在COVID-19之前和之后,中国青少年抑郁症的发展轨迹:跨时代元分析与细分回归
Xiayu Du1, Hanzhang Wu1, Sailigu Yalikun1
1Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Key Laboratory of Human Development and Mental Health of Hubei Province, National Intelligent Society Governance Experiment Base (Education), School of Psychology, Central China Normal University, Wuhan, China.
Journal of affective disorders
|December 31, 2024
概括
2020年后,中国青少年抑郁症状显著增加,社会因素失去了预测能力. 这一转变突显了大流行病的危险性.
科学领域:
- 心理健康研究 心理健康研究
- 青少年心理学 青少年心理学
- 流行病学 流行病学
背景情况:
- 全球范围内,COVID-19疫情对青少年心理健康产生了重大影响,在中国产生了显著影响.
- 关于中国青少年在疫情前后出现抑郁症状的时间趋势的研究有限.
- 了解这些趋势对于制定有针对性的心理健康干预措施至关重要.
研究的目的:
- 为了调查中国青少年在COVID-19大流行前和后抑郁症状水平的变化.
- 确定影响青少年心理健康这些转变的关键因素.
- 为有关青少年抑郁症的公共卫生战略提供证据.
主要方法:
- 进行了跨时间元分析,综合了2010年至2023年间发表的91项研究 (N=473,781) 的数据.
- 研究使用患者健康问卷-9 (PHQ-9) 来评估中国青少年的抑郁症状.
- 在主要的英语和中国学术数据库中进行了搜索.
主要成果:
- 从2010年到2020年,年份不是抑郁症状的重要预测因素;然而,从2021年到2023年,它成为了重要的积极预测因素.
- 在2021年之前,女性的抑郁症状比男性减少得更大;在2021年之后,性别差异并不显著.
- 社会联系指标 (家庭规模,离婚率,城市化) 显著预测了2021年之前的较低抑郁症状,但这种效应在2021年后消失了.
结论:
- 该研究揭示了2020年后中国青少年抑郁症状的显著增加,与大流行病相吻合.
- 社会联系因素的作用减少表明,影响青少年心理健康的复杂相互作用.
- 这些发现有助于制定有效的预防和干预策略,以应对中国青少年抑郁症.
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