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      COVID-19 대유행 이후 청소년의 정신건강문제 변화양상 비교: 2020, 2021년 청소년건강행태조사 기반 = Mental Health Changes in Korean Adolescents After the COVID-19 Pandemic: Using the Korea Youth Risk Behavior Survey (KYRBS) From 2020, 2021

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      Objectives This study aimed to investigate the changes in the mental health of adolescents after the coronavirus disease 2019 (COVID-19) pandemic.
      Methods The data for the study were obtained from the Korea Youth Risk Behavior Web-based Survey (KYRBWS), 2020–2021. Overall, the data of 88184 students were included. The data were analyzed using multiple logistic regression analysis with complex sampling using weighted values. The odds ratios (ORs) with 95% confidence intervals (CIs) for subjective stress perception, loneliness, pan-anxiety disorder scale, suicide-related indicators, and high-risk smartphone usage groups were used as major variables.
      Results The results suggest that the mental health of adolescents deteriorated in 2021 compared to 2020. Adolescents experiencing stress (OR=1.18; 95% CI, 1.08–1.16; p<0.01) and reporting loneliness were also higher (OR=1.07; 95% CI, 1.02–1.12; p<0.01). The high-risk group for pananxiety disorders also increased more than in 2020 (OR=1.05; 95% CI, 1.00–1.11; p<0.01). It was also found that adolescents experiencing suicide accidents increased (OR=1.09; 95% CI, 1.04–1.16; p<0.01). In addition, the high-risk group for smartphone use also increased compared to 2020 (OR=1.17; 95% CI, 1.12–1.23; p<0.01). On the other hand, there was no statistically significant difference in depression, suicide plans, and suicide attempts.
      Conclusion This study found that the mental health problem of adolescents, which had temporarily decreased after the COVID-19 pandemic, was deteriorating again. These findings suggest that it is necessary to follow up and closely monitor the mental health problems of adolescents from the longitudinal perspective during the COVID-19 pandemic
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      Objectives This study aimed to investigate the changes in the mental health of adolescents after the coronavirus disease 2019 (COVID-19) pandemic. Methods The data for the study were obtained from the Korea Youth Risk Behavior Web-based Survey (KYRBWS...

      Objectives This study aimed to investigate the changes in the mental health of adolescents after the coronavirus disease 2019 (COVID-19) pandemic.
      Methods The data for the study were obtained from the Korea Youth Risk Behavior Web-based Survey (KYRBWS), 2020–2021. Overall, the data of 88184 students were included. The data were analyzed using multiple logistic regression analysis with complex sampling using weighted values. The odds ratios (ORs) with 95% confidence intervals (CIs) for subjective stress perception, loneliness, pan-anxiety disorder scale, suicide-related indicators, and high-risk smartphone usage groups were used as major variables.
      Results The results suggest that the mental health of adolescents deteriorated in 2021 compared to 2020. Adolescents experiencing stress (OR=1.18; 95% CI, 1.08–1.16; p<0.01) and reporting loneliness were also higher (OR=1.07; 95% CI, 1.02–1.12; p<0.01). The high-risk group for pananxiety disorders also increased more than in 2020 (OR=1.05; 95% CI, 1.00–1.11; p<0.01). It was also found that adolescents experiencing suicide accidents increased (OR=1.09; 95% CI, 1.04–1.16; p<0.01). In addition, the high-risk group for smartphone use also increased compared to 2020 (OR=1.17; 95% CI, 1.12–1.23; p<0.01). On the other hand, there was no statistically significant difference in depression, suicide plans, and suicide attempts.
      Conclusion This study found that the mental health problem of adolescents, which had temporarily decreased after the COVID-19 pandemic, was deteriorating again. These findings suggest that it is necessary to follow up and closely monitor the mental health problems of adolescents from the longitudinal perspective during the COVID-19 pandemic

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      참고문헌 (Reference)

      1 강나래 ; 김남 희 ; 이보경, "한국 청소년의 식습관이 수면시간에 미치는 영향: 2016년 청소년 건강행태온라인조사 기반" 한국지역사회간호학회 29 (29): 440-449, 2018

