COVID-19 pandemic: Impact on children and adolecents

R. Grujicic, J. Bogdanović, Saša Štupar, J. Maslak, M. Pejović-Milovančević
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Abstract

The global pandemic caused by Corona Virus Disease 2019 (COVID-19) has led to major lifestyle changes in people living in the affected countries. Namely, most countries declared the state of emergency which included the implementation of different precautionary measures, such as restriction of movement, travel ban, isolation, social distancing and wearing protective equipment. The global fight with the unknown virus generated an abundance of different, often contradictory and inconsistent information. These new changes can have a potentially major impact on the physical and mental health of both children and adults. Children are a particularly vulnerable population in crisis situations. Although research shows that children and young people exhibit clinically significantly milder forms of COVID-19 compared to adults, their vulnerability is reflected in a greater susceptibility to develop serious psychological consequences. Mental problems of children most often develop due to the inability to adequately understand the new situation, fear, separation from peers, changes in the mental state of parents and greater susceptibility to abuse and neglect. Also, systematic changes in the country (closure of educational institutions, reduced workload or closure of health institutions or institutions of support and assistance to children and vulnerable individuals) contribute to the difficulty of overcoming the pandemic. These changes especially affect children with pre-existing mental disorders, neurodevelopmental difficulties, and children from vulnerable and minority groups who require more care and services from different support systems. In order to avoid harmful consequences for the health of children, we will present recommendations focused on children and parents, which are intended for the easier overcoming of crisis situations such as the current pandemic.
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COVID-19大流行:对儿童和青少年的影响
2019冠状病毒病(COVID-19)引起的全球大流行导致生活在受影响国家的人们生活方式发生重大变化。也就是说,大多数国家宣布进入紧急状态,其中包括实施不同的预防措施,如限制行动、旅行禁令、隔离、保持社交距离和佩戴防护设备。全球抗击这一未知病毒的斗争产生了大量不同的、往往相互矛盾和不一致的信息。这些新的变化可能对儿童和成人的身心健康产生潜在的重大影响。在危机局势中,儿童是特别脆弱的群体。尽管研究表明,与成年人相比,儿童和年轻人在临床上表现出的COVID-19症状明显较轻,但他们的脆弱性反映在更容易产生严重的心理后果。儿童的心理问题通常是由于无法充分了解新情况、恐惧、与同伴分离、父母精神状态的变化以及更容易受到虐待和忽视而产生的。此外,该国的系统性变化(关闭教育机构、减少工作量或关闭保健机构或向儿童和弱势个人提供支助和援助的机构)加剧了克服这一流行病的困难。这些变化尤其影响到已有精神障碍、神经发育困难的儿童,以及需要来自不同支持系统的更多照顾和服务的弱势群体和少数群体儿童。为了避免对儿童健康造成有害后果,我们将提出以儿童和父母为重点的建议,这些建议旨在更容易地克服危机局势,例如目前的大流行病。
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