意大利COVID-19大流行期间青少年公共精神病医疗服务利用率的变化:一项观察性研究
Ippazio Cosimo Antonazzo1,2,3,4, Carla Fornari1, Manuel Zamparini1
1Research Centre on Public Health, University of Milano-Bicocca, Monza, Italy.
Frontiers in pharmacology
|March 9, 2026
概括
意大利的COVID-19封锁严重影响了意大利儿童和青少年的心理健康,导致精神病医院紧急诊所和抗抑郁药/抗精神病药物的使用量最初减少,随后增加.
科学领域:
- 公共卫生 公共卫生
- 儿科心理健康 儿科心理健康
- 流行病学 流行病学
背景情况:
- COVID-19 流行病和相关的社会限制在全球范围内影响了儿童和青少年.
- 了解这些措施对心理健康的影响对于公共卫生规划至关重要.
研究的目的:
- 评估意大利COVID-19封锁期间对未成年人的心理健康的影响.
- 分析精神病急诊室访问和药物使用的趋势.
主要方法:
- 一项以人口为基础的研究利用了2017-2022年意大利医疗保健行政数据.
- 间断时间序列分析评估了封锁对精神疾病紧急通道和抗抑郁剂/抗精神病药物 (AD/AP) 使用者的影响.
- 结果以95%信心区间 (95%CI) 的发病率比率 (IRR) 报告.
主要成果:
- 第一次封锁与AD/AP使用的显著下降相关 (IRR=0.49) 和精神病医院紧急访问 (IRR=0.15).
- 封锁后的时期显示了AD/AP药物使用者的明显增加 (第一个封锁后的IRR=2.48;第二个封锁后的IRR=1.26).
- 精神疾病的急诊室访问也在第一次封锁后显著增加 (IRR=1.90).
结论:
- 随着COVID-19的封锁,未成年人的心理健康受到严重影响,这体现在AD/AP药物使用的增加.
- 药物使用的增加需要进行干预,以支持儿科精神健康.
- 调查结果强调需要强有力的公共卫生战略,为未来的危机做好准备.
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