Global minimum estimates of children affected by COVID-19-associated orphanhood and deaths of caregivers: a modelling study

The Lancet, Год журнала: 2021, Номер 398(10298), С. 391 - 402

Опубликована: Июль 1, 2021

BackgroundThe COVID-19 pandemic priorities have focused on prevention, detection, and response. Beyond morbidity mortality, pandemics carry secondary impacts, such as children orphaned or bereft of their caregivers. Such often face adverse consequences, including poverty, abuse, institutionalisation. We provide estimates for the magnitude this problem resulting from describe need resource allocation.MethodsWe used mortality fertility data to model minimum rates COVID-19-associated deaths primary caregivers younger than 18 years in 21 countries. considered parents custodial grandparents caregivers, co-residing older kin (aged 60–84 years) To avoid overcounting, we adjusted possible clustering using an estimated attack rate age-specific infection–fatality ratios SARS-CoV-2. these global extrapolations number who experienced caregivers.FindingsGlobally, March 1, 2020, April 30, 2021, estimate 1 134 000 (95% credible interval 884 000–1 185 000) death at least one parent grandparent. 562 (1 299 683 caregiver. Countries our study set with caregiver per 1000 included Peru (10·2 children), South Africa (5·1), Mexico (3·5), Brazil (2·4), Colombia (2·3), Iran (1·7), USA (1·5), Argentina (1·1), Russia (1·0). Numbers exceeded numbers among those aged 15–50 years. Between two five times more had deceased fathers mothers.InterpretationOrphanhood are a hidden deaths. Accelerating equitable vaccine delivery is key prevention. Psychosocial economic support can help families nurture ensure that institutionalisation avoided. These show additional pillar response: prevent, detect, respond, care children.FundingUK Research Innovation (Global Challenges Fund, Engineering Physical Sciences Council, Medical Council), UK National Institute Health Research, US Institutes Health, Imperial College London.

Язык: Английский

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Adolescents’ symptoms of anxiety and depression before and during the Covid-19 outbreak – A prospective population-based study of teenagers in Norway

The Lancet Regional Health - Europe, Год журнала: 2021, Номер 5, С. 100093 - 100093

Опубликована: Март 27, 2021

Lockdown policies related to the Sars-Cov-2 pandemic has potential negative consequences for mental health in youths.Anxiety and depressive symptoms were assessed 3 572 adolescents, age 13 16 using Hopkins Symptom Checklist (HSCL-10), a representative longitudinal survey of Norwegian youths between February 2019 (T1) June 2020 (T2). Predictors symptom change analysed with linear mixed-effects models.Overall, clinical levels anxiety depression increased slightly from 5.5% at T1 6.3% T2; Chi square 224.4 (df = 1), p<.001. However, observed was driven by increase assessments. Being girl, having pre-existing problems, living single-parent household T1, predicted higher T2 (p<.001). Living associated significant symptoms, also when controlled poor family however, or history maltreatment, significantly lower (p<.001).Anxiety 2020, but this seemed be rather than pandemic-related measures. unevenly distributed across demographic groups both before during outbreak, indicating that disparities persist adolescents risk . Health inequities conditions need addressed future action plans, intensified measures mitigate are needed.The study funded Directorate Children, Adolescents Family affairs (Bufdir).

Язык: Английский

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COVID‑19 and post‑traumatic stress disorder: The perfect ‘storm’ for mental health (Review)

Experimental and Therapeutic Medicine, Год журнала: 2021, Номер 22(4)

