THE PEDIATRIC MENTAL HEALTH CRISIS DURING THE COVID-19 PANDEMIC: AN INTEGRATIVE REVIEW

Main Article Content

Giovana Cugini Sanches Juliana Santos de Lima Marcella Vizcaya Val Delatorre

Abstract

Introduction: During the Covid-19 pandemic, a rise in symptoms of anxiety and depression was described in the general population. It’s critical to analyze these symptoms in the pediatric population, considering the influence of mental health across the social and academic domains, and its impact on neurodevelopment, morbidity, and mortality. This study aims to recognize and compare its risk factors, and suggest evidence-based policies to mitigate the adverse effects of future pandemics on youth.


Methodology: Using a search strategy through PubMed, CINAHL, and Scholar Google platforms, after screening 106 articles, 50 were read in full. After its analysis, 10 met the inclusion criteria of a publication date after March 2020, cross-section or cohort/case-control study with data including general pediatric population mental health or pediatric population infected with Covid-19 mental health.


Discussion: In the general pediatric population, isolation, higher time of screen use, and information restriction to one news vehicle were factors associated with the self-reported psychological distress. Nonetheless, the time spent exercising was suggested as a protection element. In the sociodemographic domain, older age, low socioeconomic status, migration background, and limited living space were associated with adverse mental health. Hospitalization and Long-Covid were risk factors associated with the pediatric population infected with the SARSCov-2.


Conclusion: It's crucial to measure and discuss the impact of the Covid-19 pandemic on the mental health of vulnerable children and adolescents. Applicable interferences that showed less anxiety in hospitalized kids were contacting the family member through free teleconferencing programs and providing video games for children in isolation. There are still COVID-19 worldwide studies and data to be released, it's a subject to continue its discussion, and formulation of evidence-based policies.

Keywords: Humanization of Assistance, Pediatrics, Covid-19, Play therapy

Article Details

How to Cite
SANCHES, Giovana Cugini; DE LIMA, Juliana Santos; DELATORRE, Marcella Vizcaya Val. THE PEDIATRIC MENTAL HEALTH CRISIS DURING THE COVID-19 PANDEMIC: AN INTEGRATIVE REVIEW. Medical Research Archives, [S.l.], v. 11, n. 9, sep. 2023. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/4447>. Date accessed: 15 may 2024. doi: https://doi.org/10.18103/mra.v11i9.4447.
Section
Review Articles

References

1. Alfano, V., & Ercolano, S. (2020, June 3). The efficacy of lockdown against COVID-19: A cross-country panel analysis - Applied Health Economics and health policy. SpringerLink.https://link.springer.com/article/10.1007/s40258-020-00596-3

2. Brandt, L., Liu, S., Heim, C., & Heinz, A. (2022, September 21). The effects of social isolation stress and discrimination on Mental Health. Nature News. https://www.nature.com/articles/s41398-022-02178-4

3. Fountoulakis, K. N., Karakatsoulis, G., Abraham, S., Adorjan, K., Ahmed, H. U., Alarcón, R. D., Arai, K., Auwal, S. S., Berk, M., Bjedov, S., Bobes, J., Bobes-Bascaran, T., Bourgin-Duchesnay, J., Bredicean, C. A., Bukelskis, L., Burkadze, A., Abud, I. I., Castilla-Puentes, R., Cetkovich, M., Smirnova, D. (2022). Results of the COVID-19 mental health international for the general population (Comet-G) study. European Neuropsychopharmacology, 54, 21–40. https://doi.org/10.1016/j.euroneuro.2021.10.004

4. (Duncan et al. 2021 Duncan M, Patte K, and Leatherdale S. 2021. Mental health associations with academic performanceand education behaviors in Canadian secondary school students. Canadian Journal of School Psychology. DOI: 10.1177/0829573521997311

5. Walker et al. 2015) Mortality in mental disorders and global disease burdenimplications: A systematic review and meta-analysis. 10.1001/jamapsychiatry.2014.2502

