Brazilian Centre for Evidence-Based Research (COBE), Florianópolis, Brazil.
Department of Dentistry, Federal University of Santa Catarina (UFSC), Florianópolis, Brazil.
Worldviews Evid Based Nurs. 2022 Apr;19(2):130-137. doi: 10.1111/wvn.12566. Epub 2022 Mar 1.
The COVID-19 pandemic health crisis has changed household and school routines leaving children and adolescents without important anchors in life. This, in turn, can influence their mental health, changing their behavioral and psychological conditions.
To systematically review the literature to answer the question: "What is the worldwide prevalence of mental health effects in children and adolescents during the COVID-19 pandemic?".
Embase, Epistemonikos database, LILACS, PsycINFO, PubMed, Scopus, Web of Science, and World Health Organization Global literature on coronavirus disease were searched. Grey literature was searched on Google Scholar, Grey Literature Report, and Preprint server MedRxiv. Observational studies assessing the prevalence of mental health effects in children and adolescents during the COVID-19 pandemic were included. Four authors independently collected the information and assessed the risk of bias of the included studies.
From a total of 11,925 identified studies, 2873 remained after the removal of the duplicated records. Nineteen studies remained after the final selection process. The proportion of emotional symptoms and behavior changes varied from 5.7% to 68.5%; anxiety 17.6% to 43.7%, depression 6.3% to 71.5%, and stress 7% to 25%. Other outcomes such as the prevalence of post-traumatic stress disorder (85.5%) and suicidal ideation (29.7% to 31.3%) were also evaluated.
Overall findings showed that the proportion of children and adolescents presenting mental health effects during the COVID-19 pandemic showed a wide variation in different countries. However, there was a trend toward mental health issues. Therefore, policymakers, healthcare planners, youth mental health services, teachers, parents, and researchers need to be prepared to deal with this demand.
COVID-19 大流行健康危机改变了家庭和学校的日常生活，使儿童和青少年失去了生活中的重要支柱。这反过来又会影响他们的心理健康，改变他们的行为和心理状况。
系统回顾文献，以回答“COVID-19 大流行期间儿童和青少年的心理健康影响全球流行率是多少？”这一问题。
检索 Embase、Epistemonikos 数据库、LILACS、PsycINFO、PubMed、Scopus、Web of Science 和世界卫生组织关于冠状病毒疾病的全球文献。在 Google Scholar、Grey Literature Report 和 Preprint server MedRxiv 上检索灰色文献。纳入评估 COVID-19 大流行期间儿童和青少年心理健康影响流行率的观察性研究。四位作者独立收集信息并评估纳入研究的偏倚风险。
从总共 11925 项已识别的研究中，在去除重复记录后，有 2873 项保留下来。在最后选择过程后，有 19 项研究保留下来。情绪症状和行为变化的比例从 5.7%到 68.5%不等；焦虑症为 17.6%到 43.7%，抑郁症为 6.3%到 71.5%，压力为 7%到 25%。还评估了其他结果，如创伤后应激障碍（85.5%）和自杀意念（29.7%至 31.3%）的患病率。
总体结果表明，在 COVID-19 大流行期间出现心理健康问题的儿童和青少年比例在不同国家存在很大差异。然而，存在心理健康问题的趋势。因此，政策制定者、医疗保健规划者、青年心理健康服务机构、教师、家长和研究人员需要做好应对这一需求的准备。
