Abstract

Although it is thought that Coronavirus Disease 2019 (COVID-19) infection does not clinically affect children as severely as adults, the short and long-term psychological effects on adolescents during the COVID-19 pandemic are quite significant. The aim of the present study is to determine the prevalence of anxiety and depression and related factors in high school students during the COVID-19 pandemic. In June and July 2020, 506 high school students from two different provinces were included in the present study. A questionnaire form including sociodemographic characteristics, 'Child Depression Scale' and 'State-Trait Anxiety Scale' were applied online. Univariate and multivariate analyzes were used in data analysis, and p<0.05 was accepted as significance level. Depression prevalence was 22.9 %, median trait anxiety score was 44, and median state anxiety score was 39. Low-income level, think of themselves or the household was at risk, using information sources other than health professionals, high screen time, high mother coronavirus stress score and low family communication score were shown to increase depression. Higher school grades, not regularly exercising, think of themselves or the household were at risk, staying alone at home, high mother's and father's coronavirus stress scores and low family communication score were shown to increase state anxiety. Adolescents highly suffer from psychological outcomes of the COVID-19 pandemic. It is essential to involve the family in planning and implementing early mental health interventions during the pandemic, especially as parent-related factors affect children's psychological state. During the social isolation period, it is recommended to organize indoor exercise programs for children and adolescents, limit the time spent in front of the screen, and improve communication with family members. © 2021 The Author(s).

Highlights

  • In December 2019, a pneumonia outbreak associated with a novel coronavirus called SARS-CoV-2 was reported in China

  • The World Health Organization named the disease caused by the new coronavirus as Coronavirus Disease 2019 (COVID-19) on 12th February 2020 (WHO, 2020)

  • The situation is similar for the COVID-19 pandemic

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Summary

Introduction

In December 2019, a pneumonia outbreak associated with a novel coronavirus called SARS-CoV-2 was reported in China. COVID-19 has spread worldwide and was declared a pandemic by the World Health Organization on 11th March 2020. Feelings of helplessness, and fear of stigma experienced during epidemics can trigger a mental collapse (Hall, Hall and Chapman, 2008). An epidemic can trigger psychiatric symptoms in people without psychiatric illness and worsen symptoms in pre-existing psychiatric diseases. Data from the SARS pandemic in 2003 and the H1N1 pandemic in 2009 revealed that people were exposed to a considerable level of fear and panic, which had significant psychological consequences (Chong, 2004; Goulia, Mantas, Dimitroula, Mantis and Hyphantis, 2010). Significant psychiatric morbidities can range from anxiety, depression, panic attacks, somatic symptoms, and posttraumatic stress disorder to delirium, psychosis, and even suicide (Hall, 2008)

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