Anxiety and depression symptoms among children before and during the COVID-19 pandemic

Zablotsky, Benjamin; Black, Lindsey I; Terlizzi, Emily P; Vahratian, Anjel; Blumberg, Stephen J.

doi:10.1016/j.annepidem.2022.09.003

Cited by 11 publications

(6 citation statements)

References 15 publications

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“…The current study findings hold important public health implications in light of the dual burden of food insecurity and poor mental health imposed by the COVID-19 pandemic. 28,29…”

Section: Discussionmentioning

confidence: 99%

“…The current study findings hold important public health implications in light of the dual burden of food insecurity and poor mental health imposed by the COVID-19 pandemic. 28,29 Timely diagnosis and effective treatment of mental disorders in children and adolescents are vital for reducing disease symptoms and improving adaptive functioning. 30 In the current study, we observed a lower overall prevalence of children with resolved mental health conditions compared with those with ongoing issues.…”

Section: Discussionmentioning

confidence: 99%

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Association of Food Insecurity Status with Resolution of Mental Health Conditions in Children and Adolescents

Sanjeevi,

Monsivais

2023

J Dev Behav Pediatr

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Objective: Adverse consequences related to unresolved mental health issues underscore the importance of identifying factors that impede resolution of mental health conditions. Although studies have identified food insecurity as a risk factor for the diagnosis of mental health conditions, its impact on unresolved mental health issues is not understood. The objective of this study is to investigate the association of food insecurity status with resolution of depression, anxiety, and behavioral/conduct problems in children and adolescents. Methods: Using National Survey of Children's Health 2016 to 2019, logistic regression analyses examined the relationship of food insecurity status with the diagnosis and resolution of depression, anxiety, and behavioral/conduct problems in children (aged 5–11 years) and adolescents (aged 12–17 years). Results: Mild, moderate, and severe food insecurity were significantly associated with higher odds of being diagnosed with depression, anxiety, and behavioral/conduct problems. Severe food insecurity was significantly associated with higher odds of unresolved behavioral/conduct problems in children (adjusted odds ratio [aOR], 10.09; 95% confidence interval [CI], 2.99–34.04), after adjustment for demographic covariates. In adolescents, severe food insecurity was significantly related to greater odds of unresolved depression (aOR, 6.64; 95% CI, 2.13–20.70), anxiety (aOR, 3.27; 95% CI, 1.31–8.14), and behavioral/conduct problems (aOR, 5.57; 95% CI, 2.09–14.85). These associations of severe food insecurity with unresolved mental health conditions were significant even after adjustment for the receipt of mental health care. Mild and moderate food insecurity were not significantly associated with unresolved mental health conditions. Conclusion: The findings suggest that severe food insecurity is associated with increased odds of unresolved mental health conditions in children and adolescents. This study highlights the importance of tailoring interventions to provide appropriate mental health services for children and adolescents from severely food insecure households.

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“…The current study findings hold important public health implications in light of the dual burden of food insecurity and poor mental health imposed by the COVID-19 pandemic. 28,29…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Association of Food Insecurity Status with Resolution of Mental Health Conditions in Children and Adolescents

Sanjeevi,

Monsivais

2023

J Dev Behav Pediatr

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“…Today, these numbers have doubled to approximately 40%. Most recently, the Centers for Disease Control also provided findings on adolescents that showed approximately 40% of adolescents experienced hopelessness and anxiety, and approximately 29% of female adolescents have contemplated suicide (Zablotsky et al, 2022). In the past 40 years, we have never seen prevalence estimates this high.…”

Section: The Situation Todaymentioning

confidence: 99%

Stepping into the future of behavioral health: Opportunities, challenges, and possibilities.

