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Interventions to Ameliorate the Psychosocial Effects of the COVID-19 Pandemic on Children-A Systematic Review
Katharina Boldt1,2, Michaela Coenen1,2, Ani Movsisyan1,2
1Institute for Medical Information Processing, Biometry and Epidemiology-IBE, Chair of Public Health and Health Services Research, LMU Munich, Elisabeth-Winterhalter-Weg 6, 81377 Munich, Germany.
Insights
This review found few studies on psychosocial interventions for children during the COVID-19 pandemic. More research is needed to support child mental health management during outbreaks.
Area of Science:
- Child and Adolescent Psychology
- Public Health
- Epidemiology
Background:
- The COVID-19 pandemic significantly impacted child and caregiver psychosocial well-being.
- There is a growing need for effective interventions to address mental health challenges in children during pandemics.
Purpose of the Study:
- To identify interventions for children and caregivers to mitigate psychosocial problems during the COVID-19 pandemic and similar outbreaks.
- To systematically review existing research on psychosocial interventions for pediatric populations during health crises.
Main Methods:
- Systematic literature search across major databases (MEDLINE, Embase, PsycINFO) and COVID-19 specific resources.
- Inclusion of 11 study protocols from planned trials in China, US, Canada, UK, and Hungary.
- Analysis of interventions targeting children (≥10 years) and system-based interventions for parents/caregivers.
Main Results:
- A limited number of studies (11 protocols) were identified focusing on psychosocial interventions.
- Interventions included direct approaches for older children and system-based approaches for caregivers of younger children.
- Outcome measures primarily assessed anxiety, depressive symptoms, stress, psychosocial well-being, and relationship quality.
Conclusions:
- A significant paucity of research exists on psychosocial interventions for children during the COVID-19 pandemic.
- Further research is crucial to meet the anticipated demand for child mental health services during and after pandemics.
Abstract:
The aim of this study was to identify interventions targeting children and their caregivers to reduce psychosocial problems in the course of the COVID-19 pandemic and comparable outbreaks. The review was performed using systematic literature searches in MEDLINE, Embase, PsycINFO and COVID-19-specific databases, including the CDC COVID-19 Research Database, the World Health Organisation (WHO) Global Database on COVID-19 Research and the Cochrane COVID-19 Study Register, ClinicalTrials.gov, the EU Clinical Trials Register and the German Clinical Trials Register (DRKS) up to 25th September 2020. The search yielded 6657 unique citations. After title/abstract and full text screening, 11 study protocols reporting on trials planned in China, the US, Canada, the UK, and Hungary during the COVID-19 pandemic were included. Four interventions targeted children ≥10 years directly, seven system-based interventions targeted the parents and caregivers of younger children and adolescents. Outcome measures encompassed mainly anxiety and depressive symptoms, different dimensions of stress or psychosocial well-being, and quality of supportive relationships. In conclusion, this systematic review revealed a paucity of studies on psychosocial interventions for children during the COVID-19 pandemic. Further research should be encouraged in light of the expected demand for child mental health management.
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