重大突发公共卫生事件下学龄儿童心理健康研究进展

刘琦; 谢新艳; 朱凯恒; 姜琦; 冯雅楠; 肖沛; 吴小纤; 向真; 徐林; 宋然然

doi:10.16835/j.cnki.1000-9817.2022.05.010

重大突发公共卫生事件下学龄儿童心理健康研究进展

doi: 10.16835/j.cnki.1000-9817.2022.05.010

刘琦¹,
谢新艳¹,
朱凯恒¹,
姜琦¹,
冯雅楠¹,
肖沛¹,
吴小纤¹,
向真¹,
徐林^2, ,,
宋然然^1, ,

1.
华中科技大学同济医学院公共卫生学院儿少卫生与妇幼保健学系，武汉 430030
2.
华中科技大学同济医学院附属小学

基金项目:

武汉市教育科学规划课题项目 2020ZX02

详细信息

作者简介:
刘琦(1993-)，女，河南周口人，在读博士，主要研究方向为儿童心理发展与心理卫生

通讯作者:
徐林，E-mail：330604641@qq.com

宋然然，E-mail：songranran@hust.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G444 B844.1 R179
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- 文章访问数: 849
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- 被引次数: 0
出版历程
- 收稿日期: 2021-11-27
- 修回日期: 2022-03-01
- 网络出版日期: 2022-05-20
- 刊出日期: 2022-05-25

Research progress on mental health of school-age children under major public health emergencies

1.
Department of Maternal and Child Health and MOE Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan(430030), China

摘要

摘要: 儿童是重大突发公共卫生事件中的脆弱易感人群，2020年新型冠状病毒肺炎疫情在世界范围内大规模流行，学龄儿童心理健康成为全世界关注的问题。研究通过对新冠肺炎疫情对一般儿童以及心理问题本身高发的特殊儿童群体心理健康问题的影响进行综述，重点阐述了新冠肺炎疫情期间不同国家和地区学龄儿童焦虑、抑郁和创伤后应激障碍问题的患病情况，考虑到个体间的易感性与社会资源可及性，研究进一步探究了影响学龄儿童心理健康的儿童、家庭及社会相关因素，最后从国家、学校-家庭-社区和个人层面对重大突发公共卫生事件中儿童心理健康服务体系建设提出了建议，为构筑一个安全、可靠的儿童心理健康防护网络需要社会各方的共同努力。
- 公共卫生 /
- 精神卫生 /
- 危险因素 /
- 儿童
Abstract: Children were vulnerable groups in major public health emergencies. In 2020, the coronavirus disease 2019 (COVID-19) pandemic was widespread in the world. The mental health of school-age children has become a worldwide concern. Herein, we conducted this review to evaluate the impact of COVID-19 on the mental health of general children and special children with a high risk of psychological problems, focusing on the prevalence of anxiety, depression, and post-traumatic stress disorder among school-age children in different countries and regions during the COVID-19 epidemic. Considering the susceptibility between individuals and the accessibility of social resources, we further explored the child, family, and social related factors affecting the mental health of school-age children. Finally, some suggestions on the construction of children's mental health service system in major public health emergencies were put forward at the national, school-family-community, and individual levels. Building a safe and reliable child mental health protection network required the joint efforts of all sectors of society.
- Public health /
- Mental health /
- Risk factors /
- Child
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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参考文献(52)

