Impacts of COVID-19 on mental health and substance use in youth and young adults

项目摘要 与我们项目的开始(R21DA051943)不谋而合，新冠肺炎大流行极大地改变了 青年和年轻人的生活。在佛蒙特州，2020年3月发布了“待在家里，确保安全”的命令， 学校在本学年的剩余时间里停课，大学在结束时过渡到远程学习 春季学期的。青春期和青春期典型的社会互动中断可能会 导致影响物质使用的同龄人和学校影响的减少；它们也可能增加 社会孤立。与减少这些亲社会影响相关的风险可能会被放大 在此期间，暴露于父母或家庭对物质使用的影响。国家研究文件 应对COVID相关应激源的心理健康症状增加，突显出 年轻人的抑郁、焦虑、孤独和自杀。心理健康症状反过来又是相关的。 与青少年和成年人的烟草和物质使用有关。预防青少年COVID相关发病率和死亡率 人们将需要对精神健康症状进行持续的纵向跟踪，并进行快速干预以缓解 它们对物质使用的影响。我们的研究体现了实现心理健康和 物质使用监测和预防目标。为配合该机制的“时效性”，我们 重点增加了与CoVID相关的经历、痛苦以及新冠肺炎大流行对 母研究中三个调查波中的物质使用情况。这一修订提出了三波额外的 在当前项目期内收集1,000名青年和青年的数据，以记录 2020年秋季至春季新冠肺炎大流行对青少年和青壮年心理健康和物质使用的影响 2022年预计这一时间表还将涵盖疫苗的发放和更多的面对面学校和 工作。本附录直接涉及NOT-DA-20-047中的研究优先级，以使用正在进行的研究来 了解新冠肺炎对物质使用的广泛影响：每季度收集的纵向调查 青年和青壮年样本将提供有关COVID相关关系的细粒度数据 压力源、心理健康和物质使用。此外，鉴于佛蒙特州迅速重返青少年面授学校 2020年秋季，这项研究的数据将提供有关对年轻人的潜在影响的关键信息 全国范围内与大流行相关的重新开放努力的人们。

PROJECT ABSTRACT Coincident with the start of our project (R21DA051943), the COVID-19 pandemic dramatically altered the lives of youth and young adults. In Vermont, “stay home, stay safe” orders were issued in March 2020, with schools closed for the remainder of the academic year and colleges transitioning to remote learning for the end of the spring semester. Disruptions in social interactions typical of adolescence and young adulthood may have resulted in reductions in peer and school influences that impact substance use; they may also have increased social isolation. Risks associated with reductions in these prosocial influences may be magnified by greater exposure to parental or household influences on substance use during this time. National studies document increases in mental health symptoms in response to COVID-related stressors, highlighting vulnerability for depression, anxiety, loneliness, and suicidality in young adults. Mental health symptoms, in turn, are correlated with tobacco and substance use in youth and adults. Preventing COVID-related morbidity and mortality in young people will require ongoing longitudinal tracking of mental health symptoms and rapid intervention to mitigate their effects on substance use. Our study embodies the infrastructure needed to achieve mental health and substance use surveillance and prevention goals. In line with the “time sensitive” nature of the mechanism, we pivoted to add items on COVID-related experiences, distress, and the impact of the COVID-19 pandemic on substance use in the three survey waves in the parent study. This revision proposes three additional waves of data collection in 1,000 youth and young adults within the current project period to document the effects of the COVID-19 pandemic on youth and young adult mental health and substance use from Fall 2020 through Spring 2022. This timeline is also expected to span the release of a vaccine and greater return to in-person school and work. This supplement directly addresses the research priority in NOT-DA-20-047 to use ongoing studies to understand the broad impacts of COVID-19 on substance use: longitudinal surveys collected quarterly in a large sample of youth and young adults will provide fine-grained data on the relationship between COVID-related stressors, mental health, and substance use. Further, given Vermont’s rapid return to in-person school for youth and young adults in Fall 2020, data from this study will provide key information on the potential impact on young people of pandemic-related re-opening efforts across the country.