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新冠疫情让青少年的大脑迅速衰老,如何应对?

ALEXA MIKHAIL
2024-09-18

一项新研究发现,疫情也可能改变了青少年的大脑结构——与青春期男孩相比,疫情对青春期女孩的影响最为显著。

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一项新研究表明,在疫情期间,青春期女孩大脑衰老速度比青春期男孩快得多。图片来源:GETTY IMAGES

研究表明,疫情加剧了青少年的心理健康问题,原因是封锁切断了处于关键发育阶段的年轻人之间的联系。根据美国药物滥用和精神健康服务管理局(SAMHSA)的数据,2022年,12岁至17岁的青少年中有近20%患有重度抑郁症。根据美国疾病控制与预防中心(CDC)的数据,尽管青少年的心理健康状况问题已在稳步下降,但自疫情爆发以来,报告悲伤和抑郁情绪的高中生比例却在上升。

一项新研究发现,疫情也可能改变了青少年的大脑结构——与青春期男孩相比,疫情对青春期女孩的影响最为显著。

上周一发表在《美国国家科学院院刊》(Proceedings of the National Academy of Sciences)杂志上的这项研究发现,在疫情封锁期间,青春期女孩的大脑衰老速度比正常情况下快4.2年,而青春期男孩的大脑衰老速度比正常情况下快1.4年。

研究人员在疫情封锁前后对青少年大脑外层或大脑皮层的厚度进行了测试。结果显示,青春期女孩的大脑有30个区域加速衰老(这些区域都是社会情感处理的一部分),而青春期男孩只有两个区域加速衰老(这两个区域都与视觉处理有关)。

作者假设,压力在大脑加速衰老中起到了一定的作用,而那些更倾向于与同龄人进行情感社交的青春期女孩,其大脑结构在封锁中的变化更为显著。

所以,如果疫情改变了青少年的大脑结构,这对现在的青少年意味着什么?有可能逆转这种影响吗?

为了回答这些问题,《财富》杂志采访了康涅狄格州的儿童精神病学家、美国精神病学协会(American Psychiatric Association)杰出研究员伊丽莎白·奥尔蒂斯-施瓦茨(Elizabeth Ortiz-Schwartz)博士。

《财富》杂志:这项研究发现,在疫情期间,青少年的大脑比正常情况下衰老得更快。你为什么怀疑会出现这种情况?

奥尔蒂斯-施瓦茨:暴露于创伤或忽视、战争等严重情况的青少年大脑发育情况已有详细记载。这项研究旨在检查青少年的大脑并观察其核磁共振成像结果,而恰逢疫情爆发,他们继续进行核磁共振成像检查。这清楚地表明大脑正在发育,但却不是以积极的方式。这意味着大脑并没有变得更聪明或更睿智,而是大脑皮层在因性别而异的区域变得越来越薄。这意味着大脑正处于高水平的压力激素影响之下。

《财富》杂志:压力和逆境是如何影响青少年大脑衰老的?为什么会因性别而异?

奥尔蒂斯-施瓦茨:青少年的大脑已经经历了许多戏剧性的发展变化。当你的大脑处于如此开放的可塑状态,如果面临不利条件,大脑就会以不同的方式发育。在这种情况下,它会加速在压力环境下生存所需的能力。但是,它会以牺牲一些在更适宜的环境中希望看到的发展特征为代价。这会让大脑承受压力。

众所周知,女性的大脑更容易对不同的社交信号做出反应,也更擅于社交,但她们也更容易出现焦虑和抑郁等情绪问题。让女性较少地参与社交活动,并且这种社交活动受到限制,这一点至关重要。(作者指出,逆境导致的青少年大脑加速衰老,会增加青少年出现行为和心理健康问题的风险。)

《财富》杂志:压力导致的大脑加速衰老是否完全是一件坏事?

