University of Houston, Texas.
University of Houston, Texas.
J Am Acad Child Adolesc Psychiatry. 2021 Apr;60(4):513-523. doi: 10.1016/j.jaac.2020.12.027. Epub 2020 Dec 24.
Children and adolescents, individuals from racial and ethnic minority groups, and those with mental health conditions may be at greater risk for worsened mental health because of the COVID-19 pandemic. This study examined change in mental health from before to during the pandemic among predominantly Hispanic/Latinx adolescents.
A total of 322 young adolescents (mean age = 11.99 years, 55% female and 45% male), with a racial/ethnic composition of 72.7% Hispanic/Latinx, 9.3% Black or African American, 5.9% multiple races, 5.0% Asian, 1.6% White, and 1.2% American Indian, completed a mental health screening measure prior to the COVID-19 pandemic and at 3 time-points beginning 1 month after COVID-19 stay-at-home measures were implemented. A subsample also completed a survey about their experience at home during COVID-19. Repeated-measures mixed analysis of covariance was used to evaluate change in each mental health domain, and whether youths who had elevated symptoms at baseline differed in their level of change, controlling for age and gender.
For youths who had elevated levels of mental health problems before the pandemic, symptoms were significantly reduced across domains during the pandemic. Reductions in internalizing, externalizing, and total problems were clinically significant. For other youths, there were statistically significant reductions in internalizing and total problems, and no change in attention or externalizing problems. Post hoc analyses revealed that better family functioning was consistently related to lower mental health symptoms in youths during COVID-19 follow-ups.
COVID-19 stay-at-home regulations may offer protective effects for youth mental health. Study results may be specific to this population of predominantly Hispanic/Latinx youths from a large city in the southwestern United States.
儿童和青少年、少数族裔群体的个体以及有心理健康问题的人,由于 COVID-19 大流行,他们的心理健康可能会恶化。本研究检查了在大流行期间,以西班牙裔/拉丁裔为主的青少年的心理健康从之前到现在的变化。
共有 322 名年轻青少年(平均年龄为 11.99 岁,55%为女性,45%为男性),种族/族裔构成分别为 72.7%为西班牙裔/拉丁裔,9.3%为非裔美国人,5.9%为多种族裔,5.0%为亚裔,1.6%为白人,1.2%为美洲印第安人,他们在 COVID-19 大流行之前完成了一项心理健康筛查测量,在 COVID-19 居家措施实施后,有 3 个时间点开始进行。一个亚样本还完成了一份关于他们在 COVID-19 期间在家中经历的调查。采用重复测量混合方差分析来评估每个心理健康领域的变化,以及基线时出现症状升高的青少年在变化程度上是否存在差异,同时控制年龄和性别。
对于在大流行前心理健康水平较高的青少年来说,在大流行期间,所有领域的症状都显著减轻。内省、外显和总问题的减少具有临床意义。对于其他青少年,内省和总问题的统计学显著减少,而注意力或外显问题没有变化。事后分析表明,在 COVID-19 随访期间,家庭功能更好与青少年心理健康症状较低有关。
COVID-19 居家规定可能对青少年心理健康有保护作用。研究结果可能仅适用于美国西南部一个大城市以西班牙裔/拉丁裔为主的这一人群。