Influence of individual and family characteristics on middle school students' mental health status during COVID-19 pandemic

YANG Xiaochen; ZHU Jingfen; CHEN Ziyue; TAN Yinliang; HE Yaping

doi:10.16835/j.cnki.1000-9817.2021.06.014

Volume 42 Issue 6

Jun. 2021

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YANG Xiaochen, ZHU Jingfen, CHEN Ziyue, TAN Yinliang, HE Yaping. Influence of individual and family characteristics on middle school students' mental health status during COVID-19 pandemic[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(6): 858-862, 866. doi: 10.16835/j.cnki.1000-9817.2021.06.014

Citation:

YANG Xiaochen, ZHU Jingfen, CHEN Ziyue, TAN Yinliang, HE Yaping. Influence of individual and family characteristics on middle school students' mental health status during COVID-19 pandemic[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(6): 858-862, 866. doi: 10.16835/j.cnki.1000-9817.2021.06.014

Citation:

YANG Xiaochen, ZHU Jingfen, CHEN Ziyue, TAN Yinliang, HE Yaping. Influence of individual and family characteristics on middle school students' mental health status during COVID-19 pandemic[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(6): 858-862, 866. doi: 10.16835/j.cnki.1000-9817.2021.06.014

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Influence of individual and family characteristics on middle school students' mental health status during COVID-19 pandemic

doi: 10.16835/j.cnki.1000-9817.2021.06.014

1.
School of Public Health, Shanghai Jiao Tong University, Shanghai(200025), China

Received Date: 2020-11-29
Rev Recd Date: 2021-01-05

Available Online: 2021-06-22

Publish Date: 2021-06-25

Abstract

Abstract

Objective This study aims to investigate the impact of individual and family factors on anxiety and loneliness of middle school students during quarantine in the COVID-19 pandemic and to provide reference for discussing the possible effective intervention paths in the stress process of public health emergencies. Methods A total of 11 596 students from junior and high schools in Shanghai were selected to complete the questionnaire with the stratified random cluster sampling method. Generalized Anxiety Disorder(GAD-7) and UCLA Loneliness Scale, University of California at Los Angeles(ULS-6) were used for the survey. Results The prevalence of anxiety and loneliness were 34.78% and 52.44% respectively. The rate of anxiety and loneliness in girls (36.13%, 54.62%) was higher than that of boys (33.44%, 50.28%)(χ²=17.03, 21.82, P < 0.05). Logistic regression analysis showed that graduates (OR=1.34, 95%CI=1.18-1.52), students ranking in the middle (OR=1.25, 95%CI=1.08-1.45) or in the bottom 25% (OR=1.76, 95%CI=1.50-2.05), non-only children in the family (OR=1.25, 95%CI=1.09-1.43) and low socioeconomic status (OR=1.42, 95%CI=1.23-1.65) were associated with increased risk of moderate and severe level of anxiety(P < 0.05). Girls(OR=1.20, 95%CI=1.12-1.30), graduates(OR=1.13, 95%CI=1.04-1.24), non-residents(OR=1.20, 95%CI=1.09-1.33), lower level of grades(OR=1.72, 95%CI=1.55-1.91) and not living with parents(OR=1.32, 95%CI=1.18-1.48) were associated with increased risk of loneliness(P < 0.05). Conclusion During the quarantine period caused by the COVID-19 pandemic, negative emotions such as anxiety and loneliness among adolescents need attention, especially females, graduates, only children and students with low rankings or low socioeconomic status.
- Family characteristics,
- Coronavirus,
- Mental health,
- Regression analysis,
- Students

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References(30)

