Association between COVID-19 risk-mitigation behaviors and specific mental disorders in youth

Child and Adolescent Psychiatry and Mental Health

Research

Minji Kang¹  Aki Nikolaidis¹  Kriti Bhardwaj¹  Michael P. Milham²  Kathleen R. Merikangas³  Kevin P. Conway³  Emmanuella Michel³  Diana Paksarian³ 

[1]Center for the Developing Brain, The Child Mind Institute, New York, NY, USA

[2]Center for the Developing Brain, The Child Mind Institute, New York, NY, USA

[3]Center for Biomedical Imaging and Neuromodulation, Nathan S. Kline Institute for Psychiatric Research, Orangeburg, NY, USA

[4]Genetic Epidemiology Research Branch, National Institute of Mental Health, 35 Convent Drive, Building 35A, 20892-3720, Bethesda, MD, USA

关键词: Risk mitigation;    COVID-19;    Youth;    CRISIS;    Anxiety;    ADHD;   

DOI  :  10.1186/s13034-023-00561-7

 received in 2022-09-02, accepted in 2023-01-10,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundAlthough studies of adults show that pre-existing mental disorders increase risk for COVID-19 infection and severity, there is limited information about this association among youth. Mental disorders in general as well as specific types of disorders may influence the ability to comply with risk-mitigation strategies to reduce COVID-19 infection and transmission.MethodsYouth compliance (rated as “Never,” “Sometimes,” “Often,” or “Very often/Always”) with risk mitigation was reported by parents on the CoRonavIruS Health Impact Survey (CRISIS) in January 2021. The sample comprised 314 female and 514 male participants from the large-scale Child Mind Institute Healthy Brain Network, a transdiagnostic self-referred, community sample of children and adolescents (ages 5–21). Responses were summarized using factor analysis of risk mitigation, and their associations with lifetime mental disorders (assessed via structured diagnostic interviews) were identified with linear regression analyses (adjusted for covariates). All analyses used R Project for Statistical Computing for Mac (v.4.0.5).ResultsA two-factor model was the best-fitting solution. Factor 1 (avoidance behaviors) included avoiding groups, indoor settings, and other peoples’ homes; avoidance scores were higher among youth with any anxiety disorder (p = .01). Factor 2 (hygiene behaviors) included using hand sanitizer, washing hands, and maintaining social distance; hygiene scores were lower among youth with ADHD (combined type) (p = .02). Mask wearing was common (90%), did not load on either factor, and was not associated with any mental health disorder.Conclusion and relevanceAlthough most mental disorders examined were not associated with risk mitigation, youth with ADHD characterized by hyperactivity plus inattention may need additional support to consistently engage in risk-mitigation behaviors. Enhancing risk-mitigation strategies among at-risk groups of youth may help reduce COVID-19 infection and transmission.

【 授权许可】

CC BY   
© This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2023

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