The impact of the COVID-19 pandemic on the physical and mental health of children and adolescents
DOI:
https://doi.org/10.15574/SP.2025.1(145).2331Keywords:
COVID-19, children, adolescents, physical activity, concerns, gained experienceAbstract
The aim of this study is to identify the most significant factors that influenced the quality of life of school-aged children with chronic non-communicable diseases during COVID-19.
Materials and methods. There were 2.905 respondents in total: 2.135 children aged 10-18 years who studied in general secondary education institutions (health groups 1-3), 770 children and adolescents who sought help at the clinics (health groups 4-5).
Results. The most significant issue for all children and adolescents in the context of the COVID-19 pandemic was the threat of illness of their relatives. The second most significant issue was that children could not attend school and had to start online learning. The most common place to find information about COVID-19 was on the Internet, less often from parents, and even less often from the media and friends. Most children and adolescents did not notice any changes in their health (84.3%). Of those who experienced changes, 22.5% reported feeling unwell, drowsiness, weakness, disability, fatigue, 21.2% reported physical inactivity, and 26.5% reported deteriorating vision. They also complained of headaches, migraines, weight gain, knee pain, high blood sugar, and other. As a manifestation of the impact on the emotional and psychological state, children reported mood swings, depressive thoughts, aggressiveness, irritability, agitation, and emotional instability (14.2%). Concerns about the COVID-19 pandemic were expressed primarily in anxiety and tension in 27.3% of respondents almost constantly and 24.8% - sometimes (“from time to time”); 25.5% admitted to a sense of uncertainty and instability; 19.4% were threatened with COVID-19.
Conclusions. Children have gained some experience and have prioritized the realization of the value of life and health, not only their own but also their loved ones. The second and third places were shared by mastering online learning, the ability to manage their time wisely, and expanding knowledge of hygiene skills during the pandemic. About 12% of children and adolescents have reconsidered their attitude to communication and having friends, connections with society, and have acquired new hobbies.
No conflict of interests was declared by the authors.
References
Achterberg M, Dobbelaar S, Boer OD, Crone EA. (2021). Perceived stress as mediator for longitudinal effects of the COVID-19 lockdown on wellbeing of parents and children. Sci Rep. 11(1): 2971. https://doi.org/10.1038/s41598-021-81720-8; PMid:33536464 PMCid:PMC7859207
Amorim R, Catarino S, Miragaia P, Ferreras C, Viana V, Guardiano M. (2020). The impact of COVID-19 on children with autism spectrum disorder. Rev Neurol. 71(8): 285-291. https://doi.org/10.33588/rn.7108.2020381; PMid:33034366
Ashikkali L, Carroll W, Johnson C. (2020). The indirect impact of COVID-19 on child health. Paediatrics and Child Health. 30(12): 430-437. https://doi.org/10.1016/j.paed.2020.09.004; PMid:32959000 PMCid:PMC7494255
Bentenuto A, Mazzoni N, Giannotti M, Venuti P, de Falco S. (2021). Psychological impact of Covid-19 pandemic in Italian families of children with neurodevelopmental disorders. Res Dev Disabil. 109: 103840. https://doi.org/10.1016/j.ridd.2020.103840; PMid:33383468 PMCid:PMC9186313