奥尔蒂斯-施瓦茨:大脑皮层的成熟并不总是一件坏事,这是一种适应性行为。当一个人处于压力环境中时,大脑会自动将功能调整到更高水平,以应对避免危险和恐惧的需要,比如杏仁核,它会让你更加警觉。因此,在战争、饥荒和诸如此类的情况下,人们预期大脑会将更多的能量集中在这些区域,而用于专注力、注意力等积极方面的能量则会减少。

我认为这种成熟对孩子并没有很多好处,尤其是如果它与抑郁和焦虑有关。我们不是在谈论情感成熟度,而是处于压力下的大脑。

《财富》杂志:培养韧性如何解决青少年大脑加速衰老问题?

奥尔蒂斯-施瓦茨:有助于增强韧性的因素同样有助于缓解抑郁和焦虑,还能降低杏仁核的活动水平。杏仁核是大脑中处于激活状态的部分,会导致我们在创伤情况下出现“战斗、逃跑或僵住”的反应。有助于培养韧性的因素包括冥想等,也是我们已知的有助于缓解慢性压力的因素。

《财富》杂志:还有哪些具体措施可以解决青少年大脑加速衰老的问题?怎样才能扭转这一趋势而不使其恶化呢?

奥尔蒂斯-施瓦茨:我们的青少年,尤其是年纪较小的青少年,需要感到自己在这个世界上是安全的。疫情之后,我们需要继续尽最大努力创造有利于青少年成长的环境,其中包括针对和解决欺凌问题、社交媒体对青少年的影响,并努力在学校提供心理健康支持。家庭需要大量的干预和支持,这样他们才能优化孩子的心理健康,从而为他们提供支持。这是在增强韧性。

从临床角度来看,我们知道教会人们坚持不懈、持之以恒,而不是逃避,并学习真正有效的技能来重新调节和集中注意力,可以起到治疗的作用。这是将负面经历转化为学习和成长的过程。这并不是说人们觉得自己已经崩溃了,或者需要放弃希望。

许多减压策略包括管理睡眠、适当减少社交媒体的使用次数以及谨慎使用电子产品。

《财富》杂志:所以,现在还为时不晚吗?

奥尔蒂斯-施瓦茨:我们希望大脑是可塑的,这样它们就能恢复到更接近基线水平的状态。我希望能看到这些孩子在25岁左右的时候再次接受评估,看看这些变化是否持续,或者有没有引入了积极的因素来管理这种成熟过程。

对我来说,或者说我的希望是,我们能够更好地认识到,减少已经发生的负面事件的长期影响是可能实现的。要做到这一点,我们需要特别关注那些有助于保持良好心理健康的因素,包括睡眠管理,这也是孩子们目前面临的一大难题。

既然已经出现了集体伤害,我们就需要更加谨慎和积极地采取措施,助力人们过上更健康的生活,避免对大脑产生更多的有毒压力。

《财富》杂志:家长、监护人或老师可以问青少年一个问题,帮助他们增强韧性?

奥尔蒂斯-施瓦茨:你的压力水平如何?你的情绪状态如何?这是一个非常好的问题,家长和老师可以定期询问。如果能有这样的开场白,你就能从孩子们身上了解很多东西。(财富中文网)

译者:中慧言-王芳

研究表明,疫情加剧了青少年的心理健康问题,原因是封锁切断了处于关键发育阶段的年轻人之间的联系。根据美国药物滥用和精神健康服务管理局(SAMHSA)的数据,2022年,12岁至17岁的青少年中有近20%患有重度抑郁症。根据美国疾病控制与预防中心(CDC)的数据,尽管青少年的心理健康状况问题已在稳步下降,但自疫情爆发以来,报告悲伤和抑郁情绪的高中生比例却在上升。

一项新研究发现,疫情也可能改变了青少年的大脑结构——与青春期男孩相比,疫情对青春期女孩的影响最为显著。

上周一发表在《美国国家科学院院刊》(Proceedings of the National Academy of Sciences)杂志上的这项研究发现,在疫情封锁期间,青春期女孩的大脑衰老速度比正常情况下快4.2年,而青春期男孩的大脑衰老速度比正常情况下快1.4年。

