Prevalence of anxiety, depression, and suicidality in adolescents with parental severe mental illness: a controlled study in China.
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| Title: | Prevalence of anxiety, depression, and suicidality in adolescents with parental severe mental illness: a controlled study in China. |
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| Authors: | Zhang, Shengmin, Zhou, Tianhang, Zhou, Yongtao, Chen, Weiran, Meng, Xinyu, Tian, Shaoli, Xiang, Hu, Zhu, Lingyan, Wen, Liping, Chen, Sijing, Chen, Wencai, Ge, Ling, Liang, Guangming, Ding, Yongzhuo, Deng, Hua, Pan, Yang, Zhang, Changchun, Ji, Shujiao, Hong, Xu, Chang, Zhengjiao |
| Source: | Journal of Mental Health. Aug2025, Vol. 34 Issue 4, p420-430. 11p. |
| Subjects: | Self-evaluation, Cross-sectional method, Suicidal ideation, Adolescent health, Research funding, Psychological distress, T-test (Statistics), Children of parents with disabilities, Mental illness, Fisher exact test, Logistic regression analysis, Anxiety, Family relations, Mann Whitney U Test, Chi-squared test, Multivariate analysis, Descriptive statistics, Communication, Research, Statistics, Psychology of parents, Comparative studies, Factor analysis, Data analysis software, Psychosocial factors, Mental depression, Adolescence |
| Geographic Terms: | China |
| 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. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| 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. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 09638237 |
| DOI: | 10.1080/09638237.2025.2512309 |
