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社会経済的に不利な立場にある若者の不安とうつ症状のネットワークにおけるパンデミック後の変化 繰り返し実施された横断研究
Aziz Essadek1,2, Tamara Guenoun3, Florence Gressier4
1Laboratoire INTERPSY UR4432, Université de Lorraine, 54015 Nancy, France.
SSM - population health
|September 2, 2025
まとめ
流行後の若年層は 鬱や不安の悪化に直面し 自殺の念頭も ほぼ2倍になりました 不安症状が中心になり 自殺の念に繋がり 統合された精神衛生の介入が必要になります
科学分野:
- メンタルヘルスの研究
- 精神科
- 公衆衛生
背景:
- COVID-19の流行は,社会経済的に恵まれない若者の精神的健康に不均衡な影響を及ぼしました.
- 一般的な心理的苦痛はパンデミック後減少したが,脆弱なグループは依然として高いリスクにさらされている.
- ネットワーク分析は,症状のダイナミクスを調べるためのトランス診断の枠組みを提供します.
研究 の 目的:
- 2020年から2024年までの社会経済的に恵まれない若者のうつ病と不安症状のネットワークの変化を調査する.
- 症状の相互作用と中心性を時間とともに評価する.
- 症状のクラスタリングの変化とその自殺思考との関係を特定する.
主な方法:
- 社会的・経済的に不利な立場にある若者を対象に,重複的な横断研究が実施された.
- うつ病 (PHQ-9) と不安症 (GAD-7) の症状は,2つの時間点 (2020年および2024年-2025年) で評価されました.
- 症状ネットワークと中心性を分析するために,ガウスのグラフィックモデルとネットワーク比較テストが使用されました.
主要な成果:
- うつ病 (9. 43から11. 35) と不安症 (6. 3から8. 14) のスコアが著しく上昇した.
- 自殺念頭の発症率は 25.9%から 42.9%にほぼ倍増した.
- ネットワーク分析により 症状の相互関係が増加し,不安症状の中心性が高まり,自殺願望が不安に関連したクラスターに 移行することが明らかになりました.
結論:
- パンデミック後の精神病学的ネットワークは 焦慮症状の集中と 自殺思考との関連が顕著に表れています
- 鬱と不安の両方に 対処する標的型介入は 脆弱な若い成人の自殺リスクを減らすために 極めて重要です
- 社会経済的に恵まれない若者のための統合された精神保健支援の必要性を強調しています.
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