研究人员在疫情封锁前后对青少年大脑外层或大脑皮层的厚度进行了测试。结果显示,青春期女孩的大脑有30个区域加速衰老(这些区域都是社会情感处理的一部分),而青春期男孩只有两个区域加速衰老(这两个区域都与视觉处理有关)。

作者假设,压力在大脑加速衰老中起到了一定的作用,而那些更倾向于与同龄人进行情感社交的青春期女孩,其大脑结构在封锁中的变化更为显著。

所以,如果疫情改变了青少年的大脑结构,这对现在的青少年意味着什么?有可能逆转这种影响吗?

为了回答这些问题,《财富》杂志采访了康涅狄格州的儿童精神病学家、美国精神病学协会(American Psychiatric Association)杰出研究员伊丽莎白·奥尔蒂斯-施瓦茨(Elizabeth Ortiz-Schwartz)博士。

《财富》杂志:这项研究发现,在疫情期间,青少年的大脑比正常情况下衰老得更快。你为什么怀疑会出现这种情况?

奥尔蒂斯-施瓦茨:暴露于创伤或忽视、战争等严重情况的青少年大脑发育情况已有详细记载。这项研究旨在检查青少年的大脑并观察其核磁共振成像结果,而恰逢疫情爆发,他们继续进行核磁共振成像检查。这清楚地表明大脑正在发育,但却不是以积极的方式。这意味着大脑并没有变得更聪明或更睿智,而是大脑皮层在因性别而异的区域变得越来越薄。这意味着大脑正处于高水平的压力激素影响之下。

《财富》杂志:压力和逆境是如何影响青少年大脑衰老的?为什么会因性别而异?

奥尔蒂斯-施瓦茨:青少年的大脑已经经历了许多戏剧性的发展变化。当你的大脑处于如此开放的可塑状态,如果面临不利条件,大脑就会以不同的方式发育。在这种情况下,它会加速在压力环境下生存所需的能力。但是,它会以牺牲一些在更适宜的环境中希望看到的发展特征为代价。这会让大脑承受压力。

众所周知,女性的大脑更容易对不同的社交信号做出反应,也更擅于社交,但她们也更容易出现焦虑和抑郁等情绪问题。让女性较少地参与社交活动,并且这种社交活动受到限制,这一点至关重要。(作者指出,逆境导致的青少年大脑加速衰老,会增加青少年出现行为和心理健康问题的风险。)

《财富》杂志:压力导致的大脑加速衰老是否完全是一件坏事?

奥尔蒂斯-施瓦茨:大脑皮层的成熟并不总是一件坏事,这是一种适应性行为。当一个人处于压力环境中时,大脑会自动将功能调整到更高水平,以应对避免危险和恐惧的需要,比如杏仁核,它会让你更加警觉。因此,在战争、饥荒和诸如此类的情况下,人们预期大脑会将更多的能量集中在这些区域,而用于专注力、注意力等积极方面的能量则会减少。

我认为这种成熟对孩子并没有很多好处,尤其是如果它与抑郁和焦虑有关。我们不是在谈论情感成熟度,而是处于压力下的大脑。

《财富》杂志:培养韧性如何解决青少年大脑加速衰老问题?

奥尔蒂斯-施瓦茨:有助于增强韧性的因素同样有助于缓解抑郁和焦虑,还能降低杏仁核的活动水平。杏仁核是大脑中处于激活状态的部分,会导致我们在创伤情况下出现“战斗、逃跑或僵住”的反应。有助于培养韧性的因素包括冥想等,也是我们已知的有助于缓解慢性压力的因素。

《财富》杂志:还有哪些具体措施可以解决青少年大脑加速衰老的问题?怎样才能扭转这一趋势而不使其恶化呢?

