Prevalence of mental health problems among children and adolescents during the COVID-19 pandemic: A systematic review and meta-analysis

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Ma, Lu, Mazidi, Mohsen, Li, Ke, Li, Yixuan, Chen, Shiqi, Kirwan, Richard, Zhou, Haixia, Yan, Na, Rahman, Atif ORCID: 0000-0002-2066-4467, Wang, Weidong et al (show 1 more authors) and Wang, Youfa (2021) Prevalence of mental health problems among children and adolescents during the COVID-19 pandemic: A systematic review and meta-analysis. JOURNAL OF AFFECTIVE DISORDERS, 293. pp. 78-89.

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Official URL: http://dx.doi.org/10.1016/j.jad.2021.06.021

Abstract

<h4>Background</h4>This systematic review and meta-analysis examined the prevalence of depression, anxiety, sleep disorders, and posttraumatic stress symptoms among children and adolescents during global COVID-19 pandemic in 2019 to 2020, and the potential modifying effects of age and gender.<h4>Methods</h4>A literature search was conducted in PubMed, Web of Science, PsycINFO, and two Chinese academic databases (China National Knowledge Infrastructure and Wanfang) for studies published from December 2019 to September 2020 that reported the prevalence of above mental health problems among children and adolescents. Random-effects meta-analyses were used to estimate the pooled prevalence.<h4>Results</h4>Twenty-three studies (21 cross-sectional studies and 2 longitudinal studies) from two countries (i.e., China and Turkey) with 57,927 children and adolescents were identified. Depression, anxiety, sleep disorders, and posttraumatic stress symptoms were assessed in 12, 13, 2, and 2 studies, respectively. Meta-analysis of results from these studies showed that the pooled prevalence of depression, anxiety, sleep disorders, and posttraumatic stress symptoms were 29% (95%CI: 17%, 40%), 26% (95%CI: 16%, 35%), 44% (95%CI: 21%, 68%), and 48% (95%CI: -0.25, 1.21), respectively. The subgroup meta-analysis revealed that adolescents and females exhibited higher prevalence of depression and anxiety compared to children and males, respectively.<h4>Limitations</h4>All studies in meta-analysis were from China limited the generalizability of our findings.<h4>Conclusions</h4>Early evidence highlights the high prevalence of mental health problems among children and adolescents during the COVID-19 pandemic, especially among female and adolescents. Studies investigating the mental health of children and adolescents from countries other than China are urgently needed.

Item Type:	Article
Uncontrolled Keywords:	Mental health problems, COVID-19 pandemic, Children, Adolescents, Review
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Population Health
Depositing User:	Symplectic Admin
Date Deposited:	16 Nov 2021 08:29
Last Modified:	18 Jan 2023 21:24
DOI:	10.1016/j.jad.2021.06.021
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3143222