Huolian Li, Xiangting Zhang, Luowei Bu, Yifan Zhang, Xuan Wang, Haoxian Ye, Wenxu Liu, Dongfang Wang, Fang Fan
{"title":"新冠肺炎大流行后期中国青少年抑郁和焦虑的纵向轨迹","authors":"Huolian Li, Xiangting Zhang, Luowei Bu, Yifan Zhang, Xuan Wang, Haoxian Ye, Wenxu Liu, Dongfang Wang, Fang Fan","doi":"10.1111/eip.70090","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Introduction</h3>\n \n <p>This study aimed to examine trajectories of depression and anxiety and predictors of these trajectories among Chinese adolescents in the later stage of the COVID-19 pandemic.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This study was a three-timepoint repeated cross-sectional survey with a nested longitudinal subsample. Data collection took place from April 2021 to June 2022. A total of 7529 Chinese adolescents completed the online questionnaire across three timepoints (50% male, mean age 13.89 years). Participants completed the Patient Heath Questionnaire (PHQ-9), Generalised Anxiety Disorder Scale (GAD-7), Adolescent Self-Rating Life Events Checklist (ASLEC), and self-developed questionnaire. Latent Growth Mixture Modelling was employed to investigate the heterogeneous trajectories of depression and anxiety, while multivariate logistic regression analysis was applied to examine predictors for trajectories.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Three trajectories were identified: resilience group (55.6% depression and 63.7% anxiety), mild group (38.4% depression and 30.2% anxiety) and dysfunction group (6% depression and 6.1% anxiety). Predictors of the mild depression/anxiety group were female, study in public school, academic activities and social communication impacted by COVID-19. Female, lack of exercise, academic activities and social communication impacted by COVID-19 were also risk factors for dysfunction depression/anxiety group.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The patterns of depression and anxiety are different, and each trajectory is influenced by different predictors. Resilience group remains the most common outcome, while over one-third of adolescents exhibit mild and dysfunction symptoms, indicating the need for individualised intervention.</p>\n </section>\n </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 10","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Longitudinal Trajectories of Depression and Anxiety Among Chinese Adolescents in the Later Stage of the COVID-19 Pandemic\",\"authors\":\"Huolian Li, Xiangting Zhang, Luowei Bu, Yifan Zhang, Xuan Wang, Haoxian Ye, Wenxu Liu, Dongfang Wang, Fang Fan\",\"doi\":\"10.1111/eip.70090\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Introduction</h3>\\n \\n <p>This study aimed to examine trajectories of depression and anxiety and predictors of these trajectories among Chinese adolescents in the later stage of the COVID-19 pandemic.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>This study was a three-timepoint repeated cross-sectional survey with a nested longitudinal subsample. Data collection took place from April 2021 to June 2022. A total of 7529 Chinese adolescents completed the online questionnaire across three timepoints (50% male, mean age 13.89 years). Participants completed the Patient Heath Questionnaire (PHQ-9), Generalised Anxiety Disorder Scale (GAD-7), Adolescent Self-Rating Life Events Checklist (ASLEC), and self-developed questionnaire. Latent Growth Mixture Modelling was employed to investigate the heterogeneous trajectories of depression and anxiety, while multivariate logistic regression analysis was applied to examine predictors for trajectories.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Three trajectories were identified: resilience group (55.6% depression and 63.7% anxiety), mild group (38.4% depression and 30.2% anxiety) and dysfunction group (6% depression and 6.1% anxiety). Predictors of the mild depression/anxiety group were female, study in public school, academic activities and social communication impacted by COVID-19. Female, lack of exercise, academic activities and social communication impacted by COVID-19 were also risk factors for dysfunction depression/anxiety group.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>The patterns of depression and anxiety are different, and each trajectory is influenced by different predictors. Resilience group remains the most common outcome, while over one-third of adolescents exhibit mild and dysfunction symptoms, indicating the need for individualised intervention.</p>\\n </section>\\n </div>\",\"PeriodicalId\":11385,\"journal\":{\"name\":\"Early Intervention in Psychiatry\",\"volume\":\"19 10\",\"pages\":\"\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2025-10-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Early Intervention in Psychiatry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/eip.70090\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Early Intervention in Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/eip.70090","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Longitudinal Trajectories of Depression and Anxiety Among Chinese Adolescents in the Later Stage of the COVID-19 Pandemic
Introduction
This study aimed to examine trajectories of depression and anxiety and predictors of these trajectories among Chinese adolescents in the later stage of the COVID-19 pandemic.
Methods
This study was a three-timepoint repeated cross-sectional survey with a nested longitudinal subsample. Data collection took place from April 2021 to June 2022. A total of 7529 Chinese adolescents completed the online questionnaire across three timepoints (50% male, mean age 13.89 years). Participants completed the Patient Heath Questionnaire (PHQ-9), Generalised Anxiety Disorder Scale (GAD-7), Adolescent Self-Rating Life Events Checklist (ASLEC), and self-developed questionnaire. Latent Growth Mixture Modelling was employed to investigate the heterogeneous trajectories of depression and anxiety, while multivariate logistic regression analysis was applied to examine predictors for trajectories.
Results
Three trajectories were identified: resilience group (55.6% depression and 63.7% anxiety), mild group (38.4% depression and 30.2% anxiety) and dysfunction group (6% depression and 6.1% anxiety). Predictors of the mild depression/anxiety group were female, study in public school, academic activities and social communication impacted by COVID-19. Female, lack of exercise, academic activities and social communication impacted by COVID-19 were also risk factors for dysfunction depression/anxiety group.
Conclusions
The patterns of depression and anxiety are different, and each trajectory is influenced by different predictors. Resilience group remains the most common outcome, while over one-third of adolescents exhibit mild and dysfunction symptoms, indicating the need for individualised intervention.
期刊介绍:
Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.