Children and COVID-19 Research Library

Recent studies have reported a deterioration in children’s mental health since the start of the COVID-19 pandemic in 2020, with an increase in anxiety and mood disorders. Rates of suicide ideation and suicide attempts among children were also higher when COVID-19–related stressors were heightened in 2020. This study aimed to better assess temporal trends in suicide attempts among children while adjusting for annual and seasonal fluctuations. It conducted a cross-sectional study of surveillance data collected over the past 10 years at the Robert Debré Hospital in Paris, France, which is one of the largest pediatric centers in Europe.

In order to explore the psychological impact of the COVID-19 outbreak on the caregiver–child relationship, this study investigated the interplay among COVID-19 exposure and children’s internalizing/externalizing problems during the Italian lockdown, hypothesizing a mediation effect played by maternal distress. Additionally, it included maternal reflective functioning (i.e., hypermentalization) as a moderator factor among this interplay. A total of 305 Italian mothers of children aged 6–13 years (M = 10.3; SD = 2.4) filled in an online survey. Findings revealed an indirect effect of maternal COVID-19 exposure on children’s anxious/depressed (k2 = 0.46) and attention problems (k2 = 0.32) via maternal distress.

Worldwide, at least 13% of people between the ages of 10 and 19 live with a diagnosed mental-health disorder, according to the latest State of the World’s Children report, published this week by the United Nations children’s charity UNICEF. It’s the first time in the organization’s history that this flagship report has tackled the challenges in and opportunities for preventing and treating mental-health problems among young people. It reveals that adolescent mental health is highly complex, understudied — and underfunded. These findings are echoed in a parallel collection of review articles published this week in a number of Springer Nature journals. Anxiety and depression constitute more than 40% of mental-health disorders among young people (those aged 10–19). UNICEF also reports that, worldwide, suicide is the fourth most-common cause of death (after road injuries, tuberculosis and interpersonal violence) among adolescents (aged 15–19). In eastern Europe and central Asia, suicide is the leading cause of death for young people in that age group — and it’s the second-highest cause in western Europe and North America.

This study used the Generalized Anxiety Disorder (GAD-7) and 9 Patients Health Questionnaire (PHQ-9) to investigate the anxiety and depression of 1366 primary school students in Shenzhen after the resumption of school. Following the COVID-19 pandemic, many parents began wondering whether months of isolation, a lack of organized school education, and potential loss of relatives would have a long-term impact on their children’s mental health. The results of this study indicate that the rates of anxiety and depression among primary school students are indeed higher than before COVID-19, including the detection rate of anxiety and depression comorbidity, which has reached 11.7%.

The central focus of the Building Blocks Program is to increase the mentalizing capacity of high-risk birth mothers whose young children under the age of five have been placed in foster care. In Building Blocks, therapists are trained to provide dyadic psychotherapy with a birth mother and her child during court-mandated supervised visits, with the aim of reducing cycles of trauma, abuse and neglect, and facilitating a more secure attachment. The program is psychoanalytically informed, grounded in theories of attachment, mentalization and reflective functioning. On March 14, 2020, due to the rapidly spreading coronavirus, it became clear that the birth parents could no longer safely visit with their children in person. In addition, court hearings that might have allowed the retention of parental rights were postponed, leaving many parents devastated. This paper first describes how the Building Blocks approach has been adapted during the pandemic. Second, two case examples are presented that highlight the pre-pandemic work of Building Blocks, as well as the innovative and creative ways the treatment model was adapted when it became unsafe to conduct dyadic therapy at the clinic. Using virtual video platforms, the Building Blocks Program has applied the model of ‘Nested Mentalization,’ providing support and scaffolding for the therapists, parents and children.

This longitudinal cohort study aimed to examine the impact of the first wave of the COVID-19 pandemic in Ireland on parents of children with externalising difficulties, in comparison to parents of children without such difficulties. Parents of 159 children completed online self-report measures at three time points during the first wave of the COVID-19 pandemic; (a) Delay and Mitigation Phase (March 2020 to May 2020), (b) Reopening of Society Phase (June 2020 to July 2020) and (c) Wave 2 Case Acceleration Phase (September 2020 to October 2020). Participants were allocated to the clinical group if they met the clinical cut off point on the Conduct or Hyperactivity/Inattention subscales of the Strengths and Difficulties Questionnaire at Time 1.

This study evaluated the experiences of children between ages 6 and 12 based on their mothers' perspectives during the COVID-19 pandemic. Ten mothers living in Ankara, Turkey with children in the aforementioned age range, participated in this study. Data were collected through focus group interview with a qualitative phenomenological approach followed by thematic data analysis. Three categories were obtained relating to the pandemic, including negative effects, positive effects, and the resultant needs and expectations of parents.

