본문 바로가기
KERD
논문KCI 등재

Mental Health and Related Factors of Adolescent Students During Coronavirus Disease 2019 (COVID-19) Pandemic

2

조회

0

다운로드

1

인용

0

참고문헌

키워드

주제분류정신과학

초록

Objective Adolescents are at a special stage of physical and mental development, which is a susceptible period for mental disorders. Since the outbreak of coronavirus pneumonia in December 2019, long term stress may have negative effects on the mental health of the adolescents. In the context of the coronavirus disease 2019 (COVID-19), the study was designed to investigate the mental and psychological health of adolescents in China and its possible related factors.Methods A cross-sectional study design was adopted using a structured questionnaire which were distributed through the Internet to measure depression, anxiety, life events and stress related factors. Descriptive statistics and multiple regression analyses were conducted to process the data.Results The final sample comprised 795 adolescents. The total detection rate of depression was 76.48% and the total detection rate of anxiety was 33.08%. ANOVA showed that there were significant differences in depression scores in terms of gender, anxiety scores, history of mental disorders, COVID-19 knowledge reserve, family and social contradictions (p<0.05). And there were significant differences in anxiety scores in terms of gender, depression scores, mental health knowledge reserves, family and social contradictions (p<0.05). Multiple regression analysis showed that anxiety score, health status and COVID-19 knowledge reserve were positively associated with depression score (p<0.01), and history of psychosocial disorders was negatively associated with depression score (p<0.05); depression score, family and social contradictions were significantly positively correlated with anxiety score (p<0.01), and history of mental disorders was significantly negatively correlated with SDS score (p<0.01).Conclusion During the outbreak of COVID-19, adolescent students with better understanding of the pandemic, more complete knowledge of mental health, and better family and social relationship had less impact on their mental health. Therefore, to ensure a sound social support system, elaborate health instruction, and family communication and mutual understanding are conducive to alleviating the psychological stress caused by the epidemic, and it is positive for adolescent students to maintain a good mental health.

Abstract

Objective Adolescents are at a special stage of physical and mental development, which is a susceptible period for mental disorders. Since the outbreak of coronavirus pneumonia in December 2019, long term stress may have negative effects on the mental health of the adolescents. In the context of the coronavirus disease 2019 (COVID-19), the study was designed to investigate the mental and psychological health of adolescents in China and its possible related factors.Methods A cross-sectional study design was adopted using a structured questionnaire which were distributed through the Internet to measure depression, anxiety, life events and stress related factors. Descriptive statistics and multiple regression analyses were conducted to process the data.Results The final sample comprised 795 adolescents. The total detection rate of depression was 76.48% and the total detection rate of anxiety was 33.08%. ANOVA showed that there were significant differences in depression scores in terms of gender, anxiety scores, history of mental disorders, COVID-19 knowledge reserve, family and social contradictions (p<0.05). And there were significant differences in anxiety scores in terms of gender, depression scores, mental health knowledge reserves, family and social contradictions (p<0.05). Multiple regression analysis showed that anxiety score, health status and COVID-19 knowledge reserve were positively associated with depression score (p<0.01), and history of psychosocial disorders was negatively associated with depression score (p<0.05); depression score, family and social contradictions were significantly positively correlated with anxiety score (p<0.01), and history of mental disorders was significantly negatively correlated with SDS score (p<0.01).Conclusion During the outbreak of COVID-19, adolescent students with better understanding of the pandemic, more complete knowledge of mental health, and better family and social relationship had less impact on their mental health. Therefore, to ensure a sound social support system, elaborate health instruction, and family communication and mutual understanding are conducive to alleviating the psychological stress caused by the epidemic, and it is positive for adolescent students to maintain a good mental health.

참고문헌 (52)

