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Impact of the COVID-19 pandemic on quality of life and mental health in children and adolescents in Germany

Open access
Ravens-Sieberer, Ulrike, Kaman, Anne, Erhart, Michael, Devine, Janine, Schlack, Robert, Otto, Christiane·2022·European Child & Adolescent Psychiatry
DOI 10.1007/s00787-021-01726-5
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Abstract

The COVID-19 pandemic has caused unprecedented changes in the lives of 1.6 billion children and adolescents. First non-representative studies from China, India, Brazil, the US, Spain, Italy, and Germany pointed to a negative mental health impact. The current study is the first nationwide representative study to investigate the impact of the COVID-19 pandemic on health-related quality of life (HRQoL) and mental health of children and adolescents in Germany from the perspective of children themselves. A representative online survey was conducted among n = 1586 families with 7- to 17-year-old children and adolescents between May 26 and June 10. The survey included internationally established and validated instruments for measuring HRQoL (KIDSCREEN-10), mental health problems (SDQ), anxiety (SCARED), and depression (CES-DC). Results were compared with data from the nationwide, longitudinal, representative BELLA cohort study (n = 1556) conducted in Germany before the pandemic. Two-thirds of the children and adolescents reported being highly burdened by the COVID-19 pandemic. They experienced significantly lower HRQoL (40.2% vs. 15.3%), more mental health problems (17.8% vs. 9.9%) and higher anxiety levels (24.1% vs. 14.9%) than before the pandemic. Children with low socioeconomic status, migration background and limited living space were affected significantly more. Health promotion and prevention strategies need to be implemented to maintain children’s and adolescents’ mental health, improve their HRQoL, and mitigate the burden caused by COVID-19, particularly for children who are most at risk.

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Research works printed but not linked: 30

