Tác động của đại dịch COVID-19 đối với chất lượng cuộc sống và sức khỏe tâm thần ở trẻ em và thanh thiếu niên tại Đức

European Child & Adolescent Psychiatry - Tập 31 Số 6 - Trang 879-889 - 2022
U. Ravens-Sieberer1, Anne Kaman1, Michael Erhart1, Janine Devine1, Robert Schlack2, Christiane Otto1
1Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
2Department of Epidemiology and Health Monitoring , Robert Koch Institute , Berlin , Germany

Tóm tắt

Tóm tắt

Đại dịch COVID-19 đã gây ra những thay đổi chưa từng có trong cuộc sống của 1,6 tỷ trẻ em và thanh thiếu niên. Các nghiên cứu ban đầu không đại diện từ Trung Quốc, Ấn Độ, Brazil, Mỹ, Tây Ban Nha, Ý và Đức đã chỉ ra tác động tiêu cực đến sức khỏe tâm thần. Nghiên cứu hiện tại là nghiên cứu quốc gia đại diện đầu tiên nhằm điều tra tác động của đại dịch COVID-19 đối với chất lượng cuộc sống liên quan đến sức khỏe (HRQoL) và sức khỏe tâm thần của trẻ em và thanh thiếu niên tại Đức từ góc độ của chính trẻ em. Một khảo sát trực tuyến đại diện đã được thực hiện đối với n = 1586 gia đình có trẻ em và thanh thiếu niên từ 7 đến 17 tuổi, diễn ra từ ngày 26 tháng 5 đến ngày 10 tháng 6. Khảo sát bao gồm các công cụ đã được thiết lập và xác nhận quốc tế để đo lường HRQoL (KIDSCREEN-10), vấn đề sức khỏe tâm thần (SDQ), lo âu (SCARED), và trầm cảm (CES-DC). Kết quả đã được so sánh với dữ liệu từ nghiên cứu BELLA cohort quốc gia, dài hạn, đại diện (n = 1556) được thực hiện tại Đức trước đại dịch. Hai phần ba trẻ em và thanh thiếu niên báo cáo rằng họ bị ảnh hưởng nặng nề bởi đại dịch COVID-19. Họ trải qua HRQoL thấp hơn đáng kể (40,2% so với 15,3%), nhiều vấn đề sức khỏe tâm thần hơn (17,8% so với 9,9%) và mức độ lo âu cao hơn (24,1% so với 14,9%) so với trước đại dịch. Trẻ em có tình trạng kinh tế xã hội thấp, có nền tảng di cư và không gian sống hạn chế bị ảnh hưởng nhiều hơn. Cần thực hiện các chiến lược thúc đẩy sức khỏe và phòng ngừa để duy trì sức khỏe tâm thần của trẻ em và thanh thiếu niên, cải thiện HRQoL của họ, và giảm bớt gánh nặng do COVID-19, đặc biệt là đối với những trẻ em có nguy cơ cao nhất.

Từ khóa


Tài liệu tham khảo

Walker D, Tolentino V (2020) COVID-19: the impact on pediatric emergency care. Pediatr Emerg Med Pract 17:1–27

Castagnoli R, Votto M, Licari A, Brambilla I, Bruno R, Perlini S, Rovida F, Baldanti F, Marseglia GL (2020) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in children and adolescents: a systematic review. JAMA Pediatrics. https://doi.org/10.1001/jamapediatrics.2020.1467

Shekerdemian LS, Mahmood NR, Wolfe KK, Riggs BJ, Ross CE, McKiernan CA, Heidemann SM, Kleinman LC, Sen AI, Hall MW, Priestley MA, McGuire JK, Boukas K, Sharron MP, Burns JP (2020) Characteristics and outcomes of children with coronavirus disease 2019 (COVID-19) infection admitted to US and Canadian pediatric intensive care units. JAMA Pediatrics 174(9):868–873. https://doi.org/10.1001/jamapediatrics.2020.1948 (Collaborative ftIC-P)

