Changes in Depression and Anxiety Among Children and Adolescents From Before to During the Covid-19 Pandemic

A Systematic Review and Meta-analysis

Dados Bibliográficos

ID23335247
AutoresSheri Madigan (0000-0002-7536-3258, University of Calgary, autor correspondente), Nicole Racine (0000-0002-6371-6570, University of Ottawa), Tracy Vaillancourt (0000-0002-9058-7276, University of Ottawa), Daphne J Korczak (Department of Psychiatry, Hospital for Sick Children, Toronto, Ontario, Canada), Daphne Korczak (0000-0002-0061-7495, University of Toronto), Jackson M A Hewitt (0000-0002-0432-9853, University of Calgary), Paolo Pador (0000-0001-6039-6439, University of Calgary), Joanne L Park (0000-0001-5014-4510, University of Calgary), Brae Anne McArthur (0000-0001-9141-7095, University of Calgary), Celeste Holy (University of Calgary), Ross D Neville (0000-0002-2064-5952, University College Dublin)
Ano2023
Volume177
Fascículo6
Páginas567
Data de publicação2023-06-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoJAMA Pediatrics (JOURNAL)
Identificadores do periódicoISSN: 2168-6203 • E-ISSN: 2168-6211
EditoraAmerican Medical Association (AMA) (PUBLISHER)
DOI10.1001/jamapediatrics.2023.0846
PMID37126337
OpenAlexW4367600554
IdiomaEN
Citações recebidas53
Referências citadas116

Importance There is a growing body of high-quality cohort-based research that has examined changes in child and adolescent mental health during the COVID-19 pandemic vs before the pandemic. Some studies have found that child and adolescent depression and anxiety symptoms have increased, while others have found these symptoms to have remained stable or decreased. Objective To synthesize the available longitudinal cohort-based research evidence to estimate the direction and magnitude of changes in depression and anxiety symptoms in children and adolescents assessed before and during the pandemic. Data Sources Medline, Embase, and PsycInfo were searched for studies published between January 1, 2020, and May 17, 2022. Study Selection Included studies reported on depression and/or anxiety symptoms, had cohort data comparing prepandemic to pandemic estimates, included a sample of children and/or adolescents younger than 19 years, and were published in English in a peer-reviewed journal. Data Extraction and Synthesis In total, 53 longitudinal cohort studies from 12 countries with 87 study estimates representing 40 807 children and adolescents were included. Main Outcomes and Measures Standardized mean changes (SMC) in depression and anxiety symptoms from before to during the pandemic. Results The analysis included 40 807 children and adolescents represented in pre–COVID-19 studies and 33 682 represented in during–COVID-19 studies. There was good evidence of an increase in depression symptoms (SMC, 0.26; 95% CI, 0.19 to 0.33). Changes in depression symptoms were most conclusive for study estimates among female individuals (SMC, 0.32; 95% CI, 0.21 to 0.42), study estimates with mid to high income (SMC, 0.35; 95% CI, 0.07 to 0.63), and study estimates sourced from North America (SMC, 0.25; 95% CI, 0.15 to 0.36) and Europe (SMC, 0.35; 95% CI, 0.17 to 0.53). There was strong evidence that anxiety symptoms increased slightly during the pandemic (SMC, 0.10; 95% CI, 0.04 to 0.16), and there was some evidence of an increase in study estimates with mid to high income. Conclusions This systematic review and meta-analysis of longitudinal studies including children and adolescents found an increase in depression symptoms during the COVID-19 pandemic, particularly among female individuals and those from relatively higher-income backgrounds.

Anxiety · Cohort · Cohort study · Coronavirus disease 2019 (COVID-19) · Depression (economics) · Disease · Longitudinal study · MEDLINE · Mental health · Pandemic · Psychiatry · PsycINFO · Child and Adolescent Psychosocial and Emotional Development · COVID-19 and Mental Health · Health, Environment, Cognitive Aging · Internal Medicine · Medicine · Pediatrics