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An investigation of mental health status of children and adolescents in china during the outbreak of COVID-19
Open accessAbstract
Highlight • Children and adolescents who are often neglected in the wake of the outbreak were taken as subjects to investigate their mental health status and analyze the related influencing factors during the global pandemic of COVID-19.• The presence of clinical depressive symptoms, resident in urban regions, implementation of the precaution and control measures, being female, having a family member or friend infected with coronavirus were associated with increased levels of anxiety.• Smartphone addiction, Internet addiction, resident in Hubei province and urban areas, family members or friends infected with coronavirus, graduation affected by the epidemic, levels of separation anxiety, physical injury fear, and tendency to adopt an emotion-focused coping style were associated with increased levels of respondents’ depressive symptoms.• It's urgent to concern and address emotional distress for children and adolescents during the epidemic. Targeted intervention measures could be formulated based on the significant influencing factors on anxiety and clinical depressive symptoms.
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“Depression and anxiety were higher among children and adolescents in other pandemics, and specifically COVID‑19 [22,23,24,25,26,27,28,29,30,31,32,33,34].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Studies also reported that female adolescents showed higher depression and anxiety levels during COVID‑19 than male adolescents did [23,24,25,32,33].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“The respondents in Ellis et al.’s (2020) and Duan et al.’s (2020) studies reported that adolescents spent 5–10 h per day online, which is a potential risk factor for addiction to the Internet or smartphone [24,25].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as Duan et al. (2020)
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“The respondents in Ellis et al.’s (2020) and Duan et al.’s (2020) studies reported that adolescents spent 5–10 h per day online, which is a potential risk factor for addiction to the Internet or smartphone [24,25].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“The respondents in Ellis et al.’s (2020) and Duan et al.’s (2020) studies reported that adolescents spent 5–10 h per day online, which is a potential risk factor for addiction to the Internet or smartphone [24,25].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measured
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Seven studies reported that lifestyle transformation such as school closure, physical distancing, quarantine, isolation, and the threat of being infected is associated with depression and anxiety disorders among children and adolescents [18,21,24,25,29,30,34].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Specifically, impairments in mental health leave children and adolescents with increased emotional stress, feelings of helplessness, and fear, which can evolve into mental illnesses such as anxiety, depression, and posttraumatic stress symptoms [18,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“The results are overwhelming and demonstrate that pandemics are precursors to mental health decline [18,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“The consequences of the decline in mental health in young populations lead to engagement in unhealthy behaviors such as substance abuse, absenteeism from work, and school interruptions [22,24,27,28,33].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“These results demonstrate that pandemics markedly contribute to a wide breadth of negative mental health consequences for children and adolescents, which establishes the critical need to explore effective strategies to promote positive mental health during pandemics.”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“The current global pandemic has resulted in a significant increase in the number of hours that children and adolescents spend online and on social media [24,25].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“As a result, it will alleviate the psychological distress and associated risky social and behavioral problems of children and adolescents, as we reported earlier [23,24,26,27,30,32].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Because female adolescents have a higher risk of depression and anxiety during the COVID‑19 pandemic [23,24,25,32,33], generating mental health-promoting strategies specific to these gender and age categories is critical.”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Because depression and anxiety disorders are associated with the closure of schools, physical-distancing measures, and the increased time that children and adolescents spend online during pandemics [18,21,24,25,29,30,34], delivering informative educational materials through online media will give adolescents an opportunity to utilize their online hours productively by staying well-informed.”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [24]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“on the COVID‑19 pandemic reported that the current pandemic has significantly affected the emotional and behavioral experience of children and adolescents [22,23,24,25,26,27,28,29,30,31,32,33,34].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [24]
The cited source says what the claim attributes to it.
In the citing paper
“Duan et al. (2020) noted that smartphone addiction (OR 1.41, 95% CI: 1.10–1.18) and Internet addiction (OR 1.84, 95% CI: 1.21–2.81) are significantly associated with clinical depressive symptoms among children and adolescents [24].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as Duan et al. (2020)
The cited source says what the claim attributes to it.
