Mental health crisis in children and adolescents: The hidden harm of COVID-19
DOI:
https://doi.org/10.25753/BirthGrowthMJ.v31.i3.27606Keywords:
adolescence, Child and Adolescent Psychiatry, Childhood, mental health, COVID-19 pandemicAbstract
Given the atypical scenario caused by the COVID-19 pandemic in recent years and the changes it brought to daily routines, particular attention should be paid to the mental health of children and adolescents. During this period, child and adolescent psychiatrists faced challenges in their clinical practice and had to adjust to the new reality. There was a significant increase in consultation referrals due to eating disorders, self-harm behaviors, and anxiety symptoms. This paper describes the experience of the Department of Child and Adolescent Psychiatry of Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto, in the outpatient, inpatient, and Emergency Room care of children and adolescents in different age groups during this period. It also highlights the need for special attention to the psycho-affective development of these groups and to the role of family and school.
Overall, the pandemic had a number of detrimental effects on children and adolescents, but also on their families. At this time, it is still difficult to ascertain what long-term consequences it will have, particularly in the first years of life. Joint efforts should be employed by health and community systems to create adequate conditions for assessing the mental health of these groups and developing appropriate support and prevention strategies.
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Douglas M, Katikireddi SV, Taulbut M, McKee M, McCartney G. Mitigating the wider health effects of covid-19 pandemic response. BMJ. 2020;369:m1557. https://doi.org/10.1136/bmj.m1557.
DGS. Direção Geral de Saúde: Normas e Circulares Normativas. https://www.dgs.pt/directrizes-da-dgs/normas-e-circulares-normativas.aspx2020.
Spiteri G, Fielding J, Diercke M, Campesi C, Enouf V, Gaymard A, et al. First cases of coronavirus disease 2019 (COVID-19) in the WHO European Region, 24 January to 21 February 2020. Euro Surveill. 2020;25(9):2000178. https://doi.org/10.2807/1560-7917.ES.2020.25.9.2000178.
Araújo LA, Veloso CF, Souza MC, Azevedo JMC, Tarro G. The potential impact of the COVID-19 pandemic on child growth and development: a systematic review. J Pediatr (Rio J). 2021;97(4):369-377. https://doi.org/10.1016/j.jped.2020.08.008.
McGee ME, Edelsohn GA, Keener MT, Madaan V, Soda T, Bacewicz A, et al. Ethical and clinical considerations during the coronavirus era. J Am Acad Child Adolesc Psychiatry. 2021;60(3):332-335. https://doi.org/10.1016/j.jaac.2020.12.010.
Gadermann A, Thomson K, Gill R, Schonert-Reichl KA, Gagné Petteni M, Guhn M, et al. Early Adolescents’ Experiences During the COVID-19 Pandemic and Changes in Their Well-Being. Front Public Health. 2022;10:823303. https://doi.org/10.3389/fpubh.2022.823303.
Theberath M, Bauer D, Chen W, Salinas M, Mohabbat AB, Yang J, et al. Effects of COVID-19 pandemic on mental health of children and adolescents: A systematic review of survey studies. SAGE Open Med. 2022;10:20503121221086712. https://doi.org/10.1177/20503121221086712.
Werling AM, Walitza S, Eliez S, Drechsler R. The Impact of the COVID-19 Pandemic on Mental Health Care of Children and Adolescents in Switzerland: Results of a Survey among Mental Health Care Professionals after One Year of COVID-19. Int J Environ Res Public Health. 2022;19(6):3252. https://doi.org/10.3390/ijerph19063252.
Revet A, Hebebrand J, Anagnostopoulos D, Kehoe LA, Gradl-Dietsch G; COVID-19 Child and Adolescent Psychiatry Consortium, Klauser P. Perceived impact of the COVID-19 pandemic on child and adolescent psychiatric services after 1 year (February/March 2021): ESCAP CovCAP survey. Eur Child Adolesc Psychiatry. 2021;1-8. https://doi.org/10.1007/s00787-021-01851-1.
Ayraler Taner H, Akın Sarı B, Kaba D. How did the COVID-19 pandemic affect child and adolescent psychiatry outpatient clinic admissions? A single-center, retrospective study. Clin Child Psychol Psychiatry. 2022;27(3):824-835. https://doi.org/10.1177/13591045221095657.
Jones EAK, Mitra AK, Bhuiyan AR. Impact of COVID-19 on Mental Health in Adolescents: A Systematic Review. Int J Environ Res Public Health. 2021;18(5):2470. Published 2021 Mar 3. https://doi.org/10.3390/ijerph18052470.
Miskovic-Wheatley J, Koreshe E, Kim M, Simeone R, Maguire S. The impact of the COVID-19 pandemic and associated public health response on people with eating disorder symptomatology: an Australian study. J Eat Disord. 2022;10(1):9. https://doi.org/10.1186/s40337-021-00527-0.
