ArticleEuropean child & adolescent psychiatry2025
Twenty-year changes of adolescent mental health and substance use: a Finnish population-based time-trend study.
Article in European child & adolescent psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Article
- Self-reported changes in adolescent mental health, deliberate self-harm, substance use, and help-seeking behavior before and after the COVID-19 pandemic - A Finnish time-trend study.Child and adolescent mental health · 2026Article
- Is fatigue associated with adolescents' mental health? A pre- vs. post-COVID-19 cross-sectional survey comparison.Frontiers in child and adolescent psychiatry · 2026Article
- Adolescent Interpersonal Behaviours and Mental Health Across Two Swedish Cohorts: 15-Year Trends and One-Year Bidirectional Associations in a Mixed-Methods Study.Child and adolescent psychiatry and mental health · 2025Article
- Exploring the Association Between Adolescents' Health Literacy and Health Behavior by Using the Short Health Literacy (HLSHealthcare (Basel, Switzerland) · 2024Article
- The youth mental health crisis: analysis and solutions.Frontiers in psychiatry · 2024Review
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4 authors.
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Abstract
This time-trend study assesses changes in mental health and substance use among Finnish adolescents from 1998 to 2018. Representative samples of adolescents (N = 6,600) aged 13-16 years participated in school-based, almost identical cross-sectional studies in 1998 (n = 1,446), 2008 (n = 2,009), 2014 (n = 1,800) and 2018 (n = 1,345), respectively. The Strengths and Difficulties Questionnaire was used to assess mental health. When comparing mental health in the clinical range between 1998 and 2018, the main finding was the significant increase of emotional symptoms among females. The percentage of females in the clinical range increased from 17.5 to 30.1% during the twenty-year period. When psychopathology measures were analyzed as continuous variables, the finding of increased emotional problems was confirmed. The study clearly illustrates a linear trend, with a consistent increase in emotional problems among females and decrease in substance use among both genders. An alarming finding of steady increase of self-reported emotional problems indicates the importance of early detection and evidence-based interventions for adolescent with anxiety and depression to prevent adversities associated with these disorders.
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