[1]	国家卫生健康委员会. 突发公共卫生事件应急条例(2011修订) [EB/OL]. (2018-08-30)[2021-10-09]. http://www.nhc.gov.cn/fzs/s3576/201808/2052b89971ce4855b62fdbdac0be40a7.shtml. National Health Commission of the PRC. Regulations on emergency response to public health emergencies (revised in 2011)[EB/OL]. (2018-08-30)[2021-10-09]. http://www.nhc.gov.cn/fzs/s3576/201808/2052b89971ce4855b62fdbdac0be40a7.shtml.
[2]	国家卫生健康委员会. 公民防疫行为准则(科普版)[EB/OL]. (2020-10-14)[2021-10-09]. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=eaef96a9c09a4650ba54536c0c0ed9ce. National Health Commission of the PRC. Principles of conduct for epidemic prevention of citizens (Popular Science Edition)[EB/OL]. (2020-10-14)[2021-10-09]. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=eaef96a9c09a4650ba54536c0c0ed9ce.
[3]	联合国. 新冠疫情对全球15亿儿童和青年造成影响[EB/OL].(2020-04-16)[2021-10-09]. https://news.un.org/zh/story/2020/04/1055202. United Nations. Online predators put millions of children at risk during COVID-19 pandemic lockdown[EB/OL].(2020-04-16)[2021-10-09]. https://news.un.org/en/story/2020/04/1061742.
[4]	BAL A. Post-traumatic stress disorder in Turkish child and adolescent survivors three years after the Marmara earthquake[J]. Child Adolesc Ment Health, 2008, 13(3): 134-139. doi: 10.1111/j.1475-3588.2007.00469.x
[5]	ACHARYA S, BHATTA D N, ASSANNANGKORNCHAI S. Post-traumatic stress disorder symptoms among children of Kathmandu 1 year after the 2015 earthquake in Nepal[J]. Disast Med Public Health Prep, 2018, 12(4): 486-492. doi: 10.1017/dmp.2017.100
[6]	BLANC J, BUI E, MOUCHENIK Y, et al. Prevalence of post-traumatic stress disorder and depression in two groups of children one year after the January 2010 earthquake in Haiti[J]. J Affect Disord, 2015, 172: 121-126. doi: 10.1016/j.jad.2014.09.055
[7]	CELLINI N, Di GIORGIO E, MIONI G, et al. Sleep and psychological difficulties in Italian school-age children during COVID-19 lockdown[J]. J Pediatr Psychol, 2021, 46(2): 153-167. doi: 10.1093/jpepsy/jsab003
[8]	刘玉娟. 新冠疫情背景下儿童青少年心理健康研究综述[J]. 中国特殊教育, 2020(12): 89-96. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDTJ202012014.htm LIU Y J. A review of research on children and adolescents mental health in the COVID-19 epidemic[J]. Chin J Spec Educ, 2020, (12): 89-96. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDTJ202012014.htm
[9]	朱凯恒, 周玉, 谢新艳, 等. 新冠肺炎疫情期间湖北省小学生焦虑现状及其影响因素[J]. 中国公共卫生, 2020, 36(5): 673-676. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202005005.htm ZHU K H, ZHOU Y, XIE X Y, et al. Anxiety symptom and its associates among Primary school students in Hubei province during novel coronavirus diseases 2019 epidemic[J]. Chin J Public Health, 2020, 36(5): 673-676. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202005005.htm
[10]	沈晓霜, 李欣, 闫军伟, 等. 新型冠状病毒肺炎流行期间安徽省中小学生的焦虑情绪[J]. 中国心理卫生杂志, 2020, 34(8): 715-719. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202008017.htm SHEN X S, LI X, YAN J W, et al. Anxiety of primary and middle school students in Anhui Province during the COVID-19 epidemic[J]. Chin Ment Health J, 2020, 34(8): 715-719. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202008017.htm
[11]	张正晶, 孙越异, 李威, 等. 新型冠状病毒肺炎疫情下南京市六年级小学生心理健康注意品质与学业成绩的相关性[J]. 校园心理, 2021, 19(3): 216-220. https://www.cnki.com.cn/Article/CJFDTOTAL-YXXL202103006.htm ZHANG Z J, SUN Y Y, LI W, et al. Correlation between mental health attention quality and academic performance of sixth grade pupils in Nanjing City under the background of COVID-19[J]. Campus Life Ment Health, 2021, 19(3): 216-220. https://www.cnki.com.cn/Article/CJFDTOTAL-YXXL202103006.htm
[12]	CHEN F, ZHENG D, LIU J, et al. Depression and anxiety among adolescents during COVID-19: a cross-sectional study[J]. Brain Behav Immun, 2020, 88: 36-38. doi: 10.1016/j.bbi.2020.05.061
