Ramirez Saray, Aldunate María Paz, Arriagada Carolina, Bueno Massiel, Cuevas Florencia, González Xaviera, Araya Ricardo, Gaete Jorge
Departamento de Epidemiología y Estudios en Salud, Facultad de Medicina, Universidad de los Andes, Santiago, Chile.
Office of Children and Adolescents, Municipality of Lo Barnechea, Santiago, Chile.
Front Psychiatry. 2021 Apr 29;12:647456. doi: 10.3389/fpsyt.2021.647456. eCollection 2021.
Mental health problems among children and adolescents are frequent. Today, the world is facing a pandemic with a novel coronavirus, which is related to the higher rates of mental problems reported worldwide. The objective of this study was to determine the impact of the Covid-19 related experiences, educational experiences, and family functioning on mental health and wellbeing among children and adolescents in Chile during the Pandemic and lockdown health measures. This is a cross-sectional analysis of the first wave of an ongoing longitudinal study among girls and boys of Pre-Kindergarten to 12th grade (4-18 years old) in Santiago, Chile. The sample consisted of 979 students from eight different schools. The method of data collection was online surveys administered to parents and adolescents. The dependent variables were mental health problems and wellbeing. Several independent variables were assessed (sociodemographic variables, Covid-19 related experiences, related educational experiences, and family functioning). A descriptive analysis and univariable and multivariable regression models were performed to study the association between variables. Positive educational experiences, primarily academic self-concept, reduced the probability of mental health problems and increased wellbeing. Among covid-19 related variables, practicing meditation or praying reduced emotional problems, while having family or health problems increased emotional problems among adolescents. No clear association between Covid-19 related experiences variables among children was found. Our findings may help educational and public health authorities to plan future school preventive interventions to improve mental health and wellbeing in this population.
儿童和青少年中的心理健康问题很常见。如今,世界正面临一场由新型冠状病毒引发的大流行,这与全球报告的较高心理健康问题发生率有关。本研究的目的是确定在大流行和封锁健康措施期间,与新冠疫情相关的经历、教育经历和家庭功能对智利儿童和青少年心理健康和幸福的影响。这是对智利圣地亚哥正在进行的一项纵向研究第一波的横断面分析,研究对象为幼儿园前班至12年级(4 - 18岁)的男孩和女孩。样本包括来自八所不同学校的979名学生。数据收集方法是对家长和青少年进行在线调查。因变量是心理健康问题和幸福状况。评估了几个自变量(社会人口统计学变量、与新冠疫情相关的经历、相关教育经历和家庭功能)。进行了描述性分析以及单变量和多变量回归模型分析,以研究变量之间的关联。积极的教育经历,主要是学业自我概念,降低了心理健康问题的概率并提高了幸福感。在与新冠疫情相关的变量中,冥想或祈祷减少了情绪问题,而家庭或健康问题增加了青少年的情绪问题。在儿童中未发现与新冠疫情相关经历变量之间有明确关联。我们的研究结果可能有助于教育和公共卫生当局规划未来的学校预防干预措施,以改善这一人群的心理健康和幸福状况。