Phillipou A, Meyer D, Neill E, Tan EJ, Toh WL, Van Rheenen TE, et al. Eating and exercise behaviors in eating disorders and the general population during the COVID-19 pandemic in Australia: Initial results from the COLLATE project. Int J Eat Disord. 2020;53(7):1158-1165. https://doi.org/10.1002/eat.23317.
Rodgers RF, Lombardo C, Cerolini S, Franko DL, Omori M, Fuller-Tyszkiewicz M, et al. The impact of the COVID-19 pandemic on eating disorder risk and symptoms. Int J Eat Disord. 2020;53(7):1166-1170. https://doi.org/10.1002/eat.23318.
Binagwaho A, Senga J. Children and Adolescent Mental Health in a Time of COVID-19: A Forgotten Priority. Ann Glob Health. 2021;87(1):57. https://doi.org/10.5334/aogh.3330.
Zeanah, C.H. Handbook of Infant Mental Health, Fourth Edition. Guilford Publications; 2018. p. 678.
Moreira M, Vasques C, Magalhães P, Cordovil R, Veiga G, Lopes F. (2022). Caracterização da qualidade do envolvimento físico dos jardins de infância de Bragança em tempo de COVID-19. In V Encontro Nacional de Jovens Investigadores em Educação. Madeira: Universidade da Madeira. p. 697-710. ISBN 978-972-789-731-5.
Cluver L, Lachman JM, Sherr L, Wessels I, Krug E, Rakotomalala S, et al. Parenting in a time of COVID-19. Lancet. 2020;395(10231):e64. https://doi.org/10.1016/S0140-6736(20)30736-4.
Ren J, Li X, Chen S, Chen S, Nie Y. The Influence of Factors Such as Parenting Stress and Social Support on the State Anxiety in Parents of Special Needs Children During the COVID-19 Epidemic. Front Psychol. 2020;10;11:565393. https://doi.org/10.3389/fpsyg.2020.565393.
Fernandes DV, Canavarro MC, Moreira H. Postpartum during COVID-19 pandemic: Portuguese mothers’ mental health, mindful parenting, and mother-infant bonding. J Clin Psychol. 2021;77(9):1997-2010. https://doi.org/10.1002/jclp.23130.
Spagnola M, Fiese BH. Family routines and rituals: A context for development in the lives of young children. Infants & young children. 2007;20(4):284-299.
El-Osta A, Alaa A, Webber I, Riboli Sasco E, Bagkeris E, Millar H, et al. How is the COVID-19 lockdown impacting the mental health of parents of school-age children in the UK? A cross-sectional online survey. BMJ Open. 2021;11(5):e043397. https://doi.org/10.1136/bmjopen-2020-043397.
Viner R, Russell S, Saulle R, Croker H, Stansfield C, Packer J, et al. School Closures During Social Lockdown and Mental Health, Health Behaviors, and Well-being Among Children and Adolescents During the First COVID-19 Wave: A Systematic Review. JAMA Pediatr. 2022;176(4):400-409. https://doi.org/10.1001/jamapediatrics.2021.5840.
Xie X, Liu Q, Zhu K, Jiang Q, Feng Y, Xiao P, et al. Psychological Symptom Progression in School-Aged Children After COVID-19 Home Confinement: A Longitudinal Study. Front Psychiatry. 2022;13:809107. https://doi.org/10.3389/fpsyt.2022.809107.
Spencer AE, Oblath R, Dayal R, Loubeau JK, Lejeune J, Sikov J, et al. Changes in psychosocial functioning among urban, school-age children during the COVID-19 pandemic. Child Adolesc Psychiatry Ment Health. 2021;15(1):73. https://doi.org/10.1186/s13034-021-00419-w.
King RA, Rutherford HJ. Adolescence. In: Martin A, Bloch, M, Volkmar FR (Ed.). Lewis’s child and adolescent psychiatry: A comprehensive textbook. Philadelphia: Lippincott Williams and Wilkins; 2018. p. 311–42.
Lockyer B, Endacott C, Dickerson J, Sheard L. Growing up during a public health crisis: a qualitative study of Born in Bradford early adolescents during Covid-19. BMC Psychol. 2022;10(1):140. https://doi.org/10.1186/s40359-022-00851-3.
Pedrini L, Meloni S, Lanfredi M, Ferrari C, Geviti A, Cattaneo A, et al. Adolescents’ mental health and maladaptive behaviors before the Covid-19 pandemic and 1-year after: analysis of trajectories over time and associated factors. Child Adolesc Psychiatry Ment Health. 2022;16(1):42. https://doi.org/10.1186/s13034-022-00474-x.
Corrigan C, Duke G, Millar J, Paul E, Butt W, Gordon M, et al. Admissions of children and adolescents with deliberate self-harm to intensive care during the SARS-CoV-2 outbreak in Australia. JAMA Netw Open. 2022;5(5):e2211692. https://doi.org/10.1001/jamanetworkopen.2022.11692.
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