Rapid Systematic Review: The Impact of Social Isolation and Loneliness on the Mental Health of Children and Adolescents in the Context of COVID-19.
COVID-19
disease containment
loneliness
mental health
pandemic
Journal
Journal of the American Academy of Child and Adolescent Psychiatry
ISSN: 1527-5418
Titre abrégé: J Am Acad Child Adolesc Psychiatry
Pays: United States
ID NLM: 8704565
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
30
04
2020
revised:
27
05
2020
accepted:
28
05
2020
pubmed:
7
6
2020
medline:
20
11
2020
entrez:
7
6
2020
Statut:
ppublish
Résumé
Disease containment of COVID-19 has necessitated widespread social isolation. We aimed to establish what is known about how loneliness and disease containment measures impact on the mental health in children and adolescents. For this rapid review, we searched MEDLINE, PsycInfo, and Web of Science for articles published between January 1, 1946, and March 29, 2020. Of the articles, 20% were double screened using predefined criteria, and 20% of data was double extracted for quality assurance. A total of 83 articles (80 studies) met inclusion criteria. Of these, 63 studies reported on the impact of social isolation and loneliness on the mental health of previously healthy children and adolescents (n = 51,576; mean age 15.3 years). In all, 61 studies were observational, 18 were longitudinal, and 43 were cross-sectional studies assessing self-reported loneliness in healthy children and adolescents. One of these studies was a retrospective investigation after a pandemic. Two studies evaluated interventions. Studies had a high risk of bias, although longitudinal studies were of better methodological quality. Social isolation and loneliness increased the risk of depression, and possibly anxiety at the time at which loneliness was measured and between 0.25 and 9 years later. Duration of loneliness was more strongly correlated with mental health symptoms than intensity of loneliness. Children and adolescents are probably more likely to experience high rates of depression and most likely anxiety during and after enforced isolation ends. This may increase as enforced isolation continues. Clinical services should offer preventive support and early intervention where possible and be prepared for an increase in mental health problems.
Identifiants
pubmed: 32504808
pii: S0890-8567(20)30337-3
doi: 10.1016/j.jaac.2020.05.009
pmc: PMC7267797
pii:
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1218-1239.e3Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2020 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.
Références
Clin Child Fam Psychol Rev. 2019 Jun;22(2):147-171
pubmed: 30229343
J Abnorm Child Psychol. 2019 Oct;47(10):1691-1705
pubmed: 30937813
J Youth Adolesc. 2017 Feb;46(2):429-441
pubmed: 27055683
J Abnorm Child Psychol. 2011 Jan;39(1):137-50
pubmed: 20700646
Adolescence. 2000 Autumn;35(139):445-53
pubmed: 11130590
J Am Acad Child Adolesc Psychiatry. 2020 Sep;59(9):1080-1088
pubmed: 31400437
Child Abuse Negl. 2017 Jul;69:151-162
pubmed: 28477475
J Adolesc. 2013 Dec;36(6):1269-82
pubmed: 23787076
J Adolesc. 1986 Mar;9(1):73-96
pubmed: 3700780
Psychol Rep. 2001 Jun;88(3 Pt 2):1023-30
pubmed: 11597048
BMC Psychiatry. 2014 Jan 21;14:14
pubmed: 24443820
Pers Soc Psychol Rev. 2011 Aug;15(3):219-66
pubmed: 20716644