[13]	ORGILES M, MORALES A, DELVECCHIO E, et al. Immediate psychological effects of the COVID-19 quarantine in youth from Italy and Spain[J]. Front Psychol, 2020, 11: 579038. doi: 10.3389/fpsyg.2020.579038
[14]	LIU Q, ZHOU Y, XIE X, et al. The prevalence of behavioral problems among school-aged children in home quarantine during the COVID-19 pandemic in China[J]. J Affect Disord, 2021, 279: 412-416. doi: 10.1016/j.jad.2020.10.008
[15]	ZHOU J, YUAN X, QI H, et al. Prevalence of depression and its correlative factors among female adolescents in China during the coronavirus disease 2019 outbreak[J]. Global Health, 2020, 16(1): 69. doi: 10.1186/s12992-020-00601-3
[16]	LI W, WANG Z, WANG G, et al. Socioeconomic inequality in child mental health during the COVID-19 pandemic: first evidence from China[J]. J Affect Disord, 2021, 287: 8-14. doi: 10.1016/j.jad.2021.03.009
[17]	DUAN L, SHAO X, WANG Y, et al. An investigation of mental health status of children and adolescents in China during the outbreak of COVID-19[J]. J Affect Disord, 2020, 275: 112-118. doi: 10.1016/j.jad.2020.06.029
[18]	YUE J, ZANG X, LE Y, et al. Anxiety, depression and PTSD among children and their parent during 2019 novel coronavirus disease (COVID-19) outbreak in China[J]. Curr Psychol, 2020, 14: 1-8. doi: 10.1007/s12144-020-01191-4
[19]	XIE X, XUE Q, ZHOU Y, et al. Mental health status among children in home confinement during the Coronavirus Disease 2019 outbreak in Hubei Province, China[J]. JAMA Pediatr, 2020, 174(9): 898-900. doi: 10.1001/jamapediatrics.2020.1619
[20]	曹璇, 刘吉梅, 唐玉清, 等. 成都市中小学2020抗疫居家问卷调查报告[J]. 教育科学论坛, 2020(13): 75-80. doi: 10.3969/j.issn.1673-4289.2020.13.022 CAO X, LIU J M, TANG Y Q, et al. Questionnaire survey report of primary and secondary schools in Chengdu during the 2020 novel coronavirus pneumonia[J]. Educ Sci Forum, 2020(13): 75-80. doi: 10.3969/j.issn.1673-4289.2020.13.022
[21]	史申迪, 田文华. 地震造成儿童心理创伤的特征及治疗[J]. 中国社会医学杂志, 2014, 31(1): 32-34. doi: 10.3969/j.issn.1673-5625.2014.01.013 SHI S D, TIAN W H. The effects, features and treatment of child psychological trauma after the earthquake[J]. Chin J Soc Med, 2014, 31(1): 32-34. doi: 10.3969/j.issn.1673-5625.2014.01.013
[22]	陶芳标. 儿童少年卫生学[M]. 8版. 北京: 人民卫生出版社, 2017: 2-3. TAO F B. Child and adolescent health[M]. 8 ed. People's Medical Publishing House, 2017: 2-3.
[23]	SPRANG G, SILMAN M. Posttraumatic stress disorder in parents and youth after health-related disasters[J]. Disast Med Public Health Prepared, 2013, 7(1): 105-110. doi: 10.1017/dmp.2013.22
[24]	ABBAFATI C, ABBAS K M, ABBASI M, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019[J]. Lancet, 2020, 396(10258): 1204-1222.
[25]	GBD Risk Factors Collaborators. Global burden of 87 risk factors in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019[J]. Lancet, 2020, 396(10258): 1223-1249. doi: 10.1016/S0140-6736(20)30752-2
[26]	XUE Q, XIE X, LIU Q, et al. Knowledge, attitudes, and practices towards COVID-19 among primary school students in Hubei Province, China[J]. Child Youth Serv Rev, 2021, 120: 105735. doi: 10.1016/j.childyouth.2020.105735
[27]	莫大明, 闫军伟, 李欣, 等. 新冠肺炎疫情下儿童青少年焦虑症状检出率及影响因素[J]. 四川精神卫生, 2020, 33(3): 202-206. https://www.cnki.com.cn/Article/CJFDTOTAL-WANT202003003.htm MO D M, YAN J W, LI X, et al. Prevalence rate and related influencing factors of anxiety disorder in children and adolescents during the outbreak of COVID-19[J]. Sichuan Ment Health, 2020, 33(3): 202-206. https://www.cnki.com.cn/Article/CJFDTOTAL-WANT202003003.htm
[28]	FUNG X, SIU A, POTENZA M N, et al. Problematic use of internet-related activities and perceived weight stigma in schoolchildren: a longitudinal study across different epidemic periods of COVID-19 in China[J]. Front Psychiatry, 2021, 12: 675839. doi: 10.3389/fpsyt.2021.675839
