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一项针对 COVID-19 大流行期间孤独和绝望高危青少年和青年心理健康挑战的大型样本横断面研究。

A large sample cross-sectional study on mental health challenges among adolescents and young adults during the COVID-19 pandemic at-risk group for loneliness and hopelessness during the COVID-19 pandemic.

机构信息

Department of Social Sciences, Faculty of Health Sciences, Semmelweis University, Budapest, Hungary.

Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary; Physical Education and Sports Centre, Széchenyi István University, Győr, Hungary.

出版信息

J Affect Disord. 2023 Mar 15;325:770-777. doi: 10.1016/j.jad.2023.01.067. Epub 2023 Jan 18.

Abstract

BACKGROUND

The COVID-19 pandemic has posed unprecedented challenges for societies. Emerging data have indicated that the younger population are the most vulnerable group to the development of mental health problems during this pandemic. The present study aimed to examine the effects of the changes in health behaviors on mental health problems to identify an at-risk group among adolescents and young adults.

METHODS

In the present cross-sectional study, secondary school students (N = 2556) ages 15-21 years participated in Hungary. A self-report questionnaire was developed to measure the changes in health behaviors. Mental health problems were measured by the Beck Hopelessness Scale and the 20-item UCLA Loneliness Scale.

RESULTS

A significant proportion of the students showed moderate/severe hopelessness or high loneliness which were more pronounced among adolescent females. An at-risk group was identified among adolescents and young adults. Students who have a lower number of friends, spend less time in front of a screen, and feel lonely often/very often are more likely to have moderate/severe hopelessness with high loneliness.

LIMITATIONS

All data were collected online, and students completed the questionnaires voluntarily. Cross-sectional, non-preregistered study.

CONCLUSIONS

Loneliness and hopelessness were prevalent in the young population during the COVID-19 pandemic. The at-risk group of adolescents characterized by moderate/severe hopelessness with high loneliness highlights the need for follow-up mental health to avoid future poor mental and physical health. It is also recommended to develop effective interventions targeted to gender and age, with the promotion of resiliencies and buffers against vulnerabilities of negative life events.

摘要

背景

COVID-19 大流行给社会带来了前所未有的挑战。新出现的数据表明,在这一大流行期间,年轻人群体是最容易出现心理健康问题的群体。本研究旨在探讨健康行为变化对心理健康问题的影响,以确定青少年和青年中存在风险的群体。

方法

在这项横断面研究中,年龄在 15-21 岁的 2556 名中学生参加了匈牙利的研究。设计了一份自我报告问卷来测量健康行为的变化。心理健康问题采用贝克绝望量表和 20 项 UCLA 孤独量表进行测量。

结果

相当一部分学生表现出中度/重度绝望或高度孤独,其中青少年女性更为明显。确定了青少年和青年中的一个风险群体。与朋友交往较少、花在屏幕前的时间较少以及经常/非常感到孤独的学生,更有可能出现中度/重度绝望和高度孤独。

局限性

所有数据均通过在线收集,学生自愿完成问卷。横断面、非预先注册研究。

结论

在 COVID-19 大流行期间,年轻人中普遍存在孤独和绝望感。以中度/重度绝望和高度孤独为特征的青少年高危群体突出表明需要进行后续心理健康监测,以避免未来出现较差的身心健康。还建议针对性别和年龄制定有效的干预措施,促进应对负面生活事件的适应力和缓冲能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd69/9847220/5865de96c847/gr1ab_lrg.jpg

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