References

[1]	COURTNEY D, WATSON P, BATTAGLIA M, et al. COVID-19 Impacts on child and youth anxiety and depression: challenges and opportunities[J]. Can J Psychiatry, 2020, 65(10): 688-691. doi: 10.1177/0706743720935646
[2]	PERRIN P C, MCCABE O L, EVERLY G S, et al. Preparing for an influenza pandemic: mental health considerations[J]. Prehosp Disaster Med, 2009, 24(3): 223-230. doi: 10.1017/S1049023X00006853
[3]	GOLBERSTEIN E, WEN H, MILLER B F. Coronavirus disease 2019(COVID-19) and mental health for children and adolescents[J]. JAMA Pediatr, 2020, 174(9): 819-820. doi: 10.1001/jamapediatrics.2020.1456
[4]	张迪, 田雨馨, 伍新春. 突发公共卫生事件中的隔离: 心理反应与影响因素[J]. 华南师范大学学报(社会科学版), 2020(4): 31-41, 189. https://www.cnki.com.cn/Article/CJFDTOTAL-HNSB202004004.htm ZHANG D, TIAN Y X, WU X C, et al. Psychological reactions and influencing factors of isolation in public health emergencies[J]. J South Chin Normal Univ(Soc Sci Edit), 2020(4): 31-41, 189. https://www.cnki.com.cn/Article/CJFDTOTAL-HNSB202004004.htm
[5]	马楷轩, 张燚德, 侯田雅, 等. 新型冠状病毒肺炎疫情期间隔离人员生理心理状况调查[J]. 中国临床医学, 2020, 27(1): 36-40. https://www.cnki.com.cn/Article/CJFDTOTAL-LCYX202001011.htm MA K X, ZHANG Y D, HOU T Y, et al. Investigation of physical and mental health in isolated people during the outbreak of novel coronavirus pneumonia[J]. Chin J Clin Med, 2020, 27(1): 36-40. https://www.cnki.com.cn/Article/CJFDTOTAL-LCYX202001011.htm
[6]	PICOITO J, SANTOS C, NUNES C. Heterogeneity and heterotypic continuity of emotional and behavioural profiles across development[J]. Soc Psychiatry Psychiatr Epidemiol, 2020. DOI: 10.1007/s00127-020-01903-y.
[7]	臧福运. 压力、抑郁对不同社会阶层青少年吸烟行为的影响[D]. 长沙: 湖南师范大学, 2017. ZANG F Y. The Effects of stress and depression on smoking behavior among adolescents in different social classes[D]. Changsha: Hunan Normal University, 2017.
[8]	何筱衍, 李春波, 钱洁, 等. 广泛性焦虑量表在综合性医院的信度和效度研究[J]. 上海精神医学, 2010, 22(4): 200-203. doi: 10.3969/j.issn.1002-0829.2010.04.002 HE X Y, LI C B, QIAN J, et al. Reliability and validity of a generalized anxiety disorder scale in general hospital outpatients[J]. Shanghai Arch Psychiatry, 2010, 22(4): 200-203. doi: 10.3969/j.issn.1002-0829.2010.04.002
[9]	KROENKE K, SPITZER R L, WILLIAMS J B, et al. The patient health questionnaire somatic, anxiety, and depressive symptom scales: a systematic review[J]. Gen Hosp Psychiatry, 2010, 32(4): 345-359. doi: 10.1016/j.genhosppsych.2010.03.006
[10]	XU S, QIU D, HAHNE J, et al. Psychometric properties of the short-form UCLA Loneliness Scale(ULS-8) among Chinese adolescents[J]. Medicine(Baltimore), 2018, 97(38): e12373. http://www.ncbi.nlm.nih.gov/pubmed/30235699
[11]	周亮, 黎芝, 胡宓, 等. ULS-8孤独感量表信效度检验及其应用[J]. 中南大学学报(医学版), 2012, 37(11): 1124-1128. doi: 10.3969/j.issn.1672-7347.2012.11.008 ZHOU L, LI Z, HU M, et al. Reliability and validity of ULS-8 loneliness scale in elderly samples in a rural community[J]. J Central South Univ(Med Sci), 2012, 37(11): 1124-1128. doi: 10.3969/j.issn.1672-7347.2012.11.008
[12]	陈丹, 权治行, 艾梦瑶, 等. 青少年心理健康状况及影响因素[J]. 中国健康心理学杂志, 2020, 28(9): 1402-1409. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202009028.htm CHEN D, QUAN Z X, AI M Y, et al. Adolescent mental health and influencing factors[J]. Chin J Health Psychol, 2020, 28(9): 1402-1409. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202009028.htm
[13]	QI M, ZHOU S J, GUO Z C, et al. The effect of social support on mental health in Chinese adolescents during the outbreak of COVID-19[J]. J Adolesc Health, 2020, 67(4): 514-518. doi: 10.1016/j.jadohealth.2020.07.001
[14]	BUZZI C, TUCCI M, CIPRANDI R, et al. The psycho-social effects of COVID-19 on Italian adolescents' attitudes and behaviors[J]. Ital J Pediatr, 2020, 46(1): 69. doi: 10.1186/s13052-020-00833-4
[15]	WANG C, PAN R, WAN X, et al. A longitudinal study on the mental health of general population during the COVID-19 epidemic in China[J]. Brain Behav Immun, 2020, 87: 40-48. doi: 10.1016/j.bbi.2020.04.028
[16]	WANG Y, XU B, ZHAO G, et al. Is quarantine related to immediate negative psychological consequences during the 2009 H1N1 epidemic?[J]. Gen Hosp Psychiatry, 2011, 33(1): 75-77. doi: 10.1016/j.genhosppsych.2010.11.001
