青少年抑郁症症状轨迹从COVID-19大流行之前到之后
Martinš M Gatavinš1,2, Kate T Tran1,2, Elina Visoki1,2
1Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
JAMA network open
|December 1, 2025
概括
在COVID-19期间,青少年抑郁症的增加. 家庭冲突和欺凌等因素增加了易感性,而家长监督和解决问题的技能促进了青少年的弹性.
科学领域:
- 青少年精神病学 青少年精神病学
- 流行病学 流行病学
- 遗传学 遗传学 是一个
背景情况:
- 在COVID-19大流行期间,全球青少年抑郁率急剧上升.
- 了解风险和弹性因素对于在重大逆境期间制定有效的预防和干预策略至关重要.
研究的目的:
- 在COVID-19封锁之前,期间和之后,在青少年中描述抑郁症症状轨迹.
- 确定影响这些轨迹的潜在风险和弹性因素.
主要方法:
- 一项队列研究跟踪了从2020年3月之前到2022年2月的青少年大脑认知发展研究中的3512名青少年.
- 使用后勤回归来建模抑郁症症状轨迹,分析疫情前的因素 (发育阶段,家庭环境,同行关系,多基因风险) 作为预测因素.
- 结果包括性,易患抑郁症和慢性高症状轨迹.
主要成果:
- 在9.3%的参与者中,发现了易患抑郁症的轨迹 (流行前症状较低,流行后症状较高).
- 这种轨迹与女性性别,晚年青春期,大流行前的家庭冲突,同行/网络欺凌,母亲抑郁病史和多基因抑郁风险有关.
- 疫情前的家长监测和解决问题的技能与较低的抑郁症易感性有关.
结论:
- 经历家庭冲突,欺凌和晚年青春期的青少年在流行后更容易出现持续的抑郁症状.
- 父母监测和解决问题的技能成为重要的,可修改的弹性因素.
- 调查结果强调了针对这些因素的有针对性的干预措施的必要性,以减轻青少年抑郁症.
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