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Anxiety disorders among Chinese youth: A study based on GBD database
Beiling Cao1, Ciming Pan2, Yu Liu2
1Nanjing University of Traditional Chinese Medicine, Nanjing 210023, China.
Journal of Affective Disorders
|July 31, 2025
Summary
Anxiety disorders in Chinese youth, while historically lower, are projected to increase. Targeted interventions for adolescents and females are crucial to address future economic and social impacts.
Area of Science:
- Global Health
- Epidemiology
- Mental Health Research
Background:
- Anxiety disorders represent a significant global health concern among youth.
- Understanding disease burden variations is crucial for targeted public health strategies.
- China's demographic shifts necessitate specific analyses of youth mental health trends.
Purpose of the Study:
- To analyze the disease burden of anxiety disorders in youth globally, middle Socio-demographic Index (SDI) countries, and China.
- To evaluate trends in incidence, prevalence, and disability-adjusted life years (DALYs) from 1990 to 2021.
- To project future disease burden of anxiety disorders in Chinese youth from 2022 to 2035.
Main Methods:
- Utilized the Global Burden of Disease (GBD) database for comprehensive data extraction.
- Employed the GBD Results Tool 2021 for data visualization and statistical analysis.
- Applied an autoregressive integrated moving average (ARIMA) model for future disease burden projections.
Main Results:
- From 1990-2021, China's youth anxiety incidence was lower than global and middle SDI averages, with females affected more than males (5:3 ratio).
- In China, prevalent cases decreased by 17%, incident cases by 15%, and DALYs by 17%. The 15-19 age group showed the highest burden.
- Projections indicate rising trends in prevalence, incidence, and DALYs by 2035.
Conclusions:
- Despite past declines, anxiety disorders among Chinese youth are projected to increase, impacting national development.
- Targeted interventions are essential for adolescents and females to mitigate future economic and social burdens.
- Continued monitoring and strategic planning are vital for addressing the evolving landscape of youth anxiety in China.
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