Опубликована: Авг. 11, 2021

Since its outbreak, in December, 2019, the Chinese city of Wuhan, coronavirus disease 2019 (COVID‑19), caused by severe acute respiratory syndrome 2 (SARS‑CoV‑2) has evolved into an ongoing global pandemic. Due to novel antigenic properties this virus, world population could not develop immunity effectively and led subsequent spread COVID‑19. This unprecedented emergency situation with significant negative effects on health well‑being both individual societal level. Apart from health, economic social consequences, impact pandemic mental is increasingly being reported scientific literature. The present review aimed provide a comprehensive discussion possible neurological neuropsychiatric manifestations SARS‑CoV‑2, together related underlying molecular pathways. In addition, focused populations which are at higher risk developing psychiatric disturbances due COVID‑19 discussed routes clinical management therapeutics minimize burden associated disorders. Moreover, research findings exploring prevalence COVID‑19‑related post‑traumatic stress disorder (PTSD) symptoms across vulnerable groups, including children, adolescents survivors presented, particular emphasis those who required hospitalization and/or intensive care unit admission. Based available literature, identification potential determinants PTSD different underlined. Lessons learnt pandemics globe highlight utmost importance for evidence‑based, proactive targeted interventions high‑risk groups aiming mitigate risks manage vulnerabilities.

Язык: Английский

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Use of Kids Helpline by Children and Young People in Australia During the COVID-19 Pandemic

Journal of Adolescent Health, Год журнала: 2021, Номер 68(6), С. 1067 - 1074

Опубликована: Апрель 13, 2021

Язык: Английский

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The effect of the COVID-19 pandemic on mental health in individuals with pre-existing mental illness

BJPsych Open, Год журнала: 2022, Номер 8(2)

Опубликована: Март 1, 2022

There is evidence that the COVID-19 pandemic has negatively affected mental health, but most studies have been conducted in general population.To identify factors associated with health during individuals pre-existing illness.Participants (N = 2869, 78% women, ages 18-94 years) from a UK cohort (the National Centre for Mental Health) history of illness completed cross-sectional online survey June to August 2020. assessments were GAD-7 (anxiety), PHQ-9 (depression) and WHO-5 (well-being) questionnaires, self-report question on whether their had changed pandemic. Regressions examined associations between outcomes hypothesised risk factors. Secondary analyses specific diagnoses health.A total 60% participants reported worsened Younger age, difficulty accessing services, low income, income by COVID-19, worry about reduced sleep increased alcohol/drug use depression anxiety symptoms well-being. Feeling socially supported friends/family/services was better Participants anxiety, depression, post-traumatic stress disorder or eating more likely report than without these diagnoses.We identified worse illness, addition groups potentially at elevated poor

Язык: Английский

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Worry during the initial height of the COVID-19 crisis in an Italian sample

The Journal of General Psychology, Год журнала: 2021, Номер 148(3), С. 327 - 359

Опубликована: Фев. 1, 2021

In the earliest months of 2020, COVID-19 emergency reached a pandemic status international concern. this situation, people tended to think more about current difficulties and their negative consequences due fear infection changed daily life during quarantine. The aim study was explore severity worry in relation individual characteristics emotions outbreak Italian people. Socio-demographic questions standardized self-report questionnaires were administered online. Results highlighted moderate level worry, anxiety distress. People with higher perceptions exhibited levels contrast those who perceived greater control over possibility infection. Multiple regression analysis indicated that coping styles, emotion regulation strategies personality traits significantly contributed explain variance scores. Findings supported cognitive reappraisal, emotion-focused extraversion protective factors for while expressive suppression, dysfunctional problem-focused coping, neuroticism related high worry. However, particularly important predictors This paper also considers possible psychological interventions might be implemented order deal mental health issues emanating from pandemic.

Язык: Английский

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Depression, anxiety and PTSD symptoms before and during the COVID-19 pandemic in the UK

