COVID-19 大流行期间/之后青少年的心身问题:系统回顾

IF 0.4 Q4 PEDIATRICS
M. Shukla, Niti Upadhyay
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引用次数: 0

摘要

本系统性综述旨在探讨冠状病毒大流行对青少年心身问题的影响,以及大流行是否对不同性别产生了不同影响,还探讨了大流行后心身问题(即心理、躯体和肌肉骨骼问题)是否比大流行前表现得更为突出。我们在八个电子数据库中广泛搜索了2014-2018年期间发表/开展的青少年(11-17岁)心身问题流行前的研究,以及2019-2023年期间发表/开展的青少年心身问题流行期间/流行后的研究,最终选出了38项研究。其中包括 25 项大流行前的研究、6 项在大流行期间/之后发表和进行的研究,以及 7 项报告大流行前/后比较的研究。综述报告遵循了 PRISMA 准则。研究结果表明,睡眠问题和头痛是大流行前青少年的主要心身问题。大流行后,睡眠问题仍然是最常见的问题,其次是胃痛和情绪低落、头晕、易怒、食欲不振、紧张和注意力难以集中。一般来说,女性报告的心身症状较多,但探讨性别差异的研究有限。只有一项研究发现大流行后心身健康状况有所改善,男孩的改善程度高于女孩。大流行后,心理不适症状有所增加;然而,关于大流行后躯体和肌肉骨骼不适症状的研究结果却不尽相同。一些研究发现,大流行后的心身症状没有任何变化。针对不同性别的定制培训计划对于提高应变能力和应对能力以减轻大流行对青少年心身健康的影响至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychosomatic Problems Among Adolescents During/Post the COVID-19 Pandemic: A Systematic Review
This systematic review aimed at exploring the impact of the coronavirus pandemic on adolescents’ psychosomatic problems and whether the pandemic differentially impacted different genders. It also explored whether particular clusters of psychosomatic problems, viz., psychological, somatic, and musculoskeletal, manifested more post-pandemic than before. An extensive search of eight electronic databases for studies published/conducted between 2014-2018 for pre-pandemic prevalence of psychosomatic problems among adolescents (11-17 years) and for studies published and conducted between 2019-2023 during/post-pandemic prevalence resulted in the final selection of 38 studies. This included 25 pre-pandemic studies, six studies published and conducted during/after the pandemic, and seven studies that reported pre-post-pandemic comparison. The review was reported following PRISMA guidelines. ROBINS-E tool was used for assessing the risk of bias while the JBI Critical Appraisal Tools were used to assess study quality. Findings showed that sleep problems and headaches dominated adolescent psychosomatic problems pre-pandemic. Sleep problems continued to be the most common problem post-pandemic, followed by stomach ache and feeling low, dizziness, irritability, appetite loss, tension, and difficulty concentrating. In general, females reported more psychosomatic symptoms, though limited research explored gender differences. Only one study found improved psychosomatic health postpandemic, more so for boys than girls. Psychological complaints increased postpandemic; however, results were mixed about somatic and musculoskeletal complaints after the pandemic. Some studies found no change in post-pandemic psychosomatic symptoms. Gender-specific, tailored training programs are crucial for enhancing resilience and coping to mitigate the impact of the pandemic on adolescents’ psychosomatic health.
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来源期刊
Adolescent Psychiatry
Adolescent Psychiatry PEDIATRICS-
CiteScore
0.80
自引率
0.00%
发文量
20
期刊介绍: Adolescent Psychiatry a peer-reviewed journal, aims to provide mental health professionals who work with adolescents with current information relevant to the diagnosis and treatment of psychiatric disorders in adolescents. Adolescent Psychiatry reports of original research, critical reviews of topics relevant to practitioners, clinical observations with analysis and discussion, analysis of philosophical, ethical or social aspects of the fields of psychiatry and mental health, case reports with discussions, letters, and position papers. Topics include adolescent development and developmental psychopathology, psychotherapy and other psychosocial treatment approaches, psychopharmacology, and service settings and programs. The primary focus of the work should be on adolescents, transition-aged youth, The primary focus of the work should be on adolescents, transition-aged youth, or emerging adults, that is, persons 12-24 years of age . Articles on families of adolescents, or adults who have been followed since adolescence will also be considered.
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