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2019年冠状病毒病大流行对儿童和青少年心理、社会心理及身体健康的影响:一项范围综述与交互式证据图谱

Consequences of the Coronavirus disease 2019 pandemic on child and adolescent mental, psychosocial, and physical health: A scoping review and interactive evidence map.

作者信息

Bialy Liza, Elliott Sarah A, Melton Alison, Ali Samina, Scott Shannon D, Knisley Lisa, Hartling Lisa

机构信息

Alberta Research Centre for Health Evidence, Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.

Cochrane Child Health, Department of Pediatrics, University of Alberta, Edmonton, AB, Canada.

出版信息

J Child Health Care. 2025 Sep;29(3):589-603. doi: 10.1177/13674935241238794. Epub 2024 Mar 19.

Abstract

Effects of the Coronavirus disease 2019 (COVID-19) pandemic on children stem beyond immediate infectious and post-infectious risks. Our aim was to conduct a scoping review and produce an online Interactive Evidence Map (IEM) highlighting available literature around unintended effects of the pandemic on children's and adolescents' mental, psychosocial, and physical health. A search was run monthly in MEDLINE, PsycINFO, CENTRAL, and Cochrane COVID-19 Study Register from May 1 2021 through April 30 2022. All articles involving children and adolescents under 18 years of age relating to any unintended mental, psychosocial, and physical health consequences of the pandemic and resultant restrictions were included. Data were extracted and topics categorized, with corresponding data uploaded into EPPI-Reviewer and transferred to EPPI-Mapper for visualization. A total of 14,555 citations were screened and 826 (6%) articles included. Most articles reported on mental health outcomes, particularly anxiety ( = 309, 37%) and depression ( = 294, 36%). Psychosocial outcomes related to lockdowns such as loneliness ( = 120, 15%) and impact on adolescent relationships with others ( = 149, 18%) were also reported. Fewer articles examined physical consequences, but those that did mostly focused on child abuse ( = 73, 9%). Overall, currently mapped literature focuses on consequences related to mental health outcomes such as anxiety and depression.

摘要

2019年冠状病毒病(COVID-19)大流行对儿童的影响不仅限于直接的感染风险和感染后风险。我们的目的是进行一项范围综述,并制作一份在线交互式证据地图(IEM),突出显示有关该大流行对儿童和青少年心理、社会心理及身体健康的意外影响的现有文献。从2021年5月1日至2022年4月30日,每月在MEDLINE、PsycINFO、CENTRAL和Cochrane COVID-19研究注册库中进行检索。纳入所有涉及18岁以下儿童和青少年,与该大流行及其导致的限制措施所产生的任何意外心理、社会心理及身体健康后果相关的文章。提取数据并对主题进行分类,将相应数据上传到EPPI-Reviewer中,然后转移到EPPI-Mapper进行可视化处理。共筛选了14,555条引文,纳入826篇(6%)文章。大多数文章报道了心理健康结果,尤其是焦虑(n = 309,37%)和抑郁(n = 294,36%)。还报道了与封锁相关的社会心理结果,如孤独感(n = 120,15%)以及对青少年与他人关系影响(n = 149,18%)。较少文章研究身体方面的后果,但相关文章大多聚焦于儿童虐待(n = 73,9%)。总体而言,目前绘制的文献主要关注与焦虑和抑郁等心理健康结果相关的后果。

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