  1. Sher L, "The impact of the COVID-19 pandemic on suicide rates", QJM, 113, pp.707~712 (2020)
  2. "The Notice of the Ministry of Education on Delaying the Opening of Spring Semester in 2020"[URL]
  3. "The Guiding Opinions on Organizing and Managing Online Teaching in Higher Education Institutes during the Period of Epidemic Prevention and Control"[URL]
  4. Fegert JM, "Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: a narrative review to highlight clinical and research needs in the acute phase and the long return to normality", Child Adolesc Psychiatry Ment Health, 14, pp.20~ (2020)
  5. Blakemore SJ, "Adolescence and mental health", Lancet, 393, pp.2030~2031 (2019)
  6. Kessler RC, "Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication", Arch Gen Psychiatry, 62, pp.593~602 (2005)
  7. Hollenstein T, "Beyond storm and stress: typicality, transactions, timing, and temperament to account for adolescent change", Am Psychol, 68, pp.444~454 (2013)
  8. Meuwese R, "Friends in high places: a dyadic perspective on peer status as predictor of friendship quality and the mediating role of empathy and prosocial behavior", Soc Develop, 26, pp.503~519 (2017)
  9. Somerville LH, "Special issue on the teenage brain: Sensitivity to social evaluation", Curr Dir Psychol Sci, 22, pp.121~127 (2013)
  10. Ren JH, "Mental disorders of pregnant and postpartum women after earthquakes: a systematic review", Disaster Med Public Health Prep, 8, pp.315~325 (2014)
  11. Nukui H, "Mental health of nurses after the Fukushima complex disaster: a narrative review", J Radiat Res, 59(suppl_2), pp.ii108~ii113 (2018)
  12. Chen F, "Depression and anxiety among adolescents during COVID-19: a cross-sectional study", Brain Behav Immun, 88, pp.36~38 (2020)
  13. Liu SF, "Mental state of medical college students during SARS", J Health Psychol, pp.117~118 (2004)
  14. An R, "Impact of hurricane Katrina on mental health among US adults", Am J Health Behav, 43, pp.1186~1199 (2019)
  15. Wang C, "Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China", Int J Environ Res Public Health, 17, pp.1729~ (2020)
  16. Pappa S, "Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis", Brain Behav Immun, 88, pp.901~907 (2020)
  17. Yin G, "A study on the pressure source and pressure of college students facing SARS in the epidemic period", Stud Psychol Behav, 1, pp.236~239 (2003)
  18. Liu Z, "Analysis of the influencing factors of students’ psychological status in three universities in Beijing during the epidemic period of SARS", Chin J Epidemiol, pp.48~51 (2004)
  19. Wang C, "A longitudinal study on the mental health of general population during the COVID-19epidemic in China", Brain Behav Immun, 87, pp.40~48 (2020)
  20. Saurabh K, "Compliance and psychological impact of quarantine in children and adolescents due to COVID-19 pandemic", Ind J Pediatr, 87, pp.532~536 (2020)
  21. Jiao WY, "Behavioral and emotional disorders in children during the COVID-19 epidemic", J Pediatr, 221, pp.264~266.e1 (2020)
  22. Esterwood E, "Past epidemics, natural disasters, COVID19, and mental health: learning from history as we deal with the present and prepare for the future", Psychiatr Q, 91, pp.1121~1133 (2020)
  23. Hölling H, "Psychopathological problems and psychosocial impairment in children and adolescents aged 3-17 years in the German population: prevalence and time trends at two measurement points (2003-2006 and 2009-2012):results of the KiGGS study: first follow-up (KiGGS Wave 1)", Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 57, pp.807~819 (2014)
  24. Riley AW, "Development of a family-based program to reduce risk and promote resilience among families affected by maternal depression: theoretical basis and program description", Clin Child Fam Psychol Rev, 11, pp.12~29 (2008)
  25. Rasic D, "Risk of mental illness in offspring of parents with schizophrenia, bipolar disorder, and major depressive disorder:a meta-analysis of family high-risk studies", Schizophr Bull, 40, pp.28~38 (2014)
  26. "A Gender Lens on COVID-19: Pandemics and Violence against Women and Children"[URL]
  27. "Lockdowns around the world bring rise in domestic violence" (2020)[URL]
  28. "UN chief calls for domestic violence ‘ceasefire’ amid ‘horrifying global surge’" (2020)[URL]
  29. Taylor MR, "Factors influencing psychological distress during a disease epidemic: data from Australia’s first outbreak of equine influenza", BMC Public Health, 8, pp.347~ (2008)
  30. Sprang G, "Posttraumatic stress disorder in parents and youth after health-related disasters", Disaster Med Public Health Prep, 7, pp.105~110 (2013)
  31. Lee J, "Mental health effects of school closures during COVID-19", Lancet Child Adolesc Health, 4, pp.421~ (2020)
  32. Ellis WE, "Physically isolated but socially connected:psychological adjustment and stress among adolescents during the initial COVID-19 crisis", Can J Behav Sci, 52, pp.177~187 (2020)
  33. Zoellner T, "Posttraumatic growth in clinical psychology - a critical review and introduction of a two component model", Clin Psychol Rev, 26, pp.626~653 (2006)
  34. Zung WW, "A Self-Rating Depression Scale", Arch Gen Psychiatry, 12, pp.63~70 (1965)
  35. Jokelainen J, "Validation of the Zung self-rating depression scale (SDS) in older adults", Scand J Prim Health Care, 37, pp.353~357 (2019)
  36. Zung WW, "A rating instrument for anxiety disorders", Psychosomatics, 12, pp.371~379 (1971)
  37. Yu M, "The latent profile analysis of Chinese adolescents' anxiety: examination and validation", J Anxiety Disord, 59, pp.74~81 (2018)
  38. Zhang X, "Investigation and analysis of the psychological status of 1486 medical students in the period of COVID-19", J Inn Mong Med Univ, 42, pp.128~130 (2020)
  39. Zhang X, "Psychological and behavioral investigation of medical students during the outbreak of COVID-19", J Trop Med, 20, pp.576~580 (2020)
  40. Pu J, "An analysis of the effects of natural disasters on depressive symptoms and psychological elasticity of school adolescents: a case study of 1174 school adolescents in changning county, Yunnan province", Soft Sci Health, 34, pp.78~82 (2020)
  41. SkaffMM, "Gender differences in problem drinking and depression: different “vulnerabilities?”", Am J Community Psychol, 27, pp.25~54 (1999)
  42. Bellin MH, "Correlates of depressive and anxiety symptoms in young adults with spina bifida", J Pediatr Psychol, 35, pp.778~789 (2010)
  43. Shen L, "Psychometric properties of the Hong psychological reactance scale", J Pers Assess, 85, pp.74~81 (2005)
  44. Seibel CA, "Personality characteristics associated with psychological reactance", J Clin Psychol, 57, pp.963~969 (2001)
  45. Grandpre J, "Adolescent reactance and anti-smoking campaigns: a theoretical approach", Health Commun, 15, pp.349~366 (2003)
  46. Weiler MA, "Insight and symptom change in schizophrenia and other disorders", Schizophr Res, 45, pp.29~36 (2000)
  47. de Assis da Silva R, "Insight across the different mood states of bipolar disorder", Psychiatr Q, 86, pp.395~405 (2015)
  48. Zhai J, "Analysis of factors related to the insight in depression patients", J Clin Psychol Med, 11, pp.22~24 (2001)
  49. Porter AL, "Comparison of online versus classroom delivery of an immunization elective course", Am J Pharm Educ, 78, pp.96~ (2014)
  50. Ebrahim SH, "Covid-19 and community mitigation strategies in a pandemic", BMJ, 368, pp.m1066~ (2020)
  51. "Statistical report on the development of Internet in China No.47"[URL]
  52. Schwarz N, "Self-reports: how the questions shape the answers", Am Psychol, 54, pp.93~105 (1999)

