Post-Pandemic Youth Mental Health: A Serial Cross-Sectional Survey of Illinois Parents with Four Timepoints.

IF 2.8 3区 医学 Q1 PEDIATRICS
Marie E Heffernan, Carly G Menker, Ashley Keese, Anne Bendelow, Mia Casale, Colleen Cicchetti, Lauren S Wakschlag, Matthew M Davis, Michelle L Macy
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引用次数: 0

Abstract

Objectives: Youth mental health was declining before the COVID-19 pandemic and worsened during the pandemic, yet less is known for the post-pandemic period. We examined parents' reports of youth mental health between 2022-2024.

Methods: We administered serial cross-sectional surveys to four independent samples of Illinois parents in 6/2022, 5/2023, 10/2023, 3/2024, in English and Spanish, through the QualtricsXM panel (convenience sample of adults who agree to take surveys). Parents read a list of 14 youth mental health symptoms and indicated, for one randomly selected 2-17 year-old child, if the child experienced each symptom less often, the same amount, or more often than a year ago; or never. Parents indicated their own stress levels.

Results: At each timepoint, symptoms of irritability were most commonly reported, with different expression across developmental periods: tantrums in early childhood; easy frustration in school-age children. Approximately half of parents reported their child experienced >=1 mental health symptom more often at each timepoint (6/2022: 49.7%, 5/2023: 51.6%, 10/2023: 53.9%, 3/2024: 48.7%). Multivariable logistic regressions indicated parent stress was associated with higher odds of the child having >=1 mental health symptom more often (6/2022 aOR:3.37, 5/2023 aOR:2.07, 10/2023 aOR:1.76, 3/2024 aOR:3.31).

Conclusions: At four survey timepoints over two years, approximately half of 2-17 year-old youth experienced mental health symptoms more often than they had before. This was most evident via transdiagnostic irritability symptoms. Screening for mental health, beginning in toddlerhood, and preventive interventions for parents and youth are potential mechanisms to mitigate the youth mental health crisis.

Clinical trial registration: not applicable.

流行病后青少年心理健康:伊利诺斯州父母四个时间点的连续横断面调查。
目标:青少年心理健康状况在2019冠状病毒病大流行之前有所下降,在大流行期间有所恶化,但对大流行后时期的情况知之甚少。我们检查了2022-2024年间父母关于青少年心理健康的报告。方法:我们在2022年6月、2023年5月、2023年10月、2024年3月通过QualtricsXM面板(同意接受调查的成年人的方便样本)对伊利诺伊州四个独立样本的父母进行了连续横断面调查,使用英语和西班牙语。父母们阅读了一份包含14种青少年心理健康症状的清单,并指出,对于一个随机选择的2-17岁的孩子,与一年前相比,这个孩子出现每种症状的频率是减少了,还是相同,还是更频繁;或者永远。家长们表明了他们自己的压力水平。结果:在每个时间点,易怒症状是最常见的,在不同的发育时期有不同的表达:幼儿期发脾气;学龄儿童容易受挫。大约一半的父母报告他们的孩子在每个时间点更频繁地出现>=1心理健康症状(6/2022:49.7%,5/2023:51.6%,10/2023:53.9%,3/2024:48.7%)。多变量logistic回归分析显示,父母压力与儿童出现>=1心理健康症状的几率较高相关(6/2022 aOR:3.37, 5/2023 aOR:2.07, 10/2023 aOR:1.76, 3/2024 aOR:3.31)。结论:在两年多的四个调查时间点上,大约有一半的2-17岁青少年比以前更频繁地出现心理健康症状。这在易激惹症状中表现得最为明显。从幼儿期开始进行心理健康筛查,并对父母和青少年进行预防性干预,是缓解青少年心理健康危机的潜在机制。临床试验注册:不适用。
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
Academic Pediatrics
Academic Pediatrics PEDIATRICS-
CiteScore
4.60
自引率
12.90%
发文量
300
审稿时长
60 days
期刊介绍: Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.
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