探索英国新冠疫情期间及后疫情时代青少年心理健康问题的患病率及风险因素:一项系统综述

Exploring the prevalence and risk factors of adolescent mental health issues in the COVID and post-COVID era in the U.K.: A systematic review.

作者信息

Nwabueze Kelvin Kanayo, Akubue Nnaemeka, Onakoya Ademola, Okolieze Stella Chidinma, Otaniyen-Igbinoba Ikponmwosa J, Chukwunonye Chisom, Okengwu Chinelo Grace, Ige Temiloluwa, Alao Oluwaseyi Joy, Adindu Kelechi Nelson

机构信息

Acute Medicine Department, Watford General Hospital, West Hertfordshire NHS Trust, U.K.

School of Allied & Public Health, University of Chester, Chester, U.K.

出版信息

EXCLI J. 2025 Mar 27;24:508-523. doi: 10.17179/excli2025-8325. eCollection 2025.

Abstract

Adolescence is a developmental phase largely characterized by rapid biological and non-biological transformations, with a heightened susceptibility to social and environmental influences. Hence, adolescents are particularly vulnerable to external stressors, underscoring the need to safeguard their well-being and prioritize mental health interventions. The coronavirus disease (COVID-19) pandemic caused a global crisis with profound societal disruptions, and led to lasting impact on global public health, disproportionately affecting vulnerable populations, including adolescents. In view of the unique developmental challenges faced by adolescents, it is imperative to assess the growing burden of mental health issues exacerbated by the pandemic. This review synthesizes existing evidence on the emerging mental health challenges faced by adolescents in the United Kingdom (UK) as exacerbated by the COVID-19 pandemic. A systematic literature search was conducted using PubMed, ScienceDirect, MEDLINE, and SpringerNature databases, resulting in the selection of ten high-quality studies. A thematic analysis of the collected data revealed that depression and anxiety were the most frequently reported mental health conditions among adolescents. These conditions were particularly prevalent among adolescents who were from low-income households, those with pre-existing mental health disorders, adolescents experiencing household conflicts, females, and those who provided self-reported data. Several key risk factors were identified, including family and peer relationships, academic pressures such as examinations and grades, financial constraints within households, and the corruptive influence of social media. The findings underscore the urgency of targeted mental health interventions tailored to the specific needs of adolescents in the U.K. By addressing the identified risk factors, mental health professionals, policymakers, and educators can develop more effective strategies to mitigate the psychological impact of the pandemic on this vulnerable population. This study contributes to the evolving body of literature and emphasizes the need for evidence-based policies to foster overall well-being and resilience in adolescents navigating post-pandemic challenges.

摘要

青春期是一个发育阶段,其主要特征是生物和非生物方面的快速转变,对社会和环境影响的易感性增强。因此,青少年特别容易受到外部压力源的影响,这凸显了保障他们的福祉并将心理健康干预置于优先地位的必要性。冠状病毒病(COVID-19)大流行引发了一场全球危机,造成了深刻的社会混乱,并对全球公共卫生产生了持久影响,对包括青少年在内的弱势群体造成了不成比例的影响。鉴于青少年面临的独特发展挑战,评估大流行加剧的心理健康问题日益加重的负担势在必行。本综述综合了关于英国青少年因COVID-19大流行而面临的新出现的心理健康挑战的现有证据。使用PubMed、ScienceDirect、MEDLINE和SpringerNature数据库进行了系统的文献检索,最终筛选出十项高质量研究。对收集到的数据进行的主题分析表明,抑郁和焦虑是青少年中报告最频繁的心理健康状况。这些状况在来自低收入家庭的青少年、已有心理健康障碍的青少年、经历家庭冲突的青少年、女性以及提供自我报告数据的青少年中尤为普遍。确定了几个关键风险因素,包括家庭和同伴关系、考试和成绩等学业压力、家庭内部的经济限制以及社交媒体的不良影响。研究结果强调了针对英国青少年的特定需求进行有针对性的心理健康干预的紧迫性。通过解决已确定的风险因素,心理健康专业人员、政策制定者和教育工作者可以制定更有效的策略,以减轻大流行对这一弱势群体的心理影响。这项研究为不断发展的文献做出了贡献,并强调了基于证据的政策对于促进青少年在应对大流行后挑战时的整体福祉和恢复力的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76ab/12078782/076e8825fb01/EXCLI-24-508-t-001.jpg

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