Implication of COVID-19 Pandemic on Adolescent Mental Health: An Analysis of the Psychiatric Counseling from the Emergency Room of an Italian University Hospital in the Years 2019-2021.

Autor: Petruzzelli MG; Department of Basic Medical Sciences, Neuroscience and Sensory Organs, University Hospital 'A. Moro', Piazza Giulio Cesare 11, 70100 Bari, Italy., Furente F; Department of Basic Medical Sciences, Neuroscience and Sensory Organs, University Hospital 'A. Moro', Piazza Giulio Cesare 11, 70100 Bari, Italy., Colacicco G; Department of Biomedical Sciences and Human Oncology, University Hospital 'A. Moro', Piazza Giulio Cesare 11, 70100 Bari, Italy., Annecchini F; Department of Biomedical Sciences and Human Oncology, University Hospital 'A. Moro', Piazza Giulio Cesare 11, 70100 Bari, Italy., Margari A; Department of Basic Medical Sciences, Neuroscience and Sensory Organs, University Hospital 'A. Moro', Piazza Giulio Cesare 11, 70100 Bari, Italy., Gabellone A; Department of Basic Medical Sciences, Neuroscience and Sensory Organs, University Hospital 'A. Moro', Piazza Giulio Cesare 11, 70100 Bari, Italy., Margari L; Department of Biomedical Sciences and Human Oncology, University Hospital 'A. Moro', Piazza Giulio Cesare 11, 70100 Bari, Italy., Matera E; Department of Biomedical Sciences and Human Oncology, University Hospital 'A. Moro', Piazza Giulio Cesare 11, 70100 Bari, Italy.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2022 Oct 19; Vol. 11 (20). Date of Electronic Publication: 2022 Oct 19.
DOI: 10.3390/jcm11206177
Abstrakt: Introduction: Although the COVID-19 pandemic had profound consequences on youths' mental health, few data are available about its longitudinal implications.
Method: In this study, from 655 counseling requests by the Emergency Room (ER) of the University Hospital of Bari, we retrospectively examined 380 requests for psychiatric counseling of pediatric subjects, during the pre-pandemic, the first pandemic, and the second pandemic wave of COVID-19.
Results: We found a significant upward trend between 2019 and 2021 for the counseling requests for acute psychopathological symptoms ( p = 1.469 × 10 -5 ), patients in adolescent age ( p = 0.022), females ( p = 0.004), and those taking psychotropic medications ( p = 2.28 × 10 -5 ). Moreover, a significant difference in the proportions of depression ( p = 0.003), post traumatic ( p = 0.047), somatic ( p = 0.007) and psychotic symptoms ( p = 0.048), and self-injuring behaviors ( p = 0.044) was observed. The proportion of counseling for psychotic symptoms ( p = 0.014) and self-injuring behaviors ( p = 0.035) also showed an increasing trend over time, with self-harming behaviors becoming more severe and diversified in modalities.
Discussion: The pandemic's persistence over time may have had an impact on youth's psychopathology, influencing the frequency, type, and complexity of mental health problems; as a result, it is vital to implement timely integrated interventions and find strategies to prevent self-harm, in particular with the identification of vulnerable categories of patients.
Databáze: MEDLINE
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