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Anxiety and depression symptoms among children before and during the COVID-19 pandemic
Benjamin Zablotsky1, Lindsey I Black1, Emily P Terlizzi1
1Centers for Disease Control and Prevention, National Center for Health Statistics, Hyattsville, MD.
Insights
The COVID-19 pandemic significantly increased anxiety and depression symptoms in children aged 5-17. National Health Interview Survey data reveal nearly one in six children experienced these symptoms during the pandemic, highlighting a rise in pediatric mental health concerns.
Area of Science:
- Pediatric mental health
- Epidemiology
- Public health
Background:
- The COVID-19 pandemic disrupted children's routines, reducing social interactions.
- Limited studies have examined the pandemic's impact on children's mental health using national data.
Purpose of the Study:
- To analyze changes in anxiety and depression symptoms among children aged 5-17 before and during the COVID-19 pandemic.
- To examine these changes across various child and family characteristics.
Main Methods:
- Utilized data from the 2019 and 2020 National Health Interview Survey (NHIS).
- Described prevalence of anxiety and depression symptoms in children aged 5-17.
- Examined changes in prevalence by demographic and socioeconomic factors.
Main Results:
- Prevalence of daily or weekly anxiety/depression symptoms increased from 14.4% to 16.7% during the pandemic.
- Statistically significant increases observed in males, younger children (5-11), non-Hispanic children, and those in low-income households or urban areas.
- Children with higher parental education also showed increased symptoms.
Conclusions:
- National Health Interview Survey data can monitor rising mental health issues in children.
- This data can help identify children at risk for anxiety and depression symptoms.
Purpose:
The COVID-19 pandemic caused disruptions to children's daily lives due in part to stay-at-home orders and school closures, reducing interactions with both peers and extended family. Yet, few studies with nationally representative data have explored the potential association of the COVID-19 pandemic and children's mental health.
Methods:
The current study analyzed data from the 2019 and 2020 National Health Interview Survey (NHIS) to describe changes in the prevalence of symptoms of anxiety and depression before and during the first year of the pandemic among children aged 5-17 years. Changes in prevalence by child- and family-level characteristics were also examined.
Results:
During the COVID-19 pandemic, nearly one in six children aged 5-17 years had daily or weekly symptoms of anxiety or depression, a significant increase from before the COVID-pandemic (16.7% (95% CI:15.0-18.6) versus 14.4% (95% CI:13.4-15.3)). Males, children 5-11 years, non-Hispanic children, children living in families in large metropolitan areas, incomes at or below the federal poverty level, and whose highest educated parent had more than a HS education, also showed statistically significant increases in anxiety and depression symptoms.
Conclusions:
NHIS data may be used to monitor this increase in mental health symptomatology and assist in identifying children at risk.
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