6. Rizeq, J., Kennedy, M., Kreppner, J., Maughan, B., & Sonuga-Barke, E. (2022, August 19). Understanding the prospective associations between neuro-developmental problems, bullying victimization, and mental health: Lessons from a Longitudinal Study of Institutional Deprivation: Development and psychopathology. Cambridge Core. https://www.cambridge.org/core/journals/development-and-psychopathology/article/understanding-the-prospective-associations-between-neurodevelopmental-problems-bullying-victimization-and-mental-health-lessons-from-a-longitudinal-study-of-institutional-deprivation/5A9B66BBD08096B15E7528242D7AEBFD

7. Rizeq, J., Kennedy, M., Kreppner, J., Maughan, B., & Sonuga-Barke, E. (2022). Understanding the prospective associations between neuro-developmental problems, bullying victimization, and mental health: Lessons from a longitudinal study of institutional deprivation. Development and Psychopathology, 1-10. doi:10.1017/S095457942200089X

8. El Othman R, Touma E, El Othman R, Haddad C, Hallit R, Obeid S, Salameh P, Hallit S. COVID-19 pandemic and mental health in Lebanon: a cross-sectional study. Int J Psychiatry Clin Pract. 2021 Jun; 25 (2):152-163. doi: 10.1080/13651501.2021.1879159. Epub 2021 Feb 15. PMID: 33587678.

9. Panda PK, Gupta J, Chowdhury SR, Kumar R, Meena AK, Madaan P, Sharawat IK, Gulati S. Psychological and Behavioral Impact of Lockdown and Quarantine Measures for COVID-19 Pandemic on Children, Adolescents and Caregivers: A Systematic Review and Meta-Analysis. J Trop Pediatr. 2021 Jan 29; 67 (1):fmaa122. doi: 10.1093/tropej/fmaa122. PMID: 33367907; PMCID: PMC7798512.

10. Imran, N. , Zeshan, M. , & Pervaiz, Z. (2020). Mental health considerations for children & adolescents in COVID‐19 pandemic. Pakistan Journal of Medical Sciences, 36(19‐S4), S67–S72. 10.12669/pjms.36.COVID19-S4.2759 –

11. Dragioti E, Li H, Tsitsas G, Lee KH, Choi J, Kim J, Choi YJ, Tsamakis K, Estradé A, Agorastos A, Vancampfort D, Tsiptsios D, Thompson T, Mosina A, Vakadaris G, Fusar-Poli P, Carvalho AF, Correll CU, Han YJ, Park S, Il Shin J, Solmi M. A large-scale meta-analytic atlas of mental health problems prevalence during the COVID-19 early pandemic. J Med Virol. 2022 May;94 (5):1935-1949. doi: 10.1002/jmv.27549. Epub 2022 Jan 9. PMID: 34958144; PMCID: PMC9015528.).

12. Ravens-Sieberer et al. (2021) Ravens-Sieberer U, Kaman A, Erhart M, Devine J, Schlack R, and Otto C. 2021. Impact of the COVID-19 pandemic on quality of life and mental health in children and adolescents in Germany. European Child and Adolescent Psychiatry. DOI: 10.1007/s00787-021-01726-5

13. Delestrain C, Danis K, Hau I, Behillil S, Billard MN, Krajten L, Cohen R, Bont L, Epaud R. Impact of COVID-19 social distancing on viral infection in France: A delayed outbreak of RSV. Pediatr Pulmonol. 2021 Dec;56 (12):3669-3673. doi: 10.1002/ppul.25644. Epub 2021 Sep 2. PMID: 34473914; PMCID: PMC8662089.

14. Unicef, BankOECD, U. O. of R.-I., & Unesco. (1970, January 1). Education: From school closure to Recovery. UNESCO.org. https://www.unesco.org/en/covid-19/education-response

15. Saurabh, K., & Ranjan, S. (2020). Compliance and psychological impact of quarantine in children and adolescents due to covid-19 pandemic. The Indian Journal of Pediatrics, 87(7), 532–536. https://doi.org/10.1007/s12098-020-03347-3

16. Qin Z, Shi L, Xue Y, et al. Prevalence and risk factors associated with self-reported psychological distress among children and adolescents during the COVID-19 pandemic in China. JAMA Network Open. 2021;4(1). doi:10.1001/jamanetworkopen.2020.35487

17. Orben A, Tomova L, Blakemore S-J. The effects of social deprivation on adolescent development and mental health. Lancet Child Adolesc Health 2020;4:634–40

