新冠肺炎大流行期间儿童和青少年的焦虑症状和障碍:系统综述和荟萃分析

IF 2.5 4区 医学 Q2 PSYCHIATRY European Journal of Psychiatry Pub Date : 2023-10-01 DOI:10.1016/j.ejpsy.2023.06.003
Urvashi Panchal , Julio David Vaquerizo-Serrano , Ileana Conde-Ghigliazza , Herdem Aslan Genç , Simone Marchini , Kamile Pociute , Binay Kayan Ocakoğlu , Szarah Sanchez-Roman , Dorottya Ori , Ana Catalan , Luis Alameda , Samuele Cortese , Gonzalo Salazar de Pablo
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引用次数: 0

摘要

背景与目的新冠肺炎大流行及其相关因素已被证明会影响年轻人的焦虑水平。我们荟萃分析评估了疫情期间儿童和青少年焦虑症状和焦虑障碍的患病率,以及影响焦虑的预测因素和调节因素。方法在这份符合PRISMA和MOOSE的系统综述和荟萃分析(PROSPERO:CDR42021266695)中搜索多个数据库和注册库,直到2021年6月27日。我们纳入了评估儿童和青少年焦虑症状或焦虑障碍的患病率和特征的个体研究(平均年龄 ≤18年),在新冠肺炎大流行期间。数据提取和质量评估由独立作者进行。使用综合荟萃分析(CMA)V3.对焦虑症状和焦虑障碍的患病率进行随机效应荟萃分析。结果包括74篇文章(总参与者样本=478882)(平均年龄=13.4岁,52.3%为女性)。符合焦虑症诊断标准的儿童和青少年的综合比率为13.0%(95%CI=4.9-30.1);焦虑症状的总患病率为26.5%(95%CI=20.3–33.9)。焦虑症状在女性中的患病率显著高于男性(B=0.103,p<;.001),在2020年7月之后的第二波新冠肺炎期间显著高于2020年6月之前的第一波期间(Q=8.136,p=.017),以及在学校停课期间(Q=8.100,p=.014)。纳入研究的质量总体中等。结论新冠肺炎大流行期间,儿童和青少年焦虑症状的患病率很高,尤其是女性。这项研究确定了弱势群体、风险和保护因素,这对于发展临床实践以防止年轻人的心理健康进一步恶化至关重要。
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Anxiety symptoms and disorders during the COVID-19 pandemic in children and adolescents: Systematic review and meta-analysis

Background and Objectives

The COVID-19 pandemic and its associated factors have been shown to affect anxiety levels of young people. We meta-analytically assessed the prevalence of anxiety symptoms and anxiety disorders in children and adolescents during the pandemic, and the predictors and moderating factors influencing anxiety.

Methods

Multiple databases and registers were searched in this PRISMA and MOOSE-compliant systematic review and meta-analysis (PROSPERO:CRD42021266695) until 27/06/2021. We included individual studies evaluating the prevalence and characteristics of anxiety symptoms or anxiety disorders in children and adolescents (mean age ≤18 years), during the COVID-19 pandemic. Data extraction and quality assessment were carried out by independent authors. Random-effects meta-analyses of the prevalence of anxiety symptoms and anxiety disorders were conducted using Comprehensive Meta-Analysis (CMA) V3.

Results

74 articles (total participant sample=478,882) were included (mean age=13.4 years, 52.3% female). The pooled rate of children and adolescents fulfilling diagnostic criteria for anxiety disorders was 13.0% (95%CI=4.9–30.1); the pooled prevalence of anxiety symptoms was 26.5% (95%CI=20.3–33.9). Anxiety symptoms were significantly more prevalent in females than males (B = 0.103, p<.001), significantly higher during the second wave of COVID-19, following July 2020, than during the first wave, prior to June 2020, (Q= 8.136, p=.017), and during school closure (Q= 8.100, p=.014). Quality of included studies was overall moderate.

Conclusions

There is a high prevalence of anxiety symptoms in children and adolescents during the COVID-19 pandemic, especially amongst females. This study identifies vulnerable groups, risk, and protective factors, which is crucial to developing clinical practice to prevent further mental health deterioration in young people.

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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
40
审稿时长
43 days
期刊介绍: The European journal of psychiatry is a quarterly publication founded in 1986 and directed by Professor Seva until his death in 2004. It was originally intended to report “the scientific activity of European psychiatrists” and “to bring about a greater degree of communication” among them. However, “since scientific knowledge has no geographical or cultural boundaries, is open to contributions from all over the world”. These principles are maintained in the new stage of the journal, now expanded with the help of an American editor.
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