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Depression, Anxiety Among Youth Has More Than Doubled During Pandemic

The coronavirus pandemic has caused a global mental health crisis among children and adolescents, according to a University of Calgary study published in the journal JAMA Pediatrics this week.

The study is a meta-analysis pooling the results of 29 separate studies from around the world that looked at the prevalence of clinically elevated anxiety and depression symptoms among 80,879 youth during the COVID-19 pandemic.

Among the study’s findings: Depression and anxiety symptoms have doubled in children and adolescents. About 25.2% of the children and youth measured in the studies had clinically elevated depression symptoms, and 20.5% had clinically elevated anxiety symptoms.

Depression and anxiety symptoms were more prevalent in studies collected later in the pandemic and in girls. Depression symptoms were higher in older children.

One of the 29 studies examined in the meta-analysis measured the prevalence and predictors of depression and anxiety among 384 high school seniors (12th-graders) who were home quarantined and studied online in Jordan. The Jordanian study found that levels of depression and anxiety were high for both sexes but particularly for female students. The prevalence of anxiety among the girls was 46.9% and among the boys, 27.6%.

Unsurprisingly, the Jordanian study showed that having difficulties with online education was a predictor for both depression and anxiety during the pandemic. Perhaps more surprisingly, the Jordanian study revealed that while the father’s level of education was a protective factor that correlated with lower levels of depression and anxiety, the mother’s level of education correlated with higher levels of depression.

Dr. Sheri Madigan, an associate professor in the Department of Psychology and one of the co-authors of the University of Calgary meta-analysis, said that the tight restrictions imposed to curb the virus’s spread, and the long period of time that has passed since the pandemic started, have been significant challenges for young people. “When COVID-19 started, most people thought it would be difficult at the outset but that kids would be better over time, as they adjusted and got back to school. But when the pandemic persisted, youth missed a lot of milestones in their lives. It went on for well over a year and for young people that’s a really substantial period of their lives,” she said.

Another co-author, postdoctoral fellow Dr. Nicole Racine, said that while peers are usually an important source of social support for adolescents, “That support has been greatly reduced, and in some cases absent altogether, during the pandemic.”

Racine worries about the long-term effects of the pandemic on mental health, which could persist well after the virus itself has been beaten back. For some children, “this pandemic may have been a catalyst, setting them off on a trajectory that could be challenging. And there’s another group of children who had mental health difficulties pre-pandemic. They might really struggle long-term.”

Here are the latest COVID-19 numbers for the Middle East and North Africa as of 11 am Greenwich Mean Time (UTC±0) on Thursday.

Country Confirmed Cases Deaths Recovered Active Cases
Afghanistan 151,770 7,000 105,490 39,280
Algeria 184,191 4,654 123,434 56,103
Bahrain 270,451 1,384 267,990 1,077
Cyprus 107,485 452 90,755 16,278
Djibouti 11,669 156 11,503 10
Egypt 284,966 16,597 233,517 34,852
Iran 4,320,266 96,215 3,647,016 577,035
Iraq 1,740,933 19,402 1,556,855 164,676
Israel 921,083 6,593 872,287 42,203
Jordan 779,530 10,158 758,224 11,148
Kuwait 404,887 2,378 394,704 7,805
Lebanon 576,550 7,958 540,003 28,589
Libya 276,739 3,835 203,045 69,859
Mauritania 29,004 620 24,875 3,509
Morocco 720,256 10,607 631,756 77,893
Oman 299,642 3,974 287,244 8,424
Pakistan 1,085,294 24,187 975,474 85,633
Palestinian Territories 318,737 3,618 312,707 2,412
Qatar 228,346 601 225,420 2,325
Saudi Arabia 535,927 8,366 517,379 10,182
Somalia 16,103 864 7,854 7,385
Sudan 37,138 2,776 30,867 3,495
Syria 26,165 1,927 22,083 2,155
Tunisia 618,124 21,310 552,606 44,208
Turkey 5,996,224 52,565 5,543,037 400,622
United Arab Emirates 698,166 1,992 675,566 20,608
Yemen 7,213 1,392 4,410 1,411
Total 20,646,859 311,581 18,616,101 1,719,177