Zachariah P, Johnson CL, Halabi KC, Ahn D, Sen AI, Fischer A, Banker SL, Giordano M, Manice CS, Diamond R, Sewell TB, Schweickert AJ, Babineau JR, Carter RC, Fenster DB, Orange JS, McCann TA, Kernie SG, Saiman L (2020) Epidemiology, clinical features, and disease severity in patients with coronavirus disease 2019 (COVID-19) in a children’s hospital in New York city, New Yorjk. JAMA Pediatr. https://doi.org/10.1001/jamapediatrics.2020.2430

UN (2020) Policy brief: the impact of COVID-19 on children. April 15, 2020. https://unsdg.un.org/sites/default/files/2020-04/160420_Covid_Children_Policy_ Brief.pdf Accessed 20.07. 2020

Fore HH (2020) A wake-up call: COVID-19 and its impact on children’s health and wellbeing. Lancet Global Health 8(7):e861–e862. https://doi.org/10.1016/S2214-109X(20)30238-2

Orben A, Tomova L, Blakemore S-J (2020) The effects of social deprivation on adolescent development and mental health. Lancet Child Adol Health 4(8):634–640. https://doi.org/10.1016/S2352-4642(20)30186-3

Thomas EY, Anurudran A, Robb K, Burke TF (2020) Spotlight on child abuse and neglect response in the time of COVID-19. The Lancet Public Health 5(7):e371. https://doi.org/10.1016/S2468-2667(20)30143-2

Reiss F, Meyrose AK, Otto C, Lampert T, Klasen F, Ravens-Sieberer U (2019) Socioeconomic status, stressful life situations and mental health problems in children and adolescents: Results of the German BELLA cohort-study. PLoS ONE 14(3):e0213700. https://doi.org/10.1371/journal.pone.0213700

Ravens-Sieberer U, Erhart M, Gosch A, Wille N, Group TEK (2008) Mental health of children and adolescents in 12 European countries—results from the European KIDSCREEN study. Clin Psychol Psychotherapy 15(3):154–163. https://doi.org/10.1002/cpp.574

Erhart M, Ottova V, Gaspar T, Jericek H, Schnohr C, Alikasifoglu M, Morgan A, Ravens-Sieberer U (2009) Measuring mental health and well-being of school-children in 15 European countries using the KIDSCREEN-10 Index. Int J Public Health 54(Suppl 2):160–166. https://doi.org/10.1007/s00038-009-5407-7

Solberg Ø, Nissen A, Vaez M, Cauley P, Eriksson AK, Saboonchi F (2020) Children at risk: a nation-wide, cross-sectional study examining post-traumatic stress symptoms in refugee minors from Syria, Iraq and Afghanistan resettled in Sweden between 2014 and 2018. Confl Health 14:67. https://doi.org/10.1186/s13031-020-00311-y

Klein EM, Müller KW, Wölfling K, Dreier M, Ernst M, Beutel ME (2020) The relationship between acculturation and mental health of 1st generation immigrant youth in a representative school survey: does gender matter? Child Adolesc Psychiatry Ment Health 14:29. https://doi.org/10.1186/s13034-020-00334-6

Amerio A, Brambilla A, Morganti A, Aguglia A, Bianchi D, Santi F, Costantini L, Odone A, Costanza A, Signorelli C, Serafini G, Amore M, Capolongo S (2020) COVID-19 lockdown: housing built environment’s effects on mental health. Int J Environ Res Public Health 17:16. https://doi.org/10.3390/ijerph17165973

Fegert JM, Vitiello B, Plener PL, Clemens V (2020) 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. Child Adolesc Psychiatry Ment Health 14:20. https://doi.org/10.1186/s13034-020-00329-3

Arnett JJ (2016) The Oxford handbook of emerging adulthood. Oxford University Press, New York, NY, US

