Explaining long-term trends in adolescent emotional problems: what we know from population-based studies

Abstract Over the past four decades, rates of emotional problems in adolescents have increased in many countries, and outcomes for those with mental health problems have worsened. In this review we explore existing population-based studies to evaluate possible explanations for these trends. We inclu...

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Main Authors: J. M. Armitage, S. Collishaw, R. Sellers
Format: Article
Language:English
Published: Springer 2024-03-01
Series:Discover Social Science and Health
Subjects:
Online Access:https://doi.org/10.1007/s44155-024-00076-2
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author J. M. Armitage
S. Collishaw
R. Sellers
author_facet J. M. Armitage
S. Collishaw
R. Sellers
author_sort J. M. Armitage
collection DOAJ
description Abstract Over the past four decades, rates of emotional problems in adolescents have increased in many countries, and outcomes for those with mental health problems have worsened. In this review we explore existing population-based studies to evaluate possible explanations for these trends. We include population-based studies that examine both trends in adolescent emotional problems, as well as risk or protective factors previously hypothesised to be associated with trends in youth depression and anxiety. The available evidence on risk or protective factors trends related to family life, young people’s health behaviours and lifestyle, school environment, peer relationships, as well as poverty. Studies reviewed suggest that trends in emotional problems are associated with increases in parental emotional problems, youth weight-control behaviours and eating disorders, school-related stress, as well as a rise in family poverty and social inequality in the 21st Century. One of the biggest changes in young people’s lives over the last few decades has been the rise of digital media to access information and interact with others, but implications for trends in mental health remain unclear. Other trends are likely to have mitigated against even steeper increases in youth emotional problems, for example improvements in youth substance use and a possible long-term reduction in child maltreatment. Epidemiological studies of unselected cohorts testing explanations for secular trends in mental health are scarce and an urgent priority for future research. Such studies will need to prioritise collection of comparable data in repeated population cohorts. Improving young people’s mental health is a major societal challenge, but considerably more needs to be done to understand the connections between social change and trends in youth mental health.
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spelling doaj.art-cc3a8e73fbf7419e998000beddb07a0c2024-03-31T11:35:56ZengSpringerDiscover Social Science and Health2731-04692024-03-014111710.1007/s44155-024-00076-2Explaining long-term trends in adolescent emotional problems: what we know from population-based studiesJ. M. Armitage0S. Collishaw1R. Sellers2Wolfson Centre for Young People’s Mental Health, Cardiff UniversityWolfson Centre for Young People’s Mental Health, Cardiff UniversityWolfson Centre for Young People’s Mental Health, Cardiff UniversityAbstract Over the past four decades, rates of emotional problems in adolescents have increased in many countries, and outcomes for those with mental health problems have worsened. In this review we explore existing population-based studies to evaluate possible explanations for these trends. We include population-based studies that examine both trends in adolescent emotional problems, as well as risk or protective factors previously hypothesised to be associated with trends in youth depression and anxiety. The available evidence on risk or protective factors trends related to family life, young people’s health behaviours and lifestyle, school environment, peer relationships, as well as poverty. Studies reviewed suggest that trends in emotional problems are associated with increases in parental emotional problems, youth weight-control behaviours and eating disorders, school-related stress, as well as a rise in family poverty and social inequality in the 21st Century. One of the biggest changes in young people’s lives over the last few decades has been the rise of digital media to access information and interact with others, but implications for trends in mental health remain unclear. Other trends are likely to have mitigated against even steeper increases in youth emotional problems, for example improvements in youth substance use and a possible long-term reduction in child maltreatment. Epidemiological studies of unselected cohorts testing explanations for secular trends in mental health are scarce and an urgent priority for future research. Such studies will need to prioritise collection of comparable data in repeated population cohorts. Improving young people’s mental health is a major societal challenge, but considerably more needs to be done to understand the connections between social change and trends in youth mental health.https://doi.org/10.1007/s44155-024-00076-2Time trendsMental healthAdolescenceDepressionAnxiety
spellingShingle J. M. Armitage
S. Collishaw
R. Sellers
Explaining long-term trends in adolescent emotional problems: what we know from population-based studies
Discover Social Science and Health
Time trends
Mental health
Adolescence
Depression
Anxiety
title Explaining long-term trends in adolescent emotional problems: what we know from population-based studies
title_full Explaining long-term trends in adolescent emotional problems: what we know from population-based studies
title_fullStr Explaining long-term trends in adolescent emotional problems: what we know from population-based studies
title_full_unstemmed Explaining long-term trends in adolescent emotional problems: what we know from population-based studies
title_short Explaining long-term trends in adolescent emotional problems: what we know from population-based studies
title_sort explaining long term trends in adolescent emotional problems what we know from population based studies
topic Time trends
Mental health
Adolescence
Depression
Anxiety
url https://doi.org/10.1007/s44155-024-00076-2
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