Research Institute for Public Healthcare, National Medical Center, Seoul, Korea.
National Emergency Medical Center, National Medical Center, Seoul, Korea.
J Korean Med Sci. 2022 Jun 27;37(25):e199. doi: 10.3346/jkms.2022.37.e199.
The coronavirus disease 2019 (COVID-19) outbreak and subsequent disease-containment measures (such as school closures) significantly affected the lives of adolescents. We evaluated the mental-health status and factors associated with anxiety and depression among South Korean adolescents.
A nationwide online survey was conducted to evaluate the mental-health status of South Korean adolescents during the COVID-19 pandemic. In total, 570 adolescents aged 13-18 years were surveyed between May 27 and June 11, 2021. The participants completed the Generalized Anxiety Disorder Scale (GAD-7) and Patient Health Questionnaire (PHQ-9) to determine anxiety and depression symptoms, respectively. Stepwise logistic regression models were constructed to determine factors related to anxiety and depression.
Among the study participants, 11.2% and 14.2% had anxiety and depression, respectively. The results suggested that several factors, such as the experience of COVID-19 infection and quarantine of oneself, a family member or an acquaintance, physical and mental health problems, and fear of one's local community being discriminated against as a COVID-19 area were related to anxiety and depression.
The present study identified COVID-19-related factors associated with anxiety and depression among adolescents, and provides insights regarding potential interventions to improve the mental health of adolescents. To promote the mental health of adolescents during the COVID-19 pandemic, special attention should be paid to individuals with physical or mental-health problems, and efforts should be made to reduce the negative social and emotional impacts of infection-control measures.
2019 年冠状病毒病（COVID-19）疫情及其后续的疾病控制措施（如学校停课）极大地影响了青少年的生活。我们评估了韩国青少年的心理健康状况，以及与焦虑和抑郁相关的因素。
在 COVID-19 大流行期间，我们进行了一项全国性的在线调查，以评估韩国青少年的心理健康状况。共有 570 名 13-18 岁的青少年参加了调查，调查时间为 2021 年 5 月 27 日至 6 月 11 日。参与者完成了广泛性焦虑障碍量表（GAD-7）和患者健康问卷（PHQ-9），以分别确定焦虑和抑郁症状。构建逐步逻辑回归模型来确定与焦虑和抑郁相关的因素。
在研究参与者中，分别有 11.2%和 14.2%的人有焦虑和抑郁症状。结果表明，一些因素，如 COVID-19 感染和自身、家庭成员或熟人的隔离、身心健康问题以及担心自己所在社区被歧视为 COVID-19 地区，与焦虑和抑郁有关。
本研究确定了 COVID-19 相关因素与青少年焦虑和抑郁的关系，为改善青少年心理健康提供了潜在干预措施的见解。为了在 COVID-19 大流行期间促进青少年的心理健康，应特别关注有身体或精神健康问题的个体，并努力减少感染控制措施带来的负面社会和情感影响。
