Mental health of Canadian youth : A systematic review and meta-analysis of studies examining changes in depression, anxiety, and suicide-related outcomes during the COVID-19 pandemic
© 2024. The Author(s) under exclusive license to The Canadian Public Health Association..
OBJECTIVES: This systematic review and meta-analysis aims to describe Canadian youth mental health during the COVID-19 pandemic, focusing on changes in anxiety and depressive symptoms and suicidality.
METHODS: We searched four databases up to February 2023 for longitudinal or repeated cross-sectional studies reporting on changes in depressive and anxiety symptoms, suicidality, or related services utilization among young people under 25 years old residing in Canada during the COVID-19 pandemic. Random-effects meta-analyses were performed for studies comparing depressive and anxiety symptoms from before to during the first, second, and third COVID-19 waves (up to June 2021), and between COVID-19 waves. Other studies were described narratively. Risk of bias was assessed using an adapted Joanna Briggs Institute Checklist.
SYNTHESIS: Of the 7916 records screened, 35 articles met inclusion criteria for this review. Included studies were highly heterogeneous in design, population, and type of change investigated, and many had a high risk of bias. The meta-analyses found that depressive symptoms worsened minimally from pre-pandemic to wave 1 but returned to pre-pandemic levels by wave 2. Anxiety symptoms were broadly comparable from pre-pandemic to waves 1 and 2 but worsened from waves 1 to 3 and from pre-pandemic to wave 1 for girls. The narrative review included several studies that provided inconclusive evidence of increases in services utilization.
CONCLUSION: The current evidence is limited and highly heterogeneous, making it insufficient to draw definitive conclusions regarding the short- to medium-term impact of the pandemic on youth mental health in Canada. Obtaining better mental health surveillance among Canadian youth is imperative.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
Canadian journal of public health = Revue canadienne de sante publique - (2024) vom: 13. März |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Geoffroy, Marie-Claude [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Revised 13.03.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.17269/s41997-024-00865-x |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM369679334 |
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| 100 | 1 | |a Geoffroy, Marie-Claude |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Mental health of Canadian youth |b A systematic review and meta-analysis of studies examining changes in depression, anxiety, and suicide-related outcomes during the COVID-19 pandemic |
| 264 | 1 | |c 2024 | |
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| 500 | |a Date Revised 13.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a © 2024. The Author(s) under exclusive license to The Canadian Public Health Association. | ||
| 520 | |a OBJECTIVES: This systematic review and meta-analysis aims to describe Canadian youth mental health during the COVID-19 pandemic, focusing on changes in anxiety and depressive symptoms and suicidality | ||
| 520 | |a METHODS: We searched four databases up to February 2023 for longitudinal or repeated cross-sectional studies reporting on changes in depressive and anxiety symptoms, suicidality, or related services utilization among young people under 25 years old residing in Canada during the COVID-19 pandemic. Random-effects meta-analyses were performed for studies comparing depressive and anxiety symptoms from before to during the first, second, and third COVID-19 waves (up to June 2021), and between COVID-19 waves. Other studies were described narratively. Risk of bias was assessed using an adapted Joanna Briggs Institute Checklist | ||
| 520 | |a SYNTHESIS: Of the 7916 records screened, 35 articles met inclusion criteria for this review. Included studies were highly heterogeneous in design, population, and type of change investigated, and many had a high risk of bias. The meta-analyses found that depressive symptoms worsened minimally from pre-pandemic to wave 1 but returned to pre-pandemic levels by wave 2. Anxiety symptoms were broadly comparable from pre-pandemic to waves 1 and 2 but worsened from waves 1 to 3 and from pre-pandemic to wave 1 for girls. The narrative review included several studies that provided inconclusive evidence of increases in services utilization | ||
| 520 | |a CONCLUSION: The current evidence is limited and highly heterogeneous, making it insufficient to draw definitive conclusions regarding the short- to medium-term impact of the pandemic on youth mental health in Canada. Obtaining better mental health surveillance among Canadian youth is imperative | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Anxiety | |
| 650 | 4 | |a COVID-19 | |
| 650 | 4 | |a Canada | |
| 650 | 4 | |a Depression | |
| 650 | 4 | |a Suicide | |
| 650 | 4 | |a Youth | |
| 700 | 1 | |a Chadi, Nicholas |e verfasserin |4 aut | |
| 700 | 1 | |a Bouchard, Samantha |e verfasserin |4 aut | |
| 700 | 1 | |a Fuoco, Julia |e verfasserin |4 aut | |
| 700 | 1 | |a Chartrand, Elise |e verfasserin |4 aut | |
| 700 | 1 | |a Loose, Tianna |e verfasserin |4 aut | |
| 700 | 1 | |a Sciola, Anthony |e verfasserin |4 aut | |
| 700 | 1 | |a Boruff, Jill T |e verfasserin |4 aut | |
| 700 | 1 | |a Iyer, Srividya N |e verfasserin |4 aut | |
| 700 | 1 | |a Sun, Ying |e verfasserin |4 aut | |
| 700 | 1 | |a Gouin, Jean-Philippe |e verfasserin |4 aut | |
| 700 | 1 | |a Côté, Sylvana M |e verfasserin |4 aut | |
| 700 | 1 | |a Thombs, Brett D |e verfasserin |4 aut | |
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