RAPID: Trajectories of Risk and Resilience in the Health and Psychological Adjustment of College Students in Response to COVID-19

新冠肺炎疫情对身心健康和经济稳定造成了重大破坏。以前关于流行病及其对社会的影响的研究很少记录美国年轻人急性精神健康后果的后果或风险/保护因素。这项研究将评估年轻人在大流行期间和之后的自我认同、健康和心理健康状况。这些年轻人在未来几十年将成为美国劳动力的关键组成部分，我们社会的运转将取决于他们如何从这场流行病中脱颖而出。这项研究还将探讨收入水平和少数群体状况在多大程度上影响大流行对健康结果的影响，并将确定与高风险和高复原力相关的因素。反过来，这将有助于创建新的综合青少年心理健康干预措施，以缓解新冠肺炎和类似未来颠覆性事件带来的挑战。使用前瞻性队列设计，该项目将解决三个基础研究挑战。首先，它将根据不同年轻人的性别、收入和种族/种族来确定他们在应对当前流行病时的心理/身体健康状况的轨迹。第二，它将确定特定精神障碍(例如，抑郁障碍、焦虑障碍、创伤后应激障碍)的风险和保护因素。第三，它将通过进行定性的深入采访，评估年轻人的流行病经历以及他们为克服新冠肺炎带来的挑战所做的努力。这项研究的结果将详细阐述发展理论，以帮助设计一种综合的应对流行病的方法，改善年轻人的健康和心理结果。该奖项反映了NSF的法定使命，并通过使用基金会的智力优势和更广泛的影响审查标准进行评估，被认为值得支持。

The COVID-19 pandemic has produced major disruptions of physical and mental health and of economic stability. Previous research on pandemics and their impacts on society has rarely documented the consequences or risk/protective factors of acute mental health outcomes of young adults in the United States. This study will assess the self-identity, health, and psychological well-being of young adults during and after the pandemic. These young adults will be a critical part of the U.S. workforce in future decades, and the functioning of our society will depend on how they emerge from this pandemic. This study will also explore the extent to which income level and minority status influence the effects of the pandemic on health outcomes and will identify factors associated with high levels of risk and resilience. In turn, this will help create new integrated young adult mental health interventions to mitigate the challenges caused by COVID-19 and similar future disrupting events. Using a prospective cohort design, this project will address three fundamental research challenges. First, it will determine trajectories of the mental/physical health status of diverse young adults based on their gender, income, and ethnicity/race in responses to the current pandemic. Second, it will identify risk and protective factors for specific mental disorders (e.g., depressive disorder, anxiety disorder, PTSD). Third, it will assess young adults’ pandemic experience and their efforts to overcome the challenges presented by COVID-19 by conducting qualitative in-depth interviews. Outcomes from this study will elaborate development theory in ways that can help design an integrated response to the pandemic that improves health and psychological outcomes among young adults.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.