Calidad de vida en adolescentes. Un estudio longitudinal del impacto de la pandemia por COVID-19
Resumen
Diversos estudios han informado que la calidad de vida relacionada con la salud (CVRS) en adolescentes ha disminuido durante la pandemia por COVID-19. En este trabajo se analizó la CVRS en jóvenes de 13 a 17 años una vez finalizada la pandemia. Para ello se hizo un seguimiento en tres momentos diferentes: antes de la pandemia (2019), durante las restricciones de la pandemia (2021) y tras las restricciones de la misma (2022).
Se utilizó un diseño de retardo temporal (time-lag design) en tres fases, con un total de 2027 adolescentes que cumplimentaron el cuestionario Kidscreen-10 de CVRS. Mediante modelos ANOVA y de regresión logística se analizó la influencia del género, la práctica deportiva y estar en tratamiento en salud mental. Los resultados obtenidos mostraron un empeoramiento de la CVRS en 2021, cuando los jóvenes volvían a los centros educativos en régimen de semipresencialidad. Este descenso fue independiente del género. En 2022, una vez eliminadas todas las restricciones, la CVRS se recuperó a niveles prepandemia en los chicos, pero no en las chicas. Lo mismo ocurrió con los jóvenes en tratamiento de salud mental. En todos los casos, la práctica deportiva se mostró como un factor protector de la CVRS.
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Ato, M., López-García, J. J., & Benavente, A. (2013). A classification system for research designs in psychology. Anales de Psicología, 29(3), 1038-1059. https://doi.org/1.6018/analesps.29.3.178511
Aymerich, M., Berra, S., Guillamón, I., Herdman, M., Alonso, J., Ravens-Sieberer, U., & Rajmil, L. (2005). Desarrollo de la versión en español del KIDSCREEN, un cuestionario de calidad de vida para la población infantil y adolescente [Development of the Spanish version of the KIDSCREEN, a health-related quality of life instrument for children and adolescents]. Gaceta Sanitaria, 19(2), 93-102. https://doi.org/1.1157/13074363
Barbieri, V., Wiedermann, C. J., Kaman, A., Erhart, M., Piccoliori, G., Plagg, B., Mahlknecht, A., Ausserhofer, D., Engl, A., & Ravens-Sieberer, U. (2022). Quality of Life and Mental Health in Children and Adolescents after the First Year of the COVID-19 Pandemic: A Large Population-Based Survey in South Tyrol, Italy. International Journal of Environmental Research and Public Health, 19(9), 522. https://doi.org/1.3390/ijerph19095220
Basterfield, L., Burn, N. L., Galna, B., Batten, H., Goffe, L., Karoblyte, G., Lawn, M., & Weston, K. L. (2022). Changes in children’s physical fitness, BMI and health-related quality of life after the first 2020 COVID-19 lockdown in England: A longitudinal study. Journal of Sports Sciences, 40(10), Art. 1.
