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追踪荷兰青少年在 COVID-19 封锁第一年的心理健康:一项纵向研究。

Tracking Mental Wellbeing of Dutch Adolescents During the First Year of the COVID-19 Lockdown: A Longitudinal Study.

机构信息

Department of Pediatric Pulmonology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands.

Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands.

出版信息

J Adolesc Health. 2022 Oct;71(4):414-422. doi: 10.1016/j.jadohealth.2022.06.006. Epub 2022 Jun 22.

Abstract

PURPOSE

Adolescents might be susceptible to the effects of the COVID-19 lockdown. We assessed changes in mental wellbeing throughout the first year of the pandemic and compared these with prepandemic levels.

METHODS

This five-wave prospective study among Dutch adolescents aged 12-17 years used data collected before the pandemic (n = 224) (T0), in May (T1), July (T2), and October 2020 (T3), and in February 2021 (T4). Generalized estimating equations were used to assess the association between stringency of the lockdown with mental wellbeing.

RESULTS

Adolescents had a lower life satisfaction during the first full lockdown (T1) [adjusted β: -0.36, 95% confidence interval (CI): -0.58 to -0.13], during the partial lockdown (T3) (adjusted β: -0.37, 95% CI: -0.63 to -0.12), and during the second full lockdown (T4) (adjusted β: -0.79, 95% CI: -1.07 to -0.52) compared to before the pandemic (T0). Adolescents reported more internalizing symptoms during only the second full lockdown (T4) (adjusted β: 2.58, 95% CI: 0.41-4.75). During the pandemic [at T1 (adjusted β: 0.29, 95% CI: 0.20-0.38), T2 (adjusted β: 0.36, 95% CI: 0.26-0.46), T3 (adjusted β: 0.33, 95% CI: 0.22-0.45), and T4 (adjusted β: 0.20, 95% CI: 0.07-0.34)], adolescents reported a better psychosomatic health, partly attributable to less trouble falling asleep (p < .01).

DISCUSSION

The COVID-19 lockdown measures have had both a negative and positive impact on mental wellbeing of Dutch adolescents. However, mental wellbeing was most impacted during the second full lockdown compared to before the pandemic.

摘要

目的

青少年可能容易受到 COVID-19 封锁的影响。我们评估了大流行第一年期间心理健康的变化,并将其与大流行前的水平进行了比较。

方法

本项针对 12-17 岁荷兰青少年的五波前瞻性研究使用了大流行前(n=224)(T0)、5 月(T1)、7 月(T2)和 2020 年 10 月(T3)以及 2021 年 2 月(T4)的数据。使用广义估计方程评估了封锁严格程度与心理健康之间的关联。

结果

青少年在第一次全面封锁期间(T1)[校正β:-0.36,95%置信区间(CI):-0.58 至-0.13]、在部分封锁期间(T3)[校正β:-0.37,95%CI:-0.63 至-0.12]和第二次全面封锁期间(T4)[校正β:-0.79,95%CI:-1.07 至-0.52]的生活满意度均低于大流行前(T0)。与大流行前(T0)相比,青少年仅在第二次全面封锁期间(T4)报告了更多的内化症状(校正β:2.58,95%CI:0.41-4.75)。在大流行期间[在 T1(校正β:0.29,95%CI:0.20-0.38)、T2(校正β:0.36,95%CI:0.26-0.46)、T3(校正β:0.33,95%CI:0.22-0.45)和 T4(校正β:0.20,95%CI:0.07-0.34)],青少年报告了更好的身心健康,部分原因是入睡困难减少(p<.01)。

讨论

COVID-19 封锁措施对荷兰青少年的心理健康产生了负面影响和积极影响。然而,与大流行前相比,第二次全面封锁对心理健康的影响最大。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f759/9217158/2277739c453b/gr1_lrg.jpg

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