Depressive and anxious symptoms among young adults in the COVID-19 pandemic: Results from monitoring the future.

Depressive and anxious symptoms among young adults in the COVID-19 pandemic: Results from monitoring the future.
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DOI:
10.1002/da.23273
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发表时间:
2022-06
影响因子:
7.4
通讯作者:
Patrick, Megan E.
Patrick, Megan E.
中科院分区:
医学1区
文献类型:
--
作者:
Kreski, Noah T.;Keyes, Katherine M.;Parks, Michael J.;Patrick, Megan E.

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严重急性呼吸综合征冠状病毒2(SARS-CoV-2)大流行与年轻人的心理健康状况恶化有关,但需要进一步研究以量化与抑郁和焦虑的关联。使用监测未来数据(N = 1244名年轻人,模态年龄:19岁,2020年秋季补充),我们检查了内化症状(分别为患者健康问卷-8和广泛性焦虑症量表-7),将样本分为无临床显著评分,显著评分但最小的流行病归因症状,以及具有大量流行病归因症状的显著评分。Logistic回归分析将人口统计学因素、流行病相关经历和应对方法与症状组联系起来。内化症状非常普遍,在过去2周内至少有几天发生在大多数人中。教育、就业和资源可用性的重大变化预测了症状风险的升高(例如,没有地方睡觉或没有钱支付房租、汽油或食物导致的高抑郁症状风险是大流行的4.43倍[95%置信区间:2.59-7.55]。高内化症状与健康应对行为利用不足、物质使用过度和饮食改变有关。大流行导致的高度抑郁和焦虑症状的特点是大量中断新闻/社交媒体和联系医疗服务提供者。这一流行病与年轻人的抑郁和焦虑症状之间的联系,值得通过改善心理健康治疗基础设施和加强结构性支持予以紧急关注。
The severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) pandemic is associated with worsening mental health among young adults, but further research is necessary to quantify the associations with depression and anxiety. Using Monitoring the Future data (N = 1244 young adults, modal age: 19, Fall 2020 supplement), we examined internalizing symptoms (Patient Health Questionnaire‐8 and Generalized Anxiety Disorder Scale‐7 separately), dividing the sample into those without clinically significant scores, significant scores but minimal pandemic‐attributed symptoms, and significant scores with substantial pandemic‐attributed symptoms. Logistic regression analyses linked demographic factors, pandemic‐related experiences, and coping methods to symptom groups. Internalizing symptoms were highly prevalent, with many occurring among a majority at least several days over the past 2 weeks. Major changes in education, employment, and resource availability predicted elevated symptom risk (e.g., lacking a place to sleep or money for rent, gas, or food led to 4.43 [95% confidence interval: 2.59–7.55] times the risk of high depressive symptoms significantly attributed to the pandemic). High internalizing symptoms were linked to underutilization of healthy coping behaviors, substance use overutilization, and dietary changes. High depressive and anxious symptoms attributed to the pandemic were marked by high levels of taking breaks from the news/social media and contacting healthcare providers. The pandemic's associations with young adults' depressive and anxious symptoms warrants urgent attention through improved mental health treatment infrastructure and stronger structural support.
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