Given the global impact of coronavirus disease 2019 (COVID-19) on mental and physical health, we examined young adults’ changes in mental health, intimate relationship quality, alcohol use and weight-related behaviors during COVID-19 and their correlates (depressive symptoms, resilience, social context and COVID-19-related factors). We analyzed data from a longitudinal study of 1082 young adults across six metropolitan areas (Mage = 24.76 ± 4.70; 51.8% female; 73.6% White and 12.5% Hispanic), using multivariate linear regressions for continuous outcomes (magnitude of mental health impact) and logistic regressions for categorical outcomes (decreased relationship quality, physical activity and nutrition and increased alcohol use and sedentary behavior). Of five negative mental health impacts assessed, participants reported experiencing an average of 3.54 (SD = 5.46), experiencing more correlated with increased childcare responsibilities and lower resilience. Additionally, 23.6% of those in relationships experienced negative relationship impact, 41.3% increased alcohol use, 47.2% decreased physical activity, 74.0% were more sedentary and 34.7% experienced poorer nutrition, all of which was predicted by greater depressive symptoms. Additionally, lower resilience predicted negative relationship impact and poorer nutrition and social context/roles correlated with various outcomes (e.g. relationships and alcohol use). Interventions to reduce negative health behaviors given societal stressors should address key psychosocial and situational factors, including depressive symptoms and resilience.

中文翻译：

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COVID-19 对年轻人负面心理社会和健康行为影响的预测因素


鉴于 2019 年冠状病毒病 (COVID-19) 对身心健康的全球影响，我们研究了年轻人在 COVID-19 期间心理健康、亲密关系质量、饮酒和体重相关行为的变化及其相关因素（抑郁症状） 、复原力、社会背景和 COVID-19 相关因素）。我们分析了对六个大都市区 1082 名年轻人（Mage = 24.76 ± 4.70；51.8% 女性；73.6% 白人和 12.5% 西班牙裔）进行的纵向研究的数据，使用多元线性回归分析连续结果（心理健康影响的大小）和分类结果的逻辑回归（关系质量、体力活动和营养下降，以及饮酒和久坐行为增加）。在评估的五项负面心理健康影响中，参与者报告平均经历了 3.54 (SD = 5.46)，与儿童保育责任增加和复原力降低更相关。此外，23.6%的恋爱关系中的人经历了负面的关系影响，41.3%的人饮酒增加，47.2%的人减少体力活动，74.0%的人久坐不动，34.7%的人营养不良，所有这些都是由更严重的抑郁症状预测的。此外，较低的复原力预示着负面的关系影响，以及较差的营养和与各种结果（例如关系和饮酒）相关的社会背景/角色。减少社会压力下的负面健康行为的干预措施应解决关键的社会心理和情境因素，包括抑郁症状和复原力。