Adolescence. 1993 Fall;28(111):685-93
pubmed: 8237553
Implement Sci. 2010 Jul 19;5:56
pubmed: 20642853
PLoS Med. 2009 Jul 21;6(7):e1000097
pubmed: 19621072
J Adolesc. 2013 Dec;36(6):1251-60
pubmed: 24007942
J Adolesc Health. 2019 Nov;65(5):607-612
pubmed: 31477510
J Psychol. 2017 Jul 4;151(5):453-463
pubmed: 28486077
J Soc Psychol. 1999 Dec;139(6):713-29
pubmed: 10646306
Am J Orthopsychiatry. 2008 Jul;78(3):350-8
pubmed: 19123754
Soc Psychiatry Psychiatr Epidemiol. 2019 Sep;54(9):1101-1109
pubmed: 30467588
Adolescence. 1995 Winter;30(120):931-44
pubmed: 8588527
J Youth Adolesc. 2018 Feb;47(2):306-320
pubmed: 28866796
BMC Med. 2015 Sep 16;13:224
pubmed: 26377409
Soc Psychiatry Psychiatr Epidemiol. 2016 Mar;51(3):339-48
pubmed: 26843197
Lancet Psychiatry. 2017 Jul;4(7):529-539
pubmed: 28527657
J Med Internet Res. 2017 May 25;19(5):e176
pubmed: 28546138
J Youth Adolesc. 2012 Jun;41(6):776-87
pubmed: 22045508
J Clin Child Adolesc Psychol. 2006 Feb;35(1):148-54
pubmed: 16390310
Behav Cogn Psychother. 2018 Mar;46(2):182-194
pubmed: 28756787
Soc Psychiatry Psychiatr Epidemiol. 2007 Feb;42(2):161-6
pubmed: 17180631
J Youth Adolesc. 1983 Apr;12(2):95-100
pubmed: 24306225
J Psychol. 2000 Sep;134(5):503-14
pubmed: 11034131
Eur Child Adolesc Psychiatry. 2010 Jun;19(6):493-501
pubmed: 19777287
Psychol Psychother. 2020 Mar;93(1):54-71
pubmed: 30488549
Noro Psikiyatr Ars. 2017 Jun;54(2):125-130
pubmed: 28680309
Soc Psychiatry Psychiatr Epidemiol. 2020 Feb;55(2):251-257
pubmed: 31115597
Internet Interv. 2019 May 03;18:100249
pubmed: 31890607
J Community Psychol. 2020 Mar;48(2):258-266
pubmed: 31559649
J Pediatr. 2020 Jun;221:264-266.e1
pubmed: 32248989
Dev Psychopathol. 2009 Spring;21(2):479-91
pubmed: 19338694
Disasters. 2011 Apr;35(2):417-42
pubmed: 21073672
J Child Adolesc Psychiatr Nurs. 2016 Apr;29(1):23-9
pubmed: 26988180
Behav Res Ther. 2015 Apr;67:1-18
pubmed: 25727678
BMC Psychiatry. 2016 May 04;16:128
pubmed: 27146137
Psychol Rep. 1996 Aug;79(1):335-41
pubmed: 8873824
J Clin Child Adolesc Psychol. 2011;40(6):818-24
pubmed: 22023273
J Adolesc. 2013 Dec;36(6):1305-12
pubmed: 22560517
Child Psychiatry Hum Dev. 2019 Dec;50(6):1011-1020
pubmed: 31152375
Disaster Med Public Health Prep. 2013 Feb;7(1):105-10
pubmed: 24618142
J Psychol. 2012 Jan-Apr;146(1-2):259-76
pubmed: 22303624
Psychiatry Res. 2020 May;287:112934
pubmed: 32229390
J Genet Psychol. 2015 Jan-Apr;176(1-2):110-29
pubmed: 25775369
J Child Adolesc Psychiatr Nurs. 1995 Oct-Dec;8(4):23-30
pubmed: 8630643
Br J Psychiatry. 2019 Jan 30;:1-3
pubmed: 30698513
J Am Acad Child Adolesc Psychiatry. 1995 Jan;34(1):81-90
pubmed: 7860463
Lancet. 2020 Mar 21;395(10228):945-947
pubmed: 32145186
J Psychol. 1991 May;125(3):257-62
pubmed: 1880752
Epidemiol Health. 2020;42:e2020038
pubmed: 32512661
J Am Acad Child Adolesc Psychiatry. 2015 Mar;54(3):225-32
pubmed: 25721188
PLoS One. 2016 Mar 31;11(3):e0152719
pubmed: 27031707
J Child Psychol Psychiatry. 2019 Aug;60(8):828-847
pubmed: 30775782
Lancet. 2020 Mar 14;395(10227):912-920
pubmed: 32112714
Community Ment Health J. 2015 May;51(4):404-13
pubmed: 25185562
J Community Psychol. 2018 Sep;46(7):885-902
pubmed: 30565735
Psychol Rep. 2001 Apr;88(2):521-6
pubmed: 11351902
J Ment Health. 2018 Jun;27(3):230-239
pubmed: 29436883
Soc Psychiatry Psychiatr Epidemiol. 2017 Dec;52(12):1451-1461
pubmed: 29080941