Prevalence of anxiety, depression, and suicidality in adolescents with parental severe mental illness: a controlled study in China.

IF 2.9 4区医学 Q2 PSYCHIATRY

Journal of Mental Health Pub Date : 2025-06-10 DOI:10.1080/09638237.2025.2512309

Shengmin Zhang, Tianhang Zhou, Yongtao Zhou, Weiran Chen, Xinyu Meng, Shaoli Tian, Hu Xiang, Lingyan Zhu, Liping Wen, Sijing Chen, Wencai Chen, Ling Ge, Guangming Liang, Yongzhuo Ding, Hua Deng, Yang Pan, Changchun Zhang, Shujiao Ji, Xu Hong, Zhengjiao Chang, Rui He, Nian Yuan, Xiangdong Du, Hong Ma, Xin Yu, Lili Guan

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引用次数: 0

Abstract

Background: Children of parents with mental illness (COPMI) have not received sufficient support in China despite their genetic and environmental risk of adverse mental health outcomes.

Aims: This study was conducted for the first time in China to assess mental distress in adolescent COPMI compared with the population-based control (PBC) group of parents without mental disorders.

Methods: A total of 1,114 participants including 558 COPMI and 556 PBC, aged 12-17, were recruited from the communities and assessed by self-report scales about anxiety, depression, and suicidality. Regression and mediation analyses were used to identify risk factors for mental distress.

Results: The estimated prevalence of anxiety and depression in the COPMI group was significantly higher than in the PBC group (anxiety: 3.9% vs. 1.6%, depression: 5.9% vs. 3.4%). A history of parental mental illness was associated with the lack of family communication, which in turn had a significant (BootCI = (0.020 - 0.062)) indirect effect on the increased anxiety and depression levels of the adolescent offspring.

Conclusions: Our findings emphasized the necessity to early identify mental distress in COPMI and provide timely and targeted intervention to improve family communication and mental health well-being for these high-risk adolescents.

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父母患有严重精神疾病的青少年焦虑、抑郁和自杀的患病率：一项中国对照研究

背景：在中国，尽管父母患有精神疾病（COPMI）的儿童存在不良心理健康结局的遗传和环境风险，但他们并没有得到足够的支持。目的：本研究首次在中国开展，以评估青少年COPMI与无精神障碍父母人群对照（PBC）组的精神困扰。方法：从社区招募1114名参与者，包括558名COPMI和556名PBC，年龄12-17岁，采用焦虑、抑郁和自杀自我报告量表进行评估。使用回归和中介分析来确定精神困扰的危险因素。结果：COPMI组焦虑和抑郁的估计患病率明显高于PBC组（焦虑：3.9% vs. 1.6%，抑郁：5.9% vs. 3.4%）。父母的精神病史与缺乏家庭沟通有关，这反过来又对青春期后代焦虑和抑郁水平的增加有显著的间接影响（BootCI =(0.020 - 0.062)）。结论：我们的研究结果强调了早期识别COPMI患者精神困扰的必要性，并提供及时和有针对性的干预，以改善这些高危青少年的家庭沟通和心理健康状况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Mental Health PSYCHOLOGY, CLINICAL-

CiteScore

6.40

自引率

3.00%

发文量

117

期刊介绍： The Journal of Mental Health is an international forum for the latest research in the mental health field. Reaching over 65 countries, the journal reports on the best in evidence-based practice around the world and provides a channel of communication between the many disciplines involved in mental health research and practice. The journal encourages multi-disciplinary research and welcomes contributions that have involved the users of mental health services. The international editorial team are committed to seeking out excellent work from a range of sources and theoretical perspectives. The journal not only reflects current good practice but also aims to influence policy by reporting on innovations that challenge traditional ways of working.