Evidence map›Paper›PMID 33823875›Full record

ArticleGlobalization and health2021

Study problems and depressive symptoms in adolescents during the COVID-19 outbreak: poor parent-child relationship as a vulnerability.

Jingyi Wang, Hao Wang, Haijiang Lin, Marcus Richards, Shuyue Yang, Hongbiao Liang, Xiaoxiao Chen, Chaowei Fu

Abstract read
In one paragraph

Article in Globalization and health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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20citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jingyi Wang *School of Public Health; Key Laboratory of Public Health Safety; NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, 200032, China.
Hao Wang *School of Public Health; Key Laboratory of Public Health Safety; NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, 200032, China.
Haijiang LinTaizhou City Center for Disease Prevention and Control, Taizhou, 318000, Zhejiang Province, China.
Marcus RichardsMRC Unit for Lifelong Health and Ageing, Institute of Cardiovascular Science, University College London, London, UK.
Shuyue YangSchool of Public Health; Key Laboratory of Public Health Safety; NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, 200032, China.
Hongbiao LiangTaizhou City Center for Disease Prevention and Control, Taizhou, 318000, Zhejiang Province, China.
Xiaoxiao ChenTaizhou City Center for Disease Prevention and Control, Taizhou, 318000, Zhejiang Province, China. tzcdccxx@126.com.
Chaowei FuSchool of Public Health; Key Laboratory of Public Health Safety; NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, 200032, China. fcw@fudan.edu.cn.ORCID 0000-0003-0966-8552

Funding

Medical Research Council MC_UU_00019/3Medical Research Council MC_UU_12019/3
6 · The paper itself

Abstract

backgroundLittle is known about the prevalence of and risk factors for adolescent mental health problems during the COVID-19 outbreak. We aimed to investigate the prevalence of depressive symptoms, their association with study-relevant problems, and the moderating effect of parent-child relationship among Chinese adolescents during the school closures.

methodsWe performed a cross-sectional analysis with data collected in middle and high schools in Taizhou, China. Students completed an online survey between April 16 and May 14, 2020. Depressive symptoms were assessed using the Children's Depression Inventory. Three types of study problems were recorded, including having difficulty in studying at home, dislike of remote learning, and excessive screen entertainment time. Parental relationships were categorized into good or normal relationship and poor relationship. Linear regression and logistic regression analyses were conducted to investigate the associations between study-relevant problems and depressive symptoms.

resultsUsing data from 6435 adolescents, we found that the prevalence of depressive symptoms was 17.7%. All the study problem measures were associated with more severe depressive symptoms. There was a moderating effect of the parental relationship on the associations between study problems and depressive symptoms. The association between number of study problems and depressive symptoms was stronger in adolescents with a poor parent-child relationship (regression coefficient 4.34 [95% CI 2.97, 5.72]) than those with a good or normal relationship (2.55 [2.35, 2.75]), p for interaction 0.002, on multivariable adjustment.

conclusionsStudy problems due to school closures were particularly problematic for adolescents who had poor parent-child relationships. Public health initiatives could help students to adjust study habits and improve parent-child relationships, thereby protecting against the development of depression.

Indexed as

Academic SuccessParent-Child RelationsAdolescentChinaCluster AnalysisCOVID-19Cross-Sectional StudiesDepressive DisorderFemaleHumansMaleRisk FactorsSARS-CoV-2AdolescentsCOVID-19DepressionParent-child relationshipStudy problem

Identifiers

PMID33823875
PMCPMC8022312

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.