Rojas Natalia K, Martin Sam, Cortina-Borja Mario, Shafran Roz, Fox-Smith Lana, Stephenson Terence, Ching Brian C F, d'Oelsnitz Anaïs, Norris Tom, Xu Yue, McOwat Kelsey, Dalrymple Emma, Heyman Isobel, Ford Tamsin, Chalder Trudie, Simmons Ruth, Pinto Pereira Snehal M
Division of Surgery & Interventional Science, Faculty of Medical Sciences, University College London, London, United Kingdom.
UCL Great Ormond Street Institute of Child Health, London, United Kingdom.
J Med Internet Res. 2025 Jan 28;27:e63634. doi: 10.2196/63634.
The literature is equivocal as to whether the predicted negative mental health impact of the COVID-19 pandemic came to fruition. Some quantitative studies report increased emotional problems and depression; others report improved mental health and well-being. Qualitative explorations reveal heterogeneity, with themes ranging from feelings of loss to growth and development.
This study aims to analyze free-text responses from children and young people participating in the Children and Young People With Long COVID study to get a clearer understanding of how young people were feeling during the pandemic.
A total of 8224 free-text responses from children and young people were analyzed using InfraNodus, an artificial intelligence-powered text network analysis tool, to determine the most prevalent topics. A random subsample of 411 (5%) of the 8224 responses underwent a manual sentiment analysis; this was reweighted to represent the general population of children and young people in England.
Experiences fell into 6 main overlapping topical clusters: school, examination stress, mental health, emotional impact of the pandemic, social and family support, and physical health (including COVID-19 symptoms). Sentiment analysis showed that statements were largely negative (314/411, 76.4%), with a small proportion being positive (57/411, 13.9%). Those reporting negative sentiment were mostly female (227/314, 72.3%), while those reporting positive sentiment were mostly older (170/314, 54.1%). There were significant observed associations between sentiment and COVID-19 status as well as sex (P=.001 and P<.001, respectively) such that the majority of the responses, regardless of COVID-19 status or sex, were negative; for example, 84.1% (227/270) of the responses from female individuals and 61.7% (87/141) of those from male individuals were negative. There were no observed associations between sentiment and all other examined demographics. The results were broadly similar when reweighted to the general population of children and young people in England: 78.52% (negative), 13.23% (positive), and 8.24% (neutral).
We used InfraNodus to analyze free-text responses from a large sample of children and young people. The majority of responses (314/411, 76.4%) were negative, and many of the children and young people reported experiencing distress across a range of domains related to school, social situations, and mental health. Our findings add to the literature, highlighting the importance of specific considerations for children and young people when responding to national emergencies.
关于新冠疫情对心理健康的负面影响是否如预测那样成为现实，文献中尚无定论。一些定量研究报告称情绪问题和抑郁症有所增加；另一些则报告心理健康和幸福感有所改善。定性探索揭示了异质性，主题从失落感到成长与发展不等。
本研究旨在分析参与“长期新冠儿童和青少年”研究的儿童和青少年的自由文本回复，以更清楚地了解年轻人在疫情期间的感受。
使用InfraNodus（一种人工智能驱动的文本网络分析工具）对儿童和青少年的8224条自由文本回复进行分析，以确定最普遍的主题。对8224条回复中的411条（5%）随机子样本进行人工情感分析；对其进行重新加权以代表英格兰儿童和青少年的总体情况。
经历主要分为6个主要的重叠主题集群：学校、考试压力、心理健康、疫情的情感影响、社会和家庭支持以及身体健康（包括新冠症状）。情感分析表明，陈述大多为负面（314/411，76.4%），只有一小部分为正面（57/411，13.9%）。报告负面情绪的大多为女性（227/314，72.3%），而报告正面情绪的大多为年龄较大者（170/314，54.1%）。在情感与新冠状态以及性别之间观察到显著关联（分别为P = 0.001和P < 0.001），即无论新冠状态或性别如何，大多数回复都是负面的；例如，女性个体的回复中有84.1%（227/270）为负面，男性个体的回复中有61.7%（87/141）为负面。在情感与所有其他检查的人口统计学特征之间未观察到关联。当重新加权以代表英格兰儿童和青少年的总体情况时，结果大致相似：78.52%（负面）、13.23%（正面）和8.24%（中性）。
我们使用InfraNodus分析了大量儿童和青少年的自由文本回复。大多数回复（314/411，76.4%）为负面，许多儿童和青少年报告在与学校、社交情况和心理健康相关的一系列领域中经历了困扰。我们的研究结果丰富了文献，强调了在应对国家紧急情况时对儿童和青少年进行特殊考虑的重要性。
