Department of Decision and Information Sciences, C.T. Bauer College of Business, University of Houston, Houston, TX 77204, USA; Department of Health Systems and Population Health Sciences, Tilman J. Fertitta Family College of Medicine, University of Houston, Houston, TX 77204, USA.
Research Initiative for Health Equity, Khulna, Bangladesh.
Psychiatry Res. 2022 Nov;317:114814. doi: 10.1016/j.psychres.2022.114814. Epub 2022 Aug 28.
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.
儿童和青少年的心理健康问题在冠状病毒病（COVID-19）大流行期间越来越多地被报道。在本次综述中，我们旨在综合现有的系统评价和荟萃分析，总结全球关于大流行期间儿童和青少年心理健康（CAMH）问题的流行病学负担和相关因素的证据。采用 Joanna Briggs 研究所（JBI）的方法，我们评估了 422 条引文，并确定了 17 篇具有中等至高度方法学质量的合格综述。大多数综述报告称，焦虑、抑郁、睡眠障碍、自杀行为、应激相关障碍、注意缺陷多动障碍和其他心理健康问题的患病率较高。此外，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等，也在各综述中被报道。由于大多数研究都是横断面研究且使用的是非代表性样本，因此需要对代表性样本进行前瞻性研究和干预性设计。最后，需要多方面的社会心理保健服务、政策和方案，以减轻大流行期间和之后 CAMH 问题的负担。
