Mental health and quality of life in children and adolescents during the COVID-19 pandemic: a systematic review of longitudinal studies

Frontiers in Public Health, Год журнала: 2024, Номер 11

Опубликована: Янв. 8, 2024

The COVID-19 pandemic has significantly impacted the mental health of children and families, i.e., due to measures like social distancing remote schooling. While previous research shown negative effects on health-related quality life (HRQoL), most studies have focused pre-post comparisons in early stages. This systematic review aims examine longitudinal understand long-term impacts adolescents. adhered PRISMA guidelines was preregistered international prospective register reviews (Record ID: CRD42022336930). We systematically searched PubMed/MEDLINE, Web Science, PsycINFO, PSYNDEX, WHO-COVID-19 database included published up August 30, 2022. Based pre-defined eligibility criteria, that assessed or adolescents (0-19 years) general population over a longer time span (at two more measurement points) during were review. methodological using an adapted version Effective Public Health Practice Project (EPHPP) checklist. Narrative data synthesis used summarize findings. A total 5,099 results obtained from literature searches, with 4,935 excluded title/abstract screening. After reviewing 163 full-text articles, 24 publications Sample sizes ranged between n = 86 34,038. length investigated periods number assessment points, as well outcomes, varied. majority moderate quality. Mental outcomes frequently studied compared HRQoL. findings these mostly suggest experienced heightened problems, specifically internalizing symptoms anxiety depression. Further, there decline their overall HRQoL course did not necessarily subside when lockdowns ended. It is crucial continue monitoring well-being following identify groups at risks plan interventions. should ideally be conducted by large studies, validated instruments, encompassing representative samples obtain reliable comprehensive insights aim improving youth care.

Язык: Английский

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Examining Children and adolescent mental health trajectories during the COVID‐19 pandemic: Findings from a year of the Co‐SPACE study

JCPP Advances, Год журнала: 2023, Номер 3(2)

Опубликована: Март 18, 2023

Abstract Background A major concern throughout the COVID‐19 pandemic has been on young people's experiences with mental health. In this study we mapped children and adolescents' health trajectories over 13 months of examine whether family, peer, individual‐level factors were associated trajectory membership. Methods This focuses a sub‐sample from Co‐SPACE 3322 adolescents (aged 4–16 years) for whom parents completed survey at Time 0 least one follow‐up between March 2020 May 2021. We used growth mixture models to in emotional, conduct, hyperactivity/inattention difficulties using Strengths Difficulties Questionnaire multinomial logistic regression estimate individual Results The average trend appeared follow changes national guidelines regarding pandemic. Distinct trends GMM highlighting differences showed that 5‐trajectory model best explained emotional problems whilst 4‐trajectory variation conduct problems. While most people followed low stable (62%–85%) or moderate (28%) symptom trajectories, 14%–31% experienced very high, high increasing difficulties. Young following more likely have special educational needs and/or neurodevelopmental disorders, reporting higher levels distress parent‐child conflict, less close friend. Conclusions Most adapted well symptoms, but nearly third complex psychological particularly vulnerable while those positive peer relationships vulnerable. offers insight into potential can be addressed targeted interventions improve wellbeing event future lockdowns school closures.

Язык: Английский

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Educational Research and Innovation