  1. Walker D, Tolentino V (2020) COVID-19: the impact on pediatric emergency care. Pediatr Emerg Med Pract 17:1–27
  2. Shekerdemian LS, Mahmood NR, Wolfe KK, Riggs BJ, Ross CE, McKiernan CA, Heidemann SM, Kleinman LC, Sen AI, Hall MW, Priestley MA, McGuire JK, Boukas K, Sharron MP, Burns JP (2020) Characteristics and outcomes of children with coronavirus disease 2019 (COVID-19) infection admitted to US and Canadian pediatric intensive care units. JAMA Pediatrics 174(9):868–873. https://doi.org/10.1001/jamapediatrics.2020.1948 (Collaborative ftIC-P) · DOI · Paper page
  3. Zachariah P, Johnson CL, Halabi KC, Ahn D, Sen AI, Fischer A, Banker SL, Giordano M, Manice CS, Diamond R, Sewell TB, Schweickert AJ, Babineau JR, Carter RC, Fenster DB, Orange JS, McCann TA, Kernie SG, Saiman L (2020) Epidemiology, clinical features, and disease severity in patients with coronavirus disease 2019 (COVID-19) in a children’s hospital in New York city, New Yorjk. JAMA Pediatr. https://doi.org/10.1001/jamapediatrics.2020.2430 · DOI · Paper page
  4. Fore HH (2020) A wake-up call: COVID-19 and its impact on children’s health and wellbeing. Lancet Global Health 8(7):e861–e862. https://doi.org/10.1016/S2214-109X(20)30238-2 · DOI
  5. Thomas EY, Anurudran A, Robb K, Burke TF (2020) Spotlight on child abuse and neglect response in the time of COVID-19. The Lancet Public Health 5(7):e371. https://doi.org/10.1016/S2468-2667(20)30143-2 · DOI
  6. Reiss F, Meyrose AK, Otto C, Lampert T, Klasen F, Ravens-Sieberer U (2019) Socioeconomic status, stressful life situations and mental health problems in children and adolescents: Results of the German BELLA cohort-study. PLoS ONE 14(3):e0213700. https://doi.org/10.1371/journal.pone.0213700 · DOI · Paper page
  7. Ravens-Sieberer U, Erhart M, Gosch A, Wille N, Group TEK (2008) Mental health of children and adolescents in 12 European countries—results from the European KIDSCREEN study. Clin Psychol Psychotherapy 15(3):154–163. https://doi.org/10.1002/cpp.574 · DOI · Paper page
  8. Erhart M, Ottova V, Gaspar T, Jericek H, Schnohr C, Alikasifoglu M, Morgan A, Ravens-Sieberer U (2009) Measuring mental health and well-being of school-children in 15 European countries using the KIDSCREEN-10 Index. Int J Public Health 54(Suppl 2):160–166. https://doi.org/10.1007/s00038-009-5407-7 · DOI · Paper page
  9. Solberg Ø, Nissen A, Vaez M, Cauley P, Eriksson AK, Saboonchi F (2020) Children at risk: a nation-wide, cross-sectional study examining post-traumatic stress symptoms in refugee minors from Syria, Iraq and Afghanistan resettled in Sweden between 2014 and 2018. Confl Health 14:67. https://doi.org/10.1186/s13031-020-00311-y · DOI
  10. Klein EM, Müller KW, Wölfling K, Dreier M, Ernst M, Beutel ME (2020) The relationship between acculturation and mental health of 1st generation immigrant youth in a representative school survey: does gender matter? Child Adolesc Psychiatry Ment Health 14:29. https://doi.org/10.1186/s13034-020-00334-6 · DOI
  11. Amerio A, Brambilla A, Morganti A, Aguglia A, Bianchi D, Santi F, Costantini L, Odone A, Costanza A, Signorelli C, Serafini G, Amore M, Capolongo S (2020) COVID-19 lockdown: housing built environment’s effects on mental health. Int J Environ Res Public Health 17:16. https://doi.org/10.3390/ijerph17165973 · DOI · Paper page
  12. Fegert JM, Vitiello B, Plener PL, Clemens V (2020) Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: a narrative review to highlight clinical and research needs in the acute phase and the long return to normality. Child Adolesc Psychiatry Ment Health 14:20. https://doi.org/10.1186/s13034-020-00329-3 · DOI · Paper page
  13. Arnett JJ (2016) The Oxford handbook of emerging adulthood. Oxford University Press, New York, NY, US
  14. Yeasmin S, Banik R, Hossain S, Hossain MN, Mahumud R, Salma N, Hossain MM (2020) Impact of COVID-19 pandemic on the mental health of children in Bangladesh: a cross-sectional study. Child Youth Ser Rev 117:105277. https://doi.org/10.1016/j.childyouth.2020.105277 · DOI · Paper page
  15. Garcia de Avila MA, Hamamoto Filho PT, Jacob F, Alcantara LRS, Berghammer M, Jenholt Nolbris M, Olaya-Contreras P, Nilsson S (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 17:16. https://doi.org/10.3390/ijerph17165757 · DOI · Paper page
  16. Gassman-Pines A, Ananat EO, Fitz-Henley J (2020) COVID-19 and parent-child psychological well-being. Pediatrics 146(4):e2020007294. https://doi.org/10.1542/peds.2020-007294 · DOI
  17. Ezpeleta L, Navarro JB, de la Osa N, Trepat E, Penelo E (2020) Life conditions during COVID-19 lockdown and mental health in spanish adolescents. Int J Environ Res Public Health 17:19. https://doi.org/10.3390/ijerph17197327 · DOI · Paper page
  18. Calmbach M, Flaig B, Edwards J, Möller-Slawinski H, Borchard I, Schleer C (2010) Wie ticken Jugendliche? Lebenswelten von Jugendlichen im Alter von 14 bis 17 Jahren in Deutschland. Bundeszentrale für politische Bildung, Bonn
