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SARS-CoV-2 & Children's Mental Health-Assessing Psychiatric Concerns and Potential Solutions: A Narrative Review

DOI https://doi.org/10.70302/jpsim.v1i1.2017
Received: 17 Sep 2020 Accepted: 07 Oct 2020 Published Online: 16 Dec 2020

Abstract

Objective

This review aims to critically evaluate the currently available literature concerning the impact SARS-CoV-2 has had on pediatric mental health.

Methods

An extensive literature review was conducted on four major databases, PubMed, CINAHL, Science Direct and Wiley Online Library; and a pre-print server, medRxiv using keywords of COVID-19 and derivatives, Children and Mental Health,

Results

We highlighted that stress, anxiety, depression, boredom and the fear of getting infected were the main psychiatric disorders found during the SARS-CoV-2 period. These may have resulted from the lack of socialization and isolation from friends, with institutional closure causing more than 890 million students in 114 countries to stay home. Children who are separated from their parents are more likely to experience acute stress disorder and post-traumatic stress disorder, either because they have the infection themselves or because their caregiver has contracted the virus. In order to ensure quality family time, possible ways to overcome these issues include: physical activity, virtual communication, and fostering a safe home atmosphere.

Conclusion

It is suggested that mental health problems have a well-correlated connection to suicide, which is the third largest cause of death among children aged 15-19 years worldwide. Clinicians and child support agencies must step up to ensure the optimal health of children, both physically and psychologically, with certain psychological issues looming, as the pandemic lasts.

Keywords
SARS-CoV-2 COVID-19 Pediatrics Mental Health Affective Disorders

How to Cite This Article

Sajid MI, Tariq J, Waheed AA, Dur-e-Najaf D. SARS-CoV-2 & Children's Mental Health-Assessing Psychiatric Concerns and Potential Solutions: A Narrative Review. J Pak Soc Intern Med. 2020;1(1):74–77. doi:10.70302/jpsim.v1i1.2017

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Conflict of Interest

All authors declare no competing interests.

Disclosed in accordance with ICMJE and COPE guidelines.

Funding

No specific funding was received for this research.

Funder information follows the Crossref Funder Registry standard.

References

  1. C. Huang YW, X. Li, L. Ren, J. Zhao, Y. Hu, L. Zhang, G. Fan, J. Xu, X. Gu, Z. Cheng, T. Yu, J. Xia, Y. Wei, W. Wu, X. Xie, W. Yin, H. Li, M. Liu, Y. Xiao, H. Gao, L. Guo, J. Xie, G. Wang, R. Jiang, Z. Gao, Q. Jin, J. Wang, B. Cao. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506.
  2. Sajid M, Awais S, Salar K, Sherwani M, Abaidullah S, Kamal N, et al. Impact of COVID-19 on pregnancy and childbirth: a systematic review of recent evidence. Biomedica. 2020;36(S2):145-57.
  3. UNESCO. COVID-19 educational disruption and response. [pdated 2020] Available at: [https://en.unesco.org/themes/education-emergencies/coronavirus-school-closures].
  4. Zhai Y, Du X. Mental health care for international Chinese students affected by the COVID-19 outbreak. Lancet Psychiatry. 2020;7(4):e22.
  5. Araújo FJO, de Lima LSA, Cidade PIM, Nobre CB, Neto MLR. Impact Of Sars-Cov-2 And Its Reverberation In Global Higher Education And Mental Health. Psychiatry Res. 2020;288(1):112977.
  6. Dalton L, Rapa E, Stein A. Protecting the psychological health of children through effective communication about COVID-19. The Lancet Child & adolescent health. 2020;4(5):346-7.
  7. Green P. Risks to children and young people during covid-19 pandemic. BMJ. 2020;369(4):1669.
  8. Sajid MI BS, Abaidullah S. “New Bully” in Town or More Opportunities: The Rise in Domestic Violence amidst COVID-19 Outbreak. Biomedica. 2020;36(S2):37-8.
  9. Reuters. Pakistan's deficit and poverty rate to soar due to coronavirus, govt estimates show. [pdated 2020]. Available from: [https://www.dawn.com/news/1557111].
  10. Sajid MI, Tariq J, Waheed AA, Dur EN, Balouch SS, Abaidullah S. Foreseeing a worsening of pediatric malnutrition following SARS-CoV-2 in low and middle-income countries such as Pakistan. Journal of pediatric nursing. 2020:S0882-5963(20)30499-1.
  11. Lee J. Mental health effects of school closures during COVID-19. Lancet Child Adolesc Health. 2020;4(6):421.
  12. Rahman MS, Lassi ZS, Shariful Islam SM. Risks to Bangladeshi children and young people during covid-19 outbreak. BMJ. 2020;369(6):m2299.
  13. Zhai Y, Du X. Addressing collegiate mental health amid COVID-19 pandemic. Psychiatry Res. 2020;288(6):113003.
  14. Shahidi SH, Stewart Williams J, Hassani F. Physical activity during COVID-19 quarantine. Acta Paediatrica. 2020;109(10):2147-8.
  15. Liu JJ, Bao Y, Huang X, Shi J, Lu L. Mental health considerations for children quarantined because of COVID-19. Lancet Child Adolesc Health. 2020;4(5):347-9.
  16. Walters A. Supporting youth and families during COVID-19. The Brown University Child and Adolescent Behavior Letter. 2020;36(6):8.
  17. Wang G, Zhang Y, Zhao J, Zhang J, Jiang F. Mitigate the effects of home confinement on children during the COVID-19 outbreak. Lancet. 2020;395(10228):945-7.
  18. Senkalfa BP, Eyuboglu TS, Aslan AT, Gursoy TR, Soysal AS, Yapar D, et al. Effect of the COVID-19 pandemic on anxiety among children with cystic fibrosis and their mothers. Pediatr Pulmonol. 2020.
  19. Zhang J, Shuai L, Yu H, Wang Z, Qiu M, Lu L, et al. Acute stress, behavioural symptoms and mood states among school-age children with attention-deficit/hyperactive disorder during the COVID-19 outbreak. Asian J Psychiatr 2020;51(6):102077-.
  20. Deslandes SF, Coutinho T. The intensive use of the internet by children and adolescents in the context of COVID-19 and the risks for self-inflicted violence. Cien Saude Colet. 2020;25(1):2479-86.
  21. World Health Organization (WHO) U, Children EVA, Things IG, Health PfL, USAID, Center for Disease Control and Prevention, GCFL. COVID-19 parenting. [Updated 2020]. Available at: [https://www.covid19parenting.com].
  22. UNICEF. How teenagers can protect their mental health during coronavirus. [Updated 2020] Available at: [https://www.unicef.org/coronavirus/how-teenagerscan-protect-their-mental-health-during-coronavirus-covid-19].
  23. Novins DK, Althoff RR, Billingsley MK, Cortese S, Drury SS, Frazier JA, et al. JAACAP's Role in Advancing the Science of Pediatric Mental Health and Promoting the Care of Youth and Families During the COVID-19 Pandemic. J Am Acad Child Adolesc Psychiatry. 2020;59(6):686-8.

Reference list indexed for Google Scholar and ResearchGate. DOI links resolve via doi.org.

CC BY CC BY 4.0 This article is published under the Creative Commons Attribution 4.0 International License. May be shared and adapted with attribution. © 2020 Journal of Pakistan Society of Internal Medicine.