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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Child+Adolesc+Psychiatry+Ment+Health
2020 ; 14
(ä): 20
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gab.com Text
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Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and
adolescent mental health: a narrative review to highlight clinical and research
needs in the acute phase and the long return to normality
#MMPMID32419840
Fegert JM
; Vitiello B
; Plener PL
; Clemens V
Child Adolesc Psychiatry Ment Health
2020[]; 14
(ä): 20
PMID32419840
show ga
BACKGROUND: The coronavirus disease 2019 (COVID-19) is profoundly affecting life
around the globe. Isolation, contact restrictions and economic shutdown impose a
complete change to the psychosocial environment in affected countries. These
measures have the potential to threaten the mental health of children and
adolescents significantly. Even though the current crisis can bring with it
opportunities for personal growth and family cohesion, disadvantages may outweigh
these benefits. Anxiety, lack of peer contact and reduced opportunities for
stress regulation are main concerns. Another main threat is an increased risk for
parental mental illness, domestic violence and child maltreatment. Especially for
children and adolescents with special needs or disadvantages, such as
disabilities, trauma experiences, already existing mental health problems,
migrant background and low socioeconomic status, this may be a particularly
challenging time. To maintain regular and emergency child and adolescent
psychiatric treatment during the pandemic is a major challenge but is necessary
for limiting long-term consequences for the mental health of children and
adolescents. Urgent research questions comprise understanding the mental health
effects of social distancing and economic pressure, identifying risk and
resilience factors, and preventing long-term consequences, including-but not
restricted to-child maltreatment. The efficacy of telepsychiatry is another
highly relevant issue is to evaluate the efficacy of telehealth and perfect its
applications to child and adolescent psychiatry. CONCLUSION: There are numerous
mental health threats associated with the current pandemic and subsequent
restrictions. Child and adolescent psychiatrists must ensure continuity of care
during all phases of the pandemic. COVID-19-associated mental health risks will
disproportionately hit children and adolescents who are already disadvantaged and
marginalized. Research is needed to assess the implications of policies enacted
to contain the pandemic on mental health of children and adolescents, and to
estimate the risk/benefit ratio of measures such as home schooling, in order to
be better prepared for future developments.