Beam, C. R., & Kim, A. J. (2020). Psychological sequelae of social isolation and loneliness might be a larger problem in young adults than older adults. Psychological Trauma: Theory, Research, Practice and Policy, 12(S1), S58-S6. https://doi.org/1.1037/tra0000774
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. The Lancet, 395(10227), 912-92. https://doi.org/1.1016/S0140-6736(20)30460-8
Buitrago Ramírez, F., Ciurana Misol, R., Fernández Alonso, M. del C., & Tizón, J. L. (2021). Pandemia de la COVID-19 y salud mental: Reflexiones iniciales desde la atención primaria de salud española [COVID-19 pandemic and mental health: Initial considerations from spanish primary health care]. Atención Primaria, 53(1), 89-101. https://doi.org/1.1016/j.aprim.202.06.006
Chawla, N., Tom, A., Sen, M. S., & Sagar, R. (2021). Psychological Impact of COVID-19 on Children and Adolescents: A Systematic Review. Indian Journal of Psychological Medicine, 43(4), 294-299. https://doi.org/1.1177/02537176211021789
Chen, J., Yang, K., Cao, Y., Du, Y., Wang, N., & Qu, M. (2022). Depressive Symptoms Among Children and Adolescents in China During the Coronavirus Disease-19 Epidemic: A Systematic Review and Meta-Analysis. Frontiers in Psychiatry, 13, 870346. https://doi.org/1.3389/fpsyt.2022.870346
Cohen, Z. P., Cosgrove, K. T., DeVille, D. C., Akeman, E., Singh, M. K., White, E., Stewart, J. L., Aupperle, R. L., Paulus, M. P., & Kirlic, N. (2021). The Impact of COVID-19 on Adolescent Mental Health: Preliminary Findings From a Longitudinal Sample of Healthy and At-Risk Adolescents. Frontiers in Pediatrics, 9. https://doi.org/1.3389/fped.2021.622608
Condom, L. C., Coppin, O. V., Bellido, S. C., & Trigo, C. F. (2022). Estado anímico en jóvenes de Barcelona provincia: evolución, factores asociados e impacto de la pandemia [State of mind in adolescents in Barcelona province (Spain): Evolution, associated factors and impact of the pandemic]. Revista Española de Salud Pública, 96(2/11). https://dialnet.unirioja.es/servlet/articulo?codigo=8655677
Costa, D. S. J., Mercieca-Bebber, R., Rutherford, C., Tait, M.-A., & King, M. T. (2021). How is quality of life defined and assessed in published research? Quality of Life Research, 30(8), 2109-2121. https://doi.org/1.1007/s11136-021-02826-0
Cuadrado, E., Rich-Ruiz, M., Gutiérrez-Domingo, T., Luque, B., Castillo-Mayén, R., Villaécija, J., & Farhane-Medina, N. Z. (2022). Regulatory emotional self-efficacy and anxiety in times of pandemic: a gender perspective. Health psychology and behavioral medicine, 11(1), 2158831. https://doi.org/1.1080/2164285.2022.2158831
Fancourt, D., Bu, F., Mak, H. W., Paul, E., & Steptoe, A. (2021). Covid-19 Social Study. Rersults Relesase 32. UCL. https://www.covidsocialstudy.org/_files/ugd/3d9db5_c559cf48943940b196853ce33da1e8b2.pdf
Hall, G., Laddu, D. R., Phillips, S. A., Lavie, C. J., & Arena, R. (2021). A tale of two pandemics: How will COVID-19 and global trends in physical inactivity and sedentary behavior affect one another? Progress in Cardiovascular Diseases, 64, 108-11. https://doi.org/1.1016/j.pcad.202.04.005
Hards, E., Loades, M. E., Higson-Sweeney, N., Shafran, R., Serafimova, T., Brigden, A., Reynolds, S., Crawley, E., Chatburn, E., Linney, C., McManus, M., & Borwick, C. (2022). Loneliness and mental health in children and adolescents with pre-existing mental health problems: A rapid systematic review. British Journal of Clinical Psychology, 61(2), Art. 2. https://doi.org/1.1111/bjc.12331
Hussong, J., Möhler, E., Kühn, A., Wenning, M., Gehrke, T., Burckhart, H., Richter, U., Nonnenmacher, A., Zemlin, M., Lücke, T., Brinkmann, F., Rothoeft, T., & Lehr, T. (2022). Mental Health and Health-Related Quality of Life in German Adolescents after the Third Wave of the COVID-19 Pandemic. Children, 9(6), 78. https://doi.org/1.3390/children9060780
Joensen, A., Danielsen, S., Andersen, P. K., Groot, J., & Strandberg-Larsen, K. (2022). The impact of the initial and second national COVID-19 lockdowns on mental health in young people with and without pre-existing depressive symptoms. Journal of Psychiatric Research, 149, 233-242. https://doi.org/1.1016/j.jpsychires.2022.03.001
KIDSCREEN Group Europe. (2006). The KIDSCREEN questionnaires. Quality of life questionnaires for children and adolescents—Handbook. Papst Science Publisher.