In the citing paper
“Duan et al. (2020) noted that smartphone addiction (OR 1.41, 95% CI: 1.10–1.18) and Internet addiction (OR 1.84, 95% CI: 1.21–2.81) are significantly associated with clinical depressive symptoms among children and adolescents [24].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [24]
The cited source says what the claim attributes to it.
In the citing paper
“Duan et al. (2020) noted that smartphone addiction (OR 1.41, 95% CI: 1.10–1.18) and Internet addiction (OR 1.84, 95% CI: 1.21–2.81) are significantly associated with clinical depressive symptoms among children and adolescents [24].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as Duan et al. (2020)
The cited source says what the claim attributes to it.
In the citing paper
“Duan et al. (2020) noted that smartphone addiction (OR 1.41, 95% CI: 1.10–1.18) and Internet addiction (OR 1.84, 95% CI: 1.21–2.81) are significantly associated with clinical depressive symptoms among children and adolescents [24].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [24]
The cited source says what the claim attributes to it.
In the citing paper
“Our findings from this current review shed light on the significant impact of pandemics on the mental health of children and adolescents.”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [24]
The cited source says what the claim attributes to it.
In the citing paper
“The majority of studies that we reviewed have revealed the impact of pandemics on the decline of children’s and adolescents’ mental health [18,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34].”
From Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review (2021) · cites this paper as [24]
In the citing paper
“Five studies remained, which were all cross-sectional studies, conducted in China, and the variables most commonly measured were depression and anxiety [14–18].”
From Mental Health Impact of COVID-19 among Children and College Students: A Systematic Review (2023) · cites this paper as [15]
In the citing paper
“our findings of five studies on children and 16 studies on college students”
From Mental Health Impact of COVID-19 among Children and College Students: A Systematic Review (2023) · cites this paper as [15]
In the citing paper
“the variables most commonly measured were depression and anxiety [14–18]”
From Mental Health Impact of COVID-19 among Children and College Students: A Systematic Review (2023) · cites this paper as [15]
In the citing paper
“These findings are in line with previous research [14,29,37], which indicates that the restrictions associated with the COVID-19 pandemic have impacted the psychosocial wellbeing of young people.”
From A Qualitative Study of Child and Adolescent Mental Health during the COVID-19 Pandemic in Ireland (2021) · cites this paper as [37]
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Metadata
- Authors
- Duan, L., Shao, X., Wang, Y., Huang, Y., Miao, J., Yang, X., & Zhu, G.
- Affiliations
- Chengde Medical University (CN)
- First Hospital of China Medical University (CN)
- Sheng Jing Hospital (CN)
- Liaoning Provincial People's Hospital (CN)
- Corresponding author
- Zhu, Gang
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2020-10
- Volume
- 275
- Pages
- 112-118
- ISSN
- 0165-0327 (ISSN-L)
- PMC
- PMC7329661
- OpenAlex
- W3039247277
- Semantic Scholar
- 22c17a50bef1cfc8082104dcf90feeb0450e38b7
- Cited by
- 991
- References
- 39
- Citations by year
- 2026: 26 · 2025: 59 · 2024: 124 · 2023: 215 · 2022: 256 · 2021: 258 · 2020: 51
- FWCI
- 77.60
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- COVID-19 pandemic, child mental health, adolescent mental health, anxiety, depressive symptoms, coping styles, emotion-focused coping, problem-focused coping, smartphone addiction, internet addiction, Hubei Province
- MeSH terms
- COVID-19, Adaptation, Psychological, Adolescent, Anxiety, Child, Depression, Disease Outbreaks, Female, Humans, Male, Mental Health, Pneumonia, Viral, Surveys and Questionnaires, Stress, Psychological, Coronavirus Infections, Pandemics
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