Bignardi G, Dalmaijer ES, Anwyl-Irvine AL, Smith TA, Siugzdaite R et al. (2020). Longitudinal increases in childhood depression symptoms during the COVID-19 lockdown. Arch Dis Child. 106(8): 791-797. https://doi.org/10.1136/archdischild-2020-320372; PMid:33298552 PMCid:PMC7733224
Biradar V, Dalvi P. (2020). Impact of COVID19 on Child Health: Parents Perspective. International Journal of Nursing Education and Research. 8(4): 463-467. https://doi.org/10.5958/2454-2660.2020.00102.7
Commodari E, La Rosa VL (2020). Adolescents in Quarantine During COVID-19 Pandemic in Italy: Perceived Health Risk, Beliefs, Psychological Experiences and Expectations for the Future. Front Psychol. 11: 559951. https://doi.org/10.3389/fpsyg.2020.559951; PMid:33071884 PMCid:PMC7538632
D'Souza D, Empringham J, Pechlivanoglou P, Uleryk EM, Cohen E, Shulman R. (2023). Incidence of Diabetes in Children and Adolescents During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. JAMA Netw Open. 6(6): e2321281. https://doi.org/10.1001/jamanetworkopen.2023.21281; PMid:37389869 PMCid:PMC10314307
Ellis WE, Dumas TM, Forbes LM (2020). Physically isolated but socially connected: Psychological adjustment and stress among adolescents during the initial COVID-19 crisis. Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement. 52(3): 177. https://doi.org/10.1037/cbs0000215
Ellis WE, Zarbatany L. (2017). Understanding processes of peer clique influence in late childhood and early adolescence. Child Development Perspectives. 11(4): 227-232. https://doi.org/10.1111/cdep.12248
Flaxman S, Whittaker C, Semenova E, Rashid T, Parks RM, Blenkinsop A et al. (2023). Assessment of COVID-19 as the underlying cause of death among children and young people aged 0 to 19 years in the US. JAMA Netw Open. 6(1): e2253590. https://doi.org/10.1001/jamanetworkopen.2022.53590; PMid:36716029 PMCid:PMC9887489
Francisco R, Pedro M, Delvecchio E, Espada JP, Morales A et al. (2020). Psychological symptoms and behavioral changes in children and adolescents during the early phase of COVID-19 quarantine in three European countries. Front Psychiatry. 11: 570164. https://doi.org/10.3389/fpsyt.2020.570164; PMid:33343415 PMCid:PMC7744455
Giannopoulou I, Efstathiou V, Triantafyllou G, Korkoliakou P, Douzenis A. (2021). Adding stress to the stressed: Senior high school students' mental health amidst the COVID-19 nationwide lockdown in Greece. Psychiatry Res. 295: 113560. https://doi.org/10.1016/j.psychres.2020.113560; PMid:33187723 PMCid:PMC7647459
Goldfeld S, O'Connor E, Sung V, Roberts G, Wake M et al. (2022). Potential indirect impacts of the COVID-19 pandemic on children: a narrative review using a community child health lens. Medical Journal Australia. 216(7): 364-372. https://doi.org/10.5694/mja2.51368; PMid:35066868
Graell M, Morón-Nozaleda MG, Camarneiro R, Villaseñor Á, Yáñez S, Muñoz R et al. (2020). Children and adolescents with eating disorders during COVID-19 confinement: Difficulties and future challenges. Eur Eat Disord Rev. 28(6): 864-870. https://doi.org/10.1002/erv.2763; PMid:32729139
Guo Z, Zhang Y, Liu Q. (2023). Bibliometric and visualization analysis of research trend in mental health problems of children and adolescents during the COVID-19 pandemic. Front Public Health. 10: 1040676. https://doi.org/10.3389/fpubh.2022.1040676; PMid:36684924 PMCid:PMC9853402
Hedderson MM, Bekelman TA, Li M, Knapp EA, Palmore M, Dong Y et al. (2023). Trends in screen time use among children during the COVID-19 pandemic, July 2019 through August 2021. JAMA Netw Open. 1: 6(2): e2256157. https://doi.org/10.1001/jamanetworkopen.2022.56157; PMid:36790805 PMCid:PMC9932850
