Department of Child and Adolescent Psychiatry, Erasme Hospital, Brussels, Belgium.
Department of Child and Adolescent Psychiatry, Queen Fabiola Children's University Hospital, Brussels, Belgium.
J Community Psychol. 2021 Mar;49(2):468-480. doi: 10.1002/jcop.22473. Epub 2020 Nov 10.
This study evaluated the risks and protective factors in mental health in 825 emerging adults aged from 18 to 25 years old in Belgium and in Italy. Resilience, loneliness and social, and family context were explored to determine their specific role in coping with the emotional distress that spread worldwide during the coronavirus disease 2019 (COVID-19) pandemic. We conducted an online survey on the secured platform Research Electronic Data Capture©. Data were collected between April 7th and May 4th, 2020. The primary outcomes were the resilience scale for adults (RSA) and the University of California Los Angeles Loneliness Scale. The secondary outcomes included mental health status in terms of professional help seeking, use of psychotropic drugs, admission to a psychiatric department before and during lockdown measures. Responders were divided into three groups following the mental healthcare needs (MHCN) before and after the lockdown measures. The group who experienced an increase in MHCN represented almost 5% of the assessed youth. Statistically significant differences were found in means of RSA total score and RSA perception of self. This study enlightens the possibly traumatic impact of the COVID-19 pandemic on at-risk youth's mental health. Early detection and intervention should be structured in large-scale disasters.
本研究评估了 825 名年龄在 18 至 25 岁的比利时和意大利新兴成年人心理健康的风险和保护因素。为了确定韧性、孤独感以及社会和家庭环境在应对 2019 年冠状病毒病(COVID-19)大流行期间在全球范围内蔓延的情绪困扰方面的具体作用,对其进行了探索。我们在安全的 Research Electronic Data Capture©平台上进行了在线调查。数据收集于 2020 年 4 月 7 日至 5 月 4 日之间。主要结局指标为成人韧性量表(RSA)和加州大学洛杉矶分校孤独量表。次要结局指标包括心理健康状况,包括专业寻求帮助、使用精神药物、在封锁措施前后入住精神病科。根据封锁措施前后的精神卫生保健需求(MHCN),将应答者分为三组。经历 MHCN 增加的群体几乎占评估青年的 5%。RSA 总分和 RSA 自我感知的均值存在统计学显著差异。本研究揭示了 COVID-19 大流行对处于危险中的青年心理健康可能产生的创伤性影响。应在大规模灾害中构建早期检测和干预措施。