Risk and protective factors for mental health problems in children and adolescents during the COVID-19 pandemic: results of the longitudinal COPSY study.

IF 6 2区 医学 Q1 PEDIATRICS
F Zoellner, M Erhart, A-K Napp, F Reiss, J Devine, A Kaman, U Ravens-Sieberer
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Abstract

The COVID-19 pandemic has had profound effects on the mental health of children and adolescents worldwide, exacerbating existing challenges and introducing new stressors. This paper explores the impact of risk and protective factors on the mental well-being of young individuals during the pandemic. Using data from the German nationwide, population-based, longitudinal COPSY study (n = 2,471, girls: 50.0%, age 7-17 years) spanning nearly three years, this study investigates how factors such as gender, age, parental education, parental depressive symptoms, family cohesion, and social support influence mental health. Mental health problems were assessed using the Strengths and Difficulties Questionnaire (SDQ). Latent growth analysis and structural equation modeling were employed to analyze cross-sectional and longitudinal data collected at five measurement points (initial response rate: 46.8%). Findings revealed that boys and younger children are at a higher risk for mental health problems. Additionally, low parental education, single parenthood, parental burden due to the pandemic and parental depressive symptoms were significantly linked with mental health problems in children. Conversely, personal resources, family cohesion, and social support were associated with less symptoms. Family cohesion additionally buffered against the negative impact of parental depressive symptoms. The study underscores the importance of multi-level interventions that consider individual, familial, and societal factors in promoting positive mental health outcomes among children and adolescents during challenging times. Continued research and collaborative efforts are needed to develop evidence-based strategies for supporting the resilience of young individuals in the face of future adversities.

COVID-19 大流行期间儿童和青少年心理健康问题的风险和保护因素:COPSY 纵向研究的结果。
COVID-19 大流行对全球儿童和青少年的心理健康产生了深远的影响,加剧了现有的挑战并带来了新的压力。本文探讨了大流行期间风险因素和保护因素对青少年心理健康的影响。本研究利用德国全国性、基于人口的纵向 COPSY 研究(n = 2,471 人,女孩:50.0%,年龄 7-17 岁)的数据,调查了性别、年龄、父母教育程度、父母抑郁症状、家庭凝聚力和社会支持等因素对心理健康的影响。心理健康问题使用优势与困难问卷(SDQ)进行评估。采用潜增长分析和结构方程模型分析了在五个测量点收集的横截面和纵向数据(初始响应率:46.8%)。研究结果显示,男孩和年龄较小的儿童出现心理健康问题的风险较高。此外,父母受教育程度低、单亲家庭、父母因大流行病造成的负担以及父母的抑郁症状与儿童的心理健康问题有显著关联。相反,个人资源、家庭凝聚力和社会支持则与较少的症状有关。家庭凝聚力还能缓冲父母抑郁症状的负面影响。这项研究强调了多层次干预的重要性,即考虑个人、家庭和社会因素,促进儿童和青少年在充满挑战的时期获得积极的心理健康结果。我们需要继续开展研究和合作,以制定以证据为基础的策略,支持青少年在未来逆境中的恢复能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
12.80
自引率
4.70%
发文量
186
审稿时长
6-12 weeks
期刊介绍: European Child and Adolescent Psychiatry is Europe''s only peer-reviewed journal entirely devoted to child and adolescent psychiatry. It aims to further a broad understanding of psychopathology in children and adolescents. Empirical research is its foundation, and clinical relevance is its hallmark. European Child and Adolescent Psychiatry welcomes in particular papers covering neuropsychiatry, cognitive neuroscience, genetics, neuroimaging, pharmacology, and related fields of interest. Contributions are encouraged from all around the world.
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