Gender Differences in the Prevalence and Impact Factors of Adolescent Dissociative Symptoms During the Coronavirus Disease 2019 Pandemic

Overview

Journal Sci Rep

Specialty Science

Date 2022 Nov 23

PMID 36418430

Authors

Qinglin Cheng

Gang Zhao

Junfang Chen

Yuanyuan Deng

Li Xie

Le Wang

Affiliations

Soon will be listed here.

Abstract

The purpose of this study was to explore the differences between the prevalence and impact factors of adolescent dissociative symptoms (ADSs) by using sex-stratification during the coronavirus disease 2019 (COVID-19) pandemic. A school-based, two-center cross-sectional study was conducted in Hangzhou City, China, between January 1, 2021 and April 30, 2022. The sample included 1,916 adolescents aged 13-18 years that were randomly selected using a multiphase, stratified, cluster sampling technique. A two-stage assessment procedure was used to find out the ADSs. We used a multivariate logistic regression analysis to assess the impact factors of ADSs during the COVID-19 pandemic. The adolescent dissociative scores (t = 4.88, P < 0.001) and positive ADSs rate (Chi-square = 15.76, P < 0.001) in males were higher than in females. Gender-stratified, stepwise multiple logistic regression analysis revealed that the conflict relationship of teacher-student [adjusted odds ratio (AOR) 1.06, 95% confidence interval (CI) 1.01-1.10], family expressiveness (AOR 0.87, 95% CI 0.78-0.98), family conflict (AOR 1.15, 95% CI 1.05-1.27), family organization (AOR 0.88, 95% CI 0.78-0.99), and family cohesion (AOR 0.87, 95% CI 0.77-0.99) were linked to ADSs only in males, while individual psychological states of somatic complaint (AOR 1.04, 95% CI 1.00-1.08) and paranoid ideation (AOR 1.09, 95% CI 1.01-1.19) were associated with female ADSs only. The ADSs seemed to be prevalent in Hangzhou City, studied during the COVID-19 pandemic. Gender differences in the prevalence and impact factors of dissociative symptoms seem to be significant among adolescents. Thus, gender-specific intervention programs against ADSs should be considered as reducing this risk.

References

Luoni C, Agosti M, Crugnola S, Rossi G, Termine C . Psychopathology, Dissociation and Somatic Symptoms in Adolescents Who Were Exposed to Traumatic Experiences. Front Psychol. 2018; 9:2390. PMC: 6288276. DOI: 10.3389/fpsyg.2018.02390. View

Thompson A, Marwaha S, Nelson B, Wood S, McGorry P, Yung A . Do affective or dissociative symptoms mediate the association between childhood sexual trauma and transition to psychosis in an ultra-high risk cohort?. Psychiatry Res. 2016; 236:182-185. DOI: 10.1016/j.psychres.2016.01.017. View

Rodriguez-Besteiro S, Tornero-Aguilera J, Fernandez-Lucas J, Clemente-Suarez V . Gender Differences in the COVID-19 Pandemic Risk Perception, Psychology, and Behaviors of Spanish University Students. Int J Environ Res Public Health. 2021; 18(8). PMC: 8068216. DOI: 10.3390/ijerph18083908. View

Hawes M, Szenczy A, Klein D, Hajcak G, Nelson B . Increases in depression and anxiety symptoms in adolescents and young adults during the COVID-19 pandemic. Psychol Med. 2021; 52(14):3222-3230. PMC: 7844180. DOI: 10.1017/S0033291720005358. View

Reynolds L, Yetnikoff L, Pokinko M, Wodzinski M, Epelbaum J, Lambert L . Early Adolescence is a Critical Period for the Maturation of Inhibitory Behavior. Cereb Cortex. 2018; 29(9):3676-3686. PMC: 6686753. DOI: 10.1093/cercor/bhy247. View

Ross J, Armour C, Kerig P, Kidwell M, Kilshaw R . A network analysis of posttraumatic stress disorder and dissociation in trauma-exposed adolescents. J Anxiety Disord. 2020; 72:102222. DOI: 10.1016/j.janxdis.2020.102222. View

