新冠肺炎大流行后期中国青少年抑郁和焦虑的纵向轨迹

IF 2.2 4区 医学 Q3 PSYCHIATRY
Huolian Li, Xiangting Zhang, Luowei Bu, Yifan Zhang, Xuan Wang, Haoxian Ye, Wenxu Liu, Dongfang Wang, Fang Fan
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引用次数: 0

摘要

本研究旨在研究COVID-19大流行后期中国青少年的抑郁和焦虑轨迹及其预测因素。方法采用纵向嵌套抽样的三时间点重复横断面调查方法。数据收集于2021年4月至2022年6月进行。共有7529名中国青少年在三个时间点完成了在线问卷调查(50%为男性,平均年龄13.89岁)。参与者完成了患者健康问卷(PHQ-9)、广泛性焦虑障碍量表(GAD-7)、青少年生活事件自评表(ASLEC)和自编问卷。使用潜在生长混合模型来研究抑郁和焦虑的异质性轨迹,并使用多变量逻辑回归分析来检查轨迹的预测因子。结果心理恢复组(抑郁55.6%,焦虑63.7%)、轻度组(抑郁38.4%,焦虑30.2%)和功能障碍组(抑郁6%,焦虑6.1%)共3个轨迹。轻度抑郁/焦虑组的预测因子为受COVID-19影响的女性、公立学校学习、学术活动和社交。女性、缺乏锻炼、受COVID-19影响的学术活动和社交交流也是功能障碍抑郁/焦虑组的危险因素。结论抑郁和焦虑的模式不同,且各轨迹受不同预测因子的影响。恢复力组仍然是最常见的结果,而超过三分之一的青少年表现出轻微和功能障碍症状,表明需要个性化干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Longitudinal Trajectories of Depression and Anxiety Among Chinese Adolescents in the Later Stage of the COVID-19 Pandemic

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.

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来源期刊
Early Intervention in Psychiatry
Early Intervention in Psychiatry 医学-精神病学
CiteScore
4.80
自引率
5.00%
发文量
112
审稿时长
6-12 weeks
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.
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