Jiao WY, Wang LN, Liu J, Fang SF, Jiao FY, Pettoello-Mantovani M, Somekh E (2020) Behavioral and emotional disorders in children during the covid-19 epidemic. J Pediatr 221:264-266.e261. https://doi.org/10.1016/j.jpeds.2020.03.013

Xie X, Xue Q, Zhou Y, Zhu K, Liu Q, Zhang J, Song R (2020) Mental Health Status Among Children in Home Confinement During the Coronavirus Disease 2019 Outbreak in Hubei Province. JAMA Pediatrics, China. https://doi.org/10.1001/jamapediatrics.2020.1619

Zhou SJ, Zhang LG, Wang LL, Guo ZC, Wang JQ, Chen JC, Liu M, Chen X, Chen JX (2020) Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. Eur Child Adolesc Psychiatry 29(6):749–758. https://doi.org/10.1007/s00787-020-01541-4

Duan L, Shao X, Wang Y, Huang Y, Miao J, Yang X, Zhu G (2020) An investigation of mental health status of children and adolescents in china during the outbreak of COVID-19. J Affect Disord 275:112–118. https://doi.org/10.1016/j.jad.2020.06.029

Yeasmin S, Banik R, Hossain S, Hossain MN, Mahumud R, Salma N, Hossain MM (2020) Impact of COVID-19 pandemic on the mental health of children in Bangladesh: a cross-sectional study. Child Youth Ser Rev 117:105277. https://doi.org/10.1016/j.childyouth.2020.105277

Saurabh K, Ranjan S (2020) Compliance and psychological impact of quarantine in children and adolescents due to covid-19 pandemic. Indian J Pediatr 87(7):532–536. https://doi.org/10.1007/s12098-020-03347-3

Garcia de Avila MA, Hamamoto Filho PT, Jacob F, Alcantara LRS, Berghammer M, Jenholt Nolbris M, Olaya-Contreras P, Nilsson S (2020) Children’s anxiety and factors related to the COVID-19 pandemic: an exploratory study using the children’s anxiety questionnaire and the numerical rating scale. Int J Environ Res Public Health 17:16. https://doi.org/10.3390/ijerph17165757

Patrick SW, Henkhaus LE, Zickafoose JS, Lovell K, Halvorson A, Loch S, Letterie M, Davis MM (2020) Well-being of parents and children during the COVID-19 pandemic: a national survey. Pediatrics 146:4. https://doi.org/10.1542/peds.2020-016824

Gassman-Pines A, Ananat EO, Fitz-Henley J (2020) COVID-19 and parent-child psychological well-being. Pediatrics 146(4):e2020007294. https://doi.org/10.1542/peds.2020-007294

Ezpeleta L, Navarro JB, de la Osa N, Trepat E, Penelo E (2020) Life conditions during COVID-19 lockdown and mental health in spanish adolescents. Int J Environ Res Public Health 17:19. https://doi.org/10.3390/ijerph17197327

Orgilés M, Morales A, Delvecchio E, Mazzeschi C, Espada JP (2020) Immediate psychological effects of the COVID-19 quarantine in youth from Italy and Spain. PsyArXiv. https://doi.org/10.31234/osf.io/5bpfz

Langmeyer A, Guglhör-Rudan A, Naab T, Urlen M, Winklhofer U (2020) Kindsein in Zeiten von Corona. Erste Ergebnisse zum veränderten Alltag und zum Wohlbefinden von Kindern. Deutsches Jugendinstitut. https://www.dji.de/fileadmin/user_upload/dasdji/themen/Familie/DJI_Kindsein_Corona_Erste_Ergebnisse.pdf. Accessed 20.07. 2020

Calmbach M, Flaig B, Edwards J, Möller-Slawinski H, Borchard I, Schleer C (2010) Wie ticken Jugendliche? Lebenswelten von Jugendlichen im Alter von 14 bis 17 Jahren in Deutschland. Bundeszentrale für politische Bildung, Bonn

