Narrative review: COVID-19 and pediatric anxiety

Kevin Walsh1, William J Furey1, Narpinder Malhi1

  • 1ChristianaCare Department of Behavioral Health, 501 W 14th Street, Suite 1E40, Wilmington, DE, 19801, United States.

Insights

The COVID-19 pandemic significantly increased pediatric anxiety, affecting 18.9-23.87% of children and 15.4-39.9% of adolescents. Female gender was a key risk factor, while physical activity emerged as a protective measure.

Area of Science:

  • Pediatric Psychology
  • Epidemiology
  • Mental Health

Background:

  • The COVID-19 pandemic heightened concerns about anxiety's impact on children.
  • Existing literature requires synthesis to understand pandemic-related pediatric anxiety.

Purpose of the Study:

  • To review and analyze the literature on the effects of the COVID-19 pandemic on pediatric anxiety.
  • To identify prevalence rates, risk factors, and preventative measures for childhood anxiety during the pandemic.

Main Methods:

  • Systematic literature review of PubMed and Journal of the American Academy of Child & Adolescent Psychiatry databases.
  • Searched using keywords: "anxiety disorder in children during pandemic," "pediatric anxiety OR child anxiety AND COVID," and "social anxiety AND COVID."
  • Analyzed 461 entries, selecting 68 relevant articles for review.

Main Results:

  • Anxiety prevalence ranged from 18.9-23.87% in children and 15.4-39.9% in adolescents during the pandemic.
  • Female gender was identified as the most studied risk factor.
  • Physical activity was the most frequently documented factor for prevention.

Conclusions:

  • The COVID-19 pandemic is a significant contributor to increased anxiety in the pediatric population.
  • Understanding risk and protective factors is crucial for addressing pandemic-related mental health challenges in youth.

Related Concept Videos