Educational research and innovation, Год журнала: 2009, Номер unknown

Опубликована: Ноя. 10, 2009

The nature of childhood and how we view children has changed tremendously in the 21st century.Cultural shifts, global mega trends technological developments have shifted what looks like types roles can do take modern societies.Children are no longer seen as passive beings need protection future citizens, but rather citizens today.They increasingly autonomous agents change who play important shaping current democracies.These changes beg question: does child empowerment mean today implications for OECD education systems well-being?The authors this report seek to answer question by exploring changing childhood, delving into some potential facilitators or barriers empowerment.They propose a definition empowerment, suggesting that empowered opportunity ability act on issues relevant them, learn making mistakes, key contributors democracy.This at various ways which support empowerment.This ranges from providing them with civic skills knowledge effectively participate democracy, supporting their social, emotional physical well-being, reducing inequalities threaten vulnerable marginalised groups.It children's lives, including they interact media digital environment, be used identity development, well-being self-expression new ways.By presenting state art literature, outlining examples promising policy practice countries, volume provides guidance insights work together range actors while helping realise rights.Child is recognised goal priority governments around OECD.Many countries taken effective steps realising goal.However still far go ensuring all future.WHAT DOES CHILD EMPOWERMENT MEAN TODAY?© 2024 Executive summaryEmpowering active participants society emerged critical aim agendas across OECD.Yet, achieving simple.Set against backdrop way understands role child, well opportunities challenges posed publication delves meaning explores its systems.By defining concepts examining valuable empowering children, amidst declining activity, increased stress anxiety, COVID-19, landscape persistent inequalities.This takes stock these broad themes often repeated rarely articulated call empower children.This centres it's analysis three core opportunities. Enhanced well-beingGood things happen when them.Child enhances self-esteem leadership skills, nurturing competent, confident members society.When done authentic crafting school policies practices, tend better suited contribute positively climates social cohesion. Better makingChild an essential educational within though it lacks clear implementation strategies.Giving greater empowers actively decisions contributing unique perspectives.Actively participating decision-making processes both age-appropriate supports personal development ensures societal practices reflect needs perspectives. 9WHAT Current conditions may hindering empowermentEmpowering only possible if makers directly, effectively, tackle number challenges.This requires more attention paid establishing sufficient baseline such health, literacy, access necessary resources.At present, activity levels among insufficient many experience increasing loneliness feelings anxiety.The environment offers wide arenas yet engagement activism, debate peer communities remains modest minority engaging behaviours.Part could related lack literacy distinguish fact opinion.This skill gap crucial because influences confidence content critically, make informed decisions, fundamental aspect empowerment.While platforms powerful tools engagement, not fully harnessed.Moreover, poorer regions lower socio-economic backgrounds face significant accessing also leveraging (often limited) seize managing risks harm. Addressing cultural systemic changeOECD been working hard years wealth research, interventions exists help, documented publication.However, navigating multifaceted shift mindsets those systems, perform children.Shifting responsibilities days than protection, met apprehension adults.Including stakeholders rethink might traditionally order avoid common pitfalls tokenism, manipulation, decoration simply recreating adult structures trying fit structures.Adapting societies schools engage stakeholders, ensure equitable representation, particularly disadvantaged groups, requiring uphold rights safety resource-intensive.It buy-in challenging get right.Structural schools, high staff turnover terms teachers leadership, further complicate goals children.Being educator easy task, high-quality professional opportunities.Greater systematic partnerships external help lighten load, instance provision consistent mental health support.Yet, between left up individual institutions.Schools require dedicated, system-wide mechanisms partnerships.Lastly, inequalities, influenced geographical factors, remain barrier, necessitating focused research equity inclusion comprehensive approach must transform emphasise address disparities, enhance support, expand efforts, thereby creating ecosystem where every thrive our shared future.Education part co-ordinated, whole-of-society promote inside out classroom.This means government meaningfully participation.This necessitates establishment (or strengthening) legislative frameworks, strategies evaluation mandate government.WHAT 2024Empowering exercise agency carefully balancing protect unacceptably risk allowing management strategies.This balance constantly shifting, over course gradually acquire independence autonomy caregivers.An optimal enables older develop healthy sense self-reliance freedom well, family, friends community harm too high.Crucially, source come others exercising agency.As Gottschalk Borhan (2023[4]) remind us, critique use term agency, due assumption much literature inherently positive problematic open manipulation.Sometimes different forms odds each other.Encouraging involvement parents countries.Additionally, leaders positioned actors.But, Burns (2020[3]) ask, whose voice counts views aligned?Having thought out, innovative collaborative models bring parents, communities, themselves most presented century, fullest, flourish change.WHAT Box 1.2. What mobilisation?Over past two decades diverse body understand increase evidence through intentional process known mobilisation.It evidence-informed contributes decision learning.Crucially, mobilisation about just disseminating findings via accessible communication channels.Although important, there now substantive showing fostering interaction building relationships people organisations, incentivising activating parts system evidence, required (OECD, 2022[9]).Social tool making.When deliberately structured, interactions colleagues organisations integrate activities stimulate learning.They block culture 2023[10]).A strong one it.This agreement questions mutual understanding, attitudes, dedicated time space individuals (Langer, Tripney Gough, 2016[11]).WHAT This chapter nature.It today, recognising holders acknowledging exercise.Childhood conceptualisations dynamic, broader shifts.With advancement dialogues, being included processes.This outlines affect participate.

Язык: Английский

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The change of psychosocial stress factors in families with infants and toddlers during the COVID-19 pandemic. A longitudinal perspective on the CoronabaBY study from Germany

Frontiers in Pediatrics, Год журнала: 2024, Номер 12

Опубликована: Март 18, 2024

Background Over nearly three years, the COVID-19 pandemic has had a lasting impact on people's lives and mental health worldwide with its far-reaching restrictions concerns about infections other personal consequences. Families were particularly affected showed increased stress psychological problems. Long-term effects cannot be ruled out. So far, data young families are sparse. The present longitudinal analysis ( n = 932) of CoronabaBY study investigated development parenting stress, parental affective symptoms, child's in children aged 0–3 years Germany as well potential influencing factors. Methods observational includes two measurement points over course (baseline follow-up). Data was collected by app using standardized questionnaires. Results N 932 participants, mainly mothers (94.7%) born (93.1%) higher education (61.3% at least high school diploma) comfortable financial situation participated study. Children average 14.7 months old baseline (SD: 12, range: 1–39 months). While proportion parents who perceived stressful decreased significantly from (60%) to follow-up (52.3%), (from 40.1% 45.4%). Both child problems remained constant time, infants crying/feeding/sleeping ranging above pre-pandemic comparative data. Most predictive for baseline. This also true symptoms (depression/anxiety) Conclusions Despite faded restrictions, burdened. Support services do not appear have been sufficient help out their situation. Our results indicate need action regarding low-threshold that effectively reach families. Trial registration pre-registered OSF https://osf.io/search/?q=tksh5&page=1 ).

