1st Department of Psychiatry, Psychotherapy and Early Intervention, Medical University of Lublin, 1 Gluska St., 20-439 Lublin, Poland.
The Department of Psychotherapy and Health Psychology, The John Paul II Catholic University of Lublin, Al. Racławickie 14, 20-950 Lublin, Poland.
Int J Environ Res Public Health. 2023 Mar 15;20(6):5151. doi: 10.3390/ijerph20065151.
The aim of the cross-sectional study was to conduct an exploratory analysis of identifying factors related to mood, metacognitive beliefs, and limitation on individual freedom associated with lockdown restrictions during COVID-19, and to determine whether they may be relevant to the deteriorating well-being of adolescents.
A total of 387 adolescents (M = 15.37; SD = 1.62): 85 with depression (DG) and 302 without any psychiatric diagnosis group (WPDG) were examined using the health survey and the CDI-2 questionnaire to assess the symptoms and severity of depression and MCQ-A to measure the intensity of dysfunctional metacognitive beliefs.
The feeling of restriction of freedom had an influence on worsened well-being in the whole group of responders OR = 4.15; < 0.001 but was more in the DG than the WPDG (OR = 20.00; < 0.001 vs. OR = 4.77; < 0.001). Positive metacognitive beliefs were related to well-being (DG), but no effect was observed in the WPDG (OR = 0.88; < 0.05 vs. OR = 1.05; = 0.136). The lower age of the WPDG negatively impacted well-being (OR = 1.20; < 0.05).
Dysfunctional metacognitive beliefs and the feeling of restriction of freedom are important in the deterioration of adolescents' well-being, but these factors have a stronger impact on well-being in the DG.
本横断面研究旨在对与 COVID-19 封锁限制相关的情绪、元认知信念和个体自由限制因素进行探索性分析,并确定它们是否与青少年健康状况恶化有关。
共纳入 387 名青少年(M=15.37,SD=1.62):85 名患有抑郁症(DG)和 302 名无任何精神科诊断组(WPDG)。使用健康调查和 CDI-2 问卷评估抑郁症状和严重程度,使用 MCQ-A 评估功能失调性元认知信念的强度。
限制自由感对所有应答者的幸福感恶化有影响(OR=4.15,<0.001),但在 DG 中比 WPDG 更明显(OR=20.00,<0.001 vs. OR=4.77,<0.001)。积极的元认知信念与幸福感有关(DG),但在 WPDG 中未观察到(OR=0.88,<0.05 vs. OR=1.05,=0.136)。WPDG 的年龄较低与幸福感下降有关(OR=1.20,<0.05)。
功能失调的元认知信念和限制自由感在青少年幸福感恶化中很重要,但这些因素对 DG 的幸福感影响更大。