Russian adolescent mental health in 2002, 2015 and during the COVID-19 pandemic in 2021

Adolescent mental health is a global concern, however, time trends and the COVID-19-related restrictions vary across countries. This study examined changes in adolescent mental health and substance use in Russia between 2002, 2015 and during the pandemic in 2021.

Cross-sectional school-based surveys of 12- to 18-year-olds were carried out in a Siberian city in 2002 (N = 713), 2015 (N = 840) and 2021 (N = 721) using the Strengths and Difficulties Questionnaire, data on tobacco, alcohol and drug use and socio-demographic information. We examined the effect of cohort, gender, family composition and parental occupation on mental health and substance use.

There were increases in emotional symptoms and internalising problems (B = 0.93, p < .001) and decreases in substance use over 19 years (B = -.73, p < .001). Changes in adolescent mental health and substance use were substantial from 2002 to 2015 and nonsignificant from 2015 to 2021. Increases in mental health problems were evident only among girls; a decrease in alcohol use was larger among boys. Family composition and parental occupation did not account for these changes.

These results suggest that the mental health of Russian adolescent girls has worsened in the 21st century; the gender gap in mental health has widened; the gender gap in alcohol use was reversed in 2021. The findings highlight the need for research into gender-specific factors and for effective interventions. The lack of changes in Russian adolescent mental health and substance use from 2015 to during the pandemic in 2021 suggests successful coping; however, more research is needed.