Evidence map›Paper›PMID 40765949›Full record

ArticleGlobal mental health (Cambridge, England)2025

Impact of household food insecurity and nutrition on depression and anxiety symptoms among adolescents living in rural Pakistan.

Susan Campisi, Florence Perquier, Yaqub Wasan, Sajid Soofi, Daphne Korczak, Suneeta Monga, Peter Szatmari, Zulfiqar Bhutta

Abstract read
In one paragraph

Article in Global mental health (Cambridge, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Susan CampisiCundill Centre for Child and Youth Depression, Centre for Addiction and Mental Health, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-1072-9228
Florence PerquierCundill Centre for Child and Youth Depression, Centre for Addiction and Mental Health, Toronto, ON, Canada.ORCID https://orcid.org/0000-0001-9622-3652
Yaqub WasanCentre of Excellence in Women and Child Health, Aga Khan University, Karachi, Pakistan.ORCID https://orcid.org/0000-0003-3797-6173
Sajid SoofiCentre of Excellence in Women and Child Health, Aga Khan University, Karachi, Pakistan.ORCID https://orcid.org/0000-0003-4192-8406
Daphne KorczakDepartment of Psychiatry, Hospital for Sick Children, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-0061-7495
Suneeta MongaDepartment of Psychiatry, Hospital for Sick Children, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-1068-3920
Peter SzatmariCundill Centre for Child and Youth Depression, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Zulfiqar BhuttaCentre for Global Child Health, Hospital for Sick Children, Peter Gilgan Centre for Research and Learning, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-0637-599X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study investigates the links between dietary diversity, food insecurity and mental health (depression and anxiety) in adolescents from rural Pakistan. Adolescence is a critical time for developing mental health disorders, yet limited research exists on these issues in low- and middle-income countries (LMICs). Methods: The study included 1,396 adolescents (ages 9-15) and assessed their mental health, nutrition and maternal well-being. Depression and anxiety were measured using standardized questionnaires, while dietary diversity and food insecurity were evaluated through household assessments. Incidence rate ratios assessed the relationship between nutrition and mental health. Results: Results showed that 8.1% of boys and 10.2% of girls experienced depression, with anxiety rates ranging from 5.8% to 39.1%. Adolescents from households with higher dietary diversity had lower symptoms of depression and anxiety (IRRs:0.91-0.96), while those with higher food insecurity had increased symptoms (IRRs:1.24-1.86). Folate deficiency was associated with depressive symptoms, particularly in boys. Maternal mental health was observed to mediate the relationship between food insecurity and adolescent depression and anxiety. Conclusions: The study highlights that improving maternal mental health and addressing nutritional deficiencies, particularly folate, may benefit adolescent well-being. Further research in other LMICs is needed to explore these associations and their mechanisms.

Indexed as

adolescentsanxietydepressiondietary diversityfood insecuritymicronutrient deficiency

Identifiers

PMID40765949
PMCPMC12322787

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.