Adolescence in a pandemic: increased challenges?


  • Catarina Fraga Department of Pediatrics, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos
  • Sílvia Duarte-Costa Department of Pediatrics, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos
  • Maria José Costa Department of Neonatology, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos
  • Sara Pires da Silva Department of Pediatrics, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos
  • Ana Lurdes Aguiar Department of Pediatrics, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos



adolescent, covid-19, pandemics


Background: Adolescence is a period of significant biological, psychological and social changes. Characterized by constant emotional conflicts and cycles of disorganization-reorganization of the identity, it is a phase of enormous vulnerability to the circumstances of the surrounding environment that will influence the future of the emerging adult: identity development and certainty about oneself is closely related to better functioning in multiple domains. The COVID-19 pandemic and the social isolation adopted as a public health measure had a significant impact on the lives of adolescents: on routines, sleep, peer relationships, and school performance, adding challenges to the already complex quotidian.
Objectives: This review describes the pandemic's impact in adolescents' daily routines, sleep, screen use, academic life, physical activity, relationships, and behaviors assumed by adolescents in a family context.
Methods: The authors performed a literature narrative overview synthesizing the relevant findings from searches on Pubmed® and Google Scholar®
Development/Conclusion: Individual characteristics and family relationships are fundamental in the capability of adolescents to deal cope with the adversity imposed by the COVID-19 pandemic. The impact of restrictive measures in this population should be taken into account by political and public health authorities when instituting preventive measures of confinement and lockdown to mitigate social isolation and allow developing adaptive strategies during adolescence


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Cucinotta D, Vanelli M. WHO Declares COVID-19 a Pandemic. Acta Biomed. 2020;91(1):157-160. doi:

Diário da República: Decreto-Lei n.º 10-A/2020 de 13 de março “Medidas excecionais e temporárias relativas à situação epidemiológica do novo Coronavírus - COVID 19” [Retrieved at 27/05/2022], Available at

Papalia DE, Martorell G. O desenvolvimento humano. 14ª edição. Brasil: McGraw Hill Brasil; 2021. p. 800.

Ghosh R, Dubey MJ, Chatterjee S, Dubey S. Impact of COVID-19 on children: special focus on the psychosocial aspect. Minerva Pediatr 2020;72(3):226-35. doi:

Shonkoff JP, Garner AS; Committee on Psychosocial Aspects of Child and Family Health; Committee on Early Childhood, Adoption, and Dependent Care; Section on Developmental and Behavioral Pediatrics. The lifelong effects of early childhood adversity and toxic stress. Pediatrics. 2012;129(1):e232-e246. doi:

Garner AS, Shonkoff JP; Committee on Psychosocial Aspects of Child and Family Health; Committee on Early Childhood, Adoption, and Dependent Care; Section on Developmental and Behavioral Pediatrics. Early childhood adversity, toxic stress, and the role of the pediatrician: translating developmental science into lifelong health. Pediatrics. 2012;129(1):e224-e231. doi:

Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020 Mar 14;395(10227):912-920. doi:

Rocha MFA, Veloso WG, Bezerra REA, Gomes LA, Marcolino ABL. O impacto da pandemia do covid-19 na saúde infanto-juvenil: um estudo transversal. Braz J Health Rev. 2021;4(1):3483-97. doi:

Ren H, He X, Bian X, Shang X, Liu J. The Protective Roles of Exercise and Maintenance of Daily Living Routines for Chinese Adolescents During the COVID-19 Quarantine Period. J Adolesc Health. 2021;68(1):35-42. doi:

Ramos Socarras L, Potvin J, Forest G. COVID-19 and sleep patterns in adolescents and young adults. Sleep Med. 2021;83:26-33. doi:

Albrecht JN, Werner H, Rieger N, Widmer N, Janisch D, Huber R, et al. Association between homeschooling and adolescent sleep duration and health during COVID-19 pandemic high school closures. JAMA Netw Open. 2022:4;5(1):e2142100. doi:

Becker SP, Gregory AM. Editorial Perspective: Perils and promise for child and adolescent sleep and associated psychopathology during the COVID-19 pandemic. J Child Psychol Psychiatry. 2020 Jul;61(7):757-759. doi:

