Global burden of mental health problems among children and adolescents during COVID-19 pandemic: An umbrella review.

Global burden of mental health problems among children and adolescents during COVID-19 pandemic: An umbrella review.
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DOI:
10.1016/j.psychres.2022.114814
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发表时间:
2022-11
影响因子:
11.3
通讯作者:
Ramirez, Gilbert
Ramirez, Gilbert
中科院分区:
医学2区
文献类型:
--
作者:
Hossain, M. Mahbub;Nesa, Fazilatun;Das, Jyoti;Aggad, Roaa;Tasnim, Samia;Bairwa, Mohan;Ma, Ping;Ramirez, Gilbert

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在冠状病毒病(COVID-19)大流行期间,儿童及青少年的心理健康问题报告越来越多。在这项总括性综述中,我们的目的是综合现有系统性综述和荟萃分析中关于流行病学负担和儿童和青少年心理健康(CAMH)问题相关性的全球证据。采用乔安娜·布里格斯研究所(JBI)的方法,我们评估了422篇引文,并确定了17篇符合条件的综述,具有中等至高的方法学质量。大多数综述报告了焦虑、抑郁、睡眠障碍、自杀行为、压力相关障碍、注意力缺陷/多动障碍和其他心理健康问题的高患病率。此外,各综述报告了与CAMH相关的因素,如年龄、性别、居住地、教育程度、家庭收入、久坐的生活方式、社交媒体和互联网使用、合并症、家庭关系、父母的心理社会状况、COVID-19相关经历、学校关闭、在线学习和社会支持。由于大多数研究是横断面的,使用非代表性样本,未来的研究代表性样本采用纵向和干预设计是必要的。最后,需要多管齐下的心理社会护理服务,政策和计划,以减轻CAMH问题的负担期间和之后,这一流行病。
Mental health problems among children and adolescents are increasingly reported amidst the coronavirus disease (COVID-19) pandemic. In this umbrella review, we aimed to synthesize global evidence on the epidemiologic burden and correlates of child and adolescent mental health (CAMH) problems during this pandemic from existing systematic reviews and meta-analyses. Adopting the Joanna Briggs Institute (JBI) methodology, we evaluated 422 citations and identified 17 eligible reviews with medium to high methodological quality. Most of the reviews reported a high prevalence of anxiety, depression, sleep disorders, suicidal behavior, stress-related disorders, attention-deficit/hyperactivity disorder, and other mental health problems. Also, factors associated with CAMH such as age, gender, place of residence, educational attainment, household income, sedentary lifestyle, social media and internet use, comorbidities, family relationships, parents' psychosocial conditions, COVID-19 related experiences, closure of schools, online learning, and social support were reported across reviews. As most studies were cross-sectional and used nonrepresentative samples, future research on representative samples adopting longitudinal and intervention designs is needed. Lastly, multipronged psychosocial care services, policies, and programs are needed to alleviate the burden of CAMH problems during and after this pandemic.
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