Institute for Medical Information Processing, Biometry and Epidemiology-IBE, Chair of Public Health and Health Services Research, LMU Munich, Elisabeth-Winterhalter-Weg 6, 81377 Munich, Germany.
Pettenkofer School of Public Health, 81377 Munich, Germany.
Int J Environ Res Public Health. 2021 Feb 28;18(5):2361. doi: 10.3390/ijerph18052361.
The aim of this study was to identify interventions targeting children and their caregivers to reduce psychosocial problems in the course of the COVID-19 pandemic and comparable outbreaks. The review was performed using systematic literature searches in MEDLINE, Embase, PsycINFO and COVID-19-specific databases, including the CDC COVID-19 Research Database, the World Health Organisation (WHO) Global Database on COVID-19 Research and the Cochrane COVID-19 Study Register, ClinicalTrials.gov, the EU Clinical Trials Register and the German Clinical Trials Register (DRKS) up to 25th September 2020. The search yielded 6657 unique citations. After title/abstract and full text screening, 11 study protocols reporting on trials planned in China, the US, Canada, the UK, and Hungary during the COVID-19 pandemic were included. Four interventions targeted children ≥10 years directly, seven system-based interventions targeted the parents and caregivers of younger children and adolescents. Outcome measures encompassed mainly anxiety and depressive symptoms, different dimensions of stress or psychosocial well-being, and quality of supportive relationships. In conclusion, this systematic review revealed a paucity of studies on psychosocial interventions for children during the COVID-19 pandemic. Further research should be encouraged in light of the expected demand for child mental health management.
本研究旨在确定针对儿童及其照顾者的干预措施，以减少 COVID-19 大流行和类似爆发期间的心理社会问题。使用 MEDLINE、Embase、PsycINFO 和 COVID-19 特定数据库（包括美国疾病控制与预防中心 COVID-19 研究数据库、世界卫生组织（WHO）全球 COVID-19 研究数据库和 Cochrane COVID-19 研究登记处、ClinicalTrials.gov、欧盟临床试验登记处和德国临床试验登记处（DRKS））进行了系统的文献检索，检索截至 2020 年 9 月 25 日。该搜索产生了 6657 个独特的引文。经过标题/摘要和全文筛选，纳入了 11 项研究方案，这些方案报告了 COVID-19 大流行期间在中国、美国、加拿大、英国和匈牙利计划进行的试验。四项干预措施直接针对≥10 岁的儿童，七项基于系统的干预措施针对年龄较小的儿童和青少年的父母和照顾者。结果测量主要包括焦虑和抑郁症状、压力的不同维度或心理社会幸福感以及支持性关系的质量。总之，这项系统评价显示，在 COVID-19 大流行期间针对儿童的心理社会干预研究很少。鉴于对儿童心理健康管理的预期需求，应鼓励进一步研究。
