新冠疫情居家隔离后学龄儿童的心理症状进展：一项纵向研究
Psychological Symptom Progression in School-Aged Children After COVID-19 Home Confinement: A Longitudinal Study.
作者信息
Xie Xinyan, Liu Qi, Zhu Kaiheng, Jiang Qi, Feng Yanan, Xiao Pei, Wu Xiaoqian, Song Ranran
机构信息
Department of Maternal and Child Health and Ministry of Education (MOE) Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
出版信息
Front Psychiatry. 2022 Apr 13;13:809107. doi: 10.3389/fpsyt.2022.809107. eCollection 2022.
BACKGROUND
The long-term mental health effects of coronavirus disease 2019 (COVID-19) in children are rarely reported. We aimed to investigate the progression of depressive and anxiety symptoms among a cohort of children in the initial epicenter of COVID-19 in China.
METHODS
Two waves of surveys were conducted in the same two primary schools in Wuhan and Huangshi, Hubei province: Wave 1 from 28 February to 5 March, 2020 (children had been confined to home for 30-40 days) and Wave 2 from 27 November to 9 December, 2020 (schools had reopened for nearly 3 months). Depressive and anxiety symptoms were estimated using the Children's Depression Inventory - Short Form (CDI-S) and the Screen for Child Anxiety Related Emotional Disorders (SCARED), respectively. ΔCDI-S and ΔSCARED scores between Wave 2 and Wave 1 were calculated and further categorized into tertiles. Multivariable linear regression and multinomial logistic regression models were then applied.
RESULTS
A total of 1,224 children completed both surveys. The prevalence of mental health outcomes at Wave 2 increased significantly compared to Wave 1, specifically depressive symptoms (age-standardized prevalence rates: 37.5 vs. 21.8%) and anxiety symptoms (age-standardized prevalence rates: 24.0 vs. 19.6%). Higher ΔSCARED scores were observed in females and children in Wuhan, and children with experience of neglect had higher ΔCDI-S (β = 1.12; 95% CI = 0.67-1.58) and ΔSCARED (β = 6.46; 95% CI = 4.73-8.19) scores compared with those without experience of neglect. When the Δ scores were further categorized into tertiles, similar results were found.
CONCLUSIONS
The prevalence of depressive and anxiety symptoms after schools resumed was increased compared with that during the home quarantine period, even though the COVID-19 pandemic was under control. Females and children in Wuhan, and also children with experience of neglect were at increased risk of mental health disorders.
背景
2019冠状病毒病（COVID-19）对儿童长期心理健康的影响鲜有报道。我们旨在调查中国COVID-19最初疫情中心的一组儿童中抑郁和焦虑症状的发展情况。
方法
在湖北省武汉和黄石的两所相同的小学进行了两轮调查：第一轮于2020年2月28日至3月5日进行（儿童居家隔离30 - 40天），第二轮于2020年11月27日至12月9日进行（学校重新开学近3个月）。分别使用儿童抑郁量表简版（CDI-S）和儿童焦虑相关情绪障碍筛查量表（SCARED）评估抑郁和焦虑症状。计算第二轮和第一轮之间的ΔCDI-S和ΔSCARED得分，并进一步分为三分位数。然后应用多变量线性回归和多项逻辑回归模型。
结果
共有1224名儿童完成了两轮调查。与第一轮相比，第二轮心理健康问题的患病率显著增加，特别是抑郁症状（年龄标准化患病率：37.5%对21.8%）和焦虑症状（年龄标准化患病率：24.0%对19.6%）。在女性和武汉的儿童中观察到较高的ΔSCARED得分，与没有被忽视经历的儿童相比，有被忽视经历的儿童的ΔCDI-S（β = 1.12；95%置信区间 = 0.67 - 1.58）和ΔSCARED（β = 6.46；95%置信区间 = 4.73 - 8.19）得分更高。当将Δ得分进一步分为三分位数时，发现了类似的结果。
结论
尽管COVID-疫情得到了控制，但学校复课后抑郁和焦虑症状的患病率与居家隔离期间相比有所增加。女性、武汉的儿童以及有被忽视经历的儿童心理健康障碍风险增加。 19大流行
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