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大流行前的大脑结构和功能以及 COVID-19 大流行期间青少年精神病理学。

Pre-pandemic brain structure and function and adolescent psychopathology during the COVID-19 pandemic.

机构信息

Department of Psychology, Harvard University, United States.

Department of Psychology, Harvard University, United States.

出版信息

Curr Opin Psychol. 2023 Aug;52:101647. doi: 10.1016/j.copsyc.2023.101647. Epub 2023 Jul 8.

Abstract

The COVID-19 pandemic has presented unprecedented challenges for youths and families, dramatically increasing exposure to stressors and stress-related psychopathology. Increasing work has leveraged pre-pandemic neuroimaging data to predict adolescent psychopathology and stress responses during the pandemic, with a particular focus on internalizing symptoms. We review this recent literature on pre-pandemic brain structure and function and adolescent internalizing psychopathology during the pandemic. At present, existing studies have not consistently identified specific alterations in brain structure and function that predict anxiety or depressive symptoms during the pandemic. In contrast, exposure to stress and adversity before and during the pandemic as well as access to peer and family support have emerged as consistent and reliable predictors of youth mental health during the pandemic.

摘要

新冠疫情给年轻人和家庭带来了前所未有的挑战,极大地增加了他们面临压力源和与压力相关的精神病理学的风险。越来越多的研究利用疫情前的神经影像学数据来预测青少年在疫情期间的精神病理学和应激反应,特别关注内化症状。我们回顾了最近关于疫情前大脑结构和功能以及青少年内化精神病理学的文献。目前,现有的研究尚未一致确定预测疫情期间焦虑或抑郁症状的大脑结构和功能的具体变化。相比之下,在疫情前和疫情期间暴露于压力和逆境,以及获得同伴和家庭支持,已成为疫情期间青少年心理健康的一致和可靠预测因素。

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