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Anxiety in Children and Adolescents in the Covid-19 Pandemic: A Systematic Review

Year 2023, Volume: 15 Issue: 3, 458 - 467, 30.09.2023
https://doi.org/10.18863/pgy.1139328

Abstract

The aim of this study was; to define the anxiety and anxiety-related factors experienced by children/adolescents during the Covid-19 pandemic on a global scale. Study data were collected between 15.04.2021 and 30.04.2021 by using keywords (child, children, adolescents, adolescents, mental health, anxiety, anxiety and stress) in Turkish and English. The data sources of this study are PubMed, Web of Science, and Google Scholar t. As a result of the evaluations, a total of n=6185 articles were reached from all databases. After the evaluation of the full texts, the study was completed with n=31 articles. Eleven of the articles evaluated in this study were published in China. The anxiety prevalence of children and adolescents varies between 1.84-45.0%. As a result of the evaluated studies; It has been observed that women, those with chronic-psychiatric diseases, those who are older, separated from family members, migrant children and adolescents are more likely to experience anxiety. Some of the anxiety symptoms of children and adolescents are nervousness, irritability, anxiety, and suicidal ideation. In conclusion, anxiety levels and anxiety-related factors of children and adolescents living in various countries of the world during the Covid-19 pandemic were determined.

Supporting Institution

Mali destek: Çalışmanın yapılması ve makalenin yazımı süresince herhangi bir mali ve maddi destek alınmamıştır.

