Adolescent Depression: National Trends, Risk Factors, and Healthcare Disparities

Lu, Wenhua

doi:10.5993/ajhb.43.1.15

Cited by 205 publications

(148 citation statements)

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“…Simultaneously, more female than male adolescents self-selected into YES. This discrepancy may reflect higher rates of depression among adolescent girls versus boys, but it also fits with research suggesting that boys who are experiencing depression access treatment less often than girls [ 70 ]. Future work may focus on redesigning YES-like platforms that appeal to adolescents regardless of sex.…”

Section: Discussionsupporting

confidence: 73%

Acceptability and Utility of an Open-Access, Online Single-Session Intervention Platform for Adolescent Mental Health

et al. 2020

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Background Many youths with mental health needs are unable to access care. Single-session interventions (SSIs) have helped reduce youth psychopathology across multiple trials, promising to broaden access to effective, low-intensity supports. Online, self-guided SSIs may be uniquely scalable, particularly if they are freely available for as-needed use. However, the acceptability of online SSI and their efficacy have remained unexamined outside of controlled trials, and their practical utility is poorly understood. Objective We evaluated the perceived acceptability and proximal effects of Project YES (Youth Empowerment & Support), an open-access platform offering three online SSIs for youth internalizing distress. Methods After selecting one of three SSIs to complete, participants (ages 11-17 years) reported pre- and post-SSI levels of clinically relevant outcomes that SSIs may target (eg, hopelessness, self-hate) and perceived SSI acceptability. User-pattern variables, demographics, and depressive symptoms were collected to characterize youths engaging with YES. Results From September 2019 through March 2020, 694 youths accessed YES, 539 began, and 187 completed a 30-minute, self-guided SSI. SSI completers reported clinically elevated depressive symptoms, on average, and were diverse on several dimensions (53.75% non-white; 78.10% female; 43.23% sexual minorities). Regardless of SSI selection, completers reported pre- to post-program reductions in hopelessness (dav=0.53; dz=0.71), self-hate (dav=0.32; dz=0.61), perceived control (dav=0.60; dz=0.72) and agency (dav=0.39; dz=0.50). Youths rated all SSIs as acceptable (eg, enjoyable, likely to help peers). Conclusions Results support the perceived acceptability and utility of open-access, free-of-charge SSIs for youth experiencing internalizing distress. Trial Registration Open Science Framework; osf.io/e52p3

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Section: Discussionsupporting

confidence: 73%

Acceptability and Utility of an Open-Access, Online Single-Session Intervention Platform for Adolescent Mental Health

et al. 2020

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“…The National Survey on Drug Use and Health (NSDUH) found that from 2011 to 2016 the prevalence of depression in adolescents increased from 8.3% to 12.9%. 3 Children who suffer from chronic disease have higher rates of anxiety and depression than the general population. [4][5][6] In addition, children with chronic disease have less favorable courses regarding their mental health symptoms over time.…”

Section: Introductionmentioning

confidence: 99%

<p>Depression And Anxiety In Patients With Juvenile Idiopathic Arthritis: Current Insights And Impact On Quality Of Life, A Systematic Review</p>

Fair

Rodriguez

Knight

et al. 2019

OARRR

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Depression and anxiety are prevalent in children with rheumatologic diseases, including juvenile idiopathic arthritis (JIA). However, prevalence rates and the relationship with disease outcomes, including quality of life are conflicting in the early literature. To review the current literature, determine gaps in our knowledge, and identify areas in need of further investigation, we conducted a systematic review of studies examining depression and anxiety symptoms among children with JIA and the impact these symptoms may have on disease outcomes and quality of life. Six electronic databases were searched up until January 2019. Of 799 potential articles, 60 articles were included with the main focus on 28 articles from 2009 to 2019, to concentrate on the most current evidence. We found that JIA patients experience symptoms of depression and anxiety similar to other childhood chronic diseases and at higher rates than in healthy children. Patients who experience these symptoms have worse quality of life, with some evidence pointing to depression and anxiety symptoms having a greater impact on quality of life than other disease features, such as active joint count. Family members of JIA patients experience high rates of anxiety and depression symptoms which may impact their child's mental health and pain symptoms related to JIA. Conflicting reports of associations between depression/anxiety symptoms and disease features/disease outcomes and a paucity of longitudinal studies investigating the impact of treatment on mental health symptoms indicate areas in need of further research to effectively identify patients at greatest risk of depression and anxiety and to better understand how to treat and prevent these symptoms in youth with JIA. Family mental health should also be considered in investigations concerning mental health and disease outcomes of children with JIA.

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“…Although mixed findings exist on whether mental health during childhood and adolescence is deteriorating in recent generations, most evidence suggests an increasing trend for internalising problems (INT), mainly in girls, and a stable if not increasing trend for externalising problems (EXT) [4][5][6][7][8][9]. Several potential mechanisms of action may link mental health to alcohol use behaviours.…”

Section: Introductionmentioning

confidence: 99%

The association between early life mental health and alcohol use behaviours in adulthood: A systematic review

Ning¹,

Gondek²,

Patalay³

et al. 2020

PLoS ONE

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This systematic review aims to summarise current evidence on the association between early life mental health and alcohol use behaviours in adulthood. Peer-reviewed publications were located by searching EMBASE, Medline, PsycINFO, and the ISI Web of Science up to 31 October 2018. Prospective longitudinal studies reporting associations between externalising problems (EXT), internalising problems (INT), depression, anxiety before age 18, and alcohol use behaviours (alcohol consumption, heavy/problematic drinking, alcohol use disorder) after age 18 were included. After screening 17259 articles, 36 articles met the inclusion criteria. Information extracted included strength of associations, age when mental health and alcohol use behaviours were measured, sex differences in the association, and other sample characteristics. 103 tests in 23 articles were identified on the externalising domain and 135 tests in 26 articles on the internalising domain. 37 out of 103 tests reported positive associations between EXT and alcohol use behaviours. The likelihood of observing positive associations was higher for more severe alcohol use outcomes, but this trend disappeared among high-quality studies. Findings on associations between internalising domain and alcohol use varied across their subtypes. INT tended to be negatively associated with alcohol consumption but positively associated with more severe outcomes (heavy/problematic drinking, alcohol use disorder). Depression tended to be positively associated with alcohol outcomes, while no clear association between anxiety and alcohol outcomes was evident. Variation of the association across developmental timing, sex, culture, historical period was explored where appropriate. Great heterogeneity in the current literature calls for greater attention to view the relationship developmentally.

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Adolescent Depression: National Trends, Risk Factors, and Healthcare Disparities

Cited by 205 publications

References 0 publications

Acceptability and Utility of an Open-Access, Online Single-Session Intervention Platform for Adolescent Mental Health

Acceptability and Utility of an Open-Access, Online Single-Session Intervention Platform for Adolescent Mental Health

<p>Depression And Anxiety In Patients With Juvenile Idiopathic Arthritis: Current Insights And Impact On Quality Of Life, A Systematic Review</p>

The association between early life mental health and alcohol use behaviours in adulthood: A systematic review

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