18. Asif, M., Ullah, I., Kumari, U., Munir, S., Tahir, M. J., & Asghar, M. S. (2022). Mental health risk among children during COVID‐19 lockdown. Journal of Child and Adolescent Psychiatric Nursing, 35(1), 93–95. https://doi.org/10.1111/jcap.12359 -

19. Ravens-Sieberer, U., Kaman, A., Erhart, M. et al. Impact of the COVID-19 pandemic on quality of life and mental health in children and adolescents in Germany. Eur Child Adolesc Psychiatry 31, 879–889 (2022). https://doi.org/10.1007/s00787-021-01726-5

20. Li, X., Vanderloo, L. M., Keown-Stoneman, C. D., Cost, K. T., Charach, A., Maguire, J. L., Monga, S., Crosbie, J., Burton, C., Anagnostou, E., Georgiades, S., Nicolson, R., Kelley, E., Ayub, M., Korczak, D. J., & Birken, C. S. (2021). Screen use and mental health symptoms in Canadian children and youth during the COVID-19 pandemic. JAMA Network Open, 4(12). https://doi.org/10.1001/jamanetworkopen.2021.40875

21. Kowalski RM, Giumetti GW, Schroeder AN, Lattanner MR. Bullying in the digital age: a critical review and metaanalysis of cyberbullying research among youth. Psychol Bull. 2014;140(4):1073-1137. doi:10.1037/a0035618

22. Rogers, J. P., Chesney, E., Oliver, D., Pollak, T. A., McGuire, P., Fusar-Poli, P., Zandi, M. S., Lewis, G., & David, A. S. (2020). Psychiatric and neuropsychiatric presentations associated with severe coronavirus infections: A systematic review and meta-analysis with comparison to the COVID-19 pandemic. The Lancet Psychiatry, 7(7), 611–627. https://doi.org/10.1016/s2215-0366(20)30203-0

23. Cugini Sanches G, Penteado Vargas MV, Diniz JC. A AÇÃO LÚDICA NA INTERNAÇÃO HOSPITALAR INFANTIL SOB A PERSPECTIVA DOS PROFISSIONAIS DA SAÚDE. Brazilian Medical Students [Internet]. 25º de setembro de 2021 [citado 13º de agosto de 2023];5(8). Disponível em: https://bms.ifmsabrazil.org/index.php/bms/article/view/114

24. Ravi, D. K., Kumar, N., & Singhi, P. (2016). Effectiveness of virtual reality rehabilitation for children and adolescents with cerebral palsy: An updated evidence-based systematic review. Physiotherapy Journal, 103(3), 245–258. https://doi.org/10.1016/j.physio.2016.08.004

25. Hart, J. L. (2020, April 22). Family-centered care during the covid-19 ERA. JPSM Journal. https://www.jpsmjournal.com/article/S0885-3924(20)30208-6/fulltext

26. Iosa M, Verrelli CM, Gentile AE, Ruggieri M, Polizzi A. Gaming Technology for Pediatric Neurorehabilitation: A systematic review. Frontiers in Pediatrics. 2022; 10. doi:10.3389/fped.2022.775356

27. Khaksar S, Maroufi M, Kalhor F. Reducing maternal stress in pediatric hospitalization during the COVID-19 pandemic by improving family-centered care with bedside telehealth: A pilot randomized clinical trial. Iranian Journal of Psychiatry. Published online October 17, 2022. doi:10.18502/ijps.v17i4.10684

28. Solmi, M., Estradé, A., Thompson, T., Agorastos, A., Radua, J., Cortese, S., Dragioti, E., Leisch, F., Vancampfort, D., Thygesen, L. C., Aschauer, H., Schloegelhofer, M., Akimova, E., Schneeberger, A., Huber, C. G., Hasler, G., Conus, P., Cuénod, K. Q., von Känel, R., … Correll, C. U. (2021). Physical and mental health impact of covid-19 on children, adolescents, and their families: The Collaborative Outcomes Study on health and functioning during Infection Times - children and adolescents (COH-fit-C&A). Journal of Affective Disorders, 299, 367–376. https://doi.org/10.1016/j.jad.2021.09.090