The potential impact of the COVID-19 pandemic on child growth and development: a systematic review.
The potential impact of the COVID-19 pandemic on child growth and development: a systematic review.
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DOI：
10.1016/j.jped.2020.08.008
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发表时间：
2021-07
影响因子：
3.3
通讯作者：
Tarro G
中科院分区：
文献类型：
--
作者：
Araújo LA;Veloso CF;Souza MC;Azevedo JMC;Tarro G
这是对流行病或社会限制对父母和儿童/青少年心理和发育健康影响的研究的系统性综述。于2020年3月15日和2020年4月25日检索了PubMed、WHO COVID-19和SciELO数据库，过滤了儿童（0-18岁）和人类。用于减轻COVID-19等大流行病威胁的工具很可能会威胁儿童的生长和发育。这些工具--如社会限制、关闭学校和学校--会增加父母和儿童的压力，并可能成为威胁儿童成长和发展的风险因素，并可能损害可持续发展目标。所审查的研究表明，流行病可导致父母和子女的高度压力，这种压力开始是担心儿童受到感染。这些研究描述了COVID-19、H1N1、艾滋病和埃博拉等流行病的几种潜在精神和情感后果：父母的严重焦虑或抑郁，儿童的急性应激障碍、创伤后应激障碍、焦虑症和抑郁症。这些数据可能与不良的童年经历和毒性应激风险升高有关。不良经历越多，成年后发育迟缓和健康问题的风险就越大，如认知障碍、药物滥用、抑郁症和非传染性疾病。有关流行病对父母和儿童影响的信息对决策者很有意义，可帮助他们制定战略，帮助家庭科普流行病/大流行病造成的逆境，并确保其子女的健康发展。
This was a systematic review of studies that examined the impact of epidemics or social restriction on mental and developmental health in parents and children/adolescents. The PubMed, WHO COVID-19, and SciELO databases were searched on March 15, 2020, and on April 25, 2020, filtering for children (0–18 years) and humans. The tools used to mitigate the threat of a pandemic such as COVID-19 may very well threaten child growth and development. These tools — such as social restrictions, shutdowns, and school closures — contribute to stress in parents and children and can become risk factors that threaten child growth and development and may compromise the Sustainable Development Goals. The studies reviewed suggest that epidemics can lead to high levels of stress in parents and children, which begin with concerns about children becoming infected. These studies describe several potential mental and emotional consequences of epidemics such as COVID-19, H1N1, AIDS, and Ebola: severe anxiety or depression among parents and acute stress disorder, post-traumatic stress, anxiety disorders, and depression among children. These data can be related to adverse childhood experiences and elevated risk of toxic stress. The more adverse experiences, the greater the risk of developmental delays and health problems in adulthood, such as cognitive impairment, substance abuse, depression, and non-communicable diseases. Information about the impact of epidemics on parents and children is relevant to policy makers to aid them in developing strategies to help families cope with epidemic/pandemic-driven adversity and ensure their children’s healthy development.
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