Depressive risk among Italian socioeconomically disadvantaged children and adolescents during COVID-19 pandemic: a cross-sectional online survey.
Depressive risk among Italian socioeconomically disadvantaged children and adolescents during COVID-19 pandemic: a cross-sectional online survey.
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DOI：
10.1186/s13052-022-01266-x
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发表时间：
2022-05-07
影响因子：
3.6
通讯作者：
Margari, Lucia
中科院分区：
文献类型：
--
作者：
Serra, Maria;Presicci, Anna;Quaranta, Luigi;Urbano, Maria Rosaria Erminia;Marzulli, Lucia;Matera, Emilia;Margari, Francesco;Margari, Lucia
在当前的COVID-19大流行期间，儿童、青少年和低收入人群被认为特别容易受到心理健康影响。抑郁症是流行病爆发期间常见的负面情绪反应，也容易受到收入不平等等环境风险的影响。我们的目的是在COVID-19爆发期间评估意大利低收入未成年人样本的抑郁症状。我们假设，大流行对社会经济状况的负面影响越强，出现抑郁症状的风险就越高。我们在2020年7月意大利第一波COVID-19大流行结束时进行了一项横断面研究。我们招募了109名7至17岁的意大利社会经济弱势儿童和青少年。我们通过在线调查收集了与流行病相关的压力源的社会人口学和临床数据和信息，并使用儿童抑郁量表2 （CDI 2）、家长版（情绪问题子量表）和自我报告短表评估抑郁症状。我们采用逻辑回归分析来评估抑郁症状与心理健康潜在危险因素之间的关系。22%和14%的参与者分别在CDI 2父母版本和自我报告中表现出抑郁症状。来自大流行期间缺乏基本用品家庭的参与者（34.9%）在CDI 2父母版中更有可能出现抑郁症状。预先存在神经精神诊断的参与者（26.6%）更有可能表现出CDI 2父母版测量的抑郁症状。我们的研究结果表明，一群意大利社会经济上处于不利地位的儿童和青少年，如果他们在大流行期间缺乏基本用品或已有神经发育障碍，则更容易出现抑郁症状。促进教育和儿童保育计划和活动对于持续预防那些特别需要家庭以外支持的体弱受试者的精神痛苦至关重要。需要进一步研究以发现有效的预防和治疗战略，以便在发生另一波大流行时迅速采取。
Children and adolescents and low-income individuals are considered particularly vulnerable for mental health implications during the current COVID-19 pandemic. Depression is a frequent negative emotional response during an epidemic outbreak and is also prone importantly to environmental risk like stressors derived from income inequality. We aimed to assess depressive symptomatology in a sample of Italian low-income minors during the COVID-19 outbreak. We hypothesized that the stronger were the negative effects of the pandemic on socioeconomic conditions, the higher would have been the risk for showing depressive symptoms. We performed a cross-sectional study during July 2020, at the end of the Italian first wave of COVID-19 pandemic. We recruited 109 Italian socioeconomically disadvantaged children and adolescents from 7 to 17 years. We used an online survey to collect socio-demographic and clinical data and information about pandemic-related stressors and to assess depressive symptoms with the Children’s Depression Inventory 2 (CDI 2), Parent Version (Emotional Problems subscale) and Self-Report Short Form. We performed logistic regression analysis to assess the association between depressive symptoms and potential risk factors for mental health. 22% and 14% of participants showed depressive symptoms at the CDI 2 Parent Version and Self-Report, respectively. Participants coming from families experiencing a lack of basic supplies during the pandemic (34.9%) were more expected to show depressive symptoms at CDI 2 Parent Version. Participants with a pre-existing neuropsychiatric diagnosis (26.6%) were more likely to exhibit depressive symptoms measured by CDI 2 Parent Version. The results of our study showed that a group of Italian socioeconomically disadvantaged children and adolescents were more vulnerable to depressive symptoms if they suffered from a paucity of essential supplies during the pandemic or had pre-existing neurodevelopmental disorders. The promotion of educational and child-care programs and activities could be crucial in sustaining the prevention of mental distress in those frail subjects who particularly need support outside the family. Further studies are needed to detect effective preventive and therapeutic strategies to adopt promptly in the case of another pandemic wave.
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影响因子：
3.9
作者：
Asbury, Kathryn;Fox, Laura;Toseeb, Umar
通讯作者：
Toseeb, Umar
影响因子：
3.8
作者：
Cataudella S;Carta S;Mascia ML;Masala C;Petretto DR;Penna MP
通讯作者：
Penna MP
影响因子：
64.3
作者：
Holmes, Emily A.;O'Connor, Rory C.;Bullmore, Ed
通讯作者：
Bullmore, Ed
DOI：
10.1186/s13034-020-00340-8
发表时间：
2020-09-10
影响因子：
5.6
作者：
Maalla M'jid, Najat
通讯作者：
Maalla M'jid, Najat
影响因子：
3.6
作者：
Pisano S;Catone G;Gritti A;Almerico L;Pezzella A;Santangelo P;Bravaccio C;Iuliano R;Senese VP
通讯作者：
Senese VP