Ferro Mark A, Toulany Alene
School of Public Health Sciences, University of Waterloo, 200 University Avenue West, Waterloo, ON, N2L 3G1, Canada.
Division of Adolescent Medicine, Hospital for Sick Children, Toronto, ON, Canada.
Child Psychiatry Hum Dev. 2025 Apr;56(2):299-311. doi: 10.1007/s10578-023-01564-3. Epub 2023 Jun 26.
This research examined longitudinal associations between youth physical-mental multimorbidity and psychological distress before and during the COVID-19 pandemic; assessed the contextual impact of the pandemic on these associations; and, investigated potential moderating factors. The Multimorbidity in Youth across the Life-course, an ongoing study of youth aged 2-16 years (mean 9.4; 46.9% female) with physical illness, was used as the sampling frame for this COVID-19 sub-study, in which 147 parent-youth dyads participated. Psychological distress was measured using the Kessler-6 (K6). Multimorbidity was associated with higher pre-pandemic, but not with intra-pandemic distress. Disability moderated pre-pandemic distress-multimorbidity was associated with higher K6 among youth with high disability, but not among youth with low disability. Age moderated intra-pandemic distress-multimorbidity was associated with higher K6 in older youth, but not among younger youth.
本研究调查了新冠疫情之前及期间青少年身心共病与心理困扰之间的纵向关联；评估了疫情对这些关联的背景影响；并调查了潜在的调节因素。“全生命周期青少年共病研究”是一项针对患有身体疾病的2至16岁青少年（平均9.4岁；46.9%为女性）的正在进行的研究，被用作本次新冠疫情子研究的抽样框架，其中有147对亲子参与。使用凯斯勒6项量表（K6）测量心理困扰。共病与疫情前较高的心理困扰相关，但与疫情期间的心理困扰无关。残疾起到了疫情前心理困扰的调节作用——共病与高残疾青少年较高的K6相关，但与低残疾青少年无关。年龄起到了疫情期间心理困扰的调节作用——共病与年龄较大青少年较高的K6相关，但与年龄较小青少年无关。