Polanczyk GV, Salum GA, Sugaya LS, Caye A, Rohde LA (2015) Annual research review: a meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. J Child Psychol Psychiatry 56(3):345–365. https://doi.org/10.1111/jcpp.12381

Ravens-Sieberer U, Otto C, Kriston L, Rothenberger A, Döpfner M, Herpertz-Dahlmann B, Barkmann C, Schön G, Hölling H, Schulte-Markwort M (2015) The longitudinal BELLA study: design, methods and first results on the course of mental health problems. Eur Child Adolesc Psychiatry 24(6):651–663

Otto C, Reiss F, Voss C, Wüstner A, Meyrose A-K, Hölling H, Ravens-Sieberer U (2020) Mental health and well-being from childhood to adulthood: design, methods and results of the 11-year follow-up of the BELLA cohort study. Eur Child Adol Psychiatry. https://doi.org/10.1007/s00787-020-01630-4

The American association for public opinion research (AAPOR) (2015) Standard definitions: final dispositions of case codes and outcome rates for surveys. https://www.aapor.org/AAPOR_Main/media/publications/Standard-Definitions20169theditionfinal.pdf. Accessed 20 July 2020

Lange M, Hoffmann R, Mauz E, Houben R, Gößwald A, Schaffrath Rosario A, Kurth BM (2018) KiGGS Wave 2 longitudinal component: data collection design and developments in the number of participants in the KiGGS cohort. J Health Monit 3(1):92–107. https://doi.org/10.17886/RKI-GBE-2018-035

Krause K, Chung S, Adewuya A, Albano A, Babins-Wagner R, Brann P, Birkinshaw L, Creswell C, Delaney K, Falissard B, Forrest C, Hudson J, Ishikawa S-I, Khatwani M, Kieling C, Krause J, Malik K, Martínez V, Mughal F, Ollendick T, Ong S, Thomas E, Patton G, Ravens-Sieberer U, Szatmari P, Walters L, Young B, Zhao Y, M W (2021) Measuring Response to Clinical Care in Children and Young People with Anxiety. An International Standard Set of Outcome Measures. Lancet Psychiatry, Depression, OCD or PTSD. https://doi.org/10.1016/S2215-0366(20)30356-4

Ravens-Sieberer U, Herdman M, Devine J, Otto C, Bullinger M, Rose M, Klasen F (2014) The European KIDSCREEN approach to measure quality of life and well-being in children: development, current application, and future advances. Qual Life Res 23(3):791–803. https://doi.org/10.1007/s11136-013-0428-3

Birmaher B, Brent DA, Chiappetta L, Bridge J, Monga S, Baugher M (1999) Psychometric properties of the screen for child anxiety related emotional disorders (SCARED): a replication study. J Am Acad Child Adolesc Psychiatry 38(10):1230–1236. https://doi.org/10.1097/00004583-199910000-00011

Barkmann C, Erhart M, Schulte-Markwort M, Bella Study Group (2008) The German version of the centre for epidemiological studies depression scale for children: psychometric evaluation in a population-based survey of 7–17 years old children and adolescents–results of the BELLA study. Eur Child Adolesc Psychiatry 17(Suppl 1):116–124. https://doi.org/10.1007/s00787-008-1013-0

Goodman R (1997) The strengths and difficulties questionnaire: a research note. J Child Psychol Psychiatry 38(5):581–586. https://doi.org/10.1111/j.1469-7610.1997.tb01545.x

Woerner W, Becker A, Friedrich C, Rothenberger A, Klasen H, Goodman R (2002) Normierung und Evaluation der deutschen Elternversion des Strengths and Difficulties Questionnaire (SDQ): Ergebnisse einer repräsentativen Felderhebung. Z Kinder Jugen Psychiatrie Psych Z Kinder Jugendpsychiat Psych 30:105–112. https://doi.org/10.1024//1422-4917.30.2.105

