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新冠疫情后儿童的悲伤情绪

Grief in Children in the Aftermath of the COVID-19 Pandemic.

作者信息

Billard Pauline, Le François Thomas, Haelewyn Annick, Niel Emma, Guénolé Fabian, Revet Alexis, Bui Eric

机构信息

Centre Psychothérapique de l'Orne, Alençon, France.

University of Caen Normandy, Caen, France.

出版信息

Curr Psychiatry Rep. 2024 Dec;26(12):782-788. doi: 10.1007/s11920-024-01559-4. Epub 2024 Nov 7.

DOI:10.1007/s11920-024-01559-4
PMID:39509063
Abstract

PURPOSE OF REVIEW

This review aims at reporting the current evidence of the impact of COVID-19 pandemic on grief in children.

RECENT FINDINGS

Evidence from the scientific literature shows that the severity of grief in children is impacted by numerous risk factors which can lead to prolonged grief disorder (PGD). Among these risk factors are the unpredictability of the death, the lack of understanding about what is happening by the child, the global insecurity raised by the context of the pandemic or again the impossibility for the child to find comfort with his peers due to the lock-down. No medical-based approach has proven efficient on PGD in children. However, cognitive based therapy can lower the severity of the symptoms. Future efforts should focus on developing therapeutic strategies to specifically fit the needs of children with PGD, in the context of a major crisis such as this pandemic.

摘要

综述目的

本综述旨在报告当前关于新冠疫情对儿童悲伤情绪影响的证据。

最新发现

科学文献中的证据表明,儿童悲伤情绪的严重程度受到多种风险因素的影响,这些因素可能导致持续性悲伤障碍(PGD)。这些风险因素包括死亡的不可预测性、儿童对所发生事情的不理解、疫情背景引发的全球不安全感,或者由于封锁导致儿童无法从同龄人那里获得安慰。没有基于医学的方法被证明对儿童的PGD有效。然而,基于认知的疗法可以降低症状的严重程度。未来的努力应集中在开发治疗策略,以在像这次疫情这样的重大危机背景下,特别满足患有PGD儿童的需求。

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本文引用的文献

1
Exploring the Impact of Bereavement During the COVID-19 Pandemic on Children and Young People: A Scoping Review.探讨 COVID-19 大流行期间丧亲对儿童和青少年的影响:范围综述。
Compr Child Adolesc Nurs. 2024 Mar;47(1):55-67. doi: 10.1080/24694193.2023.2292503. Epub 2024 Feb 8.
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'Hidden pandemic': orphanhood and loss of caregivers in the COVID-19 pandemic.“隐性疫情”:新冠疫情中的孤儿身份与照料者缺失
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The Many Faces of Grief: A Systematic Literature Review of Grief During the COVID-19 Pandemic.
悲伤的多面性:对新冠疫情期间悲伤情绪的系统文献综述
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BMC Palliat Care. 2022 Oct 10;21(1):177. doi: 10.1186/s12904-022-01066-4.
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Orphanhood and Caregiver Loss Among Children Based on New Global Excess COVID-19 Death Estimates.基于新的全球新冠疫情超额死亡估计数的儿童孤儿身份与照料者丧失情况
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Global, regional, and national minimum estimates of children affected by COVID-19-associated orphanhood and caregiver death, by age and family circumstance up to Oct 31, 2021: an updated modelling study.全球、区域和国家受 COVID-19 相关孤儿和照顾者死亡影响的儿童的最低估计数,按年龄和家庭情况截至 2021 年 10 月 31 日:一项更新的建模研究。
Lancet Child Adolesc Health. 2022 Apr;6(4):249-259. doi: 10.1016/S2352-4642(22)00005-0. Epub 2022 Feb 25.
7
Risk factors associated with poorer experiences of end-of-life care and challenges in early bereavement: Results of a national online survey of people bereaved during the COVID-19 pandemic.与 COVID-19 大流行期间丧亲的人们的临终关怀体验较差和早期丧亲挑战相关的风险因素:一项全国性在线调查的结果。
Palliat Med. 2022 Apr;36(4):717-729. doi: 10.1177/02692163221074876. Epub 2022 Feb 17.
8
Preparing for the COVID-19 paediatric mental health crisis: A focus on youth reactions to caretaker death.为应对新冠疫情下的儿童心理健康危机做准备:关注青少年对照料者死亡的反应。
Clin Child Psychol Psychiatry. 2022 Jan;27(1):228-237. doi: 10.1177/13591045211061802. Epub 2021 Dec 9.
9
Support needs and barriers to accessing support: Baseline results of a mixed-methods national survey of people bereaved during the COVID-19 pandemic.支持需求和获取支持的障碍:COVID-19 大流行期间丧亲人群的混合方法全国调查的基线结果。
Palliat Med. 2021 Dec;35(10):1985-1997. doi: 10.1177/02692163211043372. Epub 2021 Oct 22.
10
Experiences of preparing children for a death of an important adult during the COVID-19 pandemic: a mixed methods study.在 COVID-19 大流行期间,为孩子准备重要成年人去世的经验:一项混合方法研究。
BMJ Open. 2021 Aug 16;11(8):e053099. doi: 10.1136/bmjopen-2021-053099.