson, Joanna L.
当前的2019年新型冠状病毒病（COVID-19）大流行提供了一个时间敏感的机会，可以迅速提高我们对公共卫生危机对青少年心理健康、物质使用和福祉影响的认识。本研究调查了流行病期间青少年的心理健康和药物使用情况。方法：对现有临床和社区队列中的622名青年参与者进行横断面调查。使用国家心理健康研究所开发的危机工具和其他措施，参与者报告了COVID-19对他们的心理健康、物质使用和其他结构的影响。结果：与大流行期间的心理健康状况相比，大流行前的心理健康状况报告显示，临床和社区样本的心理健康状况在统计学上显著恶化（P< 0.001），社区样本的恶化程度更大。临床样本中68.4%的年轻人和社区样本中39.9%的年轻人符合内化障碍的筛查标准。临床和社区样本的物质使用均下降（P< 0.001），尽管临床样本中23.2%的年轻人和社区样本中3.0%的年轻人符合物质使用障碍的筛查标准。所有样本的参与者都报告了严重的精神卫生服务中断（48.7%和10.8%）和未满足的支持需求（44.1%和16.2%）。与会者报告了一些积极影响，正在使用各种应对战略来管理他们的健康，并分享了在大流行病期间支持青年的各种战略想法。结论：在有精神健康病史的青少年中，大流行背景对需求加剧构成了重大风险。此外，青年可能会遇到新的困难。我们呼吁服务规划人员在2019冠状病毒病疫情期间关注青少年心理健康，提高服务的可及性。此外，迫切需要让年轻人参与共同研究，以了解和应对大流行的影响以及短期、中期和长期影响。
Objectives: The current novel coronavirus disease of 2019 (COVID-19) pandemic presents a time-sensitive opportunity to rapidly enhance our knowledge about the impacts of public health crises on youth mental health, substance use, and well-being. This study examines youth mental health and substance use during the pandemic period. Methods: A cross-sectional survey was conducted with 622 youth participants across existing clinical and community cohorts. Using the National Institute of Mental Health-developed CRISIS tool and other measures, participants reported on the impacts of COVID-19 on their mental health, substance use, and other constructs. Results: Reports of prepandemic mental health compared to intrapandemic mental health show a statistically significant deterioration of mental health across clinical and community samples (P< 0.001), with greater deterioration in the community sample. A total of 68.4% of youth in the clinical sample and 39.9% in the community sample met screening criteria for an internalizing disorder. Substance use declined in both clinical and community samples (P< 0.001), although 23.2% of youth in the clinical sample and 3.0% in the community sample met screening criteria for a substance use disorder. Participants across samples report substantial mental health service disruptions (48.7% and 10.8%) and unmet support needs (44.1% and 16.2%). Participants report some positive impacts, are using a variety of coping strategies to manage their wellness, and shared a variety of ideas of strategies to support youth during the pandemic. Conclusions: Among youth with histories of mental health concerns, the pandemic context poses a significant risk for exacerbation of need. In addition, youth may experience the onset of new difficulties. We call on service planners to attend to youth mental health during COVID-19 by bolstering the accessibility of services. Moreover, there is an urgent need to engage young people as coresearchers to understand and address the impacts of the pandemic and the short, medium, and long terms.