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. 2026 Sep 15;14:1917300. doi: 10.3389/fpubh.2026.1917300

Table 2.

Mental health outcomes overall and by survey wave.

Outcome Overall 2023 2024 2025 p value Effect size
PHQ-9 mean score 5.08 ± 4.08 4.85 ± 3.98 5.46 ± 4.25 4.68 ± 3.81 <0.001 0.006
PHQ-9 moderate or above (≥10) 365 (8.6%) 172 (8.6%) 166 (9.5%) 27 (5.5%) 0.017 0.044
Self-harm thoughts item >0 542 (12.8%) 195 (9.8%) 272 (15.6%) 75 (15.2%) <0.001 0.086
GAD-7 mean score 3.21 ± 3.70 2.99 ± 3.67 3.56 ± 3.79 2.86 ± 3.36 <0.001 0.007
GAD-7 moderate or above (≥10) 209 (4.9%) 103 (5.2%) 94 (5.4%) 12 (2.4%) 0.022 0.042

p values compare the three waves. Effect size is epsilon-squared for continuous outcomes and Cramer’s V for categorical outcomes.