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  

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 ATully Damiano Pizzol Raphael Udeh Jinseok Lee Hayeon Lee Sooji Lee Dong Keon Yon 

机构地区：[1]Center for Digital Health,Medical Science Research Institute,Kyung Hee University College of Medicine,Seoul,South Korea [2]Department of Precision Medicine,Kyung Hee University College of Medicine,Seoul,South Korea [3]Health and Human Science,University of Southern California,Los Angeles,CA,USA [4]Department of Regulatory Science,Kyung Hee University,Seoul,South Korea [5]Suzanne Dworak Peck School of Social Work,University of Southern California,Los Angeles,CA,USA [6]Centre for Health,Performance and Wellbeing,Anglia Ruskin University,Cambridge,UK [7]Division of Sleep Medicine,Harvard Medical School,Boston,MA,USA [8]Department of Anesthesia,Critical Care and Pain Medicine,Massachusetts General Hospital,Boston,MA,USA [9]Research Centre on Health Services and Quality of Life,Assistance Publique-Hopitaux de Marseille,Aix Marseille University,Marseille,France [10]Department of Physical Education and Sport Sciences,Faculty of Literature and Human Sciences,Lorestan University,Khoramabad,Iran [11]Department of Physical Education and Sport Sciences,Faculty of Literature and Humanities,Vali-E-Asr University of Rafsanjan,Rafsanjan,Iran [12]School of Medicine,Ulster University,Londonderry,Northern Ireland,UK [13]Health Unit Eni,Maputo,Mozambique [14]Health Unit,Eni,San Donato Milanese,Italy [15]School of Life Sciences,Faculty of Science,University of Technology Sydney,Ultimo,Australia [16]Department of Biomedical Engineering,Kyung Hee University College of Electronics and Information,Yongin,South Korea [17]Department of Medicine,Kyung Hee University College of Medicine,23 Kyungheedae-ro,Dongdaemun-gu,Seoul 02447,South Korea [18]Department of Pediatrics,Kyung Hee University College of Medicine,23 Kyungheedae-ro,Dongdaemun-gu,Seoul 02447,South Korea

出　　处：《World Journal of Pediatrics》2024年第10期1003-1016,共14页世界儿科杂志（英文版）

基　　金：supported by the National Research Foundation of Korea grant funded by the Korea government(MSIT,RS-2023-00248157);The funding agencies had no role in the design and conduct of the study;collection,management,analysis,or interpretation of the data;preparation,review,or approval of the manuscript;or the decision to submit the manuscript for publication.

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%uncertainty 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 disorder 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 th

关 键 词：Adolescents GLOBAL Mental health Pandemic PSYCHOSOCIAL 

分 类 号：R726[医药卫生—儿科]