Langeland, I. O., Sollesnes, R., Nilsen, R. M., Almenning, G., & Langeland, E. (2019). Examining boys’ and girls’ health-related quality of life from the first to the third year of upper secondary school: A prospective longitudinal study. Nursing Open, 6(4), 1606-1614. https://doi.org/1.1002/nop2.366
Li, M., Wang, Q., & Shen, J. (2022). The Impact of Physical Activity on Mental Health during COVID-19 Pandemic in China: A Systematic Review. International Journal of Environmental Research and Public Health, 19(11). https://doi.org/1.3390/ijerph19116584
Lindell-Postigo, D., Zurita-Ortega, F., Ortiz-Franco, M., & González-Valero, G. (2020). Cross-Sectional Study of Self-Concept and Gender in Relation to Physical Activity and Martial Arts in Spanish Adolescents during the COVID-19 Lockdown. Education Sciences, 10(8), Art. 8. https://doi.org/1.3390/educsci10080210
Lopez-Serrano, J., Díaz-Bóveda, R., González-Vallespí, L., Santamarina-Pérez, P., Bretones-Rodríguez, A., Calvo, R., & Lera-Miguel, S. (2021). Psychological impact during COVID-19 lockdown in children and adolescents with previous mental health disorders. Revista de Psiquiatria y Salud Mental. https://doi.org/1.1016/j.rpsm.2021.04.002
Ma, L., Mazidi, M., Li, K., Li, Y., Chen, S., Kirwan, R., Zhou, H., Yan, N., Rahman, A., Wang, W., & Wang, Y. (2021). Prevalence of mental health problems among children and adolescents during the COVID-19 pandemic: A systematic review and meta-analysis. Journal of Affective Disorders, 293, 78-89. https://doi.org/1.1016/j.jad.2021.06.021
Magson, N. R., Freeman, J. Y. A., Rapee, R. M., Richardson, C. E., Oar, E. L., & Fardouly, J. (2021). Risk and Protective Factors for Prospective Changes in Adolescent Mental Health during the COVID-19 Pandemic. Journal of Youth and Adolescence, 50(1), 44-57. https://doi.org/1.1007/s10964-020-01332-9
Marker, A. M., Steele, R. G., & Noser, A. E. (2018). Physical activity and health-related quality of life in children and adolescents: A systematic review and meta-analysis. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 37(10), 893-903. https://doi.org/1.1037/hea0000653
Mikkelsen, H. T., Skarstein, S., Helseth, S., Smastuen, M. C., Haraldstad, K., & Rohde, G. (2022). Health-related quality of life, health literacy and COVID-19-related worries of 16-to 17-year-old adolescents and parents one year into the pandemic: A cross-sectional study. Bmc Public Health, 22(1), 1321. https://doi.org/1.1186/s12889-022-13737-1
Nearchou, F., Flinn, C., Niland, R., Subramaniam, S. S., & Hennessy, E. (2020). Exploring the Impact of COVID-19 on Mental Health Outcomes in Children and Adolescents: A Systematic Review. International Journal of Environmental Research and Public Health, 17(22), 8479. https://doi.org/1.3390/ijerph17228479
Nobari, H., Fashi, M., Eskandari, A., Villafaina, S., Murillo-Garcia, A., & Perez-Gomez, J. (2021). Effect of COVID-19 on Health-Related Quality of Life in Adolescents and Children: A Systematic Review. International Journal of Environmental Research and Public Health, 18(9), 4563. https://doi.org/1.3390/ijerph18094563
Orgilés Amorós, M., Espada Sánchez, J. P., Delvecchio, E., Francisco, R., Mazzeschi, C., Pedro, M., & Morales Sabuco, A. (2021). Anxiety and depressive symptoms in children and adolescents during COVID-19 pandemic: A transcultural approach. Psicothema, 33(1), 125-13. https://doi.org/1.7334/psicothema202.287
Palacio-Vieira, J. A., Villalonga-Olives, E., Valderas, J. M., Espallargues, M., Herdman, M., Berra, S., Alonso, J., & Rajmil, L. (2008). Changes in health-related quality of life (HRQoL) in a population-based sample of children and adolescents after 3 years of follow-up. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care & Rehabilitation, 17(10), 1207-1215. https://doi.org/1.1007/s11136-008-9405-7
