Di Lorenzo Rosaria, Bonasegla Pietro, Bardelli Canzio Alice, Morgante Martina, Rovesti Sergio, Ferri Paola
Mental Health Department and Drug Abuse, AUSL-Modena, 41121 Modena, Italy.
School of Specialization in Psychiatry, University of Modena and Reggio Emilia, 41121 Modena, Italy.
J Clin Med. 2024 Aug 8;13(16):4658. doi: 10.3390/jcm13164658.
(1) The pandemic lowered by 10% the psychological wellness among adolescents worldwide. (2) This observational retrospective study compared the demographic and clinical variables of male and female adolescents hospitalized in an acute psychiatric ward during the pre-pandemic, from 1 July 2017 to 28 February 2020, and the pandemic/post-pandemic, from 1 March 2020 to 30 June 2023. (3) In total, 153 adolescents of 15.8 years on average (±1.14 DS) were more frequently hospitalized ( = 131, 54.4%) in the pre-pandemic than in the pandemic/post-pandemic ( = 110, 45.6%), but female hospitalizations increased in the post-pandemic more than male hospitalizations (62.9% vs. 37.1%) (Pearson Chi2 = 8.54, = 0.003); in the pandemic/post-pandemic, we reported increased aggressive behavior and schizophrenia spectrum and emotional disorders in males, whereas in females, depressive and emotional disorders were prevalent; more adolescents previously treated in Child Mental Health Services were hospitalized in the pandemic/post-pandemic period; and males hospitalized in the study period reported higher Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) scores. (4) In the pandemic/post-pandemic, females more frequently required hospitalizations for depressive behavior and males for aggressive behavior and schizophrenia spectrum disorders, whereas, in both males and females, hospitalizations due to emotional disorders increased. Our results suggest the need for mental health prevention in adolescents, who represent the most vulnerable population in the case of disaster.
(1) 这场大流行使全球青少年的心理健康水平下降了10%。(2) 这项观察性回顾性研究比较了2017年7月1日至2020年2月28日大流行前以及2020年3月1日至2023年6月30日大流行期间及之后在急性精神科病房住院的青少年男性和女性的人口统计学和临床变量。(3) 总共153名平均年龄为15.8岁（±1.14标准差）的青少年在大流行前住院的频率更高（n = 131，54.4%），高于大流行期间及之后（n = 110，45.6%），但大流行后女性住院人数的增加幅度超过男性住院人数（62.9%对37.1%）（Pearson卡方检验 = 8.54，p = 0.003）；在大流行期间及之后，我们报告男性的攻击性行为、精神分裂症谱系和情绪障碍有所增加，而在女性中，抑郁和情绪障碍较为普遍；在大流行期间及之后，更多以前在儿童心理健康服务机构接受治疗的青少年住院；在研究期间住院的男性报告的儿童和青少年国家健康结果量表（HoNOSCA）得分更高。(4) 在大流行期间及之后，女性因抑郁行为住院的频率更高，男性因攻击性行为和精神分裂症谱系障碍住院的频率更高，而在男性和女性中，因情绪障碍住院的人数都有所增加。我们的研究结果表明，在灾难情况下最脆弱的青少年群体中，有必要开展心理健康预防工作。
