Beijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical School, Beijing, 10096, China.
The First High School of Juxian, Rizhao, Shandong, China.
Eur Child Adolesc Psychiatry. 2020 Jun;29(6):749-758. doi: 10.1007/s00787-020-01541-4. Epub 2020 May 3.
Psychological health problems, especially emotional disorders, are common among adolescents. The epidemiology of emotional disorders is greatly influenced by stressful events. This study sought to assess the prevalence rate and socio-demographic correlates of depressive and anxiety symptoms among Chinese adolescents affected by the outbreak of COVID-19. We conducted a cross-sectional study among Chinese students aged 12-18 years during the COVID-19 epidemic period. An online survey was used to conduct rapid assessment. A total of 8079 participants were involved in the study. An online survey was used to collect demographic data, assess students' awareness of COVID-19, and assess depressive and anxiety symptoms with the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder (GAD-7) questionnaire, respectively. The prevalence of depressive symptoms, anxiety symptoms, and a combination of depressive and anxiety symptoms was 43.7%, 37.4%, and 31.3%, respectively, among Chinese high school students during the COVID-19 outbreak. Multivariable logistic regression analysis revealed that female gender was the higher risk factor for depressive and anxiety symptoms. In terms of grades, senior high school was a risk factor for depressive and anxiety symptoms; the higher the grade, the greater the prevalence of depressive and anxiety symptoms. Our findings show there is a high prevalence of psychological health problems among adolescents, which are negatively associated with the level of awareness of COVID-19. These findings suggest that the government needs to pay more attention to psychological health among adolescents while combating COVID-19.
心理健康问题，尤其是情绪障碍，在青少年中很常见。情绪障碍的流行病学受压力事件的影响很大。本研究旨在评估受 COVID-19 爆发影响的中国青少年中抑郁和焦虑症状的流行率和社会人口统计学相关性。我们在 COVID-19 流行期间对 12-18 岁的中国学生进行了横断面研究。采用在线调查进行快速评估。共有 8079 名参与者参与了这项研究。采用在线调查收集人口统计学数据，评估学生对 COVID-19 的认识，并分别使用患者健康问卷 (PHQ-9) 和广泛性焦虑障碍 (GAD-7) 问卷评估抑郁和焦虑症状。在 COVID-19 爆发期间，中国高中生的抑郁症状、焦虑症状和抑郁与焦虑症状合并的患病率分别为 43.7%、37.4%和 31.3%。多变量逻辑回归分析显示，女性是抑郁和焦虑症状的较高风险因素。就年级而言，高中是抑郁和焦虑症状的危险因素；年级越高，抑郁和焦虑症状的患病率越高。我们的研究结果表明，青少年心理健康问题普遍存在，与对 COVID-19 的认识程度呈负相关。这些发现表明，政府在抗击 COVID-19 的同时，需要更加关注青少年的心理健康。
