Observational Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Nov 19, 2022; 12(11): 1323-1334
Published online Nov 19, 2022. doi: 10.5498/wjp.v12.i11.1323
Investigating adolescent mental health of Chinese students during the COVID-19 pandemic: Multicenter cross-sectional comparative investigation
Bo-Wen Huang, Pei-Han Guo, Jian-Zhou Liu, Sean X Leng, Li Wang
Bo-Wen Huang, Jian-Zhou Liu, Department of General Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China
Pei-Han Guo, Senior High School, The Experimental High School Attached to Beijing Normal University, Beijing 100032, China
Sean X Leng, Department of Medicine, Johns Hopkins University School, Baltimore, MD 21205, United States
Li Wang, Department of Epidemiology and Biostatistics, Institute of Basic Medical Sciences Chinese Academy of Medical Sciences/School of Basic Medicine Peking Union Medical College, Beijing 100730, China
Author contributions: Huang BW and Guo PH contributed equally to this work; Huang BW conceived the project and wrote the manuscript; Guo PH designed the study and acquired data; Liu JZ analyzed data; Leng SX and Wang L edited the manuscript; and all authors contributed to the article and approved the submitted version.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of Peking Union Medical College Hospital.
Informed consent statement: The participants provided their electronic informed consent to participate in this study.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: Data of the studies are not publicly available but might be shared upon request from the corresponding author.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Li Wang, PhD, Professor, Department of Epidemiology and Biostatistics, Institute of Basic Medical Sciences Chinese Academy of Medical Sciences/School of Basic Medicine Peking Union Medical College, No. 5 Dongdan Santiao, Dongcheng District, Beijing 100730, China. pumcwangli@163.com
Received: August 1, 2022
Peer-review started: August 1, 2022
First decision: September 4, 2022
Revised: September 16, 2022
Accepted: October 14, 2022
Article in press: October 14, 2022
Published online: November 19, 2022
ARTICLE HIGHLIGHTS
Research background

The coronavirus disease 2019 (COVID-19) pandemic has severely affected adolescents' mental health.

Research motivation

Based on the results, adolescent mental health interventions would be developed or adjusted.

Research objectives

The study investigated the impact of the COVID-19 pandemic on the mental health of Chinese adolescents.

Research methods

A multicenter cross-sectional comparative survey of Chinese adolescents was conducted in March 2022 to collect demographic information, survey data, Patient Health Questionnaire-9, and Generalized Anxiety Disorder Screener scale scores related to the COVID-19 pandemic.

Research results

The investigation demonstrated that adolescents most strongly agreed with the following items: Increased time spent with parents, interference with academic performance, and less travel. Conversely, adolescents most strongly disagreed with the following items: Not having to go to school, feeling an increase in homework, and not socializing with people; 34.6% of adolescents were depressed before COVID-19, after COVID-19, 26.3% of adolescents were prone to depression. 24.4% of adolescents had anxiety before COVID-19, and after COVID-19, 23.5% of adolescents were prone to anxiety.

Research conclusions

After the COVID-19 outbreak, the anxiety and depression levels of Chinese adolescents in different grades have improved.

Research perspectives

Changes in educational management practices since the COVID-19 pandemic may be worth learning from and optimizing long-term educational planning.