Evidence map›Paper›PMID 34154531›Full record

ArticleEnvironmental health and preventive medicine2021

Symptoms of mental health problems among Italian adolescents in 2017-2018 school year: a multicenter cross-sectional study.

Francesco Donato, Maria Triassi, Ilaria Loperto, Alessia Maccaro, Sara Mentasti, Federica Crivillaro, Antonella Elvetico, Elia Croce, Elena Raffetti

Open access · goldAbstract read
In one paragraph

Article in Environmental health and preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% of its field
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  7. School Trust and Sense of Belonging: Restoring Bonds and Promoting Well-Being in Schools.International journal of environmental research and public health · 2025
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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

9 authors at 5 institutions in 3 countries.

Francesco DonatoUnit of Hygiene, Epidemiology and Public Health, University of Brescia, v.le Europa, 11, 25121, Brescia, Italy.
Maria TriassiDepartment of Public Health, University of Naples "Federico II", Via S. Pansini, 5, 80131, Naples, Italy.
Ilaria LopertoDepartment of Public Health, University of Naples "Federico II", Via S. Pansini, 5, 80131, Naples, Italy.
Alessia MaccaroInstitute of Advanced Study, University of Warwick, Coventry, CV4 7AL, UK.
Sara MentastiUnit of Hygiene, Epidemiology and Public Health, University of Brescia, v.le Europa, 11, 25121, Brescia, Italy.
Federica CrivillaroUnit of Hygiene, Epidemiology and Public Health, University of Brescia, v.le Europa, 11, 25121, Brescia, Italy.
Antonella ElveticoUnit of Hygiene, Epidemiology and Public Health, University of Brescia, v.le Europa, 11, 25121, Brescia, Italy.
Elia CroceFondazione Poliambulanza Istituto Ospedaliero Multispecialistico, via Bissolati, 57, 25124, Brescia, Italy.
Elena RaffettiEpidemiology and Public Health Intervention Research Group (EPHIR), Department of Global Public Health, Karolinska Institutet, Solnavägen 1 E, 11365, Stockholm, Sweden. elena.raffetti@ki.se.ORCID http://orcid.org/0000-0001-8742-3986
University of Brescia · ITFederico II University Hospital · ITFondazione Poliambulanza Istituto Ospedaliero · ITPublic Health Agency of Sweden · SEUniversity of Warwick · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdentifying individual and contextual factors that influence adolescent well-being is a research priority. This study aimed to assess the prevalence of symptoms of mental health problems and some related factors in Italian adolescents in 2017-2018.

methodsThe present study was a cross-sectional survey among 3002 students aged 15-16 years who resided in two Italian provinces, in North and South Italy. Symptoms of mental health problems were assessed using the SDQ and CES-DC, and students' risk-taking behaviors and school climate perception were assessed. All information was collected anonymously. Logistic regression models were used to assess the associations of tobacco and alcohol use, screen time, bullying, and school climate with symptoms of mental health problems.

resultsOne student out of five reported symptoms of mental health problems, with a more than double proportion among girls than boys (28.7% vs 10.4% with depressive symptoms, respectively). Thirty percent and 40% of students smoked tobacco or drank alcoholic beverages at least once in the past month, and more than 40% reported being victims or authors of bullying in the past 6 months. Smoking behavior, alcohol consumption, screen time, bullying, and negative school climate had 1.2- to 3.3-fold increased odds of symptoms of mental health problems without substantial differences between sexes and geographical areas.

conclusionsTobacco and alcohol use, screen time, bullying, and school climate were independently associated with symptoms of mental health problems in a large sample of 15-16-year-old Italian adolescents without substantial gender and geographical differences.

Indexed as

Adolescent BehaviorAdolescentBullyingCross-Sectional StudiesFemaleHumansItalyMaleMental DisordersPsychiatric Status Rating ScalesRisk FactorsSchoolsStudentsBehaviorsMental healthRisk factorsSocial context

Identifiers

PMID34154531
PMCPMC8216089
OpenAlexW3175072061

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.