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中国疫情早期阶段心理健康状况的轨迹:一项针对有确诊病例的社区居住青少年的纵向研究。

Trajectories of mental health status during the early phase pandemic in China: A longitudinal study on adolescents living in the community with confirmed cases.

机构信息

Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, China.

Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, China.

出版信息

Psychiatry Res. 2022 Aug;314:114646. doi: 10.1016/j.psychres.2022.114646. Epub 2022 May 28.

Abstract

Sufficient research reports that individuals living in the community with confirmed COVID-19 cases are more likely to exhibit poor mental health condition. However, little is known about the longitudinal trajectories of mental health status among these people who are exposed to increased risk of contracting COVID-19. Using a 3-wave longitudinal survey between February and June 2020, data has been collected from 2,352 adolescents living in the community with confirmed cases. Depressive/anxiety symptoms, soc-demographic, and other psychological factors of interest (e.g., social support) were measured. Using latent growth mixture modeling, we identified two subgroups (Resistance vs. Dysfunction) of adolescents based on their depressive and anxiety symptoms. More social support and positive coping are identified as protective factors for mental health, whereas higher level of negative coping predicts unfavorable outcomes. These findings suggested that adolescents living in the community with confirmed cases of COVID-19 are a group to which researchers should pay more attention when studying the impacts of quarantine on mental health. It is also crucial to emphasize the role of social support and positive coping in planning psychological interventions for adolescents.

摘要

大量研究报告表明,生活在有确诊 COVID-19 病例的社区中的个体更有可能出现心理健康不良的情况。然而,对于这些接触到 COVID-19 感染风险增加的人群,其心理健康状况的纵向轨迹知之甚少。本研究使用 2020 年 2 月至 6 月期间进行的 3 波纵向调查,从居住在有确诊病例的社区中的 2352 名青少年中收集了数据。测量了抑郁/焦虑症状、社会人口统计学和其他感兴趣的心理因素(例如社会支持)。使用潜在增长混合模型,我们根据青少年的抑郁和焦虑症状确定了两个亚组(抵抗组和功能障碍组)。更多的社会支持和积极应对被确定为心理健康的保护因素,而较高水平的消极应对则预示着不良结果。这些发现表明,生活在有确诊 COVID-19 病例的社区中的青少年是研究人员在研究隔离对心理健康影响时应更加关注的群体。强调社会支持和积极应对在为青少年规划心理干预措施中的作用也至关重要。

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