期刊
SCHIZOPHRENIA RESEARCH
卷 237, 期 -, 页码 40-46出版社
ELSEVIER
DOI: 10.1016/j.schres.2021.08.020
关键词
Adolescent mental health; Psychotic-like experiences; Anxiety; Depression; COVID-19
类别
资金
- China Precision Medicine Initiative [2016YFC0906300]
- National Natural Science Foun-dation of China [81671335, 81701325, 81801353, 82071506]
- Natural Science Foundation of Hunan Province, China [2019JJ50848]
The study identified a significant increase in adolescent PLEs after lockdown, with a positive correlation between changes in PLEs and changes in anxiety/depression. Four PLEs trajectories were identified based on reports at two timepoints, and the group with new-onset PLEs experienced the most severe exacerbation in anxiety/depression symptoms.
Objective: Lockdown policies during COVID-19 pandemic have potential adverse psychological impacts on youth. However, little is known about their influence on the changes of psychotic-like experiences (PLEs) among adolescents, nor about the possible association between changes in PLEs and changes in anxiety/depression symptoms. We investigated these two questions through a longitudinal comparative study. Methods: In total, 1825 adolescents were surveyed before COVID-19 and after the lockdown in China (T0, October 20th, 2019 and T1, May 18th, 2020). PLEs, anxiety, and depression were measured with paranoia, anxiety and depression subscales of the Mental Health Inventory of Middle school students (MMHI-60). Within subjects Wilcoxon test, Spearman correlation test, and Kruskal-Wallis test were adopted. Results: Significant increase in adolescent PLEs scores was observed after the lockdown (Wilcoxon's w = 9.302, p < 0.001). We also found positive correlation between changes of PLEs and changes of anxiety/depression (Spearman's rho = 0.59/0.53, both p < 0.001). Furthermore, four PLEs trajectories were identified based on the report of PLEs at two timepoints: 60.4% with no PLEs, 9.3% remitted PLEs, 16.7% new PLEs, and 13.6% persistent PLEs. Significant difference was found in changes of anxiety/depression among four groups (p < 0.001); notably, the group with new-onset PLEs had the greatest exacerbation in anxiety/depression symptoms (both p Bonferroni <0.001). Conclusions: This work is the first to identify increases in adolescent PLEs across the COVID-19 pandemic and suggested a close longitudinal association between PLEs and anxiety/depression. Our findings have implications for adolescent mental health crisis interventions during the pandemic.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据