Psychological Medicine, Год журнала: 2022, Номер 53(12), С. 5428 - 5441

Опубликована: Июль 26, 2022

Abstract Background The impact of the coronavirus disease 2019 (COVID-19) pandemic on mental health is still being unravelled. It important to identify which individuals are at greatest risk worsening symptoms. This study aimed examine changes in depression, anxiety and post-traumatic stress disorder (PTSD) symptoms using prospective retrospective symptom change assessments, find effect key factors. Method Online questionnaires were administered 34 465 (aged 16 years or above) April/May 2020 UK, recruited from existing cohorts via social media. Around one-third ( n = 12 718) included participants had prior diagnoses depression completed pre-pandemic assessments (between September 2018 February 2020), allowing investigation change. Results Prospective analyses showed small decreases (PHQ-9: −0.43 points) [generalised scale – 7 items (GAD)-7: −0.33 points] increases PTSD (PCL-6: 0.22 points). Conversely, demonstrated significant large 2.40; GAD-7 1.97), with 55% reported since beginning a global rating. Across both measures change, associated diagnoses, female gender, young age unemployed/student status. Conclusions We highlight during confirm previously sociodemographic Discrepancies between may be related recall bias-related underestimation severity.

Язык: Английский

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Ansiedade em adolescentes no contexto da pandemia por COVID-19

Research Society and Development, Год журнала: 2021, Номер 10(6), С. e39010615930 - e39010615930

Опубликована: Май 19, 2021

O objetivo do presente estudo foi identificar a literatura existente relacionada à ansiedade em adolescentes no contexto da pandemia por COVID-19. Como metodologia utilizada para escrever esse artigo revisão sistemática com material pesquisado que estivesse disponível nas bases de dados MEDLINE e Pubmed disponíveis forma completa gratuitamente publicados partir 2020.Os resultados foram compostos discussão 16 artigos selecionados após leitura análise minuciosa conteúdo. Para uma melhor organização resultados, os divididos três tópicos específicos, agrupamento dos mesmos conforme temática relativa às informações, como segue: 1) Prevenção adolescente frente COVID-19; 2) Características 3) Estratégias inovadoras intervenções médicas Conclui-se muito prevalente entre durante o surto COVID-19, vez tal gerou efeito multiplicador diversas características ansiedade. É importante as autoridades saúde identifiquem grupos alto risco adoecimento psíquico, implementar psiquiátricas psicológicas adequadas. Ainda há pouca tenha foco na pandemia. Faz-se necessário, portanto, surjam novos estudos estratégias redução associada este mundial, fim seja minimizado impacto negativo qualidade vida adolescentes.

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Differences in perceived threat and trauma in children during the COVID-19 pandemic

Child and Adolescent Psychiatry and Mental Health, Год журнала: 2023, Номер 17(1)

Опубликована: Июнь 29, 2023

The past 2 years of the COVID-19 pandemic were stressful for most children and adolescents; some may have experienced a high level stress trauma. To date, no study has examined self-reported trauma levels due to in children. This aimed assess perceived threat, exposure symptoms aged 7-13 years. In addition, we explored whether parent-reported factors could predict higher risk vulnerability their children.Cross-sectional data collected from 752 using self- Child Adolescent Trauma Screening Self-Report (CATS) questionnaire. We used exploratory analyses (factor analysis mixed hierarchical clustering) identify subgroups (i.e., clusters) sharing similar characteristics dataset. Linear regression modeling was applied determine likelihood threat with exposure, CATS symptoms, behaviors on Behavior Checklist (CBCL), posttraumatic growth (PTG).We identified high-risk group reporting clinically relevant COVID-19-related fears. Parents' reports be at risk.Approximately 25% reported moderate symptom. It is especially important offer adequate support these ease prevent developing into psychopathology.

Язык: Английский

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A Scoping Review of the Psychological and Emotional Impact of the COVID-19 Pandemic on Children and Young People

Illness Crisis & Loss, Год журнала: 2021, Номер 31(1), С. 175 - 199

Опубликована: Ноя. 24, 2021

Background The COVID-19 pandemic has resulted in many changes to the lives of children and young people. Our aim is explore impact on mental health people (ages 5–21). Methods Preferred Reporting Items for Systematic Review Meta-Analyses (PRISMA) guidelines was used report findings this rapid review. Results Children are potentially very vulnerable emotional traumatic events that disrupt their daily lives. Key areas concern include: Death Anxiety Fear Infection; lack social interaction loss routine. Conclusions Despite some early responsive studies, evidence base limited. Such urgently needed if adequate services, can mitigate long-term be established.

Язык: Английский

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