Panchal, U., Salazar de Pablo, G., Franco, M., Moreno, C., Parellada, M., Arango, C., & Fusar-Poli, P. (2021). The impact of COVID-19 lockdown on child and adolescent mental health: Systematic review. European Child & Adolescent Psychiatry, 1-27. https://doi.org/1.1007/s00787-021-01856-w
Panda, P. K., Gupta, J., Chowdhury, S. R., Kumar, R., Meena, A. K., Madaan, P., Sharawat, I. K., & Gulati, S. (2021). Psychological and Behavioral Impact of Lockdown and Quarantine Measures for COVID-19 Pandemic on Children, Adolescents and Caregivers: A Systematic Review and Meta-Analysis. Journal of Tropical Pediatrics, 67(1). https://doi.org/1.1093/tropej/fmaa122
Pizarro-Ruiz, J. P., & Ordóñez-Camblor, N. (2021). Effects of Covid-19 confinement on the mental health of children and adolescents in Spain. Scientific Reports, 11(1), Art. 1. https://doi.org/1.1038/s41598-021-91299-9
Plass-Christl, A., Ravens-Sieberer, U., Hölling, H., & Otto, C. (2021). Trajectories of health-related quality of life in children of parents with mental health problems: Results of the BELLA study. Quality of Life Research, 30(7), 1841-1852. https://doi.org/1.1007/s11136-021-02783-8
Ravens-Sieberer, U., Erhart, M., Devine, J., Gilbert, M., Reiss, F., Barkmann, C., Siegel, N. A., Simon, A. M., Hurrelmann, K., Schlack, R., Hölling, H., Wieler, L. H., & Kaman, A. (2022). Child and Adolescent Mental Health During the COVID-19 Pandemic: Results of the Three-Wave Longitudinal COPSY Study. Journal of Adolescent Health. https://doi.org/1.1016/j.jadohealth.2022.06.022
Ravens-Sieberer, U., Erhart, M., Gosch, A., & Wille, N. (2008). Mental health of children and adolescents in 12 European countries—Results from the European KIDSCREEN Study. Clinical Psychology & Psychotherapy, 15(3), 154-163. https://doi.org/1.1002/cpp.574
Ravens-Sieberer, U., Erhart, M., Rajmil, L., Herdman, M., Auquier, P., Bruil, J., Power, M., Duer, W., Abel, T., Czemy, L., Mazur, J., Czimbalmos, A., Tountas, Y., Hagquist, C., & Kilroe, J. (2010). Reliability, construct and criterion validity of the KIDSCREEN-10 score: A short measure for children and adolescents’ well-being and health-related quality of life. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care & Rehabilitation, 19(10), 1487-150. https://doi.org/1.1007/s11136-010-9706-5
Ravens-Sieberer, U., Kaman, A., Erhart, M., Devine, J., Schlack, R., & Otto, C. (2022). Impact of the COVID-19 pandemic on quality of life and mental health in children and adolescents in Germany. European Child & Adolescent Psychiatry, 31(6), 879-889. https://doi.org/1.1007/s00787-021-01726-5
Ravens-Sieberer, U., Kaman, A., Erhart, M., Otto, C., Devine, J., Löffler, C., Hurrelmann, K., Bullinger, M., Barkmann, C., Siegel, N. A., Simon, A. M., Wieler, L. H., Schlack, R., & Hölling, H. (2021). Quality of life and mental health in children and adolescents during the first year of the COVID-19 pandemic: Results of a two-wave nationwide population-based study. European Child & Adolescent Psychiatry. https://doi.org/1.1007/s00787-021-01889-1
Revet, A., Hebebrand, J., Anagnostopoulos, D., Kehoe, L. A., Gradl-Dietsch, G., Anderluh, M., Armando, M., Askenazy, F., Banaschewski, T., Bender, S., Bernardon, A., Brunner, R., Cortese, S., Delorme, R., Deschamps, P., Dodig-Ćurković, K., Drobnic Radobuljac, M., Dubicka, B., Falkenberg Krantz, M., … COVID-19 Child and Adolescent Psychiatry Consortium. (2021). Perceived impact of the COVID-19 pandemic on child and adolescent psychiatric services after 1 year (February/March 2021): ESCAP CovCAP survey. European Child & Adolescent Psychiatry. https://doi.org/1.1007/s00787-021-01851-1
Riiser, K., Helseth, S., Haraldstad, K., Torbjørnsen, A., & Richardsen, K. R. (2020). Adolescents’ health literacy, health protective measures, and health-related quality of life during the Covid-19 pandemic. PLoS ONE, 15(8), e0238161. https://doi.org/1.1371/journal.pone.0238161
Sánchez, P., & Cohen, D. (2020). Ansiedad y depresión en niños y adolescentes [Anxiety and depression in children and adolescents]. Adolescere, 8(1), 16-27.