[17]	LOADES M E, CHATBURN E, HIGSON-SWEENEY N, et al. Rapid systematic review: the impact of social isolation and loneliness on the mental health of children and adolescents in the context of COVID-19[J]. J Am Acad Child Adolesc Psychiatry, 2020, 59(11): 1218-1239. doi: 10.1016/j.jaac.2020.05.009
[18]	唐硕, 庞红卫. 新冠肺炎疫情期间儿童青少年的焦虑和抑郁状况[J]. 中小学心理健康教育, 2020(19): 15-18. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXXK202019005.htm TANG S, PANG H W. Anxiety and depression status of children and adolescents during the COVID-19[J]. Mental Health Educ Prim Second Sch, 2020(19): 15-18. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXXK202019005.htm
[19]	XU J, WANG Y, ZHAO J, et al. Influence of earthquake exposure and left-behind status on severity of post-traumatic stress disorder and depression in Chinese adolescents[J]. Psychiatry Res, 2019, 275: 253-260. doi: 10.1016/j.psychres.2019.01.109
[20]	肖雪, 刘丽莎, 徐良苑, 等. 父母冲突、亲子关系与青少年抑郁的关系: 独生与非独生的调节作用[J]. 心理发展与教育, 2017, 33(4): 468-476. https://www.cnki.com.cn/Article/CJFDTOTAL-XLFZ201704011.htm XIAO X, LIU L S, XU L Y, et al. Marital conflict, parent-child relationship and adolescents' depression in Chinese only and non-only child family[J]. Psychol Dev Educ, 2017, 33(4): 468-476. https://www.cnki.com.cn/Article/CJFDTOTAL-XLFZ201704011.htm
[21]	廖友国, 连榕. 独生与非独生子女心理健康变迁的差异: 一项横断历史研究[J]. 西南大学学报(社会科学版), 2020, 46(3): 117-126, 203. https://www.cnki.com.cn/Article/CJFDTOTAL-XBSW202003013.htm LIAO Y G, LIAN R. Differences of mental health changes between only and non-only children: a cross-temporal meta-analysis[J]. J Southwest Univ(Soc Sci Edit), 2020, 46(3): 117-126, 203. https://www.cnki.com.cn/Article/CJFDTOTAL-XBSW202003013.htm
[22]	MAES M, VANHALST J, SPITHOVEN A W, et al. Loneliness and attitudes toward aloneness in adolescence: a person-centered approach[J]. J Youth Adolesc, 2016, 45(3): 547-567. doi: 10.1007/s10964-015-0354-5
[23]	田录梅, 陈光辉, 王姝琼, 等. 父母支持、友谊支持对早中期青少年孤独感和抑郁的影响[J]. 心理学报, 2012, 44(7): 944-956. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXB201207010.htm TIAN L M, CHEN G H, WANG S Q, et al. Effects of parental support and friendship support on loneliness and depression during early and middle adolescence[J]. Acta Psychol Sinica, 2012, 44(7): 944-956. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXB201207010.htm
[24]	WU W, QU G, WANG L, et al. Meta-analysis of the mental health status of left-behind children in China[J]. J Paediatr Child Health, 2019, 55(3): 260-270. doi: 10.1111/jpc.14349
[25]	QUON E C, MCGRATH J J. Community, family, and subjective socioeconomic status: relative status and adolescent health[J]. Health Psychol, 2015, 34(6): 591-601. http://psycnet.apa.org/journals/hea/34/6/591/
[26]	QUON E C, MCGRATH J J. Subjective socioeconomic status and adolescent health: a meta-analysis[J]. Health Psychol, 2014, 33(5): 433-447. http://europepmc.org/abstract/med/24245837
[27]	REISS F. Socioeconomic inequalities and mental health problems in children and adolescents: a systematic review[J]. Soc Sci Med, 2013, 90: 24-31. http://www.tandfonline.com/servlet/linkout?suffix=CIT0035&dbid=8&doi=10.1080%2F09540121.2017.1417530&key=23746605
[28]	B∅E T, SERLACHIUS A S, SIVERTSEN B, et al. Cumulative effects of negative life events and family stress on children's mental health: the Bergen Child Study[J]. Soc Psychiatry Psychiatr Epidemiol, 2018, 53(1): 1-9. http://www.ncbi.nlm.nih.gov/pubmed/29090324
[29]	FEGERT J M, VITIELLO B, PLENER P L, et al. 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[J]. Child Adolesc Psychiatry Ment Health, 2020, 14: 20. http://www.zhangqiaokeyan.com/academic-journal-foreign-pmc_child-and-adolescent-psychiatry-and-mental-health_thesis/040006165827.html
[30]	WONG A H, PACELLA-LABARBARA M L, RAY J M, et al. Healing the healer: protecting emergency health care workers' mental health during COVID-19[J]. Ann Emerg Med, 2020, 76(4): 379-384. http://www.sciencedirect.com/science/article/pii/S019606442030336X