{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T21:50:05Z","timestamp":1788817805458,"version":"build-2803163510"},"reference-count":41,"publisher":"Royal College of Psychiatrists","issue":"6","license":[{"start":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T00:00:00Z","timestamp":1697587200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"DOI":"10.13039\/501100000193","name":"International Development Research Centre","doi-asserted-by":"publisher","award":["108968"],"award-info":[{"award-number":["108968"]}],"id":[{"id":"10.13039\/501100000193","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec id=\"S2056472423005574_sec_a1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>Ebola virus disease (EVD) has been shown to be associated with poor mental health in affected zones. However, no study has yet explored its impact on adolescents\u2019 mental health.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472423005574_sec_a2\">\n\t    <jats:title>Aims<\/jats:title>\n\t    <jats:p>This study aimed to assess the prevalence and risk factors associated with depression and anxiety symptoms among adolescents in EVD-affected areas in the Equateur Province of the Democratic Republic of the Congo during the COVID-19 pandemic.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472423005574_sec_a3\" sec-type=\"methods\">\n\t    <jats:title>Method<\/jats:title>\n\t    <jats:p>A provincial sample of adolescents aged 12\u201317 years (<jats:italic>M<\/jats:italic> = 14.84, s.d. = 1.49) living in the 18 urban and rural areas affected by the 2018 EVD outbreak completed a two-wave longitudinal survey. Surveys assessed symptoms of depression and anxiety, exposure to Ebola, social support and sociodemographic information.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472423005574_sec_a4\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>A total of 490 participants completed the baseline and follow-up surveys, 50% of whom were female. Elevated and worsened depressive symptoms were observed among participants from the baseline (56.94%) to the follow-up (91.43%; <jats:italic>z<\/jats:italic> = \u221211.37, <jats:italic>P<\/jats:italic> &lt; 0.001), whereas anxiety symptoms decreased from the baseline (36.33%) to follow-up (24.90%; <jats:italic>z<\/jats:italic> = 4.06, <jats:italic>P<\/jats:italic> &lt; 0.001). The final generalised estimating equation model showed that anxiety symptoms decreased over time (<jats:italic>B<\/jats:italic> = \u22123.92, <jats:italic>P<\/jats:italic> &lt; 0.001), while depression symptoms increased (<jats:italic>B<\/jats:italic> = 4.79, <jats:italic>P<\/jats:italic> &lt; 0.001). Stigmatisation related to Ebola positively predicted anxiety (<jats:italic>B<\/jats:italic> = 5.41, <jats:italic>P<\/jats:italic> &lt; 0.001) and depression symptoms (<jats:italic>B<\/jats:italic> = 0.4452, <jats:italic>P<\/jats:italic> = 0.009). Social support negatively predicted anxiety (<jats:italic>B<\/jats:italic> = \u22121.13, <jats:italic>P<\/jats:italic> = 0.004) and depression (<jats:italic>B<\/jats:italic> = \u22120.98, <jats:italic>P<\/jats:italic> &lt; 0.001) symptoms but only moderated the association between stigmatisation and depression symptoms (<jats:italic>B<\/jats:italic> = \u22120.67, <jats:italic>P<\/jats:italic> &lt; 0.001).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472423005574_sec_a5\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Most adolescents living in EVD-affected areas experience mental health issues. Stigmatisation related to EVD and living in urban areas are the most consistent predictors of mental health problems. Nevertheless, social support remains a protective factor for depression and anxiety symptoms and a necessary resource for building resilience.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/bjo.2023.557","type":"journal-article","created":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T09:39:36Z","timestamp":1697621976000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":12,"title":["Prevalence and determinants of anxiety, depression and comorbid anxiety\u2013depression symptoms among adolescents in Ebola-affected zones"],"prefix":"10.1192","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3628-6904","authenticated-orcid":false,"given":"Jude 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