Psychological Impact of COVID-19 on Children and Adolescents: A Systematic Review

Background and aims: The outbreak of COVID-19 led to a significant psychological impact on individuals, particularly those belonging to vulnerable groups. This study aimed to synthesize literature on the psychological impact of COVID-19 among children and adolescents. Methods: Electronic search engi...

Full description

Bibliographic Details
Main Authors: Nishtha Chawla, Ashlyn Tom, Mahadev Singh Sen, Rajesh Sagar
Format: Article
Language:English
Published: SAGE Publishing 2021-07-01
Series:Indian Journal of Psychological Medicine
Online Access:https://doi.org/10.1177/02537176211021789
_version_ 1818832870052986880
author Nishtha Chawla
Ashlyn Tom
Mahadev Singh Sen
Rajesh Sagar
author_facet Nishtha Chawla
Ashlyn Tom
Mahadev Singh Sen
Rajesh Sagar
author_sort Nishtha Chawla
collection DOAJ
description Background and aims: The outbreak of COVID-19 led to a significant psychological impact on individuals, particularly those belonging to vulnerable groups. This study aimed to synthesize literature on the psychological impact of COVID-19 among children and adolescents. Methods: Electronic search engines were used to identify studies till March 2021 that reported symptoms of psychological origin in children and adolescents. Information was extracted using a predefined template, and qualitative analysis was conducted using STROBE. Results: One hundred and two relevant papers were identified. Most of the studies were conducted online or telephonically. The study designs were primarily single group cross-sectional, though a few prospective/retrospective designs were also identified. Studies assessing emotional distress showed variable levels of anxiety and depressive symptoms in the study population, with greater severity of anxiety symptoms among females and older adolescents. Reduced physical activity; delayed sleep time; increased sleep duration, screen time, internet use, and sedentary habits, poor quality of life were other notable findings, often correlating with anxiety/depression. Efforts to address bias, discussion on generalizability of their results, and sample size calculation were not reported in most studies. Conclusion: Psychological impact on children/adolescents is significant, either due to the fear of the illness or social isolation related to COVID-19. One may focus on improving sleep habits and physical activity and regulating internet use for maintaining psychological well-being.
first_indexed 2024-12-19T02:09:53Z
format Article
id doaj.art-9b5fdb866852450cb4df5f4635f7e8fe
institution Directory Open Access Journal
issn 0253-7176
0975-1564
language English
last_indexed 2024-12-19T02:09:53Z
publishDate 2021-07-01
publisher SAGE Publishing
record_format Article
series Indian Journal of Psychological Medicine
spelling doaj.art-9b5fdb866852450cb4df5f4635f7e8fe2022-12-21T20:40:50ZengSAGE PublishingIndian Journal of Psychological Medicine0253-71760975-15642021-07-014310.1177/02537176211021789Psychological Impact of COVID-19 on Children and Adolescents: A Systematic ReviewNishtha Chawla0Ashlyn Tom1Mahadev Singh Sen2Rajesh Sagar3 Dept. of Psychiatry, All India Institute of Medical Sciences, New Delhi, Delhi, India. Dept. of Psychiatry, All India Institute of Medical Sciences, New Delhi, Delhi, India. Dept. of Psychiatry, All India Institute of Medical Sciences, New Delhi, Delhi, India. Dept. of Psychiatry, All India Institute of Medical Sciences, New Delhi, Delhi, India.Background and aims: The outbreak of COVID-19 led to a significant psychological impact on individuals, particularly those belonging to vulnerable groups. This study aimed to synthesize literature on the psychological impact of COVID-19 among children and adolescents. Methods: Electronic search engines were used to identify studies till March 2021 that reported symptoms of psychological origin in children and adolescents. Information was extracted using a predefined template, and qualitative analysis was conducted using STROBE. Results: One hundred and two relevant papers were identified. Most of the studies were conducted online or telephonically. The study designs were primarily single group cross-sectional, though a few prospective/retrospective designs were also identified. Studies assessing emotional distress showed variable levels of anxiety and depressive symptoms in the study population, with greater severity of anxiety symptoms among females and older adolescents. Reduced physical activity; delayed sleep time; increased sleep duration, screen time, internet use, and sedentary habits, poor quality of life were other notable findings, often correlating with anxiety/depression. Efforts to address bias, discussion on generalizability of their results, and sample size calculation were not reported in most studies. Conclusion: Psychological impact on children/adolescents is significant, either due to the fear of the illness or social isolation related to COVID-19. One may focus on improving sleep habits and physical activity and regulating internet use for maintaining psychological well-being.https://doi.org/10.1177/02537176211021789
spellingShingle Nishtha Chawla
Ashlyn Tom
Mahadev Singh Sen
Rajesh Sagar
Psychological Impact of COVID-19 on Children and Adolescents: A Systematic Review
Indian Journal of Psychological Medicine
title Psychological Impact of COVID-19 on Children and Adolescents: A Systematic Review
title_full Psychological Impact of COVID-19 on Children and Adolescents: A Systematic Review
title_fullStr Psychological Impact of COVID-19 on Children and Adolescents: A Systematic Review
title_full_unstemmed Psychological Impact of COVID-19 on Children and Adolescents: A Systematic Review
title_short Psychological Impact of COVID-19 on Children and Adolescents: A Systematic Review
title_sort psychological impact of covid 19 on children and adolescents a systematic review
url https://doi.org/10.1177/02537176211021789
work_keys_str_mv AT nishthachawla psychologicalimpactofcovid19onchildrenandadolescentsasystematicreview
AT ashlyntom psychologicalimpactofcovid19onchildrenandadolescentsasystematicreview
AT mahadevsinghsen psychologicalimpactofcovid19onchildrenandadolescentsasystematicreview
AT rajeshsagar psychologicalimpactofcovid19onchildrenandadolescentsasystematicreview