Haugland S, Wold B, Stevenson J, Aaroe LE, Woynarowska B (2001) Subjective health complaints in adolescence. A cross-national comparison of prevalence and dimensionality. Eur J Public Health 11(1):4–10. https://doi.org/10.1093/eurpub/11.1.4

McLaughlin KA, Gadermann AM, Hwang I, Sampson NA, Al-Hamzawi A, Andrade LH, Angermeyer MC, Benjet C, Bromet EJ, Bruffaerts R, Caldas-de-Almeida JM, de Girolamo G, de Graaf R, Florescu S, Gureje O, Haro JM, Hinkov HR, Horiguchi I, Hu C, Karam AN, Kovess-Masfety V, Lee S, Murphy SD, Nizamie SH, Posada-Villa J, Williams DR, Kessler RC (2012) Parent psychopathology and offspring mental disorders: results from the WHO world mental health surveys. Br J Psychiatry 200(4):290–299. https://doi.org/10.1192/bjp.bp.111.101253

Crum KI, Moreland AD (2017) Parental stress and children’s social and behavioral outcomes: the role of abuse potential over time. J Child Fam Stud 26(11):3067–3078. https://doi.org/10.1007/s10826-017-0822-5

Mazza C, Ricci E, Marchetti D, Fontanesi L, Di Giandomenico S, Verrocchio MC, Roma P (2020) How personality relates to distress in parents during the Covid-19 lockdown: the mediating role of child’s emotional and behavioral difficulties and the moderating effect of living with other people. Int J Environ Res Public Health 17:17. https://doi.org/10.3390/ijerph17176236

Fontanesi L, Marchetti D, Mazza C, Di Giandomenico S, Roma P, Verrocchio MC (2020) The effect of the COVID-19 lockdown on parents: a call to adopt urgent measures. Psychol Trauma 12(S1):S79-s81. https://doi.org/10.1037/tra0000672

Moylan CA, Herrenkohl TI, Sousa C, Tajima EA, Herrenkohl RC, Russo MJ (2010) The effects of child abuse and exposure to domestic violence on adolescent internalizing and externalizing behavior problems. J Fam Violence 25(1):53–63. https://doi.org/10.1007/s10896-009-9269-9

Schneider W, Waldfogel J, Brooks-Gunn J (2017) The great recession and risk for child abuse and neglect. Child Youth Serv Rev 72:71–81. https://doi.org/10.1016/j.childyouth.2016.10.016

UNICEF (2020) COVID-19: children at heightened risk of abuse, neglect, exploitation and violence amidst intensifying containment measures. https://www.unicef.org/guineabissau/press-releases/covid-19-children-heightened-risk-abuse-neglect-exploitation-and-violence-amidst. Accessed July 20 2020

Centers for Disease Control and Prevention (2016) Preventing multiple forms of violence: a strategic vision for connecting the dots. Division of violence prevention, national center for injury prevention and control, centers for disease control and prevention, Atlanta, GA. https://www.cdc.gov/violenceprevention/pdf/Strategic_Vision.pdf Accessed 20 July 2020

Ghandour RM, Jones JR, Lebrun-Harris LA, Minnaert J, Blumberg SJ, Fields J, Bethell C, Kogan MD (2018) The design and implementation of the 2016 national survey of children’s health. Matern Child Health J 22(8):1093–1102. https://doi.org/10.1007/s10995-018-2526-x

Sadler K, Vizard T, Ford T, Marcheselli F, Pearce N, Mandalia D, Davis J, Brodie E, Forbes N, Goodman A, Goodman R, S. M (2018) Mental health of children and young people in England, 2017. Survey design and methods report. NHS Digital. https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-of-children-and-young-people-in-england/2017/2017. Accessed 20 July 2020