Psychosocial alterations during the COVID-19 pandemic and the global burden of anxiety and major depressive disorders in adolescents,1990-2021:challenges in mental health amid socioeconomic disparities

扫码查看

原文链接

万方数据
维普

外文摘要：Background The coronavirus disease 2019(COVID-19)pandemic,a global health crisis,profoundly impacted all aspects of daily life.Adolescence,a pivotal stage of psychological and social development,is heavily influenced by the psychosocial and socio-cultural context.Hence,it is imperative to thoroughly understand the psychosocial changes adolescents experienced during the pandemic and implement effective management initiatives.Data sources We examined the incidence rates of depressive and anxiety disorders among adolescents aged 10-19 years globally and regionally.We utilized data from the Global Burden of Diseases,Injuries,and Risk Factors Study(GBD)2021 to compare pre-pandemic(2018-2019)and pandemic(2020-2021)periods.Our investigation covered 204 countries and territories across the six World Health Organization regions.We conducted a comprehensive literature search using databases including PubMed/MEDLINE,Scopus,and Google Scholar,employing search terms such as"psychosocial","adolescent","youth","risk factors","COVID-19 pandemic","prevention",and"intervention".Results During the pandemic,the mental health outcomes of adolescents deteriorated,particularly in terms of depressive and anxiety disorders.According to GBD 2021,the incidence rate of anxiety disorders increased from 720.26[95％uncer-tainty intervals(UI)=548.90-929.19]before the COVID-19 pandemic(2018-2019)to 880.87 per 100,000 people(95％UI=670.43-1132.58)during the COVID-19 pandemic(2020-2021).Similarly,the incidence rate of major depressive dis-order increased from 2333.91(95％UI=1626.92-3138.55)before the COVID-19 pandemic to 3030.49 per 100,000 people(95％UI=2096.73-4077.73)during the COVID-19 pandemic.This worsening was notably pronounced in high-income countries(HICs).Rapid environmental changes,including heightened social anxiety,school closures,economic crises,and exacerbated racism,have been shown to adversely affect the mental well-being of adolescents.Conclusions The abrupt shift to remote learning and the absence of in-person social interactions heightened feelings of loneliness,anxiety,sadness,and stress among adolescents.This change magnified existing socioeconomic disparities,posing additional challenges.These complexities profoundly impact adolescents'well-being,especially vulnerable groups like those from HICs,females,and minorities.Acknowledging the underreporting bias in low-to middle-income countries highlights the importance of addressing these mental health alterations in assessments and interventions within these regions as well.Urgent interventions are crucial as the pandemic-induced mental stress may have lasting effects on adolescents'mental health.

外文关键词：

AdolescentsGlobalMental healthPandemicPsychosocial

作者：

Soeun Kim、Jiyoung Hwang、Jun Hyuk Lee、Jaeyu Park、Hyeon Jin Kim、Yejun Son、Hans Oh、Lee Smith、Jiseung Kang、Guillaume Fond、Laurent Boyer、Masoud Rahmati、Mark A.Tully、Damiano Pizzol、Raphael Udeh、Jinseok Lee、Hayeon Lee、Sooji Lee、Dong Keon Yon

展开 >

作者单位：

Center for Digital Health,Medical Science Research Institute,Kyung Hee University College of Medicine,Seoul,South Korea

Department of Precision Medicine,Kyung Hee University College of Medicine,Seoul,South Korea

Health and Human Science,University of Southern California,Los Angeles,CA,USA

Department of Regulatory Science,Kyung Hee University,Seoul,South Korea

Suzanne Dworak Peck School of Social Work,University of Southern California,Los Angeles,CA,USA

Centre for Health,Performance and Wellbeing,Anglia Ruskin University,Cambridge,UK

Division of Sleep Medicine,Harvard Medical School,Boston,MA,USA

Department of Anesthesia,Critical Care and Pain Medicine,Massachusetts General Hospital,Boston,MA,USA

Research Centre on Health Services and Quality of Life,Assistance Publique-Hopitaux de Marseille,Aix Marseille University,Marseille,France

Department of Physical Education and Sport Sciences,Faculty of Literature and Human Sciences,Lorestan University,Khoramabad,Iran

Department of Physical Education and Sport Sciences,Faculty of Literature and Humanities,Vali-E-Asr University of Rafsanjan,Rafsanjan,Iran

School of Medicine,Ulster University,Londonderry,Northern Ireland,UK

Health Unit Eni,Maputo,Mozambique

Health Unit,Eni,San Donato Milanese,Italy

School of Life Sciences,Faculty of Science,University of Technology Sydney,Ultimo,Australia

Department of Biomedical Engineering,Kyung Hee University College of Electronics and Information,Yongin,South Korea

Department of Medicine,Kyung Hee University College of Medicine,23 Kyungheedae-ro,Dongdaemun-gu,Seoul 02447,South Korea

Department of Pediatrics,Kyung Hee University College of Medicine,23 Kyungheedae-ro,Dongdaemun-gu,Seoul 0244

展开 >

出版年：

2024

DOI：

10.1007/s12519-024-00837-8

世界儿科杂志(英文版)

CSTPCD

ISSN：

年,卷(期)：2024.20(10)