Mostly worse, occasionally better: impact of COVID-19 pandemic on the mental health of Canadian children and adolescents.
Mostly worse, occasionally better: impact of COVID-19 pandemic on the mental health of Canadian children and adolescents.
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DOI：
10.1007/s00787-021-01744-3
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发表时间：
2022-04
影响因子：
6.4
通讯作者：
Korczak DJ
中科院分区：
文献类型：
--
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
这项大型横断面研究考察了COVID-19紧急措施对儿童/青少年心理健康的影响，包括有和没有预先存在的精神病诊断的儿童/青少年。使用来自CRISIS问卷的适应性测量，6-18岁儿童的父母（N = 1013; 56%男性; 62%预先存在精神病诊断）和自我报告的10-18岁儿童/青少年（N = 385）表明心理健康在六个领域的变化：抑郁，焦虑，易怒，注意力，多动和强迫/强迫。使用优势和困难问卷计算2-5岁儿童焦虑、易怒和多动的变化。使用CRISIS问卷对COVID-19暴露、应急措施的遵守情况、COVID-19经济问题以及社会隔离带来的压力进行了评估。估计每个领域的心理健康状况变化的患病率;使用多项logistic回归确定每个领域与心理健康状况变化相关的变量。根据年龄组的不同，67-70%的儿童/青少年在至少一个心理健康领域经历了恶化;然而，19-31%的儿童/青少年在至少一个领域经历了改善。在第一波COVID-19期间，没有和有精神病诊断的儿童/青少年往往会出现恶化。在那些有预先诊断的患者中，恶化率更高。不同年龄组和既存精神病诊断组的恶化率各不相同：抑郁37- 56%，焦虑31- 50%，易怒40- 66%，注意力40- 56%，多动23- 56%，强迫/强迫13- 30%。来自社会隔离的更大压力与所有心理健康领域的恶化相关（所有OR 11.12-55.24）。既存精神病诊断的影响是异质性的，与一些儿童的抑郁、易怒、多动、强迫/强迫的恶化有关（OR 1.96-2.23），但也与其他儿童的抑郁、焦虑和易怒的改善有关（OR 2.13-3.12）。经济问题与焦虑、注意力和强迫/强迫的改善相关（OR 3.97-5.57）。有和没有预先存在的精神病诊断的儿童/青少年报告恶化。病情恶化与社会孤立带来的压力增加有关。加强儿童╱青少年的社会互动将是当前和未来COVID-19疫情的重要缓解策略。在线版本包含补充材料，可通过10.1007/s 00787 -021-01744-3获得。
This large cross-sectional study examined the impact of COVID-19 emergency measures on child/adolescent mental health for children/adolescents with and without pre-existing psychiatric diagnoses. Using adapted measures from the CRISIS questionnaire, parents of children aged 6–18 (N = 1013; 56% male; 62% pre-existing psychiatric diagnosis) and self-reporting children/adolescents aged 10–18 (N = 385) indicated changes in mental health across six domains: depression, anxiety, irritability, attention, hyperactivity, and obsessions/compulsions. Changes in anxiety, irritability, and hyperactivity were calculated for children aged 2–5 years using the Strengths and Difficulties Questionnaire. COVID-19 exposure, compliance with emergency measures, COVID-19 economic concerns, and stress from social isolation were measured with the CRISIS questionnaire. Prevalence of change in mental health status was estimated for each domain; multinomial logistic regression was used to determine variables associated with mental health status change in each domain. Depending on the age group, 67–70% of children/adolescents experienced deterioration in at least one mental health domain; however, 19–31% of children/adolescents experienced improvement in at least one domain. Children/adolescents without and with psychiatric diagnoses tended to experience deterioration during the first wave of COVID-19. Rates of deterioration were higher in those with a pre-exiting diagnosis. The rate of deterioration was variable across different age groups and pre-existing psychiatric diagnostic groups: depression 37–56%, anxiety 31–50%, irritability 40–66%, attention 40–56%, hyperactivity 23–56%, obsessions/compulsions 13–30%. Greater stress from social isolation was associated with deterioration in all mental health domains (all ORs 11.12–55.24). The impact of pre-existing psychiatric diagnosis was heterogenous, associated with deterioration in depression, irritability, hyperactivity, obsession/compulsions for some children (ORs 1.96–2.23) but also with improvement in depression, anxiety, and irritability for other children (ORs 2.13–3.12). Economic concerns were associated with improvement in anxiety, attention, and obsessions/compulsions (ORs 3.97–5.57). Children/adolescents with and without pre-existing psychiatric diagnoses reported deterioration. Deterioration was associated with increased stress from social isolation. Enhancing social interactions for children/adolescents will be an important mitigation strategy for current and future COVID-19 waves. The online version contains supplementary material available at 10.1007/s00787-021-01744-3.
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影响因子：
0.9
作者：
Bridley, Alexis;Jordan, Sara Sytsma
通讯作者：
Jordan, Sara Sytsma
DOI：
10.3390/ijerph17197327
发表时间：
2020-10-07
影响因子：
--
作者：
Ezpeleta L;Navarro JB;de la Osa N;Trepat E;Penelo E
通讯作者：
Penelo E
DOI：
10.1186/s12966-017-0555-2
发表时间：
2017-07-26
期刊：
The international journal of behavioral nutrition and physical activity
影响因子：
--
作者：
Brazendale K;Beets MW;Weaver RG;Pate RR;Turner-McGrievy GM;Kaczynski AT;Chandler JL;Bohnert A;von Hippel PT
通讯作者：
von Hippel PT
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：
7.2
作者：
Madley-Dowd, Paul;Hughes, Rachael;Heron, Jon
通讯作者：
Heron, Jon