[29]	DONG H, YANG F, LU X, et al. Internet addiction and related psychological factors among children and adolescents in China during the Coronavirus Disease 2019(COVID-19) epidemic[J]. Front Psychiatry, 2020, 11: 751.
[30]	林晓东, 李金明. 新冠肺炎流行期三年级小学生与家长焦虑情绪及影响因素分析[J]. 心理月刊, 2020, 15(17): 48-50. https://www.cnki.com.cn/Article/CJFDTOTAL-XLYK202017015.htm LIN X D, LI J M. Analysis of anxiety and influencing factors of the third grade primary school students and their parents in COVID-19 epidemic period[J]. Psychologies, 2020, 15(17): 48-50. https://www.cnki.com.cn/Article/CJFDTOTAL-XLYK202017015.htm
[31]	王悦, 杨媛媛, 李少闻, 等. 新型冠状病毒肺炎流行期间居家儿童青少年抑郁情绪调查及影响因素分析[J]. 中国儿童保健杂志, 2020, 28(3): 277-280. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202003014.htm WANG Y, YANG Y Y, LI S W, et al. Investigation on the status and influencing factors for depression symptom of children and adolescents with home quarantine during the prevalence of novel coronavirus pneumonia[J]. Chin J Child Health Care, 2020, 28(3): 277-280. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202003014.htm
[32]	李少闻, 王悦, 杨媛媛, 等. 新型冠状病毒肺炎流行期间居家隔离儿童青少年焦虑性情绪障碍的影响因素分析[J]. 中国儿童保健杂志, 2020, 28(4): 407-410. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202004014.htm LI S W, WANG Y, YANG Y Y, et al. Investigation on the influencing factors for anxiety related emotional disorders of children and adolescents with home quarantine during the prevalence of coronavirus disease 2019[J]. Chin J Child Health Care, 2020, 28(4): 407-410. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202004014.htm
[33]	TENG Z, PONTES H M, NIE Q, et al. Depression and anxiety symptoms associated with internet gaming disorder before and during the COVID-19 pandemic: a longitudinal study[J]. J Behav Addict, 2021, 10(1): 169-180. doi: 10.1556/2006.2021.00016
[34]	彭华军, 杨莎, 赵岑秀, 等. 新冠肺炎疫情防控常态下昆明市小学生心理健康状况的调查研究[J]. 中小学心理健康教育, 2021(19): 13-16. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXXK202119005.htm PENG H J, YANG S, ZHAO C X, et al. Investigation on mental health status of primary school students in Kunming under the novel coronavirus pneumonia epidemic prevention and control normality[J]. Ment Health Educ Primary Secondary Sch, 2021(19): 13-16. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXXK202119005.htm
[35]	RAVENS-SIEBERER U, KAMAN A, ERHART M, et al. Impact of the COVID-19 pandemic on quality of life and mental health in children and adolescents in Germany[J]. Eur Child Adolesc Psychiatry, 2021. DOI: 10.1007/s00787-021-01726-5.
[36]	TANG S, XIANG M, CHEUNG T, et al. Mental health and its correlates among children and adolescents during COVID-19 school closure: the importance of parent-child discussion[J]. J Affect Disord, 2021, 279: 353-360. doi: 10.1016/j.jad.2020.10.016
[37]	康琳琳, 卢小焕, 卢柳霞, 等. 东莞市中小学生复学后的心理健康状况与应对策略[J]. 中国健康心理学杂志, 2021, 29(3): 381-387. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202103013.htm KANG L L, LU X H, LU L X, et al. Mental health status and coping strategies of primary and secondary students in Dongguan after returning to school[J]. Chin J Health Psychol, 2021, 29(3): 381-387. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202103013.htm
[38]	杨华中. 疫情下西部农村地区中小学生心理健康状况分析: 以新疆某九年一贯制中学为例[J]. 晋城职业技术学院学报, 2020, 13(6): 67-69. doi: 10.3969/j.issn.1674-5078.2020.06.021 YANG H Z. Analysis of mental health status of primary and secondary school students in western rural areas under epidemic situation: taking a nine-year middle school in Xinjiang as an example[J]. J Jincheng Instit Technol, 2020, 13(6): 67-69. doi: 10.3969/j.issn.1674-5078.2020.06.021
