Status and risk factors for depression, anxiety, and insomnia symptoms among adolescents in the post-pandemic era
Abstract Background Owing to their vulnerability to public health crises, adolescents’ mental health status, and related risk factors in the post-pandemic era in China require examination. This study aimed to lay a foundation for subsequent interventions and mental disorder prevention among adolesce...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-02-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-025-21650-6 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823861523987038208 |
|---|---|
| author | Xing-Jie Yang Li-Bin Zhang Lei-Lei Wang Hu Deng Yu-Long Li Rong-Jia Zhao Jia-Yan Xu Yu-Chun Yang Shuang-Jiang Zhou |
| author_facet | Xing-Jie Yang Li-Bin Zhang Lei-Lei Wang Hu Deng Yu-Long Li Rong-Jia Zhao Jia-Yan Xu Yu-Chun Yang Shuang-Jiang Zhou |
| author_sort | Xing-Jie Yang |
| collection | DOAJ |
| description | Abstract Background Owing to their vulnerability to public health crises, adolescents’ mental health status, and related risk factors in the post-pandemic era in China require examination. This study aimed to lay a foundation for subsequent interventions and mental disorder prevention among adolescents. Methods An anonymous online survey was conducted January 8–18, 2023. The survey comprised two parts. The first part collected personal information. The second part included the nine-item Patient Health Questionnaire, seven-item Generalized Anxiety Disorder Scale, and Pittsburgh Sleep Quality Index. Results Of 50,666 adolescent participants, 46.8% displayed depressive symptoms, 31.5% showed anxiety symptoms, and 47.9% experienced difficulties initiating sleep within 30 min, while 4.9% manifested depressive, anxiety, and insomnia symptoms simultaneously. Chi-square tests revealed significant variations in the prevalence of these conditions according to age, sex, coronavirus disease-2019 (COVID-19) infection status, family infection status, and increased screen time (P < 0.001). Logistic regression analysis indicated heightened rates of depression, anxiety, and insomnia symptoms among rural adolescents, females, those aged 16–18 years, individuals with a history of COVID-19, those with a long COVID-19 illness, and those with increased screen time (all P < 0.001). Conclusion The mental health status of adolescents in the post-pandemic era should be taken seriously, particularly that of females, high school students, and adolescents with increased use of electronic screens. Among such efforts, school administrators should strengthen their connection with psychologists, as early identification and intervention in adolescents are important for preventing school crises. |
| format | Article |
| id | doaj-art-09c26875943f4f28883bda807ae1d6b7 |
| institution | Kabale University |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj-art-09c26875943f4f28883bda807ae1d6b72025-02-09T12:57:41ZengBMCBMC Public Health1471-24582025-02-0125111210.1186/s12889-025-21650-6Status and risk factors for depression, anxiety, and insomnia symptoms among adolescents in the post-pandemic eraXing-Jie Yang0Li-Bin Zhang1Lei-Lei Wang2Hu Deng3Yu-Long Li4Rong-Jia Zhao5Jia-Yan Xu6Yu-Chun Yang7Shuang-Jiang Zhou8Beijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical SchoolCollaborative Innovation Center of Assessment for Basic Education Quality, Beijing Normal UniversityBeijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical SchoolBeijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical SchoolBeijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical SchoolBeijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical SchoolDepartment of Psychology, McGill UniversityFaculty of Education, Beijing Normal UniversityBeijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical SchoolAbstract Background Owing to their vulnerability to public health crises, adolescents’ mental health status, and related risk factors in the post-pandemic era in China require examination. This study aimed to lay a foundation for subsequent interventions and mental disorder prevention among adolescents. Methods An anonymous online survey was conducted January 8–18, 2023. The survey comprised two parts. The first part collected personal information. The second part included the nine-item Patient Health Questionnaire, seven-item Generalized Anxiety Disorder Scale, and Pittsburgh Sleep Quality Index. Results Of 50,666 adolescent participants, 46.8% displayed depressive symptoms, 31.5% showed anxiety symptoms, and 47.9% experienced difficulties initiating sleep within 30 min, while 4.9% manifested depressive, anxiety, and insomnia symptoms simultaneously. Chi-square tests revealed significant variations in the prevalence of these conditions according to age, sex, coronavirus disease-2019 (COVID-19) infection status, family infection status, and increased screen time (P < 0.001). Logistic regression analysis indicated heightened rates of depression, anxiety, and insomnia symptoms among rural adolescents, females, those aged 16–18 years, individuals with a history of COVID-19, those with a long COVID-19 illness, and those with increased screen time (all P < 0.001). Conclusion The mental health status of adolescents in the post-pandemic era should be taken seriously, particularly that of females, high school students, and adolescents with increased use of electronic screens. Among such efforts, school administrators should strengthen their connection with psychologists, as early identification and intervention in adolescents are important for preventing school crises.https://doi.org/10.1186/s12889-025-21650-6DepressionAnxietyInsomniaCOVID-19Post-pandemic eraAdolescents |
| spellingShingle | Xing-Jie Yang Li-Bin Zhang Lei-Lei Wang Hu Deng Yu-Long Li Rong-Jia Zhao Jia-Yan Xu Yu-Chun Yang Shuang-Jiang Zhou Status and risk factors for depression, anxiety, and insomnia symptoms among adolescents in the post-pandemic era BMC Public Health Depression Anxiety Insomnia COVID-19 Post-pandemic era Adolescents |
| title | Status and risk factors for depression, anxiety, and insomnia symptoms among adolescents in the post-pandemic era |
| title_full | Status and risk factors for depression, anxiety, and insomnia symptoms among adolescents in the post-pandemic era |
| title_fullStr | Status and risk factors for depression, anxiety, and insomnia symptoms among adolescents in the post-pandemic era |
| title_full_unstemmed | Status and risk factors for depression, anxiety, and insomnia symptoms among adolescents in the post-pandemic era |
| title_short | Status and risk factors for depression, anxiety, and insomnia symptoms among adolescents in the post-pandemic era |
| title_sort | status and risk factors for depression anxiety and insomnia symptoms among adolescents in the post pandemic era |
| topic | Depression Anxiety Insomnia COVID-19 Post-pandemic era Adolescents |
| url | https://doi.org/10.1186/s12889-025-21650-6 |
| work_keys_str_mv | AT xingjieyang statusandriskfactorsfordepressionanxietyandinsomniasymptomsamongadolescentsinthepostpandemicera AT libinzhang statusandriskfactorsfordepressionanxietyandinsomniasymptomsamongadolescentsinthepostpandemicera AT leileiwang statusandriskfactorsfordepressionanxietyandinsomniasymptomsamongadolescentsinthepostpandemicera AT hudeng statusandriskfactorsfordepressionanxietyandinsomniasymptomsamongadolescentsinthepostpandemicera AT yulongli statusandriskfactorsfordepressionanxietyandinsomniasymptomsamongadolescentsinthepostpandemicera AT rongjiazhao statusandriskfactorsfordepressionanxietyandinsomniasymptomsamongadolescentsinthepostpandemicera AT jiayanxu statusandriskfactorsfordepressionanxietyandinsomniasymptomsamongadolescentsinthepostpandemicera AT yuchunyang statusandriskfactorsfordepressionanxietyandinsomniasymptomsamongadolescentsinthepostpandemicera AT shuangjiangzhou statusandriskfactorsfordepressionanxietyandinsomniasymptomsamongadolescentsinthepostpandemicera |