관련 논문AI추천

Factors Associated With Depression and Anxiety in Korean Adolescents During the COVID-19 PandemicJhon Min, Kang Hee-Ju, Kim Honey, Kim Jae-Min, Kim Ju-Wan, Kim Sung-Wan, Lee Ju-Yeon, Ryu Seunghyong대한신경정신의학회 · PSYCHIATRY INVESTIGATION2022 · 제19권 제7호Sleep and Mental Health Among Adolescents During the COVID-19 Pandemic김지연, 김태현, Jang Suk-Yong, Kim Do Hee, Lee Sang Gyu대한신경정신의학회 · PSYCHIATRY INVESTIGATION2022 · 제19권 제8호Changes in mental health of Korean adolescents before and during the COVID-19 pandemic: a special report using the Korea Youth Risk Behavior SurveyChoi Sunhye, Kim Jihee, Oh Kyungwon, Park Bomi, Yang Ji Eun한국역학회 · Epidemiology and Health2023 · 제45권 The Relationship Between Religious Beliefs and Related Factors and Psychiatric Symptoms in Adolescents: A Cross-Sectional Secondary Analysis of Data From NIPHEAC, 2020Feng Yu, Hongxin Lu, Meihong Xiu, Miao Qu, Pingping Wang대한신경정신의학회 · PSYCHIATRY INVESTIGATION2024 · 제21권 제7호코로나19 대유행 시기 동안 청소년의 자기인식 우울감에 영향을 미치는 요인김성완, 김재민, 김하늬, 신일선, 이주연대한생물치료정신의학회 · 생물치료정신의학2024 · 제30권 제3호An Ethnic Minority Perspective: Association Between Negative Life Events and Depressive Symptoms in Yi Adolescents in ChinaLi Yin, Qingqing Xiao, Shoukang Zou, Tuge Waqi, Xiaozhen Song, Ying Wang대한신경정신의학회 · PSYCHIATRY INVESTIGATION2025 · 제22권 제4호

이 간행물의 다른 논문 (7건)