COVID-19 pandemic and mental health status of United States of America adolescents with a past-year major depressive episode.

IF 1.7 Q4 PSYCHOLOGY, CLINICAL

Journal of Child and Adolescent Mental Health Pub Date : 2026-06-24 DOI:10.2989/17280583.2026.2680867

Ji-Yeun Park, Bethany Endo, Sarah Flores

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引用次数: 0

Abstract

Background: Although the COVID-19 pandemic's negative impact on mental health has been well established, more research is needed to better understand the vulnerability of certain populations.

Aim: This study compared the perceived negative impact of COVID-19 on mental health between United States of America (USA) adolescents with and without a past-year major depressive episode (MDE). Additionally, we examined factors associated with higher perceived negative impact among those with a past-year MDE.

Method: The sample included adolescents aged 12 to 17 years from the 2021-2023 National Surveon Drug Use and Health (N = 31 861). Based on self-reported past-year MDE, participants were grouped as either with (n = 6 186) or without past-year MDE (n = 25 675). The prevalence of the perceived negative impact of COVID-19 on mental health was assessed between groups. Adjusted logistic regression was then conducted to examine factors associated with higher perceived negative impact among adolescents with past-year MDE.

Results: USA adolescents with past-year MDE were significantly more likely to report higher perceived negative impact than those without an MDE (41% vs. 10.3%). Among adolescents with past-year MDE, females, older adolescents, and individuals from higher household income levels were more likely to report higher perceived negative impact than their respective counterparts. Additionally, financial worries due to COVID-19 were a significant predictor, showing a positive association with higher perceived negative impact.

Discussion: It is crucial to implement targeted interventions for high-risk subgroups of adolescents with a mental health condition to address their unique needs and mitigate the pandemic's lasting effects on mental health.

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COVID-19大流行与过去一年重度抑郁发作的美国青少年的心理健康状况

背景：虽然COVID-19大流行对心理健康的负面影响已经确立，但需要更多的研究来更好地了解某些人群的脆弱性。目的：本研究比较了有和没有过去一年重度抑郁发作（MDE）的美国青少年对COVID-19对心理健康的负面影响。此外，我们研究了与过去一年MDE患者感知到的较高负面影响相关的因素。方法：样本为2021-2023年全国药物使用与健康调查中12 ~ 17岁青少年（N = 31 861）。根据自我报告的过去一年MDE，参与者分为有（n = 6 186）和没有过去一年MDE （n = 25 675）两组。评估了各组之间感知到的COVID-19对心理健康的负面影响的流行程度。然后进行调整的逻辑回归，以检查与过去一年MDE青少年较高的感知负面影响相关的因素。结果：与没有MDE的青少年相比，过去一年MDE的美国青少年更有可能报告更高的感知负面影响（41%对10.3%）。在过去一年发生MDE的青少年中，女性、年龄较大的青少年和来自较高家庭收入水平的个体比各自的同龄人更有可能报告更高的感知负面影响。此外，COVID-19造成的财务担忧是一个重要的预测因素，与更高的感知负面影响呈正相关。讨论：至关重要的是，对有精神健康问题的高危青少年亚群体实施有针对性的干预措施，以满足他们的独特需求，减轻疫情对精神健康的持久影响。

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

Journal of Child and Adolescent Mental Health PSYCHOLOGY, CLINICAL-

CiteScore

3.60

自引率

0.00%

发文量

期刊介绍： The Journal of Child & Adolescent Mental Health publishes papers that contribute to improving the mental health of children and adolescents, especially those in Africa. Papers from all disciplines are welcome. It covers subjects such as epidemiology, mental health prevention and promotion, psychotherapy, pharmacotherapy, policy and risk behaviour. The journal contains review articles, original research (including brief reports), clinical papers in a "Clinical perspectives" section and book reviews. The Journal is published in association with the South African Association for Child and Adolescent Psychiatry and Allied Professions (SAACAPAP).