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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 J+Am+Acad+Child+Adolesc+Psychiatry
2020 ; 59
(11
): 1218-1239.e3
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Rapid Systematic Review: The Impact of Social Isolation and Loneliness on the
Mental Health of Children and Adolescents in the Context of COVID-19
#MMPMID32504808
Loades ME
; Chatburn E
; Higson-Sweeney N
; Reynolds S
; Shafran R
; Brigden A
; Linney C
; McManus MN
; Borwick C
; Crawley E
J Am Acad Child Adolesc Psychiatry
2020[Nov]; 59
(11
): 1218-1239.e3
PMID32504808
show ga
OBJECTIVE: 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.
METHOD: 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. RESULTS: 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. CONCLUSION: 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.