Global Prevalence of Depressive and Anxiety Symptoms in Children and Adolescents During COVID-19

Nicole Racine; Brae Anne McArthur; Jessica E. Cooke; Rachel Eirich; Jenney Zhu; Sheri Madigan

doi:10.1001/jamapediatrics.2021.2482

journal article Nov 01, 2021

Global Prevalence of Depressive and Anxiety Symptoms in Children and Adolescents During COVID-19

Nicole Racine

Brae Anne McArthur Jessica E. Cooke Rachel Eirich Jenney Zhu

Sheri Madigan

JAMA Pediatrics Vol. 175 No. 11 pp. 1142 · American Medical Association (AMA)

View at Publisher Save 10.1001/jamapediatrics.2021.2482

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References

66

[1]

Tiirikainen "Psychometric properties of the 7-item Generalized Anxiety Disorder Scale (GAD-7) in a large representative sample of Finnish adolescents." Psychiatry Res (2019) 10.1016/j.psychres.2018.12.004

[2]

Adolescent Depression: National Trends, Risk Factors, and Healthcare Disparities

Wenhua Lu

American Journal of Health Behavior 2019 10.5993/ajhb.43.1.15

[3]

Mental health effects of school closures during COVID-19

Joyce Lee

The Lancet Child & Adolescent Health 2020 10.1016/s2352-4642(20)30109-7

[4]

Sprang "Posttraumatic stress disorder in parents and youth after health-related disasters." Disaster Med Public Health Prep (2013) 10.1017/dmp.2013.22

[5]

Brooks "The psychological impact of quarantine and how to reduce it: rapid review of the evidence." Lancet (2020) 10.1016/s0140-6736(20)30460-8

[6]

Loades "Rapid systematic review: the impact of social isolation and loneliness on the mental health of children and adolescents in the context of COVID-19." J Am Acad Child Adolesc Psychiatry (2020) 10.1016/j.jaac.2020.05.009

[7]

Golberstein "Coronavirus disease 2019 (COVID-19) and mental health for children and adolescents." JAMA Pediatr (2020) 10.1001/jamapediatrics.2020.1456

[8]

Racine "Child and adolescent mental illness during COVID-19: a rapid review." Psychiatry Res (2020) 10.1016/j.psychres.2020.113307

[9]

Singh "Impact of COVID-19 and lockdown on mental health of children and adolescents: a narrative review with recommendations." Psychiatry Res (2020) 10.1016/j.psychres.2020.113429

[10]

Zhang "Assessment of mental health of Chinese primary school students before and after school closing and opening during the COVID-19 pandemic." JAMA Netw Open (2020) 10.1001/jamanetworkopen.2020.21482

[11]

Hafstad "Adolescents’ symptoms of anxiety and depression before and during the Covid-19 outbreak: a prospective population-based study of teenagers in Norway." Lancet Reg Health Eur (2021)

[12]

Yue "Anxiety, depression and PTSD among children and their parent during 2019 novel coronavirus disease (COVID-19) outbreak in China." Curr Psychol (2020)

[13]

Giannopoulou "Adding stress to the stressed: senior high school students’ mental health amidst the COVID-19 nationwide lockdown in Greece." Psychiatry Res (2021) 10.1016/j.psychres.2020.113560

[14]

Merikangas "Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication—Adolescent Supplement (NCS-A)." J Am Acad Child Adolesc Psychiatry (2010) 10.1016/j.jaac.2010.05.017

[15]

Courtney "COVID-19 impacts on child and youth anxiety and depression: challenges and opportunities." Can J Psychiatry (2020) 10.1177/0706743720935646

[16]

Zhou "Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19." Eur Child Adolesc Psychiatry (2020) 10.1007/s00787-020-01541-4

[17]

Magson "Risk and protective factors for prospective changes in adolescent mental health during the COVID-19 pandemic." J Youth Adolesc (2021) 10.1007/s10964-020-01332-9

[18]

Xie "Mental health status among children in home confinement during the coronavirus disease 2019 outbreak in Hubei Province, China." JAMA Pediatr (2020) 10.1001/jamapediatrics.2020.1619

[19]

An investigation of mental health status of children and adolescents in china during the outbreak of COVID-19

Li Duan, Xiaojun Shao, Yuan Wang et al.

Journal of Affective Disorders 2020 10.1016/j.jad.2020.06.029

[20]

Pierce "Says who? the significance of sampling in mental health surveys during COVID-19." Lancet Psychiatry (2020) 10.1016/s2215-0366(20)30237-6

[21]

Klein "Parent-child agreement in clinical assessment of anxiety and other psychopathology: a review." J Anxiety Disord. (1991) 10.1016/0887-6185(91)90028-r

[22]

Edelbrock "Parent-child agreement on child psychiatric symptoms assessed via structured interview." J Child Psychol Psychiatry (1986) 10.1111/jcpp.1986.27.issue-2

[23]

Hawes "Trajectories of depression, anxiety and pandemic experiences: a longitudinal study of youth in New York during the spring-summer of 2020." Psychiatry Res (2021) 10.1016/j.psychres.2021.113778

[24]

Cost "Mostly worse, occasionally better: impact of COVID-19 pandemic on the mental health of Canadian children and adolescents." Eur Child Adolesc Psychiatry (2021) 10.1007/s00787-021-01744-3

[25]

Moher "Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement." PLoS Med (2009) 10.1371/journal.pmed.1000097

[26]

Ebesutani "The youth self report: applicability and validity across younger and older youths." J Clin Child Adolesc Psychol (2011) 10.1080/15374416.2011.546041

[27]

Bias in meta-analysis detected by a simple, graphical test

Matthias Egger, George Davey Smith, Martin Schneider et al.

