Changes in psychotic-like experiences and related influential factors in technical secondary school and college students during COVID-19

Sun, Meng; Wang, Dongfang; Ling, Jing; Zhou, Liang

doi:10.1016/j.schres.2021.02.015

Cited by 35 publications

(33 citation statements)

References 47 publications

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“…We first identified an increase in PLEs among young adolescents, both at the prevalence level and score level. Our findings didn't replicate the findings of two previous studies investigating PLEs during the pandemic, which found no significant change and even a trend of decrease in PLEs after the onset of COVID-19 among their participants ( Hajduk et al, 2020 ; Sun et al, 2021 ). For the first study, the results could be explained by the fact that the second timepoint to screen for PLEs was at the beginning of COVID-19 in their country (the first week of April), which could be too early to detect the impact of the pandemic on PLEs ( Hajduk et al, 2020 ).…”

Section: Discussioncontrasting

confidence: 99%

“…Excessive psychological stress from the spread of virus or from family conflicts, social isolation, changes in exercises or schoolwork could be related to an increase in PLEs, considering the effect of perceived stress on PLEs among adolescents ( Turley et al, 2019 ). Sun et al concluded that students living in a single-parent family, having more childhood trauma and having a higher family income were more likely to have new-onset PLEs; while better resilience was a protective factor ( Sun et al, 2021 ). Ran et al suggested that being a female, having more than 6 family numbers and doing frequent outdoor activities are risk factors for anxiety symptoms, while living in a place where there were higher general health problems could render people more susceptible to depression symptoms ( Ran et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

“…However, in contrast to a growing body of studies mostly covering emotional distress during COVID-19, such as anxiety and depression ( Bignardi et al, 2021 ; Guessoum et al, 2020 ; Hafstad et al, 2021 ; Pierce et al, 2020 ; Singh et al, 2020 ), the condition of PLEs is less studied despite the latest evidence regarding it as a unitary indicator of common mental distress. To our knowledge, current published studies longitudinally investigating PLEs during COVID-19 were conducted only in college students, with one finding no significant change in prevalence of PLEs after COVID-19 among Slovak college students ( Hajduk et al, 2020 ) and another observing a downward trend in PLEs prevalence among Chinese college students ( Sun et al, 2021 ). Considering the modest sample size (the Slovak study consisted of only 235 participants in final analysis) and relatively large population heterogeneity (the Chinese study's participants' age ranging from 14 to 25 years), further studies on the impact of COVID-19 on PLEs are still needed.…”

Section: Introductionmentioning

confidence: 99%

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Changes of psychotic-like experiences and their association with anxiety/depression among young adolescents before COVID-19 and after the lockdown in China

Liu

Zou

et al. 2021

Schizophrenia Research

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Objective Lockdown policies during COVID-19 pandemic have potential adverse psychological impacts on youth. However, little is known about their influence on the changes of psychotic-like experiences (PLEs) among adolescents, nor about the possible association between changes in PLEs and changes in anxiety/depression symptoms. We investigated these two questions through a longitudinal comparative study. Methods In total, 1825 adolescents were surveyed before COVID-19 and after the lockdown in China (T0, October 20th, 2019 and T1, May 18th, 2020). PLEs, anxiety, and depression were measured with paranoia, anxiety and depression subscales of the Mental Health Inventory of Middle school students (MMHI-60). Within-subjects Wilcoxon test, Spearman correlation test, and Kruskal-Wallis test were adopted. Results Significant increase in adolescent PLEs scores was observed after the lockdown (Wilcoxon's w = 9.302, p < 0.001). We also found positive correlation between changes of PLEs and changes of anxiety/depression (Spearman's rho = 0.59/0.53, both p < 0.001). Furthermore, four PLEs trajectories were identified based on the report of PLEs at two timepoints: 60.4% with no PLEs, 9.3% remitted PLEs, 16.7% new PLEs, and 13.6% persistent PLEs. Significant difference was found in changes of anxiety/depression among four groups (p < 0.001); notably, the group with new-onset PLEs had the greatest exacerbation in anxiety/depression symptoms (both p Bonferroni <0.001). Conclusions This work is the first to identify increases in adolescent PLEs across the COVID-19 pandemic and suggested a close longitudinal association between PLEs and anxiety/depression. Our findings have implications for adolescent mental health crisis interventions during the pandemic.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Changes of psychotic-like experiences and their association with anxiety/depression among young adolescents before COVID-19 and after the lockdown in China

