Increased severity of mental health symptoms among adolescent inpatients during COVID-19.

Increased severity of mental health symptoms among adolescent inpatients during COVID-19.
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DOI:
10.1016/j.genhosppsych.2022.04.004
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发表时间:
2022-07
影响因子:
7
通讯作者:
Nash CC
Nash CC
中科院分区:
医学2区
文献类型:
--
作者:
Millner AJ;Zuromski KL;Joyce VW;Kelly F;Richards C;Buonopane RJ;Nash CC

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此前的研究表明,COVID-19大流行对青少年的心理健康有害。然而,还没有研究探讨这种流行病是否与高风险青年(如因精神危机住院的青年)症状严重程度增加有关。在四年的时间里,在进入青少年精神病住院部后,青少年完成了抑郁(流行病学研究中心抑郁量表),感觉像负担和缺乏幸福感(人际需求问卷),创伤相关症状(儿童创伤筛查),自杀想法和行为(自我伤害思想和行为访谈自我报告版本)的测量。我们将大流行期间收治的患者的这些症状的严重程度与大流行前三年收治于同一单位的患者的严重程度进行了比较。在大多数症状中,与大流行前住院的年轻人相比,大流行期间住院的年轻人报告严重程度增加。与大流行前三年在同一住院单位住院的青少年相比,大流行期间需要精神科住院的青少年报告的症状严重程度增加。
Prior research suggests that the COVID-19 pandemic has been detrimental to adolescent mental health. However, no research has examined whether the pandemic is associated with increased symptom severity among high-risk youth, such as those hospitalized for a psychiatric crisis. Over a four-year period, upon admission to an adolescent psychiatric inpatient unit, youth completed measures of depression (Center for Epidemiologic Studies Depression Scale), feeling like a burden and lack of belongingness (Interpersonal Needs Questionnaire), trauma-related symptoms (Child Trauma Screen), suicidal thoughts and behaviors (Self-Injurious Thoughts and Behaviors Interview Self-Report Version). We compared the severity of these symptoms for patients admitted during the pandemic to the severity for patients admitted to the same unit in the three years before the pandemic. Across most symptoms, youth hospitalized during the pandemic reported increased severity compared to those hospitalized before the pandemic. Adolescents requiring psychiatric hospitalization during the pandemic reported increased symptom severity compared to adolescents hospitalized on the same inpatient unit in the three years prior to the pandemic.
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