ICMR-Centre for Ageing & Mental Health, Salt Lake, Kolkata, India.
ICMR-Centre for Ageing & Mental Health, Salt Lake, Kolkata, India.
Asian J Psychiatr. 2023 Nov;89:103790. doi: 10.1016/j.ajp.2023.103790. Epub 2023 Sep 27.
COVID-19 pandemic and the resultant lockdown could have negatively impacted adolescent mental health. The synthesised burden of mental health illness among adolescents during or after the pandemic is unknown in Low Middle-Income Countries (LMICs). The objective was to ascertain the pooled prevalence of mental health disorders among adolescents aged 10 - 19 years and to systematically review & conduct a descriptive synthesis of community-based mental health intervention measures in addressing adolescent mental health disorders during the COVID-19 pandemic in LMICs.
The literature was searched in Embase, PubMed, and Scopus and selected the relevant studies. The data was extracted from the selected studies, and its quality was assessed using adapted Newcastle-Ottawa Quality Assessment Scales. Meta-analysis was performed using random effects model to pool the prevalence of mental health disorders. Statistical heterogeneity was evaluated through Cochran's Q test & I statistic.
Thirty-five studies were selected out of 7955 identified studies. Most of the studies (n = 7, each) were from India and Iran. The majority of research works were community-based (n = 18), conducted in 2020 (23 articles), and participant interviews were conducted through online mode (n = 21). Varied instruments were used to measure the burden of mental health in different settings. Pooled prevalence (95% confidence intervals) of anxiety, depression and stress was found to be 43.69 (18.58-68.80)%, 47.02 (31.72-62.32)% and 39.97 (30.53-49.40)%, respectively, with high heterogeneity between the studies. No studies reported community-based mental health interventions.
There has been a higher prevalence of anxiety, depression, stress, and other mental health illnesses, among adolescents in LMICs during the COVID-19 pandemic. It is important to note that no existing literature directly addresses community-based interventions for these common mental health illnesses. It is imperative to prepare the health system for early identification and management of common mental health illness among the adolescent age group in the event of any future disaster.
COVID-19 大流行和由此导致的封锁可能对青少年的心理健康产生负面影响。在中低收入国家（LMICs），大流行期间或之后青少年心理健康疾病的综合负担尚不清楚。目的是确定 10-19 岁青少年的精神健康障碍的总体患病率，并系统地回顾和描述性综合评估在 COVID-19 大流行期间解决中低收入国家青少年心理健康障碍的基于社区的精神卫生干预措施。
在 Embase、PubMed 和 Scopus 中搜索文献，并选择相关研究。从选定的研究中提取数据，并使用改编的纽卡斯尔-渥太华质量评估量表评估其质量。使用随机效应模型进行荟萃分析以汇总精神健康障碍的患病率。通过 Cochran's Q 检验和 I 统计评估统计异质性。
从 7955 项已识别研究中筛选出 35 项研究。大多数研究（n=7，各有一项）来自印度和伊朗。大多数研究工作是基于社区的（n=18），在 2020 年进行（23 篇文章），参与者访谈通过在线模式进行（n=21）。不同的仪器用于在不同环境中测量精神健康负担。发现焦虑、抑郁和压力的总患病率（95%置信区间）分别为 43.69（18.58-68.80）%、47.02（31.72-62.32）%和 39.97（30.53-49.40）%，研究之间存在高度异质性。没有研究报告基于社区的心理健康干预措施。
在 COVID-19 大流行期间，中低收入国家的青少年焦虑、抑郁、压力和其他精神健康疾病的患病率较高。需要注意的是，没有现有的文献直接针对这些常见精神健康疾病的基于社区的干预措施。在任何未来的灾难中，为青少年群体中常见精神健康疾病的早期识别和管理做好卫生系统的准备是至关重要的。
