Impact of the COVID-19 pandemic on quality of life and mental health in children and adolescents in Germany.

Impact of the COVID-19 pandemic on quality of life and mental health in children and adolescents in Germany.
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DOI:
10.1007/s00787-021-01726-5
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发表时间:
2022-06
影响因子:
6.4
通讯作者:
Otto C
Otto C
中科院分区:
医学2区
文献类型:
--
作者:
Ravens-Sieberer U;Kaman A;Erhart M;Devine J;Schlack R;Otto C

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COVID-19大流行给16亿儿童和青少年的生活带来了前所未有的变化。来自中国、印度、巴西、美国、西班牙、意大利和德国的首批非代表性研究指出了负面的心理健康影响。目前的研究是第一项从儿童自身的角度调查COVID-19大流行对德国儿童和青少年健康相关生活质量(HRQoL)和心理健康影响的全国性代表性研究。在5月26日至6月10日期间,在n = 1586个7至17岁儿童和青少年家庭中进行了一项具有代表性的在线调查。该调查包括国际公认和验证的测量HRQoL(KIDSCREEN-10),心理健康问题(SDQ),焦虑(SCARED)和抑郁(CES-DC)的工具。结果与大流行前在德国进行的全国性、纵向、代表性BELLA队列研究(n = 1556)的数据进行了比较。三分之二的儿童和青少年报告说,COVID-19大流行给他们带来了沉重的负担。他们的HRQoL(40.2%对15.3%)显著降低,心理健康问题(17.8%对9.9%)和焦虑水平(24.1%对14.9%)高于大流行前。社会经济地位低、有流动背景和生活空间有限的儿童受到的影响更大。需要实施健康促进和预防策略,以维持儿童和青少年的心理健康,改善他们的HRQoL,并减轻COVID-19造成的负担,特别是对风险最大的儿童。在线版本包含补充材料,可通过10.1007/s 00787 -021-01726-5获得。
The COVID-19 pandemic has caused unprecedented changes in the lives of 1.6 billion children and adolescents. First non-representative studies from China, India, Brazil, the US, Spain, Italy, and Germany pointed to a negative mental health impact. The current study is the first nationwide representative study to investigate the impact of the COVID-19 pandemic on health-related quality of life (HRQoL) and mental health of children and adolescents in Germany from the perspective of children themselves. A representative online survey was conducted among n = 1586 families with 7- to 17-year-old children and adolescents between May 26 and June 10. The survey included internationally established and validated instruments for measuring HRQoL (KIDSCREEN-10), mental health problems (SDQ), anxiety (SCARED), and depression (CES-DC). Results were compared with data from the nationwide, longitudinal, representative BELLA cohort study (n = 1556) conducted in Germany before the pandemic. Two-thirds of the children and adolescents reported being highly burdened by the COVID-19 pandemic. They experienced significantly lower HRQoL (40.2% vs. 15.3%), more mental health problems (17.8% vs. 9.9%) and higher anxiety levels (24.1% vs. 14.9%) than before the pandemic. Children with low socioeconomic status, migration background and limited living space were affected significantly more. Health promotion and prevention strategies need to be implemented to maintain children’s and adolescents’ mental health, improve their HRQoL, and mitigate the burden caused by COVID-19, particularly for children who are most at risk. The online version contains supplementary material available at 10.1007/s00787-021-01726-5.
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影响因子: 3.8
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