Caqueo-Urízar Alejandra, Mena-Chamorro Patricio, Henríquez Diego, Urzúa Alfonso, Irarrázaval Matías
Instituto de Alta Investigación, Universidad de Tarapacá, Arica 1000000, Chile.
Centro de Justicia Educacional CJE, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile.
Children (Basel). 2023 Jul 13;10(7):1213. doi: 10.3390/children10071213.
The aim of this research was to evaluate the effects of social determinants (i.e., gender, educational vulnerability, and socioeconomic status) and resilience on the mental health of Chilean adolescents in pre-, during, and post-COVID-19 pandemic contexts. The study included a group of 684 students, ranging in age from 12 to 18 years, who were attending educational institutions in the city of Arica. The Child and Adolescent Assessment System (SENA) was used to measure mental health problems, the Brief Resilience Scale for Children and Youth (CYRM-12) was used to measure resilience, and the Vulnerability Index of Educational Institutions was used to measure educational vulnerability. The results suggest increases in depressive, anxious, and social anxiety symptomatologies over time (wave by year, 2018, 2020, and 2021). In addition, multiple linear regression models showed predictive effects of the COVID-19 pandemic, gender, vulnerability index, socioeconomic status, and resilient behaviors on mental health problems. The worsening of mental health indicators over time requires the greater coordination and integration of mental health experts in the most vulnerable educational centers.
本研究的目的是评估社会决定因素（即性别、教育脆弱性和社会经济地位）以及恢复力对智利青少年在新冠疫情前、疫情期间和疫情后心理健康的影响。该研究纳入了一组684名年龄在12至18岁之间、就读于阿里卡市教育机构的学生。使用儿童和青少年评估系统（SENA）来测量心理健康问题，使用儿童和青少年简短恢复力量表（CYRM - 12）来测量恢复力，使用教育机构脆弱性指数来测量教育脆弱性。结果表明，随着时间推移（按年份分阶段，2018年、2020年和2021年），抑郁、焦虑和社交焦虑症状有所增加。此外，多元线性回归模型显示，新冠疫情、性别、脆弱性指数、社会经济地位和恢复力行为对心理健康问题具有预测作用。随着时间推移心理健康指标的恶化，需要心理健康专家在最脆弱的教育中心进行更大程度的协调与整合。
