Department of Psychiatry, Boston Children's Hospital and Harvard Medical School, Boston (Hamoda); Department of Primary Care and Mental Health, University of Liverpool, Liverpool, United Kingdom (Chiumento, Hamdani, Rahman); Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore (Alonge); Human Development Research Foundation, Rawalpindi, Punjab, Pakistan (Hamdani, Rahman); Institute of Psychiatry, World Health Organization Collaborating Center for Mental Health Research and Training, Benazir Bhutto Hospital and Rawalpindi Medical University, Rawalpindi, Punjab, Pakistan (Hamdani); World Health Organization Regional Office for the Eastern Mediterranean, Cairo (Saeed); Division of Child and Adolescent Psychiatry, School of Medicine, University of Washington, Seattle (Wissow). Kathleen M. Pike, Ph.D., is editor of this column.
Psychiatr Serv. 2021 Jun;72(6):729-731. doi: 10.1176/appi.ps.202000597. Epub 2021 Jan 27.
Children are likely to struggle with mental health consequences relating to the COVID-19 pandemic. School closures and home confinement increase the risk for emotional distress, domestic violence and abuse, and social isolation, as well as for disruption of sleep-wake and meal cycles, physical exercise routines, and health care access. As schools reopen, school mental health programs (SMHPs) incorporating universal approaches will be important for all children, and targeted approaches will be necessary for those more severely affected. Using their experience in Pakistan, the authors provide a roadmap for extending the World Health Organization's eastern Mediterranean region's SMHP to address the mental health consequences of COVID-19 among children globally.
儿童可能会因与 COVID-19 大流行相关的心理健康后果而感到困扰。学校关闭和家庭隔离增加了情绪困扰、家庭暴力和虐待、社会孤立的风险,还会扰乱睡眠-觉醒和进餐周期、体育锻炼常规以及获得医疗保健的机会。随着学校重新开学,纳入普及方法的学校心理健康方案(SMHP)对于所有儿童都很重要,而对于那些受影响更严重的儿童则需要采取有针对性的方法。作者利用他们在巴基斯坦的经验,为扩展世界卫生组织东地中海区域的 SMHP 以解决全球儿童的 COVID-19 心理健康后果提供了路线图。