Project Number

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Thanks

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References

  • Alves JM, Yunker AG, DeFendis A, Xiang AH, Page KA (2021) BMI status and associations between affect, physical activity and anxiety among US children during Covıd‐19. Pediatrc Obes, 16:e12786.
  • Algül G, Ergin DA (2021) Adolescents’ and parents’ anxiety during Covıd-19 is there a role of cyberchondriasis and emotion regulation through the internet? Curr Psychol, 10:4750-4759.
  • Ariapooran S, Khezeli M (2021) Symptoms of anxiety disorders in Iranian adolescents with hearing loss during the Covid-19 pandemic. BMC Psychiatry, 21:114.
  • Cauberghe V, Wesenbeeck IV, De Jans S, Hudders L, Ponnet K (2021) How adolescents use social media to cope with feelings of loneliness and anxiety during Covid-19 lockdown. Cyberpsychol Behav Soc Netw, 24:250-257.
  • Chen F, Zheng D, Liu J, Gong Y, Guan Z, Lou D (2020) Depression and anxiety among adolescents during Covıd-19: A cross-sectional study. Brain Behav Immun, 88:36-38.
  • Chen X, Qİ H, Liu R, Feng Y, Li W, Xiang M et al. (2021) Depression, anxiety and associated factors among Chinese adolescents during the Covid-19 outbreak: A comparison of two cross-sectional studies. Transl Psychiatry, 11:148.
  • De Pasquale C, Chiappedi M, Sciacca F, Martinelli V, Hichy Z (2021) Online videogames use and anxiety in children during the Covid-19 pandemic. Children, 8:205.
  • Duan L, Shao X, Wang Y, Huang Y, Miao J, Yang X et al. (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.
  • Dvorsky MR, Breaux R, Becker SP (2021) Finding ordinary magic in extraordinary times: Child and adolescent resilience during the Covid-19 pandemic. Eur Child Adolesc Psychiatry, 30:1829-1831.
  • Garcia MA, Hamamoto PTF, Jacob FLDS, Alcantara LRS, Berghammer M, Jenholt NM et al. (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, 17:5757.
  • Gemmati D, Varani K, Bramanti B, Piva R, Bonaccorsi G, Trentini A et al. (2020) “Bridging the Gap” everything that could have been avoided if we had applied gender medicine, pharmacogenetics and personalized medicine in the gender-omics and sex-omics era. Int J Mol Sci, 21:296.
  • Günaydın NC, Baykal S (2021) Evaluation of anxiety level in adolescents diagnosed with asthma during the COVID-19 pandemic period. Namık Kemal Medical Journal, 8:296-302.
  • Hafstad GS, Sætren SS, Wentzel TL, Augusti EM (2021) Adolescents’ symptoms of anxiety and depression before and during the Covid-19 outbreak–A prospective population-based study of teenagers in Norway. Lancet Reg Health Eur, 8:640-651.
  • Kılınçel Ş, Altun FT, Nuryüz Ö, Tan E, Erzincan E, Kılınçel O et al. (2021) Effects of Covid-19 outbreak on children’s mental health: A comparative study with children diagnosed and isolated from their parents. Psychiatry Investig, 18:140-146.
  • Lavigne RC, Costa BL, Juárez RRM, Real MF, Sánchez MML, Navarro IS (2021) Consequences of Covid-19 confinement on anxiety, sleep and executive functions of children and adolescents in Spain. Front Psychol, 12:565516
  • Liu S, Liu Y, Liu Y (2021) Somatic symptoms and concern regarding Covid-19 among Chinese college and primary school students: A cross-sectional survey. Psychiatry Res, 289:113070.
  • Liu R, Chen X, Qİ H, Feng Y, Xiao L, Yuan XF et al. (2021) The proportion and associated factors of anxiety in Chinese adolescents with depression during the Covid-19 outbreak. J Affect Disord, 284:114-119.
  • Loades ME, Chatburn E, Higson NS, Reynolds S, Shafran R, Brigden A et al. (2020) Rapid systematic review: The impact of social isolation and loneliness on the mental health of children and adolescents in the context of COVID-19. J Am Acad Child Adolesc Psychiatry, 59:1218-1239.
  • Lu C, Chi X, Liang K, Chen ST, Huang L, Guo T et al. (2020) Moving more and sitting less as healthy lifestyle behaviors are protective factors for ınsomnia, depression, and anxiety among adolescents during the Covid-19 pandemic. Psychol Res Behav Manag, 13:1223-1233.
  • Lymperopoulos IN (2021) Stayhome to contain Covid-19: Neuro-SIR–Neurodynamical epidemic modeling of infection patterns in social networks. Expert Syst Appl, 165:113970.
  • Meherali S, Punjani N, Louie SP, Abdul KR, Das JK, Salam RA et al. S (2021) Mental health of children and adolescents amidst COVID-19 and past pandemics: A rapid systematic review. Int J Environ Res Public Health, 18:3432.
  • Oosterhoff B, Palmer CA, Wilson J, Shook N (2020) Adolescents' motivations to engage in social distancing during the Covid-19 pandemic: associations with mental and social health. J Adolesc Health, 67:179-185.
  • Qi M, Zhou SJ, Guo ZC, Zhang LG, Min HJ, Li XM et al. (2020) The effect of social support on mental health in Chinese adolescents during the outbreak of Covıd-19. J Adolesc Health, 67:514-528.
  • Pınar BŞ, Sismanlar TE, Aslan AT, Ramaslı TG, Soysal AS, Yapar D et al. (2020) Effect of the Covıd‐19 pandemic on anxiety among children with cystic fibrosis and their mothers. Pediatr Pulmonol, 55:2128-2134.
  • Ravens Sieberer U, Kaman A, Erhart M, Devine J, Schlack R, Otto C (2021) Impact of the Covid-19 pandemic on quality of life and mental health in children and adolescents in Germany. Eur Child Adolesc Psychiatry 31:879–889.
  • Ravens Sieberer U, Kaman A, Otto C, Adedeji A,Devine J, Erhart M et al. (2020) Mental health and quality of life in children and adolescents during the Covid-19 pandemic-results of the COPSY study. Dtsch Arztebl Int, 117:828–829
  • Spoorthy MS, Pratapa SK, Mahant S (2020) Mental health problems faced by healthcare workers due to the Covid-19 pandemic–A review. Asian J Psychiatr, 51:102119.
  • Smirni P, Lavanco G, Smirni D (2020) Anxiety in older adolescents at the time of Covid-19. J Clin Med, 9:3064.
  • Şahin B, Hoşoğlu E, Önal BS (2020) Anxiety symptoms in healthcare workers and their children during the Covid-19 pandemic in Turkey. Namık Kemal Tıp Dergisi, 8:321-330.
  • Tang S, Xiang M, Cheung T, Xiang YT (2021) Mental health and its correlates among children and adolescents during Covid-19school closure: the importance of parent-child discussion. J Affect Disord, 279:353-360.
  • Tokur MK, Tok HH, Uzun LN, Pehlivan Ş (2021) Comparison of anxiety levels of hospitalized Covıd‐19 patients, individuals under quarantine, and individuals in society. Perspect Psychiatr Care, 58:149-158.
  • Xie X, Xue Q, Zhon Y, Zhu K (2020) Mental health status among children in home confinement during the coronavirus disease 2019 outbreak in Hubei Province, JAMA Pediatr, 174: 898-900.
  • WHO (2022) Coronavirus Disease (COVID-19) Pandemic. Geneva, World Health Organization
  • Yue J, Zang X, Le Y, An Y (2020) Anxiety, depression and PTSD among children and their parent during 2019 novel coronavirus disease (Covıd-19) outbreak in China. Curr Psychol, 41, 5723–5730
  • Zengin M, Yayan EH, Vicnelioğlu E (2021) The effects of the Covid‐19 pandemic on children's lifestyles and anxiety levels. J Child Adolesc Psychiatr Nurs, 34:236-242.
  • Zhou SJ, Zhang LG, Wang LL, Guo ZC, Wang JQ, Chen JC et al. (2020) Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of Covıd-19. Eur Child Adolesc Psychiatry, 29:749-758.

