Association between childhood trauma and mental health disorders in adolescents during the second pandemic wave of COVID-19, Chiclayo-Peru

Frontiers in Psychiatry

Psychiatry

Danai Valladares-Garrido¹  Franccesca M. Dawson²  Maria A. Fernandez-Canani³  Stefany C. Burga-Cachay³  Darwin A. León-Figueroa⁴  Fiorella Inga-Berrospi⁵  Virgilio E. Failoc-Rojas⁶  César Johan Pereira-Victorio⁷  Mario J. Valladares-Garrido⁸ 

[1] Escuela de Medicina, Universidad Cesar Vallejo, Piura, Peru;Unidad de Epidemiología y Salud Ambiental, Hospital de Apoyo II Santa Rosa, Piura, Peru;Escuela de Medicina, Universidad Privada Antenor Orrego, Piura, Peru;Facultad de Medicina Humana, Universidad de San Martín de Porres, Chiclayo, Peru;Facultad de Medicina Humana, Universidad de San Martín de Porres, Chiclayo, Peru;Centro de Investigación en Atención Primaria de Salud, Universidad Peruana Cayetano Heredia, Lima, Peru;Grupo de Investigación en Gestión y Salud Pública, Universidad Norbert Wiener, Lima, Peru;Research Unit for Generation and Synthesis Evidence in Health, Universidad San Ignacio de Loyola, Lima, Peru;School of Medicine, Universidad Continental, Lima, Peru;Universidad Peruana Cayetano Heredia, Lima, Peru;

关键词: childhood trauma;    mental health;    depression;    anxiety;    adolescents;    COVID-19;    pandemic;    Peru;   

DOI  :  10.3389/fpsyt.2023.1169247

 received in 2023-02-19, accepted in 2023-05-10,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionThe COVID-19 pandemic has significantly affected mental health, with children and adolescents being particularly vulnerable. Evidence on the association between childhood trauma and mental health outcomes in schoolchildren during the pandemic is limited. This study aimed to evaluate this relationship in Chiclayo city, northern Peru, during the second wave of COVID-19.MethodsA cross-sectional secondary data study was conducted, measuring childhood trauma using the Marshall’s Trauma Scale, depressive symptomatology (PHQ-9), and anxiety symptomatology (GAD-7). Additional variables assessed were alcohol use (AUDIT), resilience (abbreviated CD-RISC), and socio-educational data. Prevalence ratios were estimated using generalized linear models.ResultsAmong 456 participants, 88.2% were female, with a mean age of 14.5 years (SD: 1.33). Depressive symptomatology prevalence was 76.3% (95%CI: 72.14–80.15) and increased by 23% in schoolchildren with childhood trauma (PR: 1.23; 95%CI: 1.10–1.37). Factors positively associated with depressive symptomatology included increasing age, seeking mental health help during the pandemic, and severe family dysfunction. Anxiety symptomatology prevalence was 62.3% (95%CI: 57.65–66.75) and increased by 55% in schoolchildren with childhood trauma (PR: 1.55; 95%CI: 1.31–1.85). Anxiety symptomatology was positively associated with mild, moderate, and severe family dysfunction.ConclusionSchoolchildren exposed to childhood trauma are at increased risk for depressive and anxiety symptoms. Monitoring the impact of the COVID-19 pandemic on adolescent mental health is vital. These findings can assist schools in establishing effective measures to prevent mental health outcomes.

【 授权许可】

Unknown   
Copyright © 2023 Valladares-Garrido, León-Figueroa, Dawson, Burga-Cachay, Fernandez-Canani, Failoc-Rojas, Pereira-Victorio, Valladares-Garrido and Inga-Berrospi.