COVID-19 partial school closures and mental health problems: A cross-sectional survey of 11,000 adolescents to determine those most at risk.
COVID-19 partial school closures and mental health problems: A cross-sectional survey of 11,000 adolescents to determine those most at risk.
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DOI：
10.1002/jcv2.12021
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发表时间：
2021-05
期刊：
影响因子：
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通讯作者：
Fazel M
中科院分区：
文献类型：
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作者：
Mansfield KL;Newby D;Soneson E;Vaci N;Jindra C;Geulayov G;Gallacher J;Fazel M
了解青少年在禁闭期间的心理健康状况，并找出最危险的人群，是一项紧迫的公共卫生挑战。这项研究在第一次新冠肺炎学校封锁期间对英格兰南部的小学生进行了调查，以调查与心理健康困难相关的情景因素，以及它们与学生获得校内教育设施的关系。2020年6月至7月，共有11765名8-13年级的学生完成了一项调查，调查内容包括心理健康、风险指标和上学机会。研究人员将在家的学生与获得校内教育的学生在风险和背景因素以及心理健康结果方面进行了比较。多水平Logistic回归分析比较了八个风险因素和背景因素对抑郁、焦虑和自我报告的精神健康状况恶化的影响，其中包括获得学校提供的服务。女性、经历过食物贫困的学生和以前获得心理健康支持的人患抑郁症、焦虑症和幸福感恶化的风险最大。父母外出打工和准备下一学年国家考试的学生也面临更大的风险。获得在校供应的学生心理健康状况较差，但这是由评估的背景风险和背景因素造成的，这与将在校学位分配给更脆弱的学生是一致的。虽然学校停课期间精神健康状况差的最大关联是已确定的风险因素，但在封锁期间具有特殊相关性的其他背景因素对幸福感也有负面影响。确定哪些学生成绩差的风险最大，对于确保在随后的封锁期间能够在家里或学校向学生提供适当的教育和社会支持至关重要。这项研究评估了英国第一所新冠肺炎学校关闭期间的大量、不同样本的学生的心理健康和幸福感变化，比较了留在家里和获得在校供应的学生，并根据情况因素进行了调整。使用在校设施的学生心理健康状况较差，但这是由于先前存在的脆弱性和背景因素造成的。最有可能报告幸福感恶化的学生是女性、报告的社会经济贫困、以前有心理健康需求或即将进行的检查。
Understanding adolescents' mental health during lockdown and identifying those most at risk is an urgent public health challenge. This study surveyed school pupils across Southern England during the first COVID‐19 school lockdown to investigate situational factors associated with mental health difficulties and how they relate to pupils' access to in‐school educational provision. A total of 11,765 pupils in years 8–13 completed a survey in June–July 2020, including questions on mental health, risk indicators and access to school provision. Pupils at home were compared to those accessing in‐school provision on risk and contextual factors and mental health outcomes. Multilevel logistic regression analyses compared the effect of eight risk and contextual factors, including access to in‐school provision, on depression, anxiety and self‐reported deterioration in mental wellbeing. Females, pupils who had experienced food poverty and those who had previously accessed mental health support were at greatest risk of depression, anxiety and a deterioration in wellbeing. Pupils whose parents were going out to work and those preparing for national examinations in the subsequent school year were also at increased risk. Pupils accessing in‐school provision had poorer mental health, but this was accounted for by the background risk and contextual factors assessed, in line with the allocation of in‐school places to more vulnerable pupils. Although the strongest associations with poor mental health during school closures were established risk factors, further contextual factors of particular relevance during lockdown had negative impacts on wellbeing. Identifying those pupils at greatest risk for poor outcomes is critical for ensuring that appropriate educational and social support can be given to pupils either at home or in‐school during subsequent lockdowns. This study assessed mental health and change in wellbeing in a large, diverse sample of pupils during the first UK COVID‐19 school closures, comparing pupils who remained at home with those who were accessing in‐school provision, and adjusting for situational factors. Pupils accessing in‐school provision had poorer mental health, but this was accounted for by pre‐existing vulnerability and contextual factors. Pupils most likely to report deteriorations in wellbeing were female, reported socio‐economic deprivation, had previous mental health needs or upcoming examinations.