[39]	YEASMIN S, BANIK R, HOSSAIN S, et al. Impact of COVID-19 pandemic on the mental health of children in Bangladesh: a cross-sectional study[J]. Child Youth Serv Rev, 2020, 117: 105277. doi: 10.1016/j.childyouth.2020.105277
[40]	ORGILES M, ESPADA J P, DELVECCHIO E, et al. Anxiety and depressive symptoms in children and adolescents during COVID-19 pandemic: a transcultural approach[J]. Psicothema, 2021, 33(1): 125-130.
[41]	MA Z, IDRIS S, ZHANG Y, et al. The impact of COVID-19 pandemic outbreak on education and mental health of Chinese children aged 7-15 years: an online survey[J]. BMC Pediatr, 2021, 21(1): 95. doi: 10.1186/s12887-021-02550-1
[42]	SHEK D, ZHAO L, DOU D, et al. The impact of positive youth development attributes on posttraumatic stress disorder symptoms among Chinese adolescents under COVID-19[J]. J Adolesc Health, 2021, 68(4): 676-682. doi: 10.1016/j.jadohealth.2021.01.011
[43]	SAYED M H, HEGAZI M A, EL-BAZ M S, et al. COVID-19 related posttraumatic stress disorder in children and adolescents in Saudi Arabia[J]. PLoS One, 2021, 16(8): e255440.
[44]	ZHANG J, SHUAI L, YU H, et al. Acute stress, behavioural symptoms and mood states among school-age children with attention-deficit/hyperactive disorder during the COVID-19 outbreak[J]. Asian J Psychiatr, 2020, 51: 102077. doi: 10.1016/j.ajp.2020.102077
[45]	COLIZZI M, SIRONI E, ANTONINI F, et al. Psychosocial and behavioral impact of COVID-19 in autism spectrum disorder: an online parent survey[J]. Brain Sci, 2020, 10(6): 341. doi: 10.3390/brainsci10060341
[46]	ABAWI O, WELLING M S, VAN DEN E E, et al. COVID-19 related anxiety in children and adolescents with severe obesity: a mixed-methods study[J]. Clin Obes, 2020, 10(6): e12412. doi: 10.1111/cob.12412
[47]	XU H, ZHANG H, HUANG L, et al. Increased symptoms of post-traumatic stress in school students soon after the start of the COVID-19 outbreak in China[J]. BMC Psychiatry, 2021, 21(1): 330. doi: 10.1186/s12888-021-03339-3.pdf
[48]	NONWEILER J, RATTRAY F, BAULCOMB J, et al. Prevalence and associated factors of emotional and behavioural difficulties during COVID-19 pandemic in children with neurodevelopmental disorders[J]. Children (Basel), 2020, 7(9): 128. https://pubmed.ncbi.nlm.nih.gov/32899799/
[49]	ZHOU S J, ZHANG L G, WANG L L, et al. Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19[J]. Eur Child Adolesc Psychiatry, 2020, 29(6): 749-758.
[50]	王亿兰, 骆艳, 朱焱, 等. 新型冠状病毒疫情期间贵州地区学龄期儿童心理行为问题及影响因素研究[J]. 中国预防医学杂志, 2021, 22(1): 53-58. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYC202101013.htm WANG Y L, LUO Y, ZHU Y, et al. Psychological and behavioral problems of school-age children in Guizhou during COVID-19 pandemic[J]. Chin Prev Med, 2021, 22(1): 53-58. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYC202101013.htm
[51]	中华医学会儿科学分会发育行为学组, 中国医师协会儿科分会儿童保健学组. 2019新型冠状病毒感染疫情对儿童青少年心理的影响及家庭干预的建议(第一版)[J]. 中国儿童保健杂志, 2020, 28(4): 370-373, 384. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202004006.htm The Subspecialty Group of Development and Behavioral Pediatrics, the Society of Pediatrics, Chinese Medical Association, the Subspecialty Group of Child Health Care, the Society of Pediatrics, Chinese Medical Doctor Association. Psychological impact of coronavirus disease 2019 on children and adolescents and recommendations for family intervention (1st version)[J]. Chin J Child Health Care, 2020, 28(4): 370-373, 384. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202004006.htm
[52]	唐硕, 庞红卫. 新冠肺炎疫情期间儿童青少年的焦虑和抑郁状况[J]. 中小学心理健康教育, 2020(19): 15-18. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXXK202019005.htm TANG S, PANG H W. Anxiety and depression in children and adolescents during the novel coronavirus pneumonia outbreak[J]. Ment Health Educ Primary Second Sch, 2020(19): 15-18. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXXK202019005.htm