Deslandes SF, Coutinho T. The intensive use of the internet by children and adolescents in the context of COVID-19 and the risks for self-inflicted violence. Cien Saude Colet. 2020;25(suppl 1):2479-2486. doi:

Schmidt SCE, Anedda B, Burchartz A, Eichsteller A, Kolb S, Nigg C, et al. Physical activity and screen time of children and adolescents before and during the COVID-19 lockdown in Germany: a natural experiment. Sci Rep. 2020;10(1):21780. doi:

Xiang M, Zhang Z, Kuwahara K. Impact of COVID-19 pandemic on children and adolescents’ lifestyle behavior larger than expected. Prog Cardiovasc Dis. 2020;63(4):531-532. doi:

Langmeyer A, Guglhör-Rudan A, Naab T, Urlen M, Winklhofer U. Childhood in times of Corona. First results on the changed everyday life and the well-being of children, (2020) [Retrieved at 31/05/2022] Available at

Maiya S, Dotterer AM, Whiteman SD. Longitudinal changes in adolescents’ school bonding during the COVID-19 pandemic: individual, parenting, and family correlates. J Res Adolesc. 2021 Sep;31(3):808-819. doi: Accessed 31 May 2022.

Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):1451-1462. doi:

Guthold R, Stevens GA, Riley LM, Bull FC. Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1·6 million participants. Lancet Child Adolesc Health. 2020;4(1):23-35. doi:

Bronikowska M, Krzysztoszek J, Łopatka M, Ludwiczak M, Pluta B. Comparison of Physical Activity Levels in Youths before and during a Pandemic Lockdown. Int J Environ Res Public Health. 2021;18(10):5139. doi:

Rossi L, Behme N, Breuer C. Physical activity of children and adolescents during the COVID-19 pandemic - a scoping review. Int J Environ Res Public Health. 2021;18(21):11440. doi:

Zhou T, Zhai X, Wu N, Koriyama S, Wang D, Jin Y, et al. Changes in physical fitness during COVID-19 pandemic lockdown among adolescents: a longitudinal study. Healthcare (Basel). 2022;11;10(2):351. doi:

Campione-Barr N, Rote W, Killoren SE, Rose AJ. Adolescent Adjustment During COVID-19: The role of close relationships and COVID-19-related stress. J Res Adolesc. 2021;31(3):608-622. doi:

Rogers AA, Ha T, Ockey S. Adolescents’ perceived socio-emotional impact of COVID-19 and implications for mental health: results from a US-based mixed-methods study. J Adolesc Health. 2021;68(1):43-52. doi:

Daniunaite I, Truskauskaite-Kuneviciene I, Thoresen S, Zelviene P, Kazlauskas E. Adolescents amid the COVID-19 pandemic: a prospective study of psychological functioning. Child Adolesc Psychiatry Ment Health. 2021;15(1):45. doi:

Leigh JK, Peña LD, Anurudran A, Pai A. “Are you safe to talk?”: Perspectives of Service Providers on Experiences of Domestic Violence During the COVID-19 Pandemic. J Fam Violence. 2022:1-11. doi:

Chaiyachati BH, Wood JN, Carter C, Lindberg DM, Chun TH, Cook LJ, et al. Emergency department child abuse evaluations during COVID-19: a multicenter study. Pediatrics. 2022;150(1):e2022056284. doi:

Oostrom TG, Cullen P, Peters SA. The indirect health impacts of the COVID-19 pandemic on children and adolescents: A review. J Child Health Care. 2022;13674935211059980. doi:

Ribeiro R, Almeida I, Saavedra R, Caridade S, Oliveira A, Santos M, et al. The different contexts of domestic violence before and during the COVID-19 pandemic: a Portuguese overview. Victims & Offenders. 2022. doi:

Royo Isach J, Masana Marín A, Busquets Rams I, et al. Percepciones parentales de incremento de violencia filioparental de los adolescentes españoles durante el confinamiento por COVID-19 [Parental perceptions of increased child-to-parent violence of Spanish adolescents during covid-19 lockdown.]. Rev Esp Salud Publica. 2021;95:e202110154.




How to Cite

Fraga C, Duarte-Costa S, Costa MJ, Pires da Silva S, Aguiar AL. Adolescence in a pandemic: increased challenges?. REVNEC [Internet]. 2022Oct.19 [cited 2024Mar.4];31(3):281-92. Available from:

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