  19. Ravens-Sieberer U, Otto C, Kriston L, Rothenberger A, Döpfner M, Herpertz-Dahlmann B, Barkmann C, Schön G, Hölling H, Schulte-Markwort M (2015) The longitudinal BELLA study: design, methods and first results on the course of mental health problems. Eur Child Adolesc Psychiatry 24(6):651–663 · DOI
  20. Lange M, Hoffmann R, Mauz E, Houben R, Gößwald A, Schaffrath Rosario A, Kurth BM (2018) KiGGS Wave 2 longitudinal component: data collection design and developments in the number of participants in the KiGGS cohort. J Health Monit 3(1):92–107. https://doi.org/10.17886/RKI-GBE-2018-035 · DOI
  21. Ravens-Sieberer U, Herdman M, Devine J, Otto C, Bullinger M, Rose M, Klasen F (2014) The European KIDSCREEN approach to measure quality of life and well-being in children: development, current application, and future advances. Qual Life Res 23(3):791–803. https://doi.org/10.1007/s11136-013-0428-3 · DOI · Paper page
  22. Barkmann C, Erhart M, Schulte-Markwort M, Bella Study Group (2008) The German version of the centre for epidemiological studies depression scale for children: psychometric evaluation in a population-based survey of 7–17 years old children and adolescents–results of the BELLA study. Eur Child Adolesc Psychiatry 17(Suppl 1):116–124. https://doi.org/10.1007/s00787-008-1013-0 · DOI
  23. Woerner W, Becker A, Friedrich C, Rothenberger A, Klasen H, Goodman R (2002) Normierung und Evaluation der deutschen Elternversion des Strengths and Difficulties Questionnaire (SDQ): Ergebnisse einer repräsentativen Felderhebung. Z Kinder Jugen Psychiatrie Psych Z Kinder Jugendpsychiat Psych 30:105–112. https://doi.org/10.1024//1422-4917.30.2.105 · DOI · Paper page
  24. Haugland S, Wold B, Stevenson J, Aaroe LE, Woynarowska B (2001) Subjective health complaints in adolescence. A cross-national comparison of prevalence and dimensionality. Eur J Public Health 11(1):4–10. https://doi.org/10.1093/eurpub/11.1.4 · DOI · Paper page
  25. McLaughlin KA, Gadermann AM, Hwang I, Sampson NA, Al-Hamzawi A, Andrade LH, Angermeyer MC, Benjet C, Bromet EJ, Bruffaerts R, Caldas-de-Almeida JM, de Girolamo G, de Graaf R, Florescu S, Gureje O, Haro JM, Hinkov HR, Horiguchi I, Hu C, Karam AN, Kovess-Masfety V, Lee S, Murphy SD, Nizamie SH, Posada-Villa J, Williams DR, Kessler RC (2012) Parent psychopathology and offspring mental disorders: results from the WHO world mental health surveys. Br J Psychiatry 200(4):290–299. https://doi.org/10.1192/bjp.bp.111.101253 · DOI · Paper page
  26. Crum KI, Moreland AD (2017) Parental stress and children’s social and behavioral outcomes: the role of abuse potential over time. J Child Fam Stud 26(11):3067–3078. https://doi.org/10.1007/s10826-017-0822-5 · DOI
  27. Mazza C, Ricci E, Marchetti D, Fontanesi L, Di Giandomenico S, Verrocchio MC, Roma P (2020) How personality relates to distress in parents during the Covid-19 lockdown: the mediating role of child’s emotional and behavioral difficulties and the moderating effect of living with other people. Int J Environ Res Public Health 17:17. https://doi.org/10.3390/ijerph17176236 · DOI
  28. Fontanesi L, Marchetti D, Mazza C, Di Giandomenico S, Roma P, Verrocchio MC (2020) The effect of the COVID-19 lockdown on parents: a call to adopt urgent measures. Psychol Trauma 12(S1):S79-s81. https://doi.org/10.1037/tra0000672 · DOI · Paper page
  29. Moylan CA, Herrenkohl TI, Sousa C, Tajima EA, Herrenkohl RC, Russo MJ (2010) The effects of child abuse and exposure to domestic violence on adolescent internalizing and externalizing behavior problems. J Fam Violence 25(1):53–63. https://doi.org/10.1007/s10896-009-9269-9 · DOI · Paper page
  30. Schneider W, Waldfogel J, Brooks-Gunn J (2017) The great recession and risk for child abuse and neglect. Child Youth Serv Rev 72:71–81. https://doi.org/10.1016/j.childyouth.2016.10.016 · DOI · Paper page

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Metadata

Authors
Ravens-Sieberer, U., Kaman, A., Erhart, M., Devine, J., Schlack, R., & Otto, C.
Venue
European Child & Adolescent Psychiatry
Publisher
Springer Science and Business Media LLC
Published
2021-01-25
Volume
31
Issue
6
Pages
879-889
ISSN
  • 1018-8827 (ISSN-L)
  • 1435-165X
DOI
10.1007/s00787-021-01726-5
OpenAlex
W3122397547
Cited by
1,029
References
16
FWCI
145.41
Type
journal article
Language
en
Open access
hybrid
Licence
Funders
Projekt DEAL

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CoChat. (2026). Citation check: Impact of the COVID-19 pandemic on quality of life and mental health in children and adolescents in Germany. https://app.cochat.ai/papers/10.1007/s00787-021-01726-5
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Ravens-Sieberer, U., Kaman, A., Erhart, M., Devine, J., Schlack, R., & Otto, C. (2022). Impact of the COVID-19 pandemic on quality of life and mental health in children and adolescents in Germany. European Child & Adolescent Psychiatry. https://doi.org/10.1007/s00787-021-01726-5

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