在COVID-19大流行期间,面临逆境的青少年的心理健康状况
Julia H Raney1, Shayna Weinstein2, Kyle T Ganson3
1Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco.
JAMA network open
|March 13, 2024
概括
在COVID-19期间,有高不良童年经历 (ACE) 的青少年报告说,当他们亲自上学并从事像炼这样的健康应对行为时,他们的心理健康会更好. 这些因素显著改善了积极的影响,并减少了感知压力.
科学领域:
- 青少年心理健康 青少年心理健康
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 不利的童年经历 (ACE) 与负面的心理健康结果有关.
- 在COVID-19大流行期间,了解ACE青少年的保护因素至关重要.
- 以前的研究还没有充分探索这些关联.
研究的目的:
- 在COVID-19大流行期间调查与改善ACE青少年心理健康相关的因素.
- 确定特定的基于学校和行为因素,促进这个弱势群体的福祉.
主要方法:
- 一项采用青少年大脑认知发展 (ABCD) 研究的COVID快速反应研究 (RRR) 调查数据的横截面研究.
- 包括4515名年龄在11-15岁的青少年,按ACE分层.
- 使用线性回归分析了学校因素,应对行为,积极影响 (PA) 和感知压力 (PS) 之间的关联.
主要成果:
- 对于高ACE的青少年来说,亲自上学与更高的PA (B=5.55) 和更低的PS有关.
- 健康的应对行为,包括照顾自己的身体和炼,与更好的心理健康结果 (更高的PA,更低的PS) 有关.
- 这些保护因素对高ACE的青少年的心理健康产生了更大的影响.
结论:
- 在大流行期间,亲自上学和健康的应对行为是患有高ACE的青少年的重要保护因素.
- 干预措施应考虑促进这些因素,以支持青少年心理健康.
- 需要进一步的研究,以确定临床和学校为有风险的年轻人提供保护策略.
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