Schulich School of Medicine and Dentistry, Western University, 1151 Richmond Street, London, ON N6A 3K7, Canada.
Department of Geography and Environment, Western University, 1151 Richmond Street, London, ON N6A 3K7, Canada.
Int J Environ Res Public Health. 2023 Nov 22;20(23):7095. doi: 10.3390/ijerph20237095.
The COVID-19 pandemic and the accompanying social changes severely impacted mental health globally. Children and adolescents may have been vulnerable to adverse mental health outcomes, especially obsessive-compulsive disorder (OCD), due to their underdeveloped resilience and coping skills stemming from their progressing physical and psychological development. Few studies have explored the parallels between the pandemic and OCD trends in this population. This systematic review aims to identify the impacts of COVID-19 on OCD among children and adolescents. Using the PRISMA guidelines, a systematic search of eight databases for studies that assessed OCD outcomes independently or as part of other psychiatric diagnoses during the COVID-19 pandemic was conducted. The search was limited to studies on humans and those written in English and published between January 2020 and May 2023. We identified 788 articles, out of which 71 were selected for a full-text review. Twenty-two papers were synthesized from 10 countries for the final analysis. We found that 77% of our studies suggested that the COVID-19 pandemic had a negative impact on OCD among children and adolescents. We also found a complex interplay of individual, household, and socio-structural factors associated with the aggravation of OCD. Conversely, a few studies revealed that the pandemic strengthened relationships and resilience. The findings of this study emphasize the need for mental health screening and support for this population, especially during pandemic periods.
新冠疫情及伴随的社会变革对全球的心理健康造成了严重影响。儿童和青少年由于身心发育尚未成熟，适应能力和应对技巧不足，可能更容易出现不良心理健康后果，尤其是强迫症（OCD）。很少有研究探讨过疫情与该人群 OCD 趋势之间的相似之处。本系统综述旨在确定 COVID-19 对儿童和青少年 OCD 的影响。我们使用 PRISMA 指南，对 8 个数据库进行了系统检索，以查找在 COVID-19 大流行期间独立评估或作为其他精神诊断一部分评估 OCD 结果的研究。检索仅限于针对人类的研究，以及用英文撰写并于 2020 年 1 月至 2023 年 5 月期间发表的研究。我们共识别出 788 篇文章，其中 71 篇被选作全文审查。我们从 10 个国家综合了 22 篇论文进行最终分析。我们发现，我们的研究中有 77%表明 COVID-19 大流行对儿童和青少年的 OCD 产生了负面影响。我们还发现，与 OCD 加重相关的个体、家庭和社会结构因素之间存在复杂的相互作用。相反，一些研究表明，疫情加强了人际关系和适应力。本研究的结果强调了对这一人群进行心理健康筛查和支持的必要性，尤其是在大流行期间。
