美国青少年在冠状病毒大流行六个月期间焦虑和抑郁症状的纵向评估。
Longitudinal assessment of anxiety and depression symptoms in U.S. adolescents across six months of the coronavirus pandemic.
机构信息
Division of Pulmonary and Sleep Medicine, Children's Hospital Colorado, 13123 E 16th Ave, B395, Aurora, CO, 80045, USA.
Department of Pediatrics, University of Colorado School of Medicine, 13123 E 16th Ave, Aurora, CO, USA.
出版信息
BMC Psychol. 2022 Dec 29;10(1):322. doi: 10.1186/s40359-022-01028-8.
BACKGROUND
The present study aimed to describe anxiety and depression symptoms at two timepoints during the coronavirus pandemic and evaluate demographic predictors.
METHODS
U.S. high school students 13-19 years old completed a self-report online survey in May 2020 and November 2020-January 2021. The Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Depression and Anxiety short forms queried depression and anxiety symptoms.
RESULTS
The final sample consisted of 694 participants (87% White, 67% female, 16.2 ± 1.1 years). Nearly 40% of participants reported a pre-pandemic depression diagnosis and 49% reported a pre-pandemic anxiety diagnosis. Negative affect, defined as both moderate to severe depression and anxiety PROMIS scores, was found in ~ 45% of participants at both timepoints. Female and other gender identities and higher community distress score were associated with more depression and anxiety symptoms. Depression symptoms T-score decreased slightly (- 1.3, p-value ≤ 0.001).
CONCLUSION
Adolescent mental health screening and treatment should be a priority as the pandemic continues to impact the lives of youth.
背景
本研究旨在描述冠状病毒大流行期间两个时间点的焦虑和抑郁症状，并评估人口统计学预测因素。
方法
美国年龄在 13 至 19 岁的高中生在 2020 年 5 月和 2020 年 11 月至 2021 年 1 月期间完成了一项在线自我报告调查。患者报告的结果测量信息系统（PROMIS）儿童抑郁和焦虑简短形式询问了抑郁和焦虑症状。
结果
最终样本包括 694 名参与者（87%为白人，67%为女性，16.2±1.1 岁）。近 40%的参与者报告在大流行前有抑郁诊断，49%的参与者报告在大流行前有焦虑诊断。在两个时间点，约 45%的参与者存在中度至重度抑郁和焦虑 PROMIS 评分的负性情绪。女性和其他性别认同以及更高的社区困扰评分与更多的抑郁和焦虑症状相关。抑郁症状 T 评分略有下降（-1.3，p 值≤0.001）。
结论
随着大流行继续影响年轻人的生活，青少年心理健康筛查和治疗应成为优先事项。
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