Covid-19 Salgınında Çocuk ve Ergenlerde Anksiyete: Sistematik Derleme

Year 2023, Volume: 15 Issue: 3, 458 - 467, 30.09.2023
https://doi.org/10.18863/pgy.1139328

Abstract

Bu çalışmada amaç; Covid-19 pandemisi sürecinde çocuk/ergenlerin deneyimlediği anksiyete ve anksiyeteyle ilişkili faktörleri küresel boyutta tanımlamaktır. Çalışma verileri 15.04.2021 ve 30.04.2021 tarihleri arasında, anahtar kelimeler (çocuk, çocuklar, ergen, ergenler, adolesanlar, akıl sağlığı, anksiyete, kaygı ve stres/ child, children, adolescent, adolescents, adolescents, mental health, anxiety, anxiety and stress) Türkçe ve İngilizce kullanılarak toplanmıştır. Bu çalışmanın veri kaynakları; PubMed, Web of Science, ve Google Akademiktir. Değerlendirmeler sonucunda tüm veri tabanlarından toplam n=6185 makaleye ulaşılmıştır. Tam metinlerin değerlendirmesinin ardından n=31 makale ile çalışma tamamlanmıştır. Bu çalışmada değerlendirilen makalelerin n=11’i Çin’de yayınlanmıştır. Çocuk ve ergenlerin anksiyete preveransları %1,84-45,0 arasında değişmektedir. Değerlendirilen çalışmalar sonucunda; kadınların, kronik-psikiyatrik hastalığı bulunanların, büyük yaşta olan, aile üyelerinden ayrı kalan, göçmen çocuk ve ergenlerin anksiyete yaşama ihtimallerinin yüksek olduğu görülmüştür. Çocuk ve ergenlerin anksiyete semptomlarının bazıları, gerginlik, sinirlilik, endişe ve intihar düşüncesidir. Bu derleme çalışması sonucunda, Covid-19 pandemisi sürecinde dünyanın çeşitli ülkelerinde yaşayan, çocuk-ergenlerin anksiyete düzeyleri ve anksiyete ile ilişkili faktörler belirlenmiştir.

