Department of Mental Health, First Affiliated Hospital of Jilin University, Changchun, China.
Department of Politics and Education, Jilin Experimental Middle School, Changchun, China.
Front Public Health. 2023 May 4;11:1153820. doi: 10.3389/fpubh.2023.1153820. eCollection 2023.
Since the end of 2019, Corona Virus Disease 2019, also known as COVID-19, has broken out in various countries. However, the change of China's COVID-19 prevention and control policy and the sharp increase in the number of infected people are making the teenagers have post-traumatic reactions. Negative post-traumatic reactions include: post-traumatic stress disorder (PTSD), depression, anxiety. Positive post-traumatic reaction mainly refers to post-traumatic growth (PTG). The purpose of this study is to explore the post-traumatic reaction, which refers to PTSD, depression, anxiety and the co-occurrence pattern of growth after trauma and to further explore the influence of family function on different categories of Post-traumatic Reactions.
Latent profile analysis (LPA) was used to explore the co-occurrence of PTSD, depression, anxiety, and PTG. Multiple logistics regression was used to analyze the influence of family function on different categories of post-traumatic response.
There were three categories of post-traumatic reactions in adolescents infected with COVID-19 adolescents infected with COVID-19, namely: growth class, struggling class, and pain class. Multivariate Logistic regression showed that the growth class and struggling class were affected by problem solving and behavior control in family function, while the growth class and pain class were affected by problem solving, roles, behavior control, and general functioning. Multiple logistic regression showed that the growth class and struggling class were affected by problem solving and roles.
The findings of this study provide evidence for the identification of high-risk individuals and the provision of effective interventions in clinical practice, as well as the influence of family functioning on the different categories of PTSD among adolescents infected with COVID-19.
自 2019 年底以来,新型冠状病毒病 2019,又称 COVID-19,在各国爆发。然而,中国 COVID-19 防控政策的改变和感染人数的急剧增加,使青少年产生了创伤后反应。负性创伤后反应包括:创伤后应激障碍(PTSD)、抑郁、焦虑。正性创伤后反应主要是指创伤后成长(PTG)。本研究旨在探讨创伤后反应,即 PTSD、抑郁、焦虑和创伤后成长的共病模式,并进一步探讨家庭功能对不同类别创伤后反应的影响。
采用潜在剖面分析(LPA)探讨 PTSD、抑郁、焦虑和 PTG 的共病情况。采用多元逻辑回归分析家庭功能对不同类别创伤后反应的影响。
COVID-19 感染青少年存在三种创伤后反应类别:成长类、挣扎类和痛苦类。多元逻辑回归显示,成长类和挣扎类受家庭功能中的问题解决和行为控制影响,而成长类和痛苦类受问题解决、角色、行为控制和一般功能影响。多元逻辑回归显示,成长类和挣扎类受问题解决和角色影响。
本研究结果为临床实践中识别高危个体和提供有效干预措施提供了证据,同时也为家庭功能对 COVID-19 感染青少年不同类别 PTSD 的影响提供了证据。