在COVID-19大流行期间,发育和行为障碍的青少年的生活满意度
Phillip Sherlock1, Maxwell Mansolf2, Courtney K Blackwell2
1Northwestern University Feinberg School of Medicine, Chicago, IL, USA. phillip.sherlock@northwestern.edu.
Pediatric research
|October 24, 2023
概括
患有神经发育障碍的青少年在COVID-19期间由于社会联系和家庭参与减少,生活满意度较低. 干预措施应专注于改善这些领域的弱势青年.
科学领域:
- 儿童和青少年心理学 儿童和青少年心理学
- 公共卫生 公共卫生
- 神经发育障碍 神经发育障碍
背景情况:
- 由于COVID-19大流行,造成了广泛的社会混乱,影响了儿童和家庭的心理健康结果.
- 患有精神,情绪,行为和发育障碍 (MEBD) 的青少年的特定子组可能面临更高的负面结果风险.
- 有限的研究已经探索了影响生活满意度的上下文因素,在这个脆弱的人群在疫情期间.
研究的目的:
- 在COVID-19大流行期间,确定与MEBD残疾青少年生活满意度相关的上下文因素.
- 确定易受生活满意度下降的MEBD残疾青少年子组.
- 了解影响生活满意度的风险和保护因素的相互作用.
主要方法:
- 一项横截面研究分析了从2020年4月到2021年8月的1084名青少年 (11-21岁) 的数据.
- 使用了一种连续的机器学习工作流程,包括随机森林和进化树回归.
- 该研究根据交叉的风险因素,保护因素和MEBD残疾确定了子组.
主要成果:
- 患有抑郁症,焦虑症,自闭症和多动症的青少年特别容易减少生活满意度.
- 关键的压力因素包括社会联系的减少,家庭参与和获得医疗护理.
- 流行病相关的创伤性压力和单亲照顾家庭也导致生活满意度降低.
结论:
- 干预措施应优先加强MEBD残疾青少年的社会联系和家庭参与.
- 改善获得医疗支持的机会对这群人来说至关重要,尤其是在流行病等危机期间.
- 解决上下文风险对于维持神经发育障碍青少年生活满意度至关重要.
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