Solanilla Salamero, E., Trucharte Álvarez, C., & Guerrero García, C. (2022). El impacto de la COVID-19 en la salud mental de los adolescentes y su relación con las redes sociales [The impact of COVID-19 on adolescents’ mental health and its relation with social media]. Atención Primaria, 54(1), 102149. https://doi.org/1.1016/j.aprim.2021.102149
Theberath, M., Bauer, D., Chen, W., Salinas, M., Mohabbat, A. B., Yang, J., Chon, T. Y., Bauer, B. A., & Wahner-Roedler, D. L. (2022). Effects of COVID-19 pandemic on mental health of children and adolescents: A systematic review of survey studies. SAGE Open Medicine, 10, 2050312122108671. https://doi.org/1.1177/20503121221086712
Valdez-Santiago, R., Villalobos, A., Arenas-Monreal, L., González-Forteza, C., Hermosillo-de-la-Torre, A. E., Benjet, C., & Wagner, F. A. (2022). Comparison of suicide attempts among nationally representative samples of Mexican adolescents 12 months before and after the outbreak of the Covid-19 pandemic. Journal of Affective Disorders, 298(Part A), 65-68. https://doi.org/1.1016/j.jad.2021.1.111
Wang, C., López-Núñez, M. I., Pan, R., Wan, X., Tan, Y., Xu, L., Choo, F., Ho, R., Ho, C., & García, M. E. A. (2021). The Impact of the COVID-19 Pandemic on Physical and Mental Health in China and Spain: Cross-sectional Study. JMIR Formative Research, 5(5), e27818. https://doi.org/1.2196/27818
Wolf, S., Seiffer, B., Zeibig, J.-M., Welkerling, J., Brokmeier, L., Atrott, B., Ehring, T., & Schuch, F. B. (2021). Is Physical Activity Associated with Less Depression and Anxiety During the COVID-19 Pandemic? A Rapid Systematic Review. Sports Medicine (Auckland, N.Z.), 51(8), 1771-1783. https://doi.org/1.1007/s40279-021-01468-z
Wu, X. Y., Han, L. H., Zhang, J. H., Luo, S., Hu, J. W., & Sun, K. (2017). The influence of physical activity, sedentary behavior on health-related quality of life among the general population of children and adolescents: A systematic review. PLOS ONE, 12(11), e0187668. https://doi.org/1.1371/journal.pone.0187668
Wunsch, K., Nigg, C., Niessner, C., Schmidt, S. C. E., Oriwol, D., Hanssen-Doose, A., Burchartz, A., Eichsteller, A., Kolb, S., Worth, A., & Woll, A. (2021). The Impact of COVID-19 on the Interrelation of Physical Activity, Screen Time and Health-Related Quality of Life in Children and Adolescents in Germany: Results of the Motorik-Modul Study. Children (Basel, Switzerland), 8(2), 98. https://doi.org/1.3390/children8020098
Zhou, S.-J., Zhang, L.-G., Wang, L.-L., Guo, Z.-C., Wang, J.-Q., Chen, J.-C., Liu, M., Chen, X., & Chen, J.-X. (2020). Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. European Child & Adolescent Psychiatry, 29(6), 749-758. https://doi.org/1.1007/s00787-020-01541-4
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