Is the psychological impact of exposure to COVID-19 stronger in adolescents with pre-pandemic maltreatment experiences? A survey of rural Chinese adolescents
Is the psychological impact of exposure to COVID-19 stronger in adolescents with pre-pandemic maltreatment experiences? A survey of rural Chinese adolescents
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DOI：
10.1016/j.chiabu.2020.104667
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发表时间：
2020-12-01
影响因子：
4.8
通讯作者：
van IJzendoorn, Marinus H.
中科院分区：
文献类型：
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作者：
Guo, Jing;Fu, Mingqi;van IJzendoorn, Marinus H.
背景资料：自2019年底COVID-19爆发以来，它已演变为一场全球大流行病，除了对人们的身体健康构成威胁外，还对心理健康产生了巨大影响。目的：旨在研究暴露于COVID-19是否预示着焦虑和创伤后应激症状水平的升高，以及大流行前的虐待经历是否加剧了青少年心理健康的这种影响。参与者和背景：调查于2020年2月8日至2月27日在线进行，问卷通过网络平台发放和检索。本研究共调查6196名11 ~ 18岁的青少年，采用多元线性回归分析方法进行分析。PTSS和焦虑问题的最大差异由ACE解释，大流行前更多的虐待经历预示着更多的PTSS（效应量β = 0.16，类似于0.27），更多的焦虑（效应量β = 0.32，类似于0.47）。对暴露于COVID-19的经验或主观恐惧预测PTSS和焦虑的统计学显著差异，标准化β值范围为0.04至0.09。有不良童年经历并经历过COVID-19暴露的参与者表现出PTSS升高。结论：在经历大流行前的虐待后，接触COVID-19对心理健康的影响可能会更大。过去的伤疤似乎是社会动荡时期的弱点。因此，我们建议，当农村青少年暴露于COVID-19时，应优先获得专业的家庭支持和心理健康咨询，特别是当他们在童年时经历过家庭虐待和忽视时，即使这种支持在农村地区更难组织。
Background: Since the COVID-19 outbreak at the end of 2019, it has evolved into a global pandemic with tremendous mental health impact besides the threats to people's physical health.Objective: The aims were to examine whether exposure to COVID-19 predicts elevated levels of anxiety and post-traumatic stress symptoms and whether pre-pandemic maltreatment experiences exacerbate this impact on mental health in adolescents.Participants and setting: The survey was conducted online from February 8 st to February 27th, 2020, and the questionnaires were distributed and retrieved through a web-based platform. This study includes a total of 6196 subjects, aged range from 11 to 18 years old.Methods: Several multivariable linear regressions were used to analyse the data.Results: The largest variance in PTSS and anxiety problems was explained by ACEs, with more pre-pandemic maltreatment experiences predicting more PTSS (effect size beta = 0.16 similar to 0.27), and more anxiety (effect size beta = 0.32 similar to 0.47). Experienced or subjective fear of exposure to COVID-19 predicted statistically significant variance in PTSS and anxiety, and standardized betas ranged from 0.04 to 0.09. Participants who had adverse childhood experiences and had experienced exposure to COVID-19 showed elevated PTSS.Conclusions: After pre-pandemic maltreatment experiences the impact of exposure to COVID-19 on mental health may be stronger. Scars from the past seem to be vulnerabilities during societal upheaval. We therefore suggest that when exposed to COVID-19 rural adolescents should get prioritized professional family support and mental health counseling in particular when they have experienced family abuse and neglect in childhood, even though such support is more difficult to organize in rural areas.