Howard Ranjita, Manohar Harshini, Seshadri Shekhar, Sharma Aditya
NHS England Education North East, Newcastle upon Tyne, UK.
National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India.
BJPsych Bull. 2025 Aug;49(4):249-258. doi: 10.1192/bjb.2024.49.
To better understand factors supporting young people's (age <18 years) mental health during pandemic-type conditions, we aimed to identify whether coping strategies adopted during the COVID-19 pandemic could be dichotomised according to manifesting positive or negative psychological outcomes. Medline, EMBASE, CINAHL, PsycINFO, Scopus and ASSIA databases were used to identify empirical studies that examined coping strategies used by young people experiencing psychological challenges during COVID-19.
Twenty-five international studies were included, identifying that coping strategies adopted could be significantly dichotomised according to reducing or exacerbating psychological challenges. Positive coping strategies were proactive and solutions-oriented, whereas negative coping strategies were more avoidant and emotion-oriented.
An internal locus of control may account for why adolescents exercised more proactive coping compared with their younger counterparts, although parents of younger children may offset the impact of stressors by drawing on a proposed coping framework emphasising proactivity and engagement. This would be an invaluable addition to future pandemic preparedness planning cycles.
为了更好地理解在类似大流行的情况下支持年轻人（年龄<18岁）心理健康的因素，我们旨在确定在新冠疫情期间采用的应对策略是否可以根据表现出的积极或消极心理结果进行二分。使用Medline、EMBASE、CINAHL、PsycINFO、Scopus和ASSIA数据库来识别实证研究，这些研究考察了在新冠疫情期间经历心理挑战的年轻人所使用的应对策略。
纳入了25项国际研究，发现所采用的应对策略可以根据减轻或加剧心理挑战进行显著二分。积极的应对策略是积极主动且以解决问题为导向的，而消极的应对策略则更具回避性且以情绪为导向。
内控点可能解释了为什么青少年比年幼的同龄人采取更积极主动的应对方式，尽管年幼儿童的父母可以通过借鉴一个强调积极主动和参与的拟议应对框架来抵消压力源的影响。这将是未来大流行防范规划周期中非常宝贵的补充。
