Risk factors for adolescents' mental health during the COVID-19 pandemic: a comparison between Wuhan and other urban areas in China.
Risk factors for adolescents' mental health during the COVID-19 pandemic: a comparison between Wuhan and other urban areas in China.
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DOI：
10.1186/s12992-020-00627-7
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发表时间：
2020-10-09
影响因子：
10.8
通讯作者：
Wu J
中科院分区：
文献类型：
--
作者：
Chen S;Cheng Z;Wu J
冠状病毒病的爆发对公众健康造成相当大的急性风险，长远而言，亦可能对儿童及青少年的心理健康造成不可预期的影响。本研究收集了中国国家封锁期间的数据，旨在了解武汉和中国其他城市青少年在焦虑、抑郁和父母养育方式方面是否存在临床显著差异。本研究还旨在研究性别、学校年级、独生子女状况、在线学习参与度、父母参与COVID-19相关工作以及父母因疾病被隔离或感染是否会导致焦虑和抑郁的临床显著差异。除此之外，本研究还探讨了不同变量之间的路径，以更好地了解这些因素如何影响青少年的心理健康状况。结果表明，武汉市与其他城市相比，焦虑症状有统计学差异，但抑郁症状无统计学差异。此外，参与者的年级水平、性别、亲属是否被感染和在线学习对抑郁和焦虑症状有直接的阳性预测价值，而地点和兄弟姐妹状态对抑郁和焦虑症状有间接的预测价值。亲属参与COVID-19相关工作仅对抑郁症有阳性直接预测价值，但对焦虑症无直接预测价值。这项研究发现了流行期间青少年抑郁和焦虑的几个危险因素。它还呼吁提高对武汉父母心理健康的认识，并建议采取系统的心理健康预防和干预方法。
The outbreak of Coronavirus Disease is causing considerable acute risk to public health and might also have an unanticipated impact on the mental health of children and adolescents in the long run. This study collected data during the national lockdown period in China and aims to understand whether there is a clinically significant difference in anxiety, depression, and parental rearing style when comparing adolescents from Wuhan and other cities in China. This study also intends to examine whether gender, grade in school, single child status, online learning participation, parents’ involvement in COVID-19 related work, and parents being quarantined or infected due to the disease would lead to clinically significant differences in anxiety and depression. Beyond that, this study explored the pathways among the different variables in order to better understand how these factors play a part in impacting adolescents’ mental health condition. Results showed that there was a statistically significant difference in anxiety symptoms between participants who were from Wuhan compared to other urban areas, but not in depressive symptoms. In addition, participants’ grade level, gender, relative being infected, and study online have direct positive predictive value for depressive and anxiety symptoms, whereas location and sibling status have indirect predictive value. Having relatives who participated in COVID-19 related work only had positive direct predictive value toward depression, but not anxiety. This study discovered several risk factors for adolescents’ depression and anxiety during the pandemic. It also called for a greater awareness of Wuhan parents’ mental wellbeing and recommended a systematic approach for mental health prevention and intervention.
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