The Prevalence of Mental Problems for Chinese Children and Adolescents During COVID-19 in China: A Systematic Review and Meta-Analysis.

The Prevalence of Mental Problems for Chinese Children and Adolescents During COVID-19 in China: A Systematic Review and Meta-Analysis.
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DOI:
10.3389/fped.2021.661796
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发表时间:
2021
影响因子:
2.6
通讯作者:
Li Y
Li Y
中科院分区:
医学3区
文献类型:
--
作者:
Chai J;Xu H;An N;Zhang P;Liu F;He S;Hu N;Xiao X;Cui Y;Li Y

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2019冠状病毒病(COVID-19)的爆发导致中国公众和医务人员出现心理问题,尤其是儿童和青少年,这是一个可能出现更多心理问题的弱势群体。在COVID-19爆发期间,中国儿童和青少年的精神问题(如抑郁或焦虑)似乎迅速增长。虽然有几项研究报告了儿童和青少年抑郁或焦虑问题的患病率,但不同年龄组和性别组的结果不同。此外,这些研究的样本量很小。在本研究中,我们的目的是进行一项荟萃分析,以确定抑郁和焦虑的问题,中国儿童和青少年在家庭监禁的确认患病率。检索了5个数据库,包括PubMed、Web of Science、PsycINFO、Google Scholar和中国知网(CNKI),并制定了纳入和排除标准。最后,共有12项研究纳入本荟萃分析。本系统性综述的方案已在INPLASY注册(方案ID:INPLASY 202150032)。结果发现,中国儿童青少年心理问题的总患病率为28%(95%可信区间,CI:0.22-0.34),其中抑郁和焦虑问题的患病率分别为22%(95% CI:0.16-0.30)和25%(95% CI:0.20-0.32)。使用亚组分析确定不同年龄组(小学和初中vs.高中)之间没有差异(p = 0.26)。多元回归分析结果显示,男孩百分比的调节因子是一个显著的因素(p = 0.04)。它指出,越来越多的儿童和青少年在家庭监禁期间有精神问题。建议在今后的公共卫生危机中,应更加关注这一弱势群体,尤其是女童群体,并制定更详细的心理健康管理实施方案。系统性综述:本系统性综述的方案已在INPLASY注册。方案ID为INPLASY 202150032
The outbreak of coronavirus disease 2019 (COVID-19) has caused mental problems among the public and medical staff in China, especially for children and adolescents, a vulnerable group that might present with more mental problems. It seems that there is a rapid growth in the mental problems (such as depression or anxiety) of Chinese children and adolescents during the outbreak of COVID-19. Although several studies reported the prevalence of depression or anxiety problems for children and adolescents, the results are different across different age groups and sex groups. Moreover, the sample size of these studies was small. In the present study, we aim to perform a meta-analysis to identify the confirmed prevalence of depression and anxiety problems for Chinese children and adolescents during home confinement. Five databases were searched including PubMed, Web of Science, PsycINFO, Google Scholar, and the China National Knowledge Infrastructure (CNKI), and both inclusion and exclusion criteria were developed. Finally, a total of 12 studies were included in this meta-analysis. The protocol of this systematic review was registered with INPLASY (protocol ID: INPLASY202150032). It found that the pooled prevalence of mental problems was 28% (95% confidence interval, CI: 0.22–0.34), and the depression and anxiety problem for children and adolescents in China was 22% (95% CI: 0.16–0.30) and 25% (95% CI: 0.20–0.32) based on a random effect model, separately. Subgroup analysis was used to identify that there are no differences between different age groups (primary and middle school vs. high school) (p = 0.26). Meta-regression analysis was performed and the results showed that the moderator of boy percentage was a significant factor (p = 0.04). It indicated that there was an increasing number of children and adolescents with mental problems during the home confinement. It suggested that we should pay more attention to this vulnerable population during a public health crisis in the future, especially for the girls groups, and more detailed implements for mental health management were needed and should be prepared. Systematic Review: The protocol of this systematic review was registered with INPLASY. The protocol ID was INPLASY202150032
DOI: 10.3390/ijerph18073432
发表时间: 2021-03-26
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期刊: Healthcare (Basel, Switzerland)
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