The impact of COVID-19 lockdown on child and adolescent mental health: systematic review.
The impact of COVID-19 lockdown on child and adolescent mental health: systematic review.
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DOI：
10.1007/s00787-021-01856-w
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发表时间：
2023-07
影响因子：
6.4
通讯作者：
Fusar-Poli P
中科院分区：
文献类型：
--
作者：
Panchal U;Salazar de Pablo G;Franco M;Moreno C;Parellada M;Arango C;Fusar-Poli P
2019冠状病毒病于2020年3月被宣布为大流行，导致全球许多国家呼吁封锁。本研究旨在回顾现有文献，探讨为应对COVID-19大流行而制定的封锁措施对儿童和青少年心理健康的影响。检索了Embase、Ovid、Global Health、PsycINFO、Web of Science和预印本数据库（PROSPERO: CRD42021225604）。我们纳入了在暴露于COVID-19封锁的儿童和青少年（年龄≤19岁）中进行的报告各种心理健康结果的个体研究，包括风险和保护因素。数据提取和质量评估由独立研究人员进行，结果由核心主题综合。纳入61篇文献，54,999名儿童和青少年（平均年龄11.3岁，49.7%为女性）。焦虑症状和抑郁症状在纳入的研究中较为常见，分别为1.8-49.5%和2.2-63.8%。易怒（范围= 16.7-73.2%）和愤怒（范围= 30.0-51.3%）也常被儿童和青少年报告。封锁前的特殊需要和精神障碍的存在，以及过度的媒体接触，是焦虑的重要风险因素。亲子交流对焦虑和抑郁有保护作用。COVID-19的封锁造成了心理困扰，并突出了那些过去或现在有精神健康问题的弱势群体。支持处于危险中的儿童和青少年的心理健康需求是关键。需要制定临床指南，以减轻COVID-19封锁的负面影响，并制定支持这一人群的公共卫生战略。在线版本包含补充材料，可在10.1007/s00787-021-01856-w获得。
COVID-19 was declared a pandemic in March 2020, resulting in many countries worldwide calling for lockdowns. This study aimed to review the existing literature on the effects of the lockdown measures established as a response to the COVID-19 pandemic on the mental health of children and adolescents. Embase, Ovid, Global Health, PsycINFO, Web of Science, and pre-print databases were searched in this PRISMA-compliant systematic review (PROSPERO: CRD42021225604). We included individual studies reporting on a wide range of mental health outcomes, including risk and protective factors, conducted in children and adolescents (aged ≤ 19 years), exposed to COVID-19 lockdown. Data extraction and quality appraisal were conducted by independent researchers, and results were synthesised by core themes. 61 articles with 54,999 children and adolescents were included (mean age = 11.3 years, 49.7% female). Anxiety symptoms and depression symptoms were common in the included studies and ranged 1.8–49.5% and 2.2–63.8%, respectively. Irritability (range = 16.7–73.2%) and anger (range = 30.0–51.3%), were also frequently reported by children and adolescents. Special needs and the presence of mental disorders before the lockdown, alongside excessive media exposure, were significant risk factors for anxiety. Parent–child communication was protective for anxiety and depression. The COVID-19 lockdown has resulted in psychological distress and highlighted vulnerable groups such as those with previous or current mental health difficulties. Supporting the mental health needs of children and adolescents at risk is key. Clinical guidelines to alleviate the negative effects of COVID-19 lockdown and public health strategies to support this population need to be developed. The online version contains supplementary material available at 10.1007/s00787-021-01856-w.
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影响因子：
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