PMID- 33583684 OWN - NLM STAT- MEDLINE DCOM- 20210427 LR - 20210427 IS - 1879-1972 (Electronic) IS - 1054-139X (Linking) VI - 68 IP - 4 DP - 2021 Apr TI - The Impact of Positive Youth Development Attributes on Posttraumatic Stress Disorder Symptoms Among Chinese Adolescents Under COVID-19. PG - 676-682 LID - S1054-139X(21)00022-7 [pii] LID - 10.1016/j.jadohealth.2021.01.011 [doi] AB - PURPOSE: This study examined the prevalence of posttraumatic stress disorder (PTSD) symptoms among adolescents in mainland China under COVID-19. The direct effects of the perceived threat of COVID-19 and positive youth development (PYD) qualities, as well as the moderating effect of PYD qualities on PTSD symptoms, were studied. METHODS: Five schools in Chengdu, Sichuan, China, participated in this study. Two waves of data were collected before school lockdown (Wave 1, between December 2019 and January 2020) and after school resumption (Wave 2, between June 2020 and July 2020), respectively. A total of 4,981 adolescents aged above 11 years (Mean age = 13.15, SD = 1.32 at Wave 1, 51.5% girls) completed questionnaires at both waves. Students responded to measures of PYD qualities at both waves and perceived threat and PTSD symptoms at Wave 2. RESULTS: A total of 517 adolescents (10.4%) could be regarded as having PTSD. Results indicated significant unique main effects of perceived threat (beta = .13, p < .001) and Wave 1 PYD qualities (beta = -.16, p < .001) on PTSD symptoms. Besides, results showed a significant moderating effect of PYD qualities in mitigating the negative impact of perceived threat on PTSD symptoms. CONCLUSIONS: This study revealed the protective effect of PYD attributes in reducing the negative influence of traumatic situations such as COVID-19 on adolescent mental health. Results underscore the importance of promoting PYD qualities in adolescents in mainland China via effective PYD programs. CI - Copyright (c) 2021 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. FAU - Shek, Daniel T L AU - Shek DTL AD - Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hunghom, Hong Kong, PR China. Electronic address: daniel.shek@polyu.edu.hk. FAU - Zhao, Li AU - Zhao L AD - West China School of Public Health/West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, PR China. FAU - Dou, Diya AU - Dou D AD - Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hunghom, Hong Kong, PR China. FAU - Zhu, Xiaoqin AU - Zhu X AD - Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hunghom, Hong Kong, PR China. FAU - Xiao, Chenghan AU - Xiao C AD - West China School of Public Health/West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, PR China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210211 PL - United States TA - J Adolesc Health JT - The Journal of adolescent health : official publication of the Society for Adolescent Medicine JID - 9102136 SB - IM MH - Adolescent MH - COVID-19/*psychology MH - Child MH - China/epidemiology MH - Communicable Disease Control MH - Female MH - Humans MH - Male MH - *Stress Disorders, Post-Traumatic/epidemiology OTO - NOTNLM OT - Adolescents OT - COVID-19 OT - China OT - PTSD OT - Perceived threat OT - Positive youth development EDAT- 2021/02/16 06:00 MHDA- 2021/04/28 06:00 CRDT- 2021/02/15 05:40 PHST- 2020/11/09 00:00 [received] PHST- 2021/01/08 00:00 [revised] PHST- 2021/01/13 00:00 [accepted] PHST- 2021/02/16 06:00 [pubmed] PHST- 2021/04/28 06:00 [medline] PHST- 2021/02/15 05:40 [entrez] AID - S1054-139X(21)00022-7 [pii] AID - 10.1016/j.jadohealth.2021.01.011 [doi] PST - ppublish SO - J Adolesc Health. 2021 Apr;68(4):676-682. doi: 10.1016/j.jadohealth.2021.01.011. Epub 2021 Feb 11.