BMJ 1997 10.1136/bmj.315.7109.629

[28]

AlAzzam "Predictors of depression and anxiety among senior high school students during COVID-19 pandemic: the context of home quarantine and online education." J Sch Nurs (2021) 10.1177/1059840520988548

[29]

Asanov "Remote-learning, time-use, and mental health of Ecuadorian high-school students during the COVID-19 quarantine." World Dev (2021) 10.1016/j.worlddev.2020.105225

[30]

Cao "The role of only-child status in the psychological impact of COVID-19 on mental health of Chinese adolescents." J Affect Disord (2021) 10.1016/j.jad.2020.12.113

[31]

Cheah "COVID-19 racism and mental health in Chinese American families." Pediatrics (2020) 10.1542/peds.2020-021816

[32]

Chen "Depression and anxiety among adolescents during COVID-19: a cross-sectional study." Brain Behav Immun (2020) 10.1016/j.bbi.2020.05.061

[33]

Chen "Risk factors for adolescents’ mental health during the COVID-19 pandemic: a comparison between Wuhan and other urban areas in China." Global Health (2020) 10.1186/s12992-020-00627-7

[34]

Chi "Mental health problems among Chinese adolescents during the COVID-19: the importance of nutrition and physical activity." Int J Clin Health Psychol (2021) 10.1016/j.ijchp.2020.100218

[35]

Crescentini "Stuck outside and inside: an exploratory study on the effects of the COVID-19 outbreak on Italian parents and children’s internalizing symptoms." Front Psychol (2020) 10.3389/fpsyg.2020.586074

[36]

Dong "Internet addiction and related psychological factors among children and adolescents in China during the coronavirus disease 2019 (COVID-19) epidemic." Front Psychiatry (2020) 10.3389/fpsyt.2020.00751

[37]

Garcia de Avila "Children’s anxiety and factors related to the COVID-19 pandemic: an exploratory study using the Children’s Anxiety Questionnaire and the Numerical Rating Scale." Int J Environ Res Public Health (2020) 10.3390/ijerph17165757

[38]

Glynn "A predictable home environment may protect child mental health during the COVID-19 pandemic." Neurobiol Stress (2021) 10.1016/j.ynstr.2020.100291

[39]

Hou "Prevalence of and factors associated with mental health problems and suicidality among senior high school students in rural China during the COVID-19 outbreak." Asian J Psychiatr (2020) 10.1016/j.ajp.2020.102305

[40]

Li "Association of home quarantine and mental health among teenagers in Wuhan, China, during the COVID-19 pandemic." JAMA Pediatr (2021) 10.1001/jamapediatrics.2020.5499

[41]

Luthar "Risk and resilience during COVID-19: a new study in the Zigler paradigm of developmental science." Dev Psychopathol (2021) 10.1017/s0954579420001388

[42]

McGuine "Mental health, physical activity, and quality of life of us adolescent athletes during COVID-19-related school closures and sport cancellations: a study of 13?000 athletes." J Athl Train (2020) 10.4085/478-20

[43]

Murata "The psychiatric sequelae of the COVID-19 pandemic in adolescents, adults, and health care workers." Depress Anxiety (2021) 10.1002/da.v38.2

[44]

Orgilés "Anxiety and depressive symptoms in children and adolescents during COVID-19 pandemic: a transcultural approach." Psicothema (2021)

[45]

Ravens-Sieberer "Impact of the COVID-19 pandemic on quality of life and mental health in children and adolescents in Germany." Eur Child Adolesc Psychiatry (2021) 10.1007/s00787-021-01889-1

[46]

Tang "Mental health and its correlates among children and adolescents during COVID-19 school closure: the importance of parent-child discussion." J Affect Disord (2021) 10.1016/j.jad.2020.10.016

[47]

Zhou "Prevalence of depression and its correlative factors among female adolescents in China during the coronavirus disease 2019 outbreak." Global Health (2020) 10.1186/s12992-020-00601-3

[48]

Zhang "Prevalence of depression and anxiety symptoms of high school students in Shandong province during the COVID-19 epidemic." Front Psychiatry (2020) 10.3389/fpsyt.2020.570096

[49]

Zhang "The psychological impact of the COVID-19 pandemic on teenagers in China." J Adolesc Health (2020) 10.1016/j.jadohealth.2020.08.026

[50]

Masonbrink "Advocating for children during the COVID-19 school closures." Pediatrics (2020) 10.1542/peds.2020-1440

Showing 50 of 66 references

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Details

Published: Nov 01, 2021
Vol/Issue: 175(11)
Pages: 1142

Authors

N

Nicole Racine