Soneson Emma, Puntis Stephen, Chapman Nikki, Mansfield Karen L, Jones Peter B, Fazel Mina
Department of Psychiatry, University of Cambridge, Douglas House, 18b Trumpington Road, Cambridge, CB2 8AH, UK.
Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, OX3 7JX, UK.
Eur Child Adolesc Psychiatry. 2023 Jun;32(6):1131-1146. doi: 10.1007/s00787-021-01934-z. Epub 2022 Feb 17.
Relatively little research has focused on children and young people (CYP) whose mental health and wellbeing improved during Covid-19 lockdown measures. We aimed to (1) determine the proportion of CYP who self-reported improvement in their mental wellbeing during the first Covid-19 lockdown and (2) describe the characteristics of this group in relation to their peers. We conducted a descriptive analysis of data from the 2020 OxWell Student Survey, a self-report, cross-sectional survey of English CYP. A total of 16,940 CYP primarily aged 8-18 years reported on change in mental wellbeing during lockdown. We characterised these CYP in terms of school, home, relational, and lifestyle factors as well as feelings about returning to school. One-third (33%) of CYP reported improved mental wellbeing during the first UK national lockdown. Compared with peers who reported no change or deterioration, a higher proportion of CYP with improved mental wellbeing reported improved relationships with friends and family, less loneliness and exclusion, reduced bullying, better management of school tasks, and more sleep and exercise during lockdown. In conclusion, a sizeable minority of CYP reported improved mental wellbeing during lockdown. Determining the reasons why these CYP felt they fared better during lockdown and considering how these beneficial experiences can be maintained beyond the pandemic might provide insights into how to promote the future mental health and wellbeing of school-aged CYP. All those working with CYP now have an opportunity to consider whether a systemic shift is needed in order to understand and realise any learnings from experiences during the pandemic.
相对较少的研究关注在新冠疫情封锁措施期间心理健康和幸福感得到改善的儿童和青少年（CYP）。我们旨在（1）确定在首次新冠疫情封锁期间自我报告心理健康有所改善的CYP的比例，以及（2）描述该群体相对于其同龄人而言的特征。我们对2020年OxWell学生调查的数据进行了描述性分析，这是一项针对英格兰CYP的自我报告横断面调查。共有16940名主要年龄在8至18岁的CYP报告了封锁期间心理健康的变化。我们根据学校、家庭、人际关系和生活方式因素以及对返校的感受对这些CYP进行了特征描述。三分之一（33%）的CYP报告在英国首次全国封锁期间心理健康有所改善。与报告无变化或恶化的同龄人相比，心理健康有所改善的CYP中，有更高比例的人报告与朋友和家人的关系得到改善、孤独感和被排斥感减少、欺凌行为减少、学校任务管理更好，以及在封锁期间睡眠和锻炼更多。总之，相当一部分CYP报告在封锁期间心理健康有所改善。确定这些CYP在封锁期间感觉情况更好的原因，并考虑如何在疫情之后维持这些有益经历，可能会为如何促进学龄期CYP未来的心理健康和幸福感提供见解。所有与CYP打交道的人现在都有机会考虑是否需要进行系统性转变，以便理解并实现从疫情期间的经历中学到的任何经验教训。