Project Number

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References

  • Alves JM, Yunker AG, DeFendis A, Xiang AH, Page KA (2021) BMI status and associations between affect, physical activity and anxiety among US children during Covıd‐19. Pediatrc Obes, 16:e12786.
  • Algül G, Ergin DA (2021) Adolescents’ and parents’ anxiety during Covıd-19 is there a role of cyberchondriasis and emotion regulation through the internet? Curr Psychol, 10:4750-4759.
  • Ariapooran S, Khezeli M (2021) Symptoms of anxiety disorders in Iranian adolescents with hearing loss during the Covid-19 pandemic. BMC Psychiatry, 21:114.
  • Cauberghe V, Wesenbeeck IV, De Jans S, Hudders L, Ponnet K (2021) How adolescents use social media to cope with feelings of loneliness and anxiety during Covid-19 lockdown. Cyberpsychol Behav Soc Netw, 24:250-257.
  • Chen F, Zheng D, Liu J, Gong Y, Guan Z, Lou D (2020) Depression and anxiety among adolescents during Covıd-19: A cross-sectional study. Brain Behav Immun, 88:36-38.
  • Chen X, Qİ H, Liu R, Feng Y, Li W, Xiang M et al. (2021) Depression, anxiety and associated factors among Chinese adolescents during the Covid-19 outbreak: A comparison of two cross-sectional studies. Transl Psychiatry, 11:148.
  • De Pasquale C, Chiappedi M, Sciacca F, Martinelli V, Hichy Z (2021) Online videogames use and anxiety in children during the Covid-19 pandemic. Children, 8:205.
  • Duan L, Shao X, Wang Y, Huang Y, Miao J, Yang X et al. (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.
  • Dvorsky MR, Breaux R, Becker SP (2021) Finding ordinary magic in extraordinary times: Child and adolescent resilience during the Covid-19 pandemic. Eur Child Adolesc Psychiatry, 30:1829-1831.
  • Garcia MA, Hamamoto PTF, Jacob FLDS, Alcantara LRS, Berghammer M, Jenholt NM et al. (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, 17:5757.
  • Gemmati D, Varani K, Bramanti B, Piva R, Bonaccorsi G, Trentini A et al. (2020) “Bridging the Gap” everything that could have been avoided if we had applied gender medicine, pharmacogenetics and personalized medicine in the gender-omics and sex-omics era. Int J Mol Sci, 21:296.
  • Günaydın NC, Baykal S (2021) Evaluation of anxiety level in adolescents diagnosed with asthma during the COVID-19 pandemic period. Namık Kemal Medical Journal, 8:296-302.
  • Hafstad GS, Sætren SS, Wentzel TL, Augusti EM (2021) Adolescents’ symptoms of anxiety and depression before and during the Covid-19 outbreak–A prospective population-based study of teenagers in Norway. Lancet Reg Health Eur, 8:640-651.
  • Kılınçel Ş, Altun FT, Nuryüz Ö, Tan E, Erzincan E, Kılınçel O et al. (2021) Effects of Covid-19 outbreak on children’s mental health: A comparative study with children diagnosed and isolated from their parents. Psychiatry Investig, 18:140-146.
  • Lavigne RC, Costa BL, Juárez RRM, Real MF, Sánchez MML, Navarro IS (2021) Consequences of Covid-19 confinement on anxiety, sleep and executive functions of children and adolescents in Spain. Front Psychol, 12:565516
  • Liu S, Liu Y, Liu Y (2021) Somatic symptoms and concern regarding Covid-19 among Chinese college and primary school students: A cross-sectional survey. Psychiatry Res, 289:113070.
  • Liu R, Chen X, Qİ H, Feng Y, Xiao L, Yuan XF et al. (2021) The proportion and associated factors of anxiety in Chinese adolescents with depression during the Covid-19 outbreak. J Affect Disord, 284:114-119.
  • Loades ME, Chatburn E, Higson NS, Reynolds S, Shafran R, Brigden A et al. (2020) Rapid systematic review: The impact of social isolation and loneliness on the mental health of children and adolescents in the context of COVID-19. J Am Acad Child Adolesc Psychiatry, 59:1218-1239.
  • Lu C, Chi X, Liang K, Chen ST, Huang L, Guo T et al. (2020) Moving more and sitting less as healthy lifestyle behaviors are protective factors for ınsomnia, depression, and anxiety among adolescents during the Covid-19 pandemic. Psychol Res Behav Manag, 13:1223-1233.