Ferrante G, Rossini P, Rousset S, Ostacoli L, Piccinelli C, Carletto S . The emotional side of post-traumatic stress reaction during COVID-19 pandemic: an Italian survey. BMC Public Health. 2022; 22(1):333. PMC: 8851796. DOI: 10.1186/s12889-022-12749-1. View

Qi J, Sun R, Zhou X . Network analysis of comorbid posttraumatic stress disorder and depression in adolescents across COVID-19 epidemic and Typhoon Lekima. J Affect Disord. 2021; 295:594-603. DOI: 10.1016/j.jad.2021.08.080. View

Ethier K, Kershaw T, Lewis J, Milan S, Niccolai L, Ickovics J . Self-esteem, emotional distress and sexual behavior among adolescent females: inter-relationships and temporal effects. J Adolesc Health. 2006; 38(3):268-74. DOI: 10.1016/j.jadohealth.2004.12.010. View

10.

Cheng Q, Xu Y, Xie L, Hu Y, Lv Y . Prevalence and environmental impact factors of somatization tendencies in eastern Chinese adolescents: a multicenter observational study. Cad Saude Publica. 2019; 35(1):e00008418. DOI: 10.1590/0102-311X00008418. View

11.

Zhao M, Feng Z, Yang G . Improvement of mental health among Chinese plateau military personnel, 1993-2017: a cross-temporal meta-analysis of the Symptom Checklist-90. Neuropsychiatr Dis Treat. 2019; 15:2971-2980. PMC: 6811367. DOI: 10.2147/NDT.S202088. View

12.

Ford J, Charak R, Modrowski C, Kerig P . PTSD and dissociation symptoms as mediators of the relationship between polyvictimization and psychosocial and behavioral problems among justice-involved adolescents. J Trauma Dissociation. 2018; 19(3):325-346. DOI: 10.1080/15299732.2018.1441354. View

13.

Liu N, Zhang F, Wei C, Jia Y, Shang Z, Sun L . Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter. Psychiatry Res. 2020; 287:112921. PMC: 7102622. DOI: 10.1016/j.psychres.2020.112921. View

14.

Kihlstrom J, Glisky M, Angiulo M . Dissociative tendencies and dissociative disorders. J Abnorm Psychol. 1994; 103(1):117-24. DOI: 10.1037//0021-843x.103.1.117. View

15.

KilinceL S, Kilincel O, Muratdagi G, Aydin A, Baris Usta M . Factors affecting the anxiety levels of adolescents in home-quarantine during COVID-19 pandemic in Turkey. Asia Pac Psychiatry. 2020; 13(2):e12406. PMC: 7435562. DOI: 10.1111/appy.12406. View

16.

Phillips M, West C, Shen Q, Zheng Y . Comparison of schizophrenic patients' families and normal families in China, using Chinese versions of FACES-II and the Family Environment Scales. Fam Process. 1998; 37(1):95-106. DOI: 10.1111/j.1545-5300.1998.00095.x. View

17.

Kim J, Tsai W, Kodish T, Trung L, Lau A, Weiss B . Cultural variation in temporal associations among somatic complaints, anxiety, and depressive symptoms in adolescence. J Psychosom Res. 2019; 124:109763. PMC: 6709866. DOI: 10.1016/j.jpsychores.2019.109763. View

18.

Kuroda N, Fujimoto A, Okanishi T, Sato K, Itamura S, Baba S . Low Body Mass Index and Low Intelligence Quotient Are Infection Risk Factors in Vagus Nerve Stimulation. World Neurosurg. 2019; 130:e839-e845. DOI: 10.1016/j.wneu.2019.06.235. View

19.

Kisiel C, Lyons J . Dissociation as a mediator of psychopathology among sexually abused children and adolescents. Am J Psychiatry. 2001; 158(7):1034-9. DOI: 10.1176/appi.ajp.158.7.1034. View

20.

Kefeli M, Turow R, Yildirim A, Boysan M . Childhood maltreatment is associated with attachment insecurities, dissociation and alexithymia in bipolar disorder. Psychiatry Res. 2017; 260:391-399. DOI: 10.1016/j.psychres.2017.12.026. View