Rising global burden of anxiety disorders among adolescents and young adults: trends, risk factors, and the impact of socioeconomic disparities and COVID-19 from 1990 to 2021

作者：Fengsai Bie, Xiao-ling YAN, Jie Xing, Leilei Wang, Yang Xu, Guan Wang, Qian Wang, Jinyu Guo, Jing Qiao, Zhenzhen Rao · 发表于：Frontiers in Psychiatry · 年份：2024 · DOI：10.3389/fpsyt.2024.1489427 · 被引用次数：85 · 研究领域：Bullying, Victimization, and Aggression、Child and Adolescent Psychosocial and Emotional Development、COVID-19 and Mental Health

Background: Anxiety disorders are among the most prevalent mental health conditions globally, particularly affecting adolescents and young adults (10-24 years), and causing substantial psychological and social impairments. This study analyzed changes in the incidence, prevalence, and disability-adjusted life years (DALYs) of anxiety disorders in this age group from 1990 to 2021, emphasizing the impact of socioeconomic disparities and the COVID-19 pandemic, particularly post-2019. Methods: Utilizing the Global Burden of Disease(GBD) 2021 data from 204 countries, this study evaluated global trends in anxiety disorders among adolescents and young adults. Conducted between May 16 and August 1, 2024, it assessed prevalence, incidence, DALYs, and estimated annual percentage changes (EAPCs) from 1990 to 2021. Joinpoint regression identified significant shifts in incidence rates, with key risk factors, especially bullying victimization,examined. The analysis was stratified by region, country, age group, sex, and Socio-Demographic Index (SDI). Results: From 1990 to 2021, the global incidence of anxiety disorders among those aged 10-24 years increased by 52%, particularly in the 10-14 age group and post-2019. Females showed higher prevalence rates than males, and DALYs rose notably among the 20-24-year-olds. Regions with middle SDI reported the highest incidence and prevalence, whereas high SDI regions experienced the largest increases. India had the highest number of cases, while Mexi...