      2 임수진, "한국 청소년의 범불안장애 관련 요인" 사단법인 대한보건협회 47 (47): 197-208, 2021

      3 심민영, "코로나바이러스감염증-19와 관련된 정신건강 문제" 대한내과학회 95 (95): 360-360, 2020

      4 박상미, "코로나바이러스감염증-19 대유행이 정신건강에 미치는 영향" 한국보건교육건강증진학회 37 (37): 83-91, 2020

      5 최지욱, "코로나19가 성인 및 소아청소년에 미치는 영향과 지원 방안" 대한신경정신의학회 60 (60): 2-10, 2021

      6 이진화 ; 권민, "코로나19 팬데믹 전후 청소년의 건강행태 비교: 2019~2020 청소년 건강행태 온라인조사를 이용한 2차 자료분석" 한국학교보건학회 34 (34): 179-189, 2021

      7 박민영 ; 이지항 ; 이재무, "청소년의 신체활동 및 스마트폰 과의존 증후군과 범불안장애의 연관성 분석" 한국웰니스학회 17 (17): 423-431, 2022

      8 오새봄 ; 김승준 ; 김지웅 ; 오홍석 ; 임우영 ; 이나현, "대학병원에서 관찰한 코로나19가 소아청소년 자해에 미치는 영향" 한국정신신체의학회 29 (29): 128-135, 2021

      9 Bavel JJV, "Using social and behavioural science to support COVID-19pandemic response" 4 : 460-471, 2020

      10 Temple JR, "The impact of the COVID-19 pandemic on adolescent mental health and substance use" 71 : 277-284, 2022

      1 강나래 ; 김남 희 ; 이보경, "한국 청소년의 식습관이 수면시간에 미치는 영향: 2016년 청소년 건강행태온라인조사 기반" 한국지역사회간호학회 29 (29): 440-449, 2018

      2 임수진, "한국 청소년의 범불안장애 관련 요인" 사단법인 대한보건협회 47 (47): 197-208, 2021

      3 심민영, "코로나바이러스감염증-19와 관련된 정신건강 문제" 대한내과학회 95 (95): 360-360, 2020

      4 박상미, "코로나바이러스감염증-19 대유행이 정신건강에 미치는 영향" 한국보건교육건강증진학회 37 (37): 83-91, 2020

      5 최지욱, "코로나19가 성인 및 소아청소년에 미치는 영향과 지원 방안" 대한신경정신의학회 60 (60): 2-10, 2021

      6 이진화 ; 권민, "코로나19 팬데믹 전후 청소년의 건강행태 비교: 2019~2020 청소년 건강행태 온라인조사를 이용한 2차 자료분석" 한국학교보건학회 34 (34): 179-189, 2021

      7 박민영 ; 이지항 ; 이재무, "청소년의 신체활동 및 스마트폰 과의존 증후군과 범불안장애의 연관성 분석" 한국웰니스학회 17 (17): 423-431, 2022

      8 오새봄 ; 김승준 ; 김지웅 ; 오홍석 ; 임우영 ; 이나현, "대학병원에서 관찰한 코로나19가 소아청소년 자해에 미치는 영향" 한국정신신체의학회 29 (29): 128-135, 2021

      9 Bavel JJV, "Using social and behavioural science to support COVID-19pandemic response" 4 : 460-471, 2020

      10 Temple JR, "The impact of the COVID-19 pandemic on adolescent mental health and substance use" 71 : 277-284, 2022

      11 Mansfield R, "The impact of the COVID-19 pandemic on adolescent mental health : a natural experiment" 9 : 211114-, 2022

      12 Yu S, "The covid-19 pandemic and sustainable life of Korean adolescents : exploring gender differences" 13 : 8821-, 2021

      13 Pirkis J, "Suicide trends in the early months of the COVID-19 pandemic : an interrupted time-series analysis of preliminary data from 21 countries" 8 : 579-588, 2021

      14 Aljomaa SS, "Smartphone addiction among university students in the light of some variables" 61 : 155-164, 2016

      15 Galanti MR, "School environment and mental health in early adolescence - a longitudinal study in Sweden (KUPOL)" 16 : 243-, 2016

      16 Magson NR, "Risk and protective factors for prospective changes in adolescent mental health during the COVID-19 pandemic" 50 : 44-57, 2021

