Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
Departments of Emergency Medicine and Pediatrics, University of Michigan, Ann Arbor, MI, USA.
Clin Pediatr (Phila). 2023 Mar;62(3):241-250. doi: 10.1177/00099228221120288. Epub 2022 Aug 30.
This mixed-methods survey study aims to describe the effects of the COVID-19 pandemic on the mental health of a sample of 571 children and adolescent seeking psychiatric emergency care. The study was conducted from July to October 2020 at a large Midwestern academic center. Among the respondents, there were significant increases in mental health symptoms attributed to the COVID-19 pandemic, including anxiety (71% of respondents), depression (66%), suicidal thoughts or behaviors (45%), and aggression (31%). There were significant differences in reported increases in symptoms by age and gender. In addition, 38% of participants reported that the pandemic led to a change or closure of their health care treatment, including mental health providers, with 22% reporting that reduced treatment access led to their emergency visit. Further research is indicated to assess other, more diverse populations, as well as the longer-term mental health impacts of the pandemic.
这项混合方法调查研究旨在描述 COVID-19 大流行对寻求精神科急诊的 571 名儿童和青少年心理健康的影响。该研究于 2020 年 7 月至 10 月在中西部的一个大型学术中心进行。在受访者中，与 COVID-19 大流行相关的心理健康症状显著增加，包括焦虑（71%的受访者）、抑郁（66%）、自杀念头或行为（45%）和攻击行为（31%）。报告的症状增加在年龄和性别上存在显著差异。此外，38%的参与者报告称，大流行导致他们的医疗护理（包括精神健康提供者）发生了变化或中断，22%的参与者报告称，治疗机会减少导致他们紧急就诊。需要进一步研究来评估其他更多样化的人群，以及大流行对心理健康的长期影响。
