立陶宛 COVID-19 大流行第二年的儿童心理健康：家长和儿童的观点。

Children's mental health during the second year of COVID-19 pandemic in Lithuania: Parents' and children's perspectives.

机构信息

Lithuanian University of Health Sciences, Kaunas, Lithuania; Hospital of Lithuanian University of Health Sciences Kauno klinikos, Kaunas, Lithuania.

出版信息

Pediatr Neonatol. 2023 Sep;64(5):596-603. doi: 10.1016/j.pedneo.2022.12.017. Epub 2023 Mar 15.

DOI:10.1016/j.pedneo.2022.12.017

PMID:36964049

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10014498/

Abstract

BACKGROUND

Understanding the long-term consequences of the COVID-19 pandemic on children's mental health is needed to deal with it successfully. Our study focuses on the pandemic's impact on children's mental health in the middle of its second year in Lithuania.

AIM

To assess the impact of the pandemic and related restrictions on the mental health of 11-17-year-old children in the second year of the pandemic from the perspectives of children and parents.

METHODS

389 11-17-year-old children and 392 parents/guardians participated in the study. Data were collected from March 9, 2021, to April 30, 2021. A cross-sectional study was conducted with two online questionnaires. Children provided information about changes in emotions and behavior during quarantine, and the influence this had on interpersonal relationships. Parents/guardians answered questions on their children's emotional state, behavior, relationships, and daily life.

RESULTS

Anxiety was the most frequent children's complaint. Girls reported the experience of getting angry more easily, anxiety, stress and tensions, profound tiredness, overall negative changes, and they were more worried about family and friends being infected, while boys were unable to participate in daily activities and were less worried about being infected. Children more frequently than parents reported severe loneliness, sadness, fatigue, impaired concentration, increased sleeping time, improved interpersonal relationships with friends and impaired ones with siblings, and feeling severely worried about family members or friends being infected. Parents more frequently reported children's inability to participate in daily activities, improved children-parent relations, and severe children's anxiety about being infected.

CONCLUSION

In its second year, the pandemic continues to have an extensive negative impact on children's mental health. Significant discrepancies were found between children and parents' perceptions of quarantine consequences on children's mental health, as parents tend to underestimate it. Such undervaluation can be an obstacle to getting mental health services for those children in need of them.

摘要

背景

为了成功应对新冠疫情对儿童心理健康的长期影响，有必要了解其对儿童心理健康的影响。我们的研究重点是在立陶宛疫情进入第二年之际，研究疫情对 11-17 岁儿童心理健康的影响。

目的

从儿童和家长的角度评估疫情及其相关限制对疫情第二年 11-17 岁儿童心理健康的影响。

方法

389 名 11-17 岁的儿童和 392 名家长/监护人参与了这项研究。数据收集于 2021 年 3 月 9 日至 4 月 30 日，采用横断面研究，进行了两项在线问卷调查。儿童提供了有关隔离期间情绪和行为变化的信息，以及这些变化对人际关系的影响。家长/监护人回答了有关孩子情绪状态、行为、人际关系和日常生活的问题。

结果

焦虑是儿童最常见的抱怨。女孩报告更容易生气、焦虑、压力和紧张、极度疲劳、整体负面变化，她们更担心家人和朋友感染，而男孩则无法参与日常活动，对感染的担忧较少。儿童比家长更频繁地报告严重孤独、悲伤、疲劳、注意力不集中、睡眠时间增加、与朋友的人际关系改善和与兄弟姐妹的人际关系恶化，以及对家人或朋友感染的严重担忧。家长更频繁地报告孩子无法参与日常活动、改善了孩子与父母的关系以及孩子对感染的严重焦虑。