The role of only-child status in the psychological impact of COVID-19 on mental health of Chinese adolescents | |
Cao, Yujia1,3; Huang, Liyuan1; Si, Tong1; Wang, Ning Qun1; Qu, Miao1; Zhang, Xiang Yang2 | |
刊名 | JOURNAL OF AFFECTIVE DISORDERS |
2021-03-01 | |
卷号 | 282页码:316-321 |
关键词 | Only child Anxiety symptoms Depression symptom Epidemic Adolescent |
ISSN号 | 0165-0327 |
DOI | 10.1016/j.jad.2020.12.113 |
产权排序 | 3 |
文献子类 | 实证研究 |
英文摘要 | Background: The impact of coronavirus disease (COVID-19) on public mental health in 2019 is verified, but the role of only-child status in the mental health of adolescents confined at home during the COVID-19 epidemic has not been investigated and is not clear. Objective: Our study aims to assess the impact of only-child status on the mental health of adolescents confined at home during the COVID-19 outbreak. The exposure risk to COVID-19, adverse experience, parent-child relationship, and resilience have also been measured and considered. Methods: From March 20 to 31, 2020, a cross-sectional survey test was conducted on 11,681 adolescents aged from 12 to 18 years in middle schools (Grade 7 to Grade 9) across five provinces in China. The self-reported online questionnarie was used to collected data of demographic information, the 9-item Patient Health Questionnaire, the 7-item Generalized Anxiety Disorder Scale, the short form of the Childhood Trauma Questionnaire, the Connor-Davidson Resilience Scale and the exposure risk to COVID-19. Results: A total of 11,180 valid questionnaires were collected, with an effective rate of 95.7%. 35.2% of only children and 38.8% of non-only children reported depression symptoms, while 20.5% of only children and 24.7% of non-only children reported anxiety symptoms. It was significant that non-only children were more likely to have anxiety and depression symptoms than only children (OR = 1.164, 95%CI: 1.064-1.273, p = 0.001). The risk of exposure to COVID-19 was a risk factor of depression (OR = 2.284, 95%CI: 1.640-3.180, p < 0.001) and anxiety symptoms (OR = 1.959, 95%CI: 1.402-2.737, p < 0.001) in non-only children, but not in only children. For both only children and non-only children, the resilience and parent-child relationship were protective factors of depression and anxiety symptoms, while emotional abuse was a risk factor (p < 0.001). Conclusion: The non-only children are more likely to develop the symptoms of anxiety and depression than only children, during the outbreak of COVID-19 in China. The adolescents with siblings are psychiatrically more vulnerable to exposure risk of COVID-19 and need more attention, especially those with poor parent-child relationship, low resilience and experience of emotional abuse. |
资助项目 | National Key Research and Development Project[2020YFC2003103] ; National Natural Science Foundation of China[81973759] |
WOS研究方向 | Neurosciences & Neurology ; Psychiatry |
语种 | 英语 |
出版者 | ELSEVIER |
WOS记录号 | WOS:000619295400045 |
内容类型 | 期刊论文 |
源URL | [http://ir.psych.ac.cn/handle/311026/38716] |
专题 | 心理研究所_中国科学院心理健康重点实验室 |
通讯作者 | Qu, Miao; Zhang, Xiang Yang |
作者单位 | 1.Capital Med Univ, Neurol Dept, Xuan Wu Hosp, 45 Changchun St, Beijing 100053, Peoples R China 2.Chinese Acad Sci, Inst Psychol, CAS Key Lab Mental Hlth, 16 Lincui Rd, Beijing 100101, Peoples R China 3.Beijing Univ Chinese Med, Affiliated Hosp 3, Neurol Dept, Beijing, Peoples R China |
推荐引用方式 GB/T 7714 | Cao, Yujia,Huang, Liyuan,Si, Tong,et al. The role of only-child status in the psychological impact of COVID-19 on mental health of Chinese adolescents[J]. JOURNAL OF AFFECTIVE DISORDERS,2021,282:316-321. |
APA | Cao, Yujia,Huang, Liyuan,Si, Tong,Wang, Ning Qun,Qu, Miao,&Zhang, Xiang Yang.(2021).The role of only-child status in the psychological impact of COVID-19 on mental health of Chinese adolescents.JOURNAL OF AFFECTIVE DISORDERS,282,316-321. |
MLA | Cao, Yujia,et al."The role of only-child status in the psychological impact of COVID-19 on mental health of Chinese adolescents".JOURNAL OF AFFECTIVE DISORDERS 282(2021):316-321. |
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