COVID-related distress, mental health, and substance use in adolescents and young adults.
COVID-related distress, mental health, and substance use in adolescents and young adults.
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DOI：
10.1111/camh.12550
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发表时间：
2022-05
影响因子：
6.1
通讯作者：
Copeland, William E.
中科院分区：
文献类型：
--
作者：
Villanti, Andrea C.;LePine, S. Elisha;Peasley-Miklus, Catherine;West, Julia C.;Roemhildt, Maria;Williams, Rhonda;Copeland, William E.
这项研究考察了与COVID相关的干扰对居住在COVID负担最初较低且面对面学习比其他州更早重新开始的年轻人的心理健康和物质使用的影响。数据来自佛蒙特州政策和沟通评估(PACE)的第三波(2019年秋季)和第四波(2020年秋季)，这是一项针对青少年(12-17岁)和年轻人(18-25岁)的在线队列研究。第四波的参与者(212名青少年；662名年轻人)完成了关于COVID相关应激源、大流行对他们物质使用的影响、简明精神健康量表和过去30天物质使用的项目。分析检查了COVID相关应激源、精神健康症状和物质使用之间的相关和纵向关系。超过60%的参与者注意到大流行对他们的身体、情感和社会福祉的负面影响，与青少年相比，与COVID相关的应激源对年轻人的影响更大。在2019年秋季至2020年秋季期间，年轻人的抑郁症状(OR 1.31，95%CI 1.03，1.66)和焦虑症状(OR 1.34；95%CI 1.10，1.64)显著增加。在调整后的横断面和纵向模型中，总体COVID影响评分越高，抑郁和焦虑症状以及过去30天电子蒸气产品使用的几率越高。年轻人中与COVID相关的痛苦、精神健康和药物使用结果之间的密切联系表明，有机会增加基于证据的干预措施，同时增加新的方法，将大流行对青少年和年轻人心理健康的长期损害降至最低。
This study examined the impact of COVID‐related disruptions on mental health and substance use in young people residing in a state with an initially lower COVID burden and earlier reopening of in‐person learning than other states. Data come from Waves 3 (Fall 2019) and 4 (Fall 2020) of the Policy and Communication Evaluation (PACE) Vermont, an online cohort study of adolescents (ages 12–17) and young adults (ages 18–25). Participants in Wave 4 (212 adolescents; 662 young adults) completed items on COVID‐related stressors, the impact of the pandemic on their substance use, brief mental health scales, and past 30‐day substance use. Analyses examined correlational and longitudinal relationships between COVID‐related stressors, mental health symptoms, and substance use. More than 60% of participants noted negative effects of the pandemic on their physical, emotional, and social well‐being, with greater impacts of COVID‐related stressors in young adults than adolescents. There were significant increases in depressive (OR 1.31, 95% CI 1.03, 1.66) and anxiety symptoms (OR 1.34; 95% CI 1.10, 1.64) in young adults between Fall 2019 and Fall 2020. Higher overall COVID Impact scores were associated with higher odds of depressive and anxiety symptoms, as well as past 30‐day electronic vapor product use, in adjusted cross‐sectional and longitudinal models. Robust associations between COVID‐related distress, mental health, and substance use outcomes in young people signal the opportunity to increase evidence‐based interventions while adding novel approaches to minimize longer‐term harms of the pandemic on mental health in adolescents and young adults.
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影响因子：
8
作者：
Goodman, E;Adler, NE;Colditz, GA
通讯作者：
Colditz, GA
影响因子：
1.7
作者：
Arnett, JJ
通讯作者：
Arnett, JJ
影响因子：
10.3
作者：
Fitzpatrick, Kevin M.;Drawve, Grant;Harris, Casey
通讯作者：
Harris, Casey
影响因子：
3.8
作者：
Aminoff V;Sellén M;Sörliden E;Ludvigsson M;Berg M;Andersson G
通讯作者：
Andersson G
影响因子：
4.2
作者：
Conway, Kevin P.;Green, Victoria R.;Compton, Wilson M.
通讯作者：
Compton, Wilson M.