Original Articles
27 May 2025
Vol. 19 No. 2 (2025)
Gender differences and post-pandemic mental health impacts: a mediation study on Vietnamese adolescents
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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This study examines anxiety and depression among 552 Vietnamese adolescents after COVID-19, focusing on gender differences and mental health changes. Using the Reynolds Adolescent Depression Scale and the Screen for Child Anxiety-Related Emotional Disorders, we found that 26.3% of participants experienced anxiety and 13.8% had depression. Separation anxiety was most common (33.0%), followed by social phobia (21.2%) and generalized anxiety disorder (16.3%). Family conflicts [adjusted odds ratio (aOR)=6.8, p<0.01] and stigma (aOR=22.0, p<0.05) significantly raised depression, while high vaccine uptake reduced anxiety (aOR=0.1, p<0.05). Post-pandemic mental health changes increased depression (aOR=4.3, p<0.001) and anxiety (aOR=3.8, p<0.01). Females were more likely to report depression (aOR=5.7, p<0.01), with post-pandemic changes mediating 60.8% of this effect. The study highlights the need for gender-sensitive mental health interventions in the post-pandemic era.
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Dang HM, Hong VV, Lan PN, et al. Mental health and psychosocial support needs among Vietnamese families during the first wave of the COVID-19 pandemic in Hanoi: a mixed methods study. VMOST JOSSH 2022;64:3-17. DOI: https://doi.org/10.31276/VMOSTJOSSH.64(3).03-17
Samuels F. Impact of Covid-19 on adolescent mental health in Viet Nam and Tanzania. 2021. Available from: https://odi.org/en/publications/impact-of-covid-19-on-adolescent-mental-health-in-viet-nam-and-tanzania/. Accessed on: 9/12/2024.
Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020;395:912-20. DOI: https://doi.org/10.1016/S0140-6736(20)30460-8
Institute of Sociology, The University of Queensland Australia, and Johns Hopkins Bloomberg School of Public Health. Viet Nam adolescent mental health survey (V-NAMHS). Report on main findings. 2022. Available from: https://qcmhr.org/docman/reports/15-vnamhs-report-eng-15-feb-2023/file.
Wang C, Tee M, Roy AE, et al. The impact of COVID-19 pandemic on physical and mental health of Asians: A study of seven middle-income countries in Asia. PLoS One 2021;16:e0246824. DOI: https://doi.org/10.1371/journal.pone.0246824
Weiss B, Dang M, Trung L, et al. A nationally representative epidemiological and risk factor assessment of child mental health in Vietnam. Int Perspect Psychol 2014;3:139-53. DOI: https://doi.org/10.1037/ipp0000016
Reynolds WM. Reynolds adolescent depression scale. In: Weiner IB, Craighead WE, eds. The Corsini encyclopedia of psychology. 1st ed. Hoboken, NJ, USA: Wiley; 2010. DOI: https://doi.org/10.1002/9780470479216.corpsy0798
Birmaher B, Brent DA, Chiappetta L, et al. Psychometric properties of the screen for child anxiety related emotional disorders (SCARED): a replication study. J Am Acad Child Adolesc Psychiatry 1999;38:1230-6. DOI: https://doi.org/10.1097/00004583-199910000-00011
Kuehner C. Why is depression more common among women than among men? Lancet Psychiatry 2017;4:146-58. DOI: https://doi.org/10.1016/S2215-0366(16)30263-2
Almeida M, Shrestha AD, Stojanac D, et al. The impact of the COVID-19 pandemic on women’s mental health. Arch Womens Ment Health 2020;23:741-8. DOI: https://doi.org/10.1007/s00737-020-01092-2
Xiong J, Lipsitz O, Nasri F, et al. Impact of COVID-19 pandemic on mental health in the general population: a systematic review. J Affect Disord 2020;277:55-64. DOI: https://doi.org/10.1016/j.jad.2020.08.001
Wade M, Prime H, Johnson D, et al. The disparate impact of COVID-19 on the mental health of female and male caregivers. Soc Sci Med 2021;275:113801. DOI: https://doi.org/10.1016/j.socscimed.2021.113801
Giang TV, Huynh VS, Do TT, et al. Factors affecting the social and emotional health of adolescents: a cross-sectional study in Vietnam. Heliyon 2023;9:14717. DOI: https://doi.org/10.1016/j.heliyon.2023.e14717
La TTT, Dinh HVT, Phan MHT, et al. Mental health among Vietnamese urban late adolescents: The association of parenting styles. Health Psychol Open 2020;7:2055102920948738. DOI: https://doi.org/10.1177/2055102920948738
Vinh NA, Hanh VTM, Van DTB, et al. Mental health among ethnic minority adolescents in Vietnam and correlated factors: a cross-sectional study. J Affect Disord Rep 2024;17:100795. DOI: https://doi.org/10.1016/j.jadr.2024.100795
Osman A, Gutierrez PM, Bagge CL, et al. Reynolds adolescent depression scale‐second edition: a reliable and useful instrument. J Clin Psychol 2010;66:1324-45. DOI: https://doi.org/10.1002/jclp.20727
Birmaher B, Khetarpal S, Brent D, et al. The screen for child anxiety related emotional disorders (SCARED): scale construction and psychometric characteristics. J Am Acad Child Adolesc Psychiatry 1997;36:545-53. DOI: https://doi.org/10.1097/00004583-199704000-00018
Hayes AF. Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York, NY, US: Guilford Press; 2013.
Coutts JJ, Hayes AF. Questions of value, questions of magnitude: an exploration and application of methods for comparing indirect effects in multiple mediator models. Behav Res 2022;55:3772-85. DOI: https://doi.org/10.3758/s13428-022-01988-0
Duong CB, Van Tran N, Nguyen AH, et al. Impacts of COVID-19 crisis and some related factors on the mental health of 37150 Vietnamese students: a cross-sectional online study. BMC Public Health 2023;23:445. DOI: https://doi.org/10.1186/s12889-023-15317-3
Erskine HE, Norman RE, Ferrari AJ, et al. Long-term outcomes of attention-deficit/hyperactivity disorder and conduct disorder: a systematic review and meta-analysis. J Am Acad Child Adolesc Psychiatry 2016;55:841-50. DOI: https://doi.org/10.1016/j.jaac.2016.06.016
Baskin TW, Wampold BE, Quintana SM, et al. Belongingness as a protective factor against loneliness and potential depression in a multicultural middle school. Couns Psychol 2010;38:626-51. DOI: https://doi.org/10.1177/0011000009358459
Twenge JM, Campbell WK. Media use is linked to lower psychological well-being: evidence from three datasets. Psychiatr Q 2019;90:311-31. DOI: https://doi.org/10.1007/s11126-019-09630-7
Odgers CL, Jensen MR. Annual research review: adolescent mental health in the digital age: facts, fears, and future directions. J Child Psychol Psychiatry 2020;61:336-48. DOI: https://doi.org/10.1111/jcpp.13190
How to Cite
Gender differences and post-pandemic mental health impacts: a mediation study on Vietnamese adolescents. (2025). Italian Journal of Medicine, 19(2). https://doi.org/10.4081/itjm.2025.1888
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