The Effect of Social Support on Mental Health in Chinese Adolescents During the Outbreak of COVID-19
The Effect of Social Support on Mental Health in Chinese Adolescents During the Outbreak of COVID-19
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DOI：
10.1016/j.jadohealth.2020.07.001
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发表时间：
2020-10-01
影响因子：
7.6
通讯作者：
Chen, Jing-Xu
中科院分区：
文献类型：
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作者：
Qi, Meng;Zhou, Shuang-Jiang;Chen, Jing-Xu
目的：2019冠状病毒病（COVID-19）爆发影响身心健康。本研究旨在探讨疫情期间中国青少年社会支持水平与心理健康的关系。方法：2020年3月8日至15日，在中国，共有7,202名14-18岁的青少年完成了在线调查。研究人员评估了抑郁症症状之间的联系（患者健康问卷-9），焦虑症状（中文版广泛性焦虑症7项量表）、社会支持结果：COVID-19暴露与抑郁症状的较高患病率相关（OR = 1.38，95% CI：1.14-1.66）和焦虑症状（OR = 1.26，95% CI：1.04-1.52）。只有24.6%的青少年报告了高水平的社会支持。大多数青少年（70%）报告中等水平的支持，5.4%报告低支持。低支持与抑郁症的患病率较高相关（OR = 4.24，95%CI：3.38-5.33）和焦虑症状（OR = 3.18，95%CI：2.54-3.98），同时控制性别、年级、居住情况和COVID-19暴露;同样，中等支持与抑郁症的患病率较高相关（OR = 2.79，95%CI：2.48-3.15）和焦虑（OR = 2.19，95%CI：1.94-2.48）症状。本研究表明，我国中低社会支持水平的青少年心理健康问题发生率较高在COVID-19爆发期间。(C)2020年青少年健康和医学协会。All rights reserved.
Purpose: The coronavirus disease 2019 (COVID-19) outbreak impacts physical and mental health. The purpose of this study was to explore the association between the levels of social support and mental health among Chinese adolescents during the outbreak.Methods: A total of 7,202 adolescents aged 14-18 years completed online survceys from March 8 to 15, 2020, in China. Researchers assessed the associations between depression symptoms (Patient Health Questionnaire-9), anxiety symptoms (Chinese version of the 7-item Generalized Anxiety Disorder scale), and social support (Social Support Rate Scale).Results: COVID-19 exposure was associated with a higher prevalence of depression symptoms (odds ratio [OR] = 1.38, 95% confidence interval [CI]: 1.14-1.66) and anxiety symptoms (OR = 1.26, 95% CI: 1.04-1.52). Only 24.6% of adolescents reported high levels of social support. Most adolescents (70%) reported medium levels of support, and 5.4% reported low support. Low support was associated with higher prevalence of depression (OR = 4.24, 95% CI: 3.38-5.33) and anxiety symptoms (OR = 3.18, 95% CI: 2.54-3.98), while controlling for gender, grade, living situation, and COVID-19 exposure; similarly, medium support was associated with higher prevalence of depression (OR = 2.79, 95% CI: 2.48-3.15) and anxiety (OR = 2.19, 95% CI: 1.94-2.48) symptoms.Conclusions: This study indicates there is a higher prevalence of mental health problems among adolescents with medium and low levels of social support in China during the outbreak of COVID-19. (C) 2020 Society for Adolescent Health and Medicine. All rights reserved.