奥尔蒂斯-施瓦茨:我们的青少年,尤其是年纪较小的青少年,需要感到自己在这个世界上是安全的。疫情之后,我们需要继续尽最大努力创造有利于青少年成长的环境,其中包括针对和解决欺凌问题、社交媒体对青少年的影响,并努力在学校提供心理健康支持。家庭需要大量的干预和支持,这样他们才能优化孩子的心理健康,从而为他们提供支持。这是在增强韧性。

从临床角度来看,我们知道教会人们坚持不懈、持之以恒,而不是逃避,并学习真正有效的技能来重新调节和集中注意力,可以起到治疗的作用。这是将负面经历转化为学习和成长的过程。这并不是说人们觉得自己已经崩溃了,或者需要放弃希望。

许多减压策略包括管理睡眠、适当减少社交媒体的使用次数以及谨慎使用电子产品。

《财富》杂志:所以,现在还为时不晚吗?

奥尔蒂斯-施瓦茨:我们希望大脑是可塑的,这样它们就能恢复到更接近基线水平的状态。我希望能看到这些孩子在25岁左右的时候再次接受评估,看看这些变化是否持续,或者有没有引入了积极的因素来管理这种成熟过程。

对我来说,或者说我的希望是,我们能够更好地认识到,减少已经发生的负面事件的长期影响是可能实现的。要做到这一点,我们需要特别关注那些有助于保持良好心理健康的因素,包括睡眠管理,这也是孩子们目前面临的一大难题。

既然已经出现了集体伤害,我们就需要更加谨慎和积极地采取措施,助力人们过上更健康的生活,避免对大脑产生更多的有毒压力。

《财富》杂志:家长、监护人或老师可以问青少年一个问题,帮助他们增强韧性?

奥尔蒂斯-施瓦茨:你的压力水平如何?你的情绪状态如何?这是一个非常好的问题,家长和老师可以定期询问。如果能有这样的开场白,你就能从孩子们身上了解很多东西。(财富中文网)

译者:中慧言-王芳

Research has shown that the pandemic exacerbated teen mental health issues, as the lockdown severed connections between young people at the most critical developmental stages. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), nearly 20% of those aged 12 to 17 had a major depressive episode in 2022. The percentage of high school students reporting feelings of sadness and depression has increased since the onset of the pandemic, although adolescent mental health was already steadily declining, per the CDC.

This week, a new study found the pandemic may also have changed the teenage brain structurally—most dramatically affecting teen girls as compared to teen boys.

The study published in the Proceedings of the National Academy of Sciences journal Monday found that teen girls’ brains aged 4.2 years faster than they normally would and teen boys’ brains aged 1.4 years faster than they normally would during the COVID-19 lockdown.

Researchers tested the thickness of teens’ brains’ outer layer or cerebral cortex before and after the COVID-19 lockdown. The brains of teen girls experienced accelerated aging across 30 regions, all a part of social-emotional processing, compared to two regions in teen boys, ones involved in visual processing.

The authors hypothesize that stress played a role in the brain’s accelerated aging—and that teen girls, who are more apt to socialize emotionally with peers, experienced the structural brain changes of the lockdown more dramatically.

So, if COVID-19 structurally changed the teenage brain, what does that mean for teens now? And is it possible to reverse the effects?

To answer these questions, Fortune spoke with Dr. Elizabeth Ortiz-Schwartz, a child psychiatrist based in Connecticut and a Distinguished Fellow of the American Psychiatric Association.

Fortune: This study found that the teenage brain aged more than it normally would during the pandemic. Why do you suspect this happened?

Ortiz-Schwartz: The teenage brain maturation with exposure to trauma or serious conditions like neglect or war has been very well documented. This is a study that was checking on teenage brains and looking at the MRIs, and then it just so happened that the pandemic hit, and they continued to do the MRIs. It’s a clear indication that there’s maturation, but not in a positive way. It’s not that the brains are getting smarter or brighter, but it’s that the cortex is getting thinner and thinner in areas that vary by gender. It means that the brain is being exposed to stress hormones at a significant level.

