Cited by 244COVID-19 and Mental HealthChild and Adolescent Psychosocial and Emotional DevelopmentMaternal Mental Health During Pregnancy and Postpartum

Effects of COVID-19 pandemic on mental health of children and adolescents: A systematic review of survey studies

Open access
Theberath, Monique, Bauer, David, Chen, Weizhi, Salinas, Manisha, Mohabbat, Arya B, Yang, Juan, Chon, Tony Y, Bauer, Brent A +1 more·2022·SAGE Open Medicine

Abstract

Objective: Mental health problems among children and adolescents are increasingly observed during the outbreak of COVID-19, leading to significant healthcare concerns. Survey studies provide unique opportunities for research during this pandemic, while there are no existing systematic reviews in this setting. The objective was to summarize existing survey studies addressing the effects of the current COVID-19 pandemic on the mental health of children and adolescents. Methods: For this systematic review, we performed an electronic search in multiple databases from December 2019 to December 2020. The quality appraisal of the included studies was performed with the Critical Appraisal Skills Programme Qualitative Checklist. Because of the high methodological heterogeneity between studies, a narrative synthesis of the qualitative data was used. Results: In total, 35 survey studies with 65,508 participants, ranging from 4 to 19 years of age, are included in this review. Anxiety (28%), depression (23%), loneliness (5%), stress (5%), fear (5%), tension (3%), anger (3%), fatigue (3%), confusion (3%), and worry (3%) were the most common mental health issues reported. Children and adolescents with psychiatric and/or developmental disorders, such as severe obesity, chronic lung disease, attention deficit hyperactivity disorder, cystic fibrosis, and obsessive-compulsive disorders, were especially vulnerable to the mental health effects of the COVID-19 pandemic. Age, gender, psychological quality, and negative coping strategies were identified as risk factors for the development of mental health problems. Social and family support, along with a positive coping style, was associated with better outcomes. Conclusion: The impact of the COVID-19 pandemic on mental health of children and adolescents is multifaceted and substantial. Survey studies regarding child and adolescent mental health amid COVID-19 indicated that anxiety, depression, loneliness, stress, and tension are the most observed symptoms. Positive coping strategies with family and social support may be important to achieving better outcomes. Due to limited available evidence, more well-designed studies in this area are urgently needed.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1177/20503121221086712

Cites

45 of 45 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Systematic reviews estimated the global prevalence of childhood and teenage depression at 23% and anxiety at 28%.

    “Systematic reviews have estimated the global prevalence of childhood and teenage depression at 23% and anxiety at 28% [2]”

    From Psychological Interventions and Those With Elements of Positive Psychology for Child and Youth Mental Health During the COVID-19 Pandemic: Literature Review, Lessons Learned, and Areas for Future Knowledge Dissemination (2024) · cites this paper as [2]

    The Results section ('Impact of COVID-19 on child and adolescent mental health'; page unavailable) reports anxiety at 28% and depression at 23% among the most frequently reported psychological reactions in the COVID-19 survey studies it reviewed. It does not present those figures as estimates of global prevalence among all children and teenagers. (LLM, conf=0.88)

    Experimental — accuracy not yet measured
  • The COVID-19 pandemic has exerted a substantial influence on the mental well-being of children and adolescents, with specific subgroups especially susceptible.

    “Furthermore, the COVID-19 pandemic has exerted a substantial influence on the mental well-being of children and adolescents, with specific subgroups being especially susceptible to the psychological consequences of the pandemic [55].”
  • Several systematic reviews found that certain child and adolescent populations were at risk for poorer well-being outcomes, including older adolescents, girls, neurodivergent populations, and/or chronic physical conditions, and populations with psychiatric or developmental disorders.

    “Several systematic reviews also found that certain child and adolescent populations were at risk for experiencing poorer well-being outcomes, including older adolescents, girls, neurodivergent populations, and/or chronic physical conditions [23], and populations with psychiatric or developmental disorders (e.g., obesity, lung disease, attention deficit hyperactivity disorder (ADHD), obsessive comp”
  • Methods of increasing children's and adolescents' feelings of belonging to a social group and experiencing positive social rewards can include access to physical exercise, social hobbies, and entertainment.

    “Methods of increasing children’s and adolescents’ feelings of belonging to a social group and experiencing positive social rewards can include access to physical exercise, social hobbies, and entertainment [25,71].”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Theberath, M., Bauer, D., Chen, W., Salinas, M., Mohabbat, A. B., Yang, J., Chon, T. Y., Bauer, B. A., & Wahner-Roedler, D. L.
Affiliations
  • St. Olaf College (US)
  • Century High School, Rochester, MN, USA
  • Mayo Clinic (US)
  • St. Olaf College, Northfield, MN, USA
Venue
SAGE Open Medicine
Published
2022-01
Volume
10
Pages
20503121221086712-20503121221086712
ISSN
2050-3121 (ISSN-L)
OpenAlex
W4225507166
Cited by
244
References
44
Citations by year
2026: 21 · 2025: 35 · 2024: 77 · 2023: 89 · 2022: 21
FWCI
9.28
Type
journal article
Language
en
Open access
Locations
  • SAGE Open Medicine (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
The HEAD Foundation, Singapore
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, depression, loneliness, stress, coping strategies, social support, family support, mental illness, developmental disorders, attention deficit hyperactivity disorder, cystic fibrosis, obsessive-compulsive disorder, morbid obesity, chronic lung disease, risk factors

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review