Potrebny Thomas, Nilsen Sondre Aasen, Bakken Anders, von Soest Tilmann, Kvaløy Kirsti, Samdal Oddrun, Sivertsen Børge, Aase Heidi, Bang Lasse
Department of Health and Functioning, Western Norway University of Applied Sciences, Bergen, Norway.
Regional Centre for Child and Youth Mental Health and Child Welfare, NORCE Norwegian Research Centre, Bergen, Norway.
Eur Child Adolesc Psychiatry. 2025 Jan;34(1):69-81. doi: 10.1007/s00787-024-02371-4. Epub 2024 Feb 16.
There is a growing concern that the mental health of recent generations of youth is deteriorating, yet the etiology of these secular changes is not fully understood. We aimed to review the evidence on trends in mental health problems among young people in Norway. Seven large-scale repeated cross-sectional studies were included in this study, comprising 35 cross-sectional data collections between 1992 and 2019, with a total sample of 776,606 young people. Our study found a clear increase in mental health problems among young females in Norway over the past few decades, while the trends were less marked for males. The proportion of individuals scoring above the problematic symptom score threshold increased on average by 11.2% (range 2.2% to 21.9%) for females and 5.2% (range - 0.9% to 11.1%) for males, based on data from the individual studies. The results from a meta-regression analysis showed that across all surveys, mean symptom scores increased by 17% (95% CI 12 to 21%) among females and 5% (95% CI 1 to 9%) among males from 1992 to 2019. Overall, mental health problems have increased continually since the early 1990s among young people, especially among young females. The cause of these secular changes remains unknown but likely reflect the interplay of several factors at the individual and societal level.Protocol registration: Open science framework, November 8, 2021 ( https://osf.io/g7w3v ).
人们越来越担心，当代青年的心理健康正在恶化，但这些长期变化的病因尚未完全明了。我们旨在综述挪威年轻人心理健康问题趋势的相关证据。本研究纳入了七项大规模重复横断面研究，包括1992年至2019年间的35次横断面数据收集，总样本量为776,606名年轻人。我们的研究发现，在过去几十年中，挪威年轻女性的心理健康问题明显增加，而男性的趋势则不那么明显。根据个体研究的数据，女性中得分高于问题症状评分阈值的个体比例平均增加了11.2%（范围为2.2%至21.9%），男性增加了5.2%（范围为 -0.9%至11.1%）。元回归分析结果显示，在所有调查中，从1992年到2019年，女性的平均症状评分增加了17%（95%置信区间为12%至21%），男性增加了5%（95%置信区间为1%至9%）。总体而言，自20世纪90年代初以来，年轻人的心理健康问题持续增加，尤其是年轻女性。这些长期变化的原因仍然未知，但可能反映了个体和社会层面多种因素的相互作用。方案注册：开放科学框架，2021年11月8日（https://osf.io/g7w3v）