Fortune: How does stress and adversity affect the aging of the teen brain and why may it vary by gender?

Ortiz-Schwartz: The [teen] brain is already undergoing a lot of dramatic development. When you have a brain that’s so open to change, and you have adverse conditions, the brain will develop differently. In this case, it has accelerated the things needed for survival under stressful situations. And, it’s at the expense of some of the aspects of development that you would like to see in a more nurturing environment. It’s putting the brains under duress.

Female brains are known to be more wired to react socially to different signals and to be more social, but they also tend to have higher levels of anxiety and depression. Having females deal with less social interaction and how that was so limited is significant. (The authors note that accelerated aging of the teen brain due to adversity can increase young people’s risk of behavioral and mental health issues)

Fortune: Is accelerated brain aging due to stress always entirely a negative thing?

Ortiz-Schwartz: Cortical maturation may not always necessarily be a negative thing. It’s an adaptive thing. When a person is in a stressful environment, the brain is set up to function at a higher level in the areas that have to do with avoiding dangers and fears— like the amygdala, which makes you more alert. So in wars, famines, and things of that nature, it is expected that the brain will have more energy towards those areas, but then there will be less energy for things that have to do with focus and attention and more positive aspects.

I don’t feel that there are tons of benefits for children to be of that maturity, especially if it’s associated with depression and anxiety. We’re not talking about emotional maturity. We’re talking about brains under stress.

Fortune: How is building resiliency an antidote to the accelerated aging teen brain?

Ortiz-Schwartz: The things that help to build resilience also help with depression and anxiety, and they also help to tone down the amygdala, the part of the brain that’s on activation that leads to the fight, flight, and freeze response that we see in trauma situations. The same things that help create resilience, including things like meditation, are some of the same things that we know help with chronic stress.

Fortune: What are other concrete steps to address accelerated brian aging in teens? What can be done to reverse this trend and not worsen it?

Ortiz-Schwartz: Our teenagers, especially our younger teenagers, need to feel that they are safe in the world. Post-pandemic, we need to continue to do the best that we can to create environments where [teens] feel supported, and that includes things like targeting and addressing bullying, targeting and understanding the effects of social media for especially the younger kids, and trying to put mental health support in schools. Families need a lot of interventions and support so that they can optimize their children’s mental health so that they can be supported. This is building resiliency.

From a clinical perspective, we know that teaching individuals to persevere and persist and not become avoidant and to learn really good skills to re-regulate and re-center can be healing. It’s about turning these negative experiences into learning and growth. It’s not about people feeling that individuals are broken or that people need to throw their hands up.

Many stress reduction strategies include managing sleep, appropriately decreasing the amount of overconsumption of social media, and being mindful about electronics.

Fortune: So, it’s not too late?

Ortiz-Schwartz: The hope is that the brains are plastic, and they’re going to be able to get back to a little bit more of a baseline. What I would love to see is having these kids be reassessed when they’re in their mid-20s to see if these changes continue or if there are positive factors that are introduced that manage that maturation.

The message for me, or my hope, is that we move forward with a better understanding that it is possible to reduce the chronic effects of the negative things that have happened. To do that, we need to be extremely mindful of what are some of the things that are going to contribute to good mental health, including managing sleep, which is something kids are struggling significantly with.

Now that there’s been a collective injury, we need to be much more mindful and proactive in how these things are instituted and help people live healthier lives and avoid more toxic stress to the brain.

Fortune: Is there a question a parent, guardian, or teacher can ask their teen to help them build resilience?

Ortiz-Schwartz: How is your stress level? How are you doing emotionally? That would be a really good question for parents and teachers to check in periodically. You get to learn a lot from the kids if you can have an opener like that.

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