      17 Huremović D, "Psychiatry of pandemics. A mental health response to infection outbreak" Springer 7-35, 2019

      18 Sprang G, "Posttraumatic stress disorder in parents and youth after health-related disasters" 7 : 105-110, 2013

      19 Mellor D, "Need for belonging, relationship satisfaction, loneliness, and life satisfaction" 45 : 213-218, 2008

      20 Kõlves K, "Natural disasters and suicidal behaviours : a systematic literature review" 146 : 1-14, 2013

      21 Rider EA, "Mental health and wellbeing of children and adolescents during the covid-19 pandemic" 374 : n1730-, 2021

      22 Stinson EA, "Longitudinal impact of childhood adversity on early adolescent mental health during the COVID-19 pandemic in the ABCD study cohort: does race or ethnicity moderate findings?" 1 : 324-335, 2021

      23 Barendse MEA, "Longitudinal change in adolescent depression and anxiety symptoms from before to during the COVID-19 pandemic" 2022

      24 Li J, "Loneliness and problematic mobile phone use among adolescents during the COVID-19 pandemic : the roles of escape motivation and self-control" 118 : 106857-, 2021

      25 Benedek D, "Kaplan and Sadock’s comprehensive textbook of psychiatry" Lippincott Williams & Wilkins 2564-2576, 2017

      26 Millner AJ, "Increased severity of mental health symptoms among adolescent inpatients during COVID-19" 77 : 77-79, 2022

      27 Tanaka T, "Increase in suicide following an initial decline during the COVID-19 pandemic in Japan" 5 : 229-238, 2021

      28 Huang HC, "Impact of the COVID-19 pandemic on child and adolescent mental health services" 7 : e145-, 2021

      29 Lee Hojun ; Noh Yeseul ; Seo Ji Young ; Park Sang Hee ; Kim Myoung Haw ; Won Seunghee, "Impact of the COVID-19 Pandemic on the Mental Health of Adolescent Students in Daegu, Korea" 대한의학회 36 (36): 1-15, 2021

      30 Cauberghe V, "How adolescents use social media to cope with feelings of loneliness and anxiety during COVID-19 lockdown" 24 : 250-257, 2021

      31 Racine N, "Global prevalence of depressive and anxiety symptoms in children and adolescents during COVID-19 : a meta-analysis" 175 : 1142-1150, 2021

      32 Pelham WE 3rd, "Early adolescent substance use before and during the COVID-19 pandemic: a longitudinal survey in the ABCD study cohort" 69 : 390-397, 2021

      33 Isumi A, "Do suicide rates in children and adolescents change during school closure in Japan? The acute effect of the first wave of COVID-19 pandemic on child and adolescent mental health" 110 (110): 104680-, 2020

      34 Fullana MA, "Coping behaviors associated with decreased anxiety and depressive symptoms during the COVID-19 pandemic and lockdown" 275 : 80-81, 2020

      35 Kim SY, "Comparison of stress and suicide-related behaviors among Korean youths before and during the COVID-19 pandemic" 4 : e2136137-, 2021

      36 Carrasco JP, "COVID-19 lockdown influence in the psychiatric emergencies:drastic reduction and increase in severe mental disorders" 14 : 117-118, 2021

      37 Lian B, "Burdens, resilience, and mutual support: a comparative study of families in China and South Korea amid the COVID-19 pandemic" 51 : 337-346, 2020

      38 Kwak CW, "Adolescent suicide in South Korea : risk factors and proposed multi-dimensional solution" 43 : 150-153, 2019

      39 Guessoum SB, "Adolescent psychiatric disorders during the COVID-19pandemic and lockdown" 291 : 113264-, 2020

      40 Espinoza G, "Adolescent loneliness, stress and depressive symptoms during the COVID-19 pandemic: the protective role of friends" 31 : e2305-, 2022

      41 Windarwati HD, "A narrative review into the impact of COVID-19 pandemic on senior high school adolescent mental health" 35 : 206-217, 2022

      42 Wang C, "A longitudinal study on the mental health of general population during the COVID-19 epidemic in China" 87 : 40-48, 2020

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