  • Lymperopoulos IN (2021) Stayhome to contain Covid-19: Neuro-SIR–Neurodynamical epidemic modeling of infection patterns in social networks. Expert Syst Appl, 165:113970.
  • Meherali S, Punjani N, Louie SP, Abdul KR, Das JK, Salam RA et al. S (2021) Mental health of children and adolescents amidst COVID-19 and past pandemics: A rapid systematic review. Int J Environ Res Public Health, 18:3432.
  • Oosterhoff B, Palmer CA, Wilson J, Shook N (2020) Adolescents' motivations to engage in social distancing during the Covid-19 pandemic: associations with mental and social health. J Adolesc Health, 67:179-185.
  • Qi M, Zhou SJ, Guo ZC, Zhang LG, Min HJ, Li XM et al. (2020) The effect of social support on mental health in Chinese adolescents during the outbreak of Covıd-19. J Adolesc Health, 67:514-528.
  • Pınar BŞ, Sismanlar TE, Aslan AT, Ramaslı TG, Soysal AS, Yapar D et al. (2020) Effect of the Covıd‐19 pandemic on anxiety among children with cystic fibrosis and their mothers. Pediatr Pulmonol, 55:2128-2134.
  • Ravens Sieberer U, Kaman A, Erhart M, Devine J, Schlack R, Otto C (2021) Impact of the Covid-19 pandemic on quality of life and mental health in children and adolescents in Germany. Eur Child Adolesc Psychiatry 31:879–889.
  • Ravens Sieberer U, Kaman A, Otto C, Adedeji A,Devine J, Erhart M et al. (2020) Mental health and quality of life in children and adolescents during the Covid-19 pandemic-results of the COPSY study. Dtsch Arztebl Int, 117:828–829
  • Spoorthy MS, Pratapa SK, Mahant S (2020) Mental health problems faced by healthcare workers due to the Covid-19 pandemic–A review. Asian J Psychiatr, 51:102119.
  • Smirni P, Lavanco G, Smirni D (2020) Anxiety in older adolescents at the time of Covid-19. J Clin Med, 9:3064.
  • Şahin B, Hoşoğlu E, Önal BS (2020) Anxiety symptoms in healthcare workers and their children during the Covid-19 pandemic in Turkey. Namık Kemal Tıp Dergisi, 8:321-330.
  • Tang S, Xiang M, Cheung T, Xiang YT (2021) Mental health and its correlates among children and adolescents during Covid-19school closure: the importance of parent-child discussion. J Affect Disord, 279:353-360.
  • Tokur MK, Tok HH, Uzun LN, Pehlivan Ş (2021) Comparison of anxiety levels of hospitalized Covıd‐19 patients, individuals under quarantine, and individuals in society. Perspect Psychiatr Care, 58:149-158.
  • Xie X, Xue Q, Zhon Y, Zhu K (2020) Mental health status among children in home confinement during the coronavirus disease 2019 outbreak in Hubei Province, JAMA Pediatr, 174: 898-900.
  • WHO (2022) Coronavirus Disease (COVID-19) Pandemic. Geneva, World Health Organization
  • Yue J, Zang X, Le Y, An Y (2020) Anxiety, depression and PTSD among children and their parent during 2019 novel coronavirus disease (Covıd-19) outbreak in China. Curr Psychol, 41, 5723–5730
  • Zengin M, Yayan EH, Vicnelioğlu E (2021) The effects of the Covid‐19 pandemic on children's lifestyles and anxiety levels. J Child Adolesc Psychiatr Nurs, 34:236-242.
  • Zhou SJ, Zhang LG, Wang LL, Guo ZC, Wang JQ, Chen JC et al. (2020) Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of Covıd-19. Eur Child Adolesc Psychiatry, 29:749-758.
There are 36 citations in total.

Details

Primary Language English
Subjects Psychiatry
Journal Section Review
Authors

Makbule Tokur Kesgin 0000-0003-2729-8612

Hümeyra Hançer Tok 0000-0003-3283-4192

Project Number .
Publication Date September 30, 2023
Acceptance Date November 1, 2022
Published in Issue Year 2023 Volume: 15 Issue: 3

Cite

AMA Tokur Kesgin M, Hançer Tok H. Anxiety in Children and Adolescents in the Covid-19 Pandemic: A Systematic Review. Psikiyatride Güncel Yaklaşımlar - Current Approaches in Psychiatry. September 2023;15(3):458-467. doi:10.18863/pgy.1139328

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