Supplemental Material for The Impact of COVID-19 on Emotional, Social, and Behavioral Health in Adolescents With Preexisting Mental Health Concerns: A Qualitative Study

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Clinical Practice in Pediatric Psychology Pub Date : 2023-04-03 DOI:10.1037/cpp0000485.supp

Sarah S. Sobalvarro, Javier A. Cepeda, Janelle Garcia, Catherine Jackson, Evelyn Shiang, Sachiv Chakravarti, Jacob Workman, Jasmine Reese

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引用次数: 0

Abstract

Objective: The COVID-19 pandemic has caused a decline in well-being for many adolescents. However, the impact of COVID-19 on mental health outcomes among adolescents remains understudied. The current study qualitatively examined the impact of COVID-19 restrictions on adolescents with mental health concerns prior to the pandemic. Methods: We enrolled 20 adolescents who were engaged in care through an Adolescent Health Specialty Clinic prior to COVID-19. Participants were 12- to 19 years old who experienced mental health concerns prior to COVID-19 and experienced declining mental health (e.g., new mental health diagnosis or increased severity of previous mental health diagnosis reported during clinical visit or documented in medical chart) during the pandemic. In-depth interviews were conducted, and inductive coding was applied to transcripts to identify emergent themes. Results: Five key themes were identified: manifestations of declining mental health, loss of motivation, changes to social relationships, use of social media, and coping mechanisms. Adverse mental health outcomes were provoked by experiences of loneliness and social isolation, especially due to school closures which disrupted routines, access to educational and social support, and key cultural milestones. The increased uses of social media and illicit substances were notable coping strategies. Conclusions: Findings from this study strengthen our understanding of the key factors influencing the psychosocial well-being of adolescents during the pandemic. Our results may help inform researchers, clinicians, and policymakers to develop guidelines and community-based strategies for mitigating the potentially negative effects of future pandemic-related disruptions to mental health among adolescents. (PsycInfo Database Record (c) 2023 APA, all rights reserved) Impact Statement The current study examined the impact of COVID-19 restrictions on adolescents with mental health concerns prior to the pandemic. Results emphasize the importance of obtaining first-hand perspectives from adolescents to optimize their care. Providers should prioritize mental health and substance use screening given the impact of the pandemic. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

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新冠肺炎对先前存在心理健康问题的青少年情绪、社会和行为健康影响的补充材料：定性研究

目标：新冠肺炎大流行导致许多青少年的幸福感下降。然而，新冠肺炎对青少年心理健康结果的影响仍然研究不足。目前的研究定性地检查了新冠肺炎限制措施对大流行前有心理健康问题的青少年的影响。方法：我们招募了20名在新冠肺炎前通过青少年健康专业诊所从事护理的青少年。参与者年龄在12至19岁之间，在新冠肺炎之前曾经历过心理健康问题，并在大流行期间经历了心理健康下降（例如，新的心理健康诊断或临床就诊期间报告的或医学图表中记录的先前心理健康诊断的严重程度增加）。进行了深度访谈，并对转录本进行了归纳编码，以确定突发主题。结果：确定了五个关键主题：心理健康下降的表现、动机的丧失、社会关系的改变、社交媒体的使用和应对机制。孤独和社会孤立的经历引发了不良的心理健康结果，尤其是由于学校关闭，扰乱了日常生活、获得教育和社会支持的机会以及关键的文化里程碑。社交媒体和非法药物使用的增加是值得注意的应对策略。结论：这项研究的结果加强了我们对疫情期间影响青少年心理健康的关键因素的理解。我们的研究结果可能有助于为研究人员、临床医生和政策制定者提供信息，以制定指导方针和基于社区的战略，减轻未来与疫情相关的干扰对青少年心理健康的潜在负面影响。（PsycInfo数据库记录（c）2023 APA，保留所有权利）影响声明当前的研究调查了新冠肺炎限制对大流行前有心理健康问题的青少年的影响。研究结果强调了从青少年那里获得第一手观点以优化他们的护理的重要性。鉴于疫情的影响，提供者应优先考虑心理健康和药物使用筛查。（PsycInfo数据库记录（c）2023 APA，保留所有权利）

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来源期刊

Clinical Practice in Pediatric Psychology Psychology-Clinical Psychology

CiteScore

2.30

自引率

18.20%

发文量

期刊介绍： Clinical Practice in Pediatric Psychology® publishes articles representing the professional and applied activities of pediatric psychology. The journal comprehensively describes the breadth and richness of the field in its diverse activities;complements the scientific development of the field with information on the applied/clinical side;provides modeling that addresses the ways practicing pediatric psychologists incorporate empirical literature into day-to-day activities;emphasizes work that incorporates and cites evidence from the science base; andprovides a forum for those engaged in primarily clinical activities to report on their activities and inform future research activities. Articles include a range of formats such as commentaries, reviews, and clinical case reports in addition to more traditional empirical clinical studies. Articles address issues such as: professional and training activities in pediatric psychology and interprofessional functioning;funding/reimbursement patterns and the evaluation of the cost-effectiveness of clinical services;program development;organization of clinical services and workforce analyses;applications of evidence based interventions in "real world" settings with particular attention to potential barriers and solutions and considerations of diverse populations;critical analyses of professional practice issues;clinical innovations, e.g., emerging use of technology in clinical practice;case studies, particularly case studies that have enough detail to be replicated and that provide a basis for larger scale intervention studies; andorganizational, state and federal policies as they impact the practice of pediatric psychology, with a particular emphasis on changes due to health care reform.