新冠病毒病对儿童心理健康的影响：截至2022年4月在一个临床样本和两个普通人群样本中的半年期评估
The effects of COVID-19 on child mental health: Biannual assessments up to April 2022 in a clinical and two general population samples.
作者信息
Zijlmans Josjan, Tieskens Jacintha M, van Oers Hedy A, Alrouh Hekmat, Luijten Michiel A J, de Groot Rowdy, van der Doelen Daniël, Klip Helen, van der Lans Rikkert M, de Meyer Ronald, van der Mheen Malindi, Ruisch I Hyun, van den Berg Germie, Bruining Hilgo, Buitelaar Jan, van der Rijken Rachel, Hoekstra Pieter J, Kleinjan Marloes, Lindauer Ramón J L, Oostrom Kim J, Staal Wouter, Vermeiren Robert, Cornet Ronald, Haverman Lotte, Popma Arne, Bartels Meike, Polderman Tinca J C
机构信息
Department of Child and Adolescent Psychiatry & Psychosocial Care Amsterdam University Medical Center Vrije Universiteit Amsterdam Amsterdam The Netherlands.
Amsterdam Public Health Amsterdam University Medical Center Mental Health Amsterdam The Netherlands.
出版信息
JCPP Adv. 2023 Mar 30;3(2):e12150. doi: 10.1002/jcv2.12150. eCollection 2023 Jun.
BACKGROUND
The COVID-19 pandemic has had an acute impact on child mental and social health, but long-term effects are still unclear. We examined how child mental health has developed since the start of the COVID-19 pandemic up to 2 years into the pandemic (April 2022).
METHODS
We included children (age 8-18) from two general population samples ( = 222-1333 per measurement and = 2401-13,362 for pre-covid data) and one clinical sample receiving psychiatric care ( = 334-748). Behavioral questionnaire data were assessed five times from April 2020 till April 2022 and pre-pandemic data were available for both general population samples. We collected parent-reported data on internalizing and externalizing problems with the Brief Problem Monitor and self-reported data on Anxiety, Depressive symptoms, Sleep-related impairments, Anger, Global health, and Peer relations with the Patient-Reported Outcomes Measurement Information System (PROMIS®).
RESULTS
In all samples, parents reported overall increased internalizing problems, but no increases in externalizing problems, in their children. Children from the general population self-reported increased mental health problems from before to during the pandemic on all six PROMIS domains, with generally worst scores in April 2021, and scores improving toward April 2022 but not to pre-pandemic norms. Children from the clinical sample reported increased mental health problems throughout the pandemic, with generally worst scores in April 2021 or April 2022 and no improvement. We found evidence of minor age effects and no sex effects.
CONCLUSIONS
Child mental health in the general population has deteriorated during the first phase of the COVID-19 pandemic, has improved since April 2021, but has not yet returned to pre-pandemic levels. Children in psychiatric care show worsening of mental health problems during the pandemic, which has not improved since. Changes in child mental health should be monitored comprehensively to inform health care and policy.
背景
新冠疫情对儿童的心理和社会健康产生了严重影响，但其长期影响仍不明确。我们研究了自新冠疫情开始至疫情爆发两年内（2022年4月）儿童心理健康的发展情况。
方法
我们纳入了来自两个普通人群样本（每次测量n = 222 - 1333，新冠疫情前数据n = 2401 - 13362）和一个接受精神科护理的临床样本（n = 334 - 748）的8至18岁儿童。从2020年4月至2022年4月对行为问卷数据进行了五次评估，两个普通人群样本均有疫情前的数据。我们通过简短问题监测器收集了家长报告的关于内化和外化问题的数据，以及通过患者报告结局测量信息系统（PROMIS®）收集了关于焦虑、抑郁症状、睡眠相关障碍、愤怒、总体健康和同伴关系的自我报告数据。
结果
在所有样本中，家长报告其孩子的内化问题总体增加，但外化问题没有增加。普通人群中的儿童自我报告称，在疫情期间，六个PROMIS领域的心理健康问题均有所增加，2021年4月得分通常最差，到2022年4月得分有所改善，但未恢复到疫情前水平。临床样本中的儿童报告称，在整个疫情期间心理健康问题都有所增加，2021年4月或2022年4月得分通常最差，且没有改善。我们发现了微小的年龄效应证据，但没有性别效应。
结论
在新冠疫情的第一阶段，普通人群中儿童的心理健康状况恶化，自2021年4月以来有所改善，但尚未恢复到疫情前水平。接受精神科护理的儿童在疫情期间心理健康问题恶化，且此后没有改善。应全面监测儿童心理健康的变化，为医疗保健和政策提供信息。
Zotero 插件