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COVID-19 大流行对有精神科诊断的儿童心理健康的影响 - 多维 CCPCA 模型。

The impact of the COVID-19 pandemic on the mental health of children with psychiatric diagnoses - multidimensional CCPCA Model.

机构信息

Department of Child Psychiatry, Medical University of Warsaw, Żwirki i Wigury 63A, 02-191, Warsaw, Poland.

Faculty of Information and Communication Technology, Wrocław University of Science and Technology, Wybrzeże Wyspiańskiego 27, 50-370, Wroclaw, Poland.

出版信息

BMC Psychiatry. 2022 Jul 23;22(1):495. doi: 10.1186/s12888-022-04144-2.

Abstract

BACKGROUND

The study aimed to assess the severity of symptoms of anxiety and depression in children with previously diagnosed psychiatric disorders during the COVID-19 pandemic in Poland.

METHODS

Online questionnaires were used to investigate three groups of subjects: patients with a psychiatric diagnosis, primary school pupils, and children from children's homes. A total of 167 children with their parents or guardians participated in the study. In addition to basic statistics, a multidimensional Centroid Class Principal Component Analysis (CCPCA) model was used.

RESULTS

It was found that the strongest fear of the coronavirus was experienced by children from children's homes, while the most severe depressive symptoms and state anxiety were observed among patients diagnosed with psychiatric disorders. Parental care by assisting with school education and lack of close contact with other people (less than two metres) at parents/guardians' work had the most potent protective effect in reducing the fear of COVID-19.

CONCLUSIONS

There is a need for further research in children and adolescents to develop effective strategies for protecting their mental well-being when faced with social isolation or disease.

摘要

背景

本研究旨在评估在波兰 COVID-19 大流行期间,先前被诊断为精神疾病的儿童的焦虑和抑郁症状的严重程度。

方法

使用在线问卷对三组受试者进行了调查:有精神科诊断的患者、小学生和儿童福利院的儿童。共有 167 名儿童及其父母或监护人参与了这项研究。除了基本统计数据外,还使用了多维质心类主成分分析(CCPCA)模型。

结果

研究发现,儿童福利院的儿童对冠状病毒的恐惧最强,而被诊断为精神疾病的患者则表现出最严重的抑郁症状和状态焦虑。父母通过协助学校教育和减少与父母/监护人工作场所的其他人(两米以内)的密切接触来照顾孩子,对减少对 COVID-19 的恐惧具有最有效的保护作用。

结论

需要对儿童和青少年进行进一步的研究,以制定有效的策略,保护他们在面临社会隔离或疾病时的心理健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1aab/9308934/b389cb85f1a2/12888_2022_4144_Fig1_HTML.jpg

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