范围综述:COVID-19 大流行对儿童和青少年心理健康的长期影响。
Scoping review: longitudinal effects of the COVID-19 pandemic on child and adolescent mental health.
机构信息
Department of Clinical Child and Adolescent Psychology, Wilhelm-Wundt-Institute for Psychology, University of Leipzig, Leipzig, Germany.
出版信息
Eur Child Adolesc Psychiatry. 2024 May;33(5):1257-1312. doi: 10.1007/s00787-023-02206-8. Epub 2023 Apr 21.
The COVID-19 pandemic and associated containment measures have massively changed the daily lives of billions of children and adolescents worldwide. To investigate the global longitudinal effects on various mental health outcomes over a period of 1.5 years, we conducted a scoping review in accordance with the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). We included the peer-reviewed articles from PubMed, Web of Science, and APA PsycInfo that were published between December 2019 and December 2021, followed a longitudinal or repeated cross-sectional design, and quantitatively assessed with clinical questionnaires the effect of the COVID-19 pandemic or a related stressor on mental health indicators in community samples of children and adolescents.The results of our qualitative analysis of 69 studies indicate a general trend of less psychological well-being and more mental health problems, such as heightened stress, and depressive and anxiety symptoms during the pandemic. Data suggest that both protection measure intensity and infection dynamics were positively associated with severity of the psychopathology. The most reported influencing factors were age, gender, socio-economic status, previous state of mental and physical health, self-regulation abilities, parental mental health, parenting quality, family functioning, social support, isolation and loneliness, health-related worries, and consistent routines and structure. Our results demonstrate that children and adolescents worldwide have experienced more mental health problems due to the COVID-19 pandemic. They call for improved access to child and adolescent mental health care and prioritisation of child and adolescent welfare in political decision making.
新冠疫情及其相关的防控措施极大地改变了全球数十亿儿童和青少年的日常生活。为了调查 COVID-19 大流行在 1.5 年期间对各种心理健康结果的全球纵向影响,我们按照系统评价和荟萃分析扩展的首选报告项目(PRISMA-ScR)指南进行了范围综述。我们纳入了 2019 年 12 月至 2021 年 12 月期间在 PubMed、Web of Science 和 APA PsycInfo 上发表的同行评审文章,这些文章采用了纵向或重复的横断面设计,并使用临床问卷对 COVID-19 大流行或相关压力源对社区儿童和青少年样本心理健康指标的影响进行了定量评估。我们对 69 项研究的定性分析结果表明,在大流行期间,心理健康的总体趋势是幸福感降低,心理健康问题增多,如压力增加、抑郁和焦虑症状加重。数据表明,保护措施的强度和感染动态与精神病理学的严重程度呈正相关。报告最多的影响因素包括年龄、性别、社会经济地位、以前的身心状况、自我调节能力、父母的心理健康、育儿质量、家庭功能、社会支持、隔离和孤独、与健康相关的担忧以及一致的日常生活和结构。我们的研究结果表明,全球儿童和青少年因 COVID-19 大流行而经历了更多的心理健康问题。它们呼吁改善儿童和青少年心理健康护理的获取途径,并在政治决策中优先考虑儿童和青少年的福利。
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