Manderscheid,

Ward

2024

American Journal of Orthopsychiatry

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To improve our practices of today and to overcome the problems that confront us at present, the behavioral health field must anticipate what the future is likely to bring. Such foresight is particularly important right now because of the changes and disruptions that have occurred due to the COVID-19 pandemic over the past 3 years. We begin by recounting major developments in the mental health field since the founding of the National Institute of Mental Health (NIMH) more than 70 years ago, including some firsthand experiences of the senior author. Subsequently, we review the present situation of the behavioral health field with particular attention to the effects of COVID-19 and our current workforce crisis. Likely future scenarios are then described in two principal domains: clinical developments and community developments. Clinical developments over the next decade are likely to include much more self-directed, integrated, virtual, and personalized care. Community developments are likely to include self-empowering community interventions, better population health management, new collaborations with public health, and continued efforts to address stigma. To increase the probability of the future described, several facilitators are also outlined to create the conditions under which expected future developments can be expected to flourish. These include addressing the behavioral health workforce crisis, modernizing behavioral health clinical training, fostering opportunities for cross-sector work, fostering opportunities to engage in policy issues, creating centers of excellence for innovation in behavioral health, and fostering an integrated framework that undergirds behavioral health. The future we have described holds considerable promise for the behavioral health field and for all who suffer from mental or substance use conditions. We must begin working today to turn this potential future into tomorrow’s reality.

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“…One study that examined anxiety and depression rates among children between 5 to 17 years of age both before and during the pandemic, findings revealed that the rates had increased to nearly 1 in 6 children suffering from either or both anxiety and depression which marked an increase in these psychiatric morbidities by a little over 2% than pre-pandemic times. 3 Another study uncovered an increase by almost 7% among children presenting to the emergency department with suicide attempt or self-injury among a sample of nearly 8000 children during the pandemic. 4 In the same study, there was also a nearly 2% increase in visits to the emergency department among children presenting with symptomology consistent with disruptive, impulse control, and conduct disorders during the pandemic than before.…”

Section: Rising Mental Health Crisis Estimatesmentioning

confidence: 99%

The perils of boarding: A call to achieve parity in the delivery of acute psychiatric services for children with COVID-19

Jawed

Boro-Hernandez

2023

Health Promot Perspect

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Boarding across pediatric healthcare systems is on the rise during the pandemic. Children with positive COVID-19 test results awaiting psychiatric placements in the emergency department or medical unit settings are at increased risk for decompensation with unmet psychiatric needs during a time of crisis marked by vulnerability. There is scant literature unveiling best practices on delivery of care for these patients to achieve acute crisis stabilization. Recent studies have uncovered substantial increases in mental health disorders among children during the pandemic compared to previous incidence and prevalence rates prior to the pandemic. From the published literature, two healthcare systems have initiated long-term planning, development, and implementation of biodome psychiatric units for patients with COVID-19 in need of acute crisis stabilization services. We sampled 100 acute inpatient child and adolescent psychiatric programs to discern their post-COVID positive clearance policies for admission. Findings were mixed among days of quarantine required, symptomology, covid-designated spaces vs. self-isolated rooms for psychiatric treatment, number of COVID negative retests, and additional considerations. We also review a range of considerations and recommendations for clinical practice and the health system in achieving parity in mental health care for these patients which in turn could contribute towards mitigating the rising global mental health crisis. Furthermore, increasing access to acute psychiatric services for these patients will also contribute towards the larger goal of the World Health Organization, Sustainable Developmental Goals of the United Nations, and Healthy People 2030 in increasing accessibility, quality and equity of mental health care for individuals on both global and national frontiers.

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Anxiety and depression symptoms among children before and during the COVID-19 pandemic

Cited by 11 publications

References 15 publications

Association of Food Insecurity Status with Resolution of Mental Health Conditions in Children and Adolescents

Association of Food Insecurity Status with Resolution of Mental Health Conditions in Children and Adolescents

Stepping into the future of behavioral health: Opportunities, challenges, and possibilities.

The perils of boarding: A call to achieve parity in the delivery of acute psychiatric services for children with COVID-19

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