Kauhanen L, Wan Mohd Yunus WMA, Lempinen L, Peltonen K, Gyllenberg D, Mishina K, et al. (2023). A systematic review of the mental health changes of children and young people before and during the COVID-19 pandemic. Eur Child Adolesc Psychiatry. 32(6): 995-1013. https://doi.org/10.1007/s00787-022-02060-0; PMid:35962147 PMCid:PMC9373888
Lecuelle F, Leslie W, Huguelet S, Franco P, Putois B. (2020). Did the COVID-19 lockdown really have no impact on young children's sleep? J Clin Sleep Med. 16(12): 2121. https://doi.org/10.5664/jcsm.8806; PMid:32975192 PMCid:PMC7848939
Liu Y, Yue S, Hu X, Zhu J, Wu Z, Wang J, Wu Y. (2021). Associations between feelings/behaviors during COVID-19 pandemic lockdown and depression/anxiety after lockdown in a sample of Chinese children and adolescents. J Affect Disord. 284: 98-103. https://doi.org/10.1016/j.jad.2021.02.001; PMid:33592433 PMCid:PMC8771471
Mayra ST, Kandiah J, McIntosh CE. (2023). COVID-19 and health in children and adolescents in the US: A narrative systematic review. Psychology in the Schools. 60(5): 1329-1346. https://doi.org/10.1002/pits.22723; PMid:35572171 PMCid:PMC9088696
McDool E, Powell P, Roberts J, Taylor K. (2020). The internet and children's psychological wellbeing. J. Health Econ. 69: 102274. https://doi.org/10.1016/j.jhealeco.2019.102274; PMid:31887480
Morello R, Mariani F, Mastrantoni L, De Rose C, Zampino G, Munblit D et al. (2023). Risk factors for post-COVID-19 condition (Long Covid) in children: a prospective cohort study. EClinicalMedicine. 59: 101961. https://doi.org/10.1016/j.eclinm.2023.101961; PMid:37073325 PMCid:PMC10101848
Oberg C, Hodges HR, Gander S, Nathawad R, Cutts D. (2022). The impact of COVID-19 on children's lives in the United States: Amplified inequities and a just path to recovery. Curr Probl Pediatr Adolesc Health Care. 52(7): 101181. https://doi.org/10.1016/j.cppeds.2022.101181; PMid:35400596 PMCid:PMC8923900
Panchal U, Salazar de Pablo G, Franco M, Moreno C, Parellada M et al. (2023). The impact of COVID-19 lockdown on child and adolescent mental health: systematic review. Eur Child Adolesc Psychiatry. 32(7): 1151-1177. https://doi.org/10.1007/s00787-021-01856-w; PMid:34406494 PMCid:PMC8371430
Pisano L, Galimi D, Cerniglia L. (2020). A qualitative report on exploratory data on the possible emotional/behavioral correlates of Covid-19 lockdown in 4-10 years children in Italy. https://doi.org/10.31234/osf.io/stwbn
Pons J, Ramis Y, Alcaraz S, Jordana A, Borrueco M, Torregrossa M. (2020). Where Did All the Sport Go? Negative Impact of COVID-19 Lockdown on Life-Spheres and Mental Health of Spanish Young Athletes. Front Psychol. 11: 611872. https://doi.org/10.3389/fpsyg.2020.611872; PMid:33365006 PMCid:PMC7750436
Weyers S, Rigó M. (2023). Child health and development in the course of the COVID-19 pandemic: are there social inequalities? Eur J Pediatr. 182(3): 1173-1181. https://doi.org/10.1007/s00431-022-04799-9; PMid:36604347 PMCid:PMC9816013
Yeasmin S, Banik R, Hossain S, Hossain MN, Mahumud R et al. (2020). Impact of COVID-19 pandemic on the mental health of children in Bangladesh: A cross-sectional study. Child Youth Serv Rev. 117: 105277. https://doi.org/10.1016/j.childyouth.2020.105277; PMid:32834275 PMCid:PMC7387938
Yue J, Zang X, Le Y, An Y. (2022). Anxiety, depression and PTSD among children and their parent during 2019 novel coronavirus disease (COVID-19) outbreak in China. Curr Psychol. 41(8): 5723-5730. https://doi.org/10.1007/s12144-020-01191-4; PMid:33223783 PMCid:PMC7666617
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