Volume 43 Issue 5
May  2022
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ZHOU Yi, WU Peipei, WANG Shihong, FANG Jiao, XU Yuxiang, SUN Ying. Buffering effect of positive childhood experiences on mental health risks among adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(5): 676-678. doi: 10.16835/j.cnki.1000-9817.2022.05.009
Citation: ZHOU Yi, WU Peipei, WANG Shihong, FANG Jiao, XU Yuxiang, SUN Ying. Buffering effect of positive childhood experiences on mental health risks among adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(5): 676-678. doi: 10.16835/j.cnki.1000-9817.2022.05.009

Buffering effect of positive childhood experiences on mental health risks among adolescents

doi: 10.16835/j.cnki.1000-9817.2022.05.009
  • Received Date: 2021-10-27
  • Rev Recd Date: 2021-12-23
  • Available Online: 2022-05-20
  • Publish Date: 2022-05-25
  •   Objective  To explore the buffering effect of positive childhood experiences (PCEs) on mental health risks among adolescents before and after COVID-19 epidemic.  Methods  In October 2019 (before the outbreak of COVID-19), 1 322 students from grades 4 to 9 were recruited from primary and secondary schools in two counties of Chizhou city, Anhui Province. A questionnaire survey was conducted to collect general demographic information, PCEs, depressive symptoms, anxiety symptoms, self-harm behavior, suicidal ideation. Follow-up survey was conducted after school re-opening (May 2020). Mental health status before and after the COVID-19 epidemic was compared among students with different PCEs by multiple logistic regression analyses.  Results  The detection rates of depressive symptoms, anxiety symptoms, self-harm behavior and suicidal ideation (22.6%, 16.0%, 40.0%, 29.9%) of the respondents after school re-opening were significantly higher compared that before the epidemic (16.5%, 13.5%, 31.1%, 22.6%). There were no significant differences in the detection rates of depressive symptoms, anxiety symptoms, self-harm behavior and suicidal ideation between high PCEs group before and after the epidemic (Z=-0.05, 0.27, 0.84, 1.84, P>0.05). Multivariate Logistic regression analysis showed that the risk of depressive symptoms and self-harm behavior in the low PCEs group after school re-opening was 1.39 times higher than that before the epidemic (95%CI=1.05-1.84, P < 0.05). The risk of non-suicidal self-injury behavior in the low PCEs group after school re-opening was 1.31 times higher than that before the epidemic (95%CI=1.05-1.62, P < 0.05). There were no significant differences in mental health detection rates in high PCEs group before and after the epidemic (P>0.05).  Conclusion  During the time of COVID-19 epidemic, PCEs is associated with lower rates of depressive symptoms, anxiety symptoms, self-harm behavior and suicide ideation in adolescents. The findings suggest that more support and help should be given to adolescents from the perspectives of family, school and peers, so as to reduce the adverse effects of public health emergencies on adolescents' mental health.
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