Язык: Английский

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COVID-19 lockdown effects on adolescent brain structure suggest accelerated maturation that is more pronounced in females than in males

Proceedings of the National Academy of Sciences, Год журнала: 2024, Номер 121(38)

Опубликована: Сен. 9, 2024

Adolescence is a period of substantial social–emotional development, accompanied by dramatic changes to brain structure and function. Social isolation due lockdowns that were imposed because the COVID-19 pandemic had detrimental impact on adolescent mental health, with health females more affected than males. We assessed focus sex differences. collected MRI structural data longitudinally from adolescents prior after lockdowns. The pre-COVID used create normative model cortical thickness change age during typical development. Cortical values in post-COVID compared this model. analysis revealed accelerated thinning brain, which was widespread throughout greater magnitude When measured terms equivalent years mean acceleration found be 4.2 y 1.4 Accelerated maturation as result chronic stress or adversity development has been well documented. These findings suggest lifestyle disruptions associated caused biology severe female male brain.

Язык: Английский

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Covid Pandemic Effects on the Physical Fitness of Primary School Children: Results of the German EMOTIKON Project

Sports Medicine - Open, Год журнала: 2023, Номер 9(1)

Опубликована: Авг. 14, 2023

In spring of 2020, the Sars-CoV-2 incidence rate increased rapidly in Germany and around world. Throughout next 2 years, schools were temporarily closed social distancing measures put place to slow spread Covid-19 virus. Did these restrictions temporary school lockdowns affect children's physical fitness? The EMOTIKON project annually tests fitness all third-graders Federal State Brandenburg, Germany. assess cardiorespiratory endurance (6-min-run test), coordination (star-run speed (20-m sprint lower (powerLOW, standing long jump upper (powerUP, ball-push test) limbs muscle power, static balance (one-legged stance test with eyes closed). A total 125,893 children tested falls from 2016 2022. Primary analyses focused on 98,510 keyage (i.e., enrollment according legal key date, aged 8 9 years) 515 schools. Secondary included 27,383 older-than-keyage OTK, delayed or repetition a grade, 10 years), who have been shown exhibit than expected for their age. Linear mixed models fitted pre-pandemic quadratic secular trends, took into account differences between schools.Third-graders exhibited endurance, coordination, powerUP Covid pandemic cohorts (2020-2022) compared (2016-2019). Children's powerLOW higher cohorts. From 2020 2021, further declined. Evidence some post-pandemic catch-up was restricted powerUP. Cohen's |ds| comparisons 2020-2022 2016-2019 ranged 0.02 0.15 coordination. Within cohorts, developmental losses ranging approximately 1 month 5 months endurance. For balance, positive effects translate gains 7 months, respectively. Pre-pandemic trends may observed especially powerLOW, balance. delays OTK balance.The associated declines several components German third-graders. Pandemic are still visible Health-related interventions should specifically target those that negatively affected by (cardiorespiratory speed).

Язык: Английский

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Evaluation of COVID-19 Effect on Mental Health, Self-Harm, and Suicidal Behaviors in Children and Adolescents Population

Journal of Clinical Medicine, Год журнала: 2024, Номер 13(3), С. 744 - 744

Опубликована: Янв. 27, 2024

Objectives: The impact of the COVID-19 pandemic on psychological state under-18 population includes an increased risk psychopathological symptoms development and exacerbation already present psychiatric disorders. This study aimed to assess prevalence mental health problems in Polish children adolescents with a focus suicidal self-harm behavior pandemic. Methods: questionnaire collected demographic data, information regarding states symptoms, history behaviors, as well experience psychological, physical violence, behaviors before during Results: In final analysis, 782 responses were included. Self-evaluation general scores was significantly lower among (both p < 0.001) 0.001). Moreover, compared frequency seeking help because adolescents, while no changes observed hospitalizations either populations (p = 0.317 1.00, respectively). Out autoregressive period, only thinking about death 0.038). No attempts undertaken by evaluated time periods. presence all autoaggressive greater both (all p<0.05). Conclusions: A subjective decrease psychophysical well-being, increase pandemic, depressive anxiety potential consequence related socioeconomic changes. marked adolescent (age > 12) ≤ suggests need for awareness easier access professional from specialists, particularly unprecedented stress social isolation.

Язык: Английский

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Adolescent Mental Health and Resilience Before and During the COVID-19 Pandemic

Journal of Adolescent Health, Год журнала: 2024, Номер 75(1), С. 43 - 50

Опубликована: Март 15, 2024

Язык: Английский

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Subjective health and psychosomatic complaints of children and adolescents in Germany: Results of the HBSC study 2009/10 - 2022.

PubMed, Год журнала: 2024, Номер 9(1), С. 7 - 22

Опубликована: Март 1, 2024

Subjective health and well-being are important indicators in childhood adolescence. This article shows current results trends over time between 2009/10 2022.

Язык: Английский

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The Impact of the COVID-19 Pandemic on Adolescent Substance Use

Current Pediatrics Reports, Год журнала: 2024, Номер 12(3), С. 62 - 68

Опубликована: Июнь 26, 2024

Язык: Английский

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