Pontifícia Universidade Católica do Rio Grande do Sul, Escola de Medicina, Laboratório de Neurociência Cognitiva do Desenvolvimento (DCNL) and Instituto do Cérebro (InsCer), Porto Alegre, RS, Brazil.
Pontifícia Universidade Católica do Rio Grande do Sul, Escola de Medicina, Núcleo de Neurociências and Instituto do Cérebro (InsCer), Porto Alegre, RS, Brazil.
J Pediatr (Rio J). 2022 Mar-Apr;98 Suppl 1(Suppl 1):S4-S12. doi: 10.1016/j.jped.2021.08.003. Epub 2021 Sep 20.
This study aimed to review the literature, summarizing the existing evidence on the effects of the pandemic on children, adolescents and parents, with an emphasis on the psychological, emotional, and sleep quality consequences.
Empirical studies identified in the following databases: MEDLINE, ISI Web of Knowledge/Web of Science, and preprint servers.
The findings point to a wide range of consequences for children and adolescents resulting from the COVID-19 pandemic, which mainly includes an increase in depressive mood symptoms. There is also an increase in anxiety symptoms, suicidal ideation, as well as potential delays in language and motor development resulting from deprivation of social interaction and the closing of schools. These effects are more severe due to previous neuropsychiatric conditions. For parents, there is an increase in anxiety, depressive and post-traumatic symptoms, which are more accentuated in those who suffered socioeconomic damage due to the pandemic. There was an important increase in situations of violence towards children by parents and caregivers during the pandemic. Also, changes in routine and fear of the pandemic have negatively impacted sleep quality, globally.
It is noteworthy that most studies published to date used a cross-sectional design and applied online screening questionnaires. The few studies with a longitudinal design suggest that these changes may have been transitory and more prevalent at the beginning of the pandemic.
本研究旨在回顾文献,总结大流行对儿童、青少年和父母的影响的现有证据,重点关注心理、情绪和睡眠质量方面的后果。
在以下数据库中确定的实证研究:MEDLINE、ISI Web of Knowledge/Web of Science 和预印本服务器。
研究结果表明,COVID-19 大流行对儿童和青少年造成了广泛的后果,主要包括抑郁情绪症状增加。焦虑症状、自杀意念也有所增加,由于社交互动中断和学校关闭,语言和运动发育可能出现延迟。由于先前存在神经精神疾病,这些影响更为严重。对于父母来说,焦虑、抑郁和创伤后症状增加,那些因大流行而遭受社会经济损失的父母更为明显。在大流行期间,父母和照顾者对儿童的暴力行为大幅增加。此外,日常生活的改变和对大流行的恐惧也对全球的睡眠质量产生了负面影响。
值得注意的是,迄今为止发表的大多数研究都使用了横断面设计,并应用了在线筛查问卷。少数具有纵向设计的研究表明,这些变化可能是短暂的,并且在大流行开始时更为普遍。