Schlack Robert, Neuperdt Laura, Junker Stephan, Eicher Sophie, Hölling Heike, Thom Julia, Ravens-Sieberer Ulrike, Beyer Ann-Kristin
Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring.
University Medical Center Hamburg-Eppendorf, Clinic for Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, research devision 'Child Public Health'.
J Health Monit. 2023 Feb 1;8(Suppl 1):2-72. doi: 10.25646/10761. eCollection 2023 Feb.
This rapid review examines changes in the mental health of the German child and adolescent population during the COVID-19 pandemic.
The basis are 39 publications, which were identified by means of systematic literature search (until 19.11.2021) and manual search. The databases of the included publications were systematized with regard to their representativeness for the general population, and the indicators used were categorized with regard to the depicted constructs and their reliability.
The large majority of the studies took place at the beginning of the pandemic until the summer plateau 2020. Representative studies mainly reported high levels of pandemic-related stress, increases in mental health problems, and negative impacts on the quality of life. Non-representative studies showed mixed results. Vulnerable groups could only be identified to a limited extent. Both routine and care-related data showed declines in the outpatient and inpatient service utilisation during the various waves of the pandemic followed by catch-up effects. Children and adolescents turned out to be more vulnerable during the pandemic compared to adults, but their stress levels varied with the waves of the pandemic and the related containment measures.
A future forward-looking crisis and pandemic management requires a close-knit and continuous surveillance of the mental health of children as well as an improved identification of risk groups.
本快速综述考察了新冠疫情期间德国儿童和青少年群体的心理健康变化。
以39篇出版物为基础，这些出版物通过系统文献检索（截至2021年11月19日）和手工检索确定。纳入出版物的数据库根据其对一般人群的代表性进行了系统化整理，所使用的指标根据所描述的结构及其可靠性进行了分类。
绝大多数研究在疫情初期至2020年夏季平稳期进行。代表性研究主要报告了与疫情相关的高压力水平、心理健康问题增加以及对生活质量的负面影响。非代表性研究结果不一。弱势群体仅在有限程度上得以确定。常规数据和护理相关数据均显示，在疫情各波期间，门诊和住院服务利用率下降，随后出现追赶效应。结果表明，儿童和青少年在疫情期间比成年人更脆弱，但他们的压力水平随疫情波次和相关防控措施而变化。
未来具有前瞻性的危机和疫情管理需要对儿童心理健康进行紧密且持续的监测，并更好地识别风险群体。