Liu

Zou

et al. 2021

Schizophrenia Research

View full text Add to dashboard Cite

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“…These programs might be giving support to students affected by diseases but added to that, might also protect them from the repercussions found in schoolchildren derived from the COVID-19 pandemic. In this sense, studies are already showing impacts at the level of anxiety, depressions, and other mental disorders and situations, such as social distancing, increased pressure on families, reduced access to support services, or exposure to violence, that have been aggravated by the pandemic [7][8][9].…”

Section: Discussionmentioning

confidence: 99%

“…Education administrations and schools are entitled to address the consequences of these disruptions in schooling and ensure the health and safety of students, their families, and school personnel [4]. Furthermore, although the scale, extent, and duration of the COVID-19 crisis makes it difficult to draw uniform conclusions about its effects on young children, some children will undoubtedly need additional support to overcome the negative impacts on their health and emotional development [5][6][7][8][9]. It is relevant to take into consideration that school is not only an education resource but, as a social environment that impacts social wellbeing, in many places it also ensures the access to benefits that families cannot provide to their own children [10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Self-Perception of Quality of Life and Emotional Well-Being among Students Attending Hospital Classrooms during COVID-19 Pandemic

et al. 2021

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The COVID-19 pandemic caused disruptions in schooling and the closure of schools worldwide, how this has affected children’s and youth’s health and wellbeing is a current area of research. However, those who suffer a chronic or temporary disease may be attending hospital classrooms, and this scenario has received little attention in comparison to regular schools. The objective of this exploratory quantitative study focuses on exploring the quality of life and emotional well-being of students attending hospital classrooms. For this purpose, four Chilean hospital classrooms from different regions of the country were randomly selected. A total number of 248 students participated in the survey, each of whom filled out two online questionnaires. The findings show similar scores in children with mental illness and those with other health conditions. In comparison with one year before, students rate their general health as the same or somewhat better now, as well as manifesting an optimistic view of the future regarding the pandemic.

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Age‐related differences in the impact of resilience on mental health outcomes during the COVID‐19 pandemic in Hong Kong

Lei,

Suen,

Hui

et al. 2024

Int J Geriat Psychiatry

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ObjectiveThis study investigated changes in mental health in Hong Kong over two years and examined the role of resilience and age in mitigating the negative effects of public health emergencies, particularly the COVID‐19 pandemic.MethodsComplete data of interest from two telephone surveys conducted in 2020 (n = 1182) and 2021 (n = 1108) were analysed. Participants self‐reported depressive and anxiety symptoms using the Patient Health Questionnaire 4‐item version (PHQ), psychotic‐like experiences (PLEs) using three items from the Prodromal Questionnaire Brief (PQB), and resilience using the Connor‐Davidson Resilience Scale 2‐item version (CD‐RISC‐2).ResultsWe observed an increase in the percentage of participants with high depressive and anxiety symptoms and PLEs from 1.6% to 6.5% between 2020 and 2021. The likelihood of having high depressive and anxiety symptoms or PLEs depended on resilience and age, with no significant between‐year differences. Resilience and age interaction effects were significant when comparing the high PHQ‐high PQB group to the low PHQ‐low PQB group only in 2021 but not in 2020.ConclusionsThis study provides valuable insights into the impact of the COVID‐19 pandemic on mental health in Hong Kong, emphasising the age‐dependent nature of resilience in mitigating negative effects. Future research should explore the mechanisms by which resilience promotes mental health and well‐being and identify ways to enhance resilience among older individuals during public health crises.

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Changes in psychotic-like experiences and related influential factors in technical secondary school and college students during COVID-19

Cited by 35 publications

References 47 publications

Changes of psychotic-like experiences and their association with anxiety/depression among young adolescents before COVID-19 and after the lockdown in China

Changes of psychotic-like experiences and their association with anxiety/depression among young adolescents before COVID-19 and after the lockdown in China

Self-Perception of Quality of Life and Emotional Well-Being among Students Attending Hospital Classrooms during COVID-19 Pandemic

Age‐related differences in the impact of resilience on mental health outcomes during the COVID‐19 pandemic in Hong Kong

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