This study aims to explore what worries youth were having during the seventh to ninth week of the COVID-19 lockdown. Our findings build on the responses to an open-ended survey question from 1314 youths. The worries covered three main themes: ‘That my mom dies, then I am left all alone’: worries related to COVID-19 virus infection; ‘To me, this is lost youth’: worries about the consequences of measures for the present life and near future; and ‘I will face a very difficult life in the future’: worries about the consequences of measures for the outlook on life. Young people worried that the measures would have a huge impact on their present life and outlook on life. The costs of restriction measures were unevenly distributed and indicated that the measures affected their mental health. Listening to youth voices during the pandemic is important for practitioners, educators and policymakers.

Children’s physical activity and screen time are likely suboptimal during the COVID-19 pandemic, which may influence their current and future mental health. To describe the association of physical activity and screen time with mental health among US children during the pandemic. This cross-sectional survey was conducted from October 22 to November 2, 2020, among 547 parents of children aged 6 to 10 years and 535 parent-child dyads with children and adolescents (hereinafter referred to as children) aged 11 to 17 years and matched down to 500 children per cohort using US Census–based sampling frames. Children aged 11 to 17 years self-reported physical activity, screen time, and mental health, and their parents reported other measures. Parents of children aged 6 to 10 years reported all measures. All 1000 cases were further weighted to a sampling frame corresponding to US parents with children aged 6 to 17 years using propensity scores.

Use of technological gadgets has rapidly been increasing among adolescents, which may result in health issues and technology addiction. This study focuses on the prevalence of usage of technological gadgets and health-related complications among secondary school-going children of Bangladesh. A total of 1803 secondary school students from 21 different districts of Bangladesh participated in the study. The children were asked questions relating to their access to electronic gadgets, time spent on outdoor activities, and whether they experienced any health-complications as an after-effect of the usage. A binary logistic regression model was adapted considering time spent on gadgets as an independent variable and health problems (physical and mental) as the dependent variable.

The COVID-19 outbreak has not only posed a threat to physical health but has also changed our daily lives. This study explored how the COVID-19 pandemic affected Korean parents’ and children’s daily lives and stress levels. Parents’ childcare time, children’s screen time, the time spent for social interactions and learning, and parents’ and children’s stress levels before and after the pandemic were compared. The main caregivers’ childcare time increased significantly during the pandemic (4.00 h/day). For children, the time spent for screen time (1.76 h) and online interactions (0.95 h) increased significantly, whereas face-to-face interaction time (4.17 h) and time spent learning (2.16 h) decreased significantly.

Carer burden amongst carers of youth with an eating disorder is substantial and if not addressed can lead to negative outcomes for the patient, carer and family. The Coronavirus Disease 2019 (COVID-19) pandemic has made caring for youth with an ED even more onerous and preliminary research is beginning to emerge demonstrating the profound negative impact the pandemic is having upon individuals with EDs and their carers. This review briefly summarizes what is known about carer burden in families where a young person has an ED, considers the additional impact consequent to COVID-19 and highlights the need for interventions aimed at alleviating this. Pre-COVID-19 research identifies high levels of psychological and physical strain amongst those caring for a child with an ED. Themes are beginning to emerge as to why COVID-19 may further exacerbate carer burden: (1) reduced access to ED services; (2) increased physical vulnerability and exacerbation of psychiatric co-morbidity amongst youth with EDs; (3) increased practical demands placed on carers; and (4) social isolation and decreased social support.

This paper reviews the literature on the psychological effects of the COVID-19 pandemic on children and the reactions of vulnerable children. Research reveals increases in clinically significant depression, suicidal ideation and behavior, and some anxiety symptoms. Substance use studies suggest an inadvertent decrease in substance use in some youth though findings are inconsistent across substances and for males and females. Children with pre-existing emotional and behavioral problems are especially vulnerable though some children appear to improve in the context of public health measures which have decreased the stresses associated with school and socialization. In addition, children with pre-existing problems are likely to have established resources and relationships that may protect them relative to other children.

Child well-being concerns amidst the COVID-19 pandemic have been reported from countries with strict lockdowns and school closures. Sweden's middle school students attended school as normal during the pandemic, but it is still unknown how their well-being has changed during the pandemic. This study aimed to assess differences in Swedish students' psychosocial well-being from before to during the pandemic. Longitudinal data (N = 849) were collected via self-report surveys across two time-points separated by approximately one year. The second data collection took place 8–9 months after the start of the pandemic in Sweden.