Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire.
Department of Psychiatry, New York State Psychiatric Institute/Columbia University Vagelos College of Physicians and Surgeons and New York Presbyterian, New York, New York.
J Nerv Ment Dis. 2023 Dec 1;211(12):961-967. doi: 10.1097/NMD.0000000000001734.
Recent surveys show rising numbers of young people who report anxiety and depression. Although much attention has focused on mental health of adolescent youth, less attention has been paid to young people as they transition into adulthood. Multiple factors may have contributed to this steady increase: greater exposure to social media, information, and distressing news via personal electronic devices; increased concerns regarding social determinants of health and climate change; and changing social norms due to increased mental health literacy and reduced stigma. The COVID-19 pandemic may have temporarily exacerbated symptoms and impacted treatment availability. Strategies to mitigate causal factors for depression and anxiety in young adults may include education and skills training for cognitive, behavioral, and social coping strategies, as well as healthier use of technology and social media. Policies must support the availability of health insurance and treatment, and clinicians can adapt interventions to encompass the specific concerns and needs of young adults.
最近的调查显示,报告焦虑和抑郁的年轻人人数不断增加。尽管人们对青少年的心理健康给予了极大关注,但对年轻人在向成年期过渡时的心理健康关注较少。多种因素可能导致这种持续增加:通过个人电子设备更多地接触社交媒体、信息和令人痛苦的新闻;对健康的社会决定因素和气候变化的担忧增加;由于心理健康知识的提高和耻辱感的减少,社会规范发生变化。COVID-19 大流行可能暂时加剧了症状并影响了治疗的可及性。减轻年轻人抑郁和焦虑的因果因素的策略可能包括教育和技能培训,以提高认知、行为和社会应对策略的能力,以及更健康地使用技术和社交媒体。政策必须支持医疗保险和治疗的可及性,临床医生可以调整干预措施,以涵盖年轻人的具体问题和需求。