Psychological and Behavioral Impact of Lockdown and Quarantine Measures for COVID-19 Pandemic on Children, Adolescents and Caregivers: A Systematic Review and Meta-Analysis

被引:424
作者
Panda, Prateek Kumar [1 ]
Gupta, Juhi [2 ]
Chowdhury, Sayoni Roy [2 ]
Kumar, Rishi [2 ]
Meena, Ankit Kumar [2 ]
Madaan, Priyanka [3 ]
Sharawat, Indar Kumar [1 ]
Gulati, Sheffali [2 ]
机构
[1] All India Inst Med Sci, Dept Pediat, Pediat Neurol Div, Rishikesh 249203, Uttarakhand, India
[2] All India Inst Med Sci, Ctr Excellence & Adv Res Childhood Neurodev Disor, Dept Pediat, Div Child Neurol, New Delhi 110029, India
[3] Post Grad Inst Med Educ & Res, Dept Pediat, Pediat Neurol Unit, Chandigarh 160012, India
关键词
COVID-19; SARS-CoV-2; behavioral problems; child psychology; neuropsychiatric features;
D O I
10.1093/tropej/fmaa122
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Background: During the current ongoing COVID-19 pandemic, psychological problems like anxiety, depression, irritability, mood swings, inattention and sleep disturbance are fairly common among quarantined children in several studies. A systematic review of these publications to provide an accurate burden of these psychiatric/behavioral problems is needed for planning mitigating measures by the health authorities. Methods: Different electronic databases (MEDLINE, EMBASE, Web of Science, CENTRAL, medRxiv and bioRxiv) were searched for articles describing psychological/behavioral complications in children/adolescents with/without pre-existing behavioral abnormalities and their caregivers related to the COVID-19 pandemic. Only original articles with/without comparator arms and a minimum sample size of 50 were included in the analysis. The pooled estimate of various psychological/behavioral problems was calculated using a random-effect meta-analysis. Results: Fifteen studies describing 22 996 children/adolescents fulfilled the eligibility criteria from a total of 219 records. Overall, 34.5%, 41.7%, 42.3% and 30.8% of children were found to be suffering from anxiety, depression, irritability and inattention. Although the behavior/psychological state of a total of 79.4% of children was affected negatively by the pandemic and quarantine, at least 22.5% of children had a significant fear of COVID-19, and 35.2% and 21.3% of children had boredom and sleep disturbance. Similarly, 52.3% and 27.4% of caregivers developed anxiety and depression, respectively, while being in isolation with children. Conclusion: Anxiety, depression, irritability, boredom, inattention and fear of COVID-19 are predominant new-onset psychological problems in children during the COVID-19 pandemic. Children with pre-existing behavioral problems like autism and attention deficit hyperactivity disorder have a high probability of worsening of their behavioral symptoms.
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页数:13
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共 29 条
[21]   COVID-19 and mental health: A review of the existing literature [J].
Rajkumar, Ravi Philip .
ASIAN JOURNAL OF PSYCHIATRY, 2020, 52
[22]   Compliance and Psychological Impact of Quarantine in Children and Adolescents due to Covid-19 Pandemic [J].
Saurabh, Kumar ;
Ranjan, Shilpi .
INDIAN JOURNAL OF PEDIATRICS, 2020, 87 (07) :532-536
[23]  
Saxena SK., 2019, CORONAVIRUS DIS, V30, P187
[24]   Effect of the COVID-19 pandemic on anxiety among children with cystic fibrosis and their mothers [J].
Senkalfa, Burcu Pinar ;
Eyuboglu, Tugba Sismanlar ;
Aslan, Ayse T. ;
Gursoy, Tugba Ramasli ;
Soysal, Azime S. ;
Yapar, Dilek ;
Ilhan, Mustafa N. .
PEDIATRIC PULMONOLOGY, 2020, 55 (08) :2128-2134
[25]   Caregiver Satisfaction and Effectiveness of Teleconsultation in Children and Adolescents With Migraine During the Ongoing COVID-19 Pandemic [J].
Sharawat, Indar Kumar ;
Panda, Prateek Kumar .
JOURNAL OF CHILD NEUROLOGY, 2021, 36 (04) :296-303
[26]   COVID-19 pandemic and mental health consequences: Systematic review of the current evidence [J].
Vindegaard, Nina ;
Benros, Michael Eriksen .
BRAIN BEHAVIOR AND IMMUNITY, 2020, 89 :531-542
[27]   Impact of COVID-19 pandemic on the mental health of children in Bangladesh: A cross-sectional study [J].
Yeasmin, Sabina ;
Banik, Rajon ;
Hossain, Sorif ;
Hossain, Md Nazmul ;
Mahumud, Raju ;
Salma, Nahid ;
Hossain, Md Moyazzem .
CHILDREN AND YOUTH SERVICES REVIEW, 2020, 117
[28]   Psychological status of parents of hospitalized children during the COVID-19 epidemic in China [J].
Yuan, Rong ;
Xu, Qian-Hui ;
Xia, Cui-Cui ;
Lou, Chun-Yan ;
Xie, Zhen ;
Ge, Qian-Min ;
Shao, Yi .
PSYCHIATRY RESEARCH, 2020, 288
[29]   Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19 [J].
Zhou, Shuang-Jiang ;
Zhang, Li-Gang ;
Wang, Lei-Lei ;
Guo, Zhao-Chang ;
Wang, Jing-Qi ;
Chen, Jin-Cheng ;
Liu, Mei ;
Chen, Xi ;
Chen, Jing-Xu .
EUROPEAN CHILD & ADOLESCENT PSYCHIATRY, 2020, 29 (06) :749-758