Evidence map›Paper›PMID 41744102›Full record

ArticleJournal of adolescence2026

Adolescent Worries About Societal Challenges: Changing Associations With Internalizing Symptoms, 1977-2021.

Marco Thimm-Kaiser, Noah T Kreski, Pia M Mauro, Katherine M Keyes

Abstract read
In one paragraph

Article in Journal of adolescence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Marco Thimm-KaiserDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.ORCID https://orcid.org/0000-0002-8818-3424
Noah T KreskiDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
Pia M MauroDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
Katherine M KeyesDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.ORCID https://orcid.org/0000-0002-5624-021X

Funding

RESEARCH TRAINING PROGRAM IN PSYCHIATRIC EPIDEMIOLOGYT32MH013043 · NIMH · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Katherine M. Keyes · 1985 to 2026
$11.7M
Substance use treatment and county incarceration: Reducing inequities in substance use treatment need, availability, use, and outcomesR01DA055606 · NIDA · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI MAURO, PIA M. · 2023 to 2025
$2.2M
As adolescent substance use declines, internalizing symptoms increase: identifying high-risk substance using groups and the role of social media, parental supervision, and unsupervised timeR01DA048853 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KEYES, KATHERINE M. · 2019 to 2023
$2.0M
Multi-level associations between medical marijuana laws and substance use disorder treatmentK01DA045224 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAURO, PIA M. · 2018 to 2022
$878k
NIDA NIH HHS K01 DA045224NIDA NIH HHS R01 DA048853NIDA NIH HHS R01 DA055606NIH HHS K01DA045224NIH HHS R01DA048853NIH HHS R01DA055606NIH HHS T32MH013043-54NIMH NIH HHS T32 MH013043
6 · The paper itself

Abstract

introductionAdolescents' worries about salient societal challenges are potential contributors to worsening adolescent internalizing symptoms after 2011. We examined changes in the associations of adolescent societal worries and internalizing symptoms in the United States between 1977 and 2021.

methodsWe conducted latent profile analyses to categorize 118,167 12th grade students from annual cross-sectional Monitoring the Future surveys, 1977-2021, based on their level of self-reported worry about ten U.S. societal challenges, and examined adjusted associations of worry profiles with loneliness, low self-esteem, and self-derogation before and after 2011, overall and by gender.

resultsThe mean age of participants was 17.6 years and 51% were female. We identified four worry profiles: Low Worry across all worry domains, Sustainability Worry (elevated worry about pollution, energy shortages, land use, population growth), Social Disorder Worry (elevated worry about crime, drugs, poverty, race relations), and High Worry across all worry domains. After 2011, adolescents in the High Worry profile (vs. Low Worry), were significantly more likely to experience elevated loneliness (adjusted risk ratio [aRR]: 2.49, 95% confidence interval [CI]: 2.01-3.11), low self-esteem (aRR: 1.20, 95% CI: 1.03-1.37), and self-derogation (aRR: 1.54, 95% CI: 1.32-1.81). There was no consistent directional pattern in these associations before 2011. The changes in pre- vs post-2011 associations were greater for female adolescents.

conclusionsDuring the recent period of deteriorating mental health among U.S. adolescents, internalizing symptoms increased most rapidly among adolescents expressing elevated worries across all assessed domains of societal challenges. This pattern was most pronounced among female adolescents.

Indexed as

AnxietyAdolescentCross-Sectional StudiesFemaleHumansLonelinessMaleSelf ConceptUnited Statesadolescent internalizing symptomsadolescent mental healthsocial disordersocietysustainabilityworry

Identifiers

PMID41744102
PMCPMC13173818

What OpenQuestion holds

Textmetadata
LicenceTDM
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.