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首页> 外文期刊>Quality of life research: An international journal of quality of life aspects of treatment, care and rehabilitation >The impact of lockdown during the COVID-19 pandemic on mental and social health of children and adolescents
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The impact of lockdown during the COVID-19 pandemic on mental and social health of children and adolescents

机译：COVID-19大流行期间封锁对儿童和青少年心理和社会健康的影响

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Purpose During the COVID-19 pandemic in the Netherlands, governmental regulations resulted in a lockdown for adults as well as children/adolescents. Schools were closed and contact with other people was limited. In this cross-sectional, population-based study, we aimed to investigate the mental/social health of children/adolescents during COVID-19 lockdown. Methods Two representative samples of Dutch children/adolescents (8-18 years) before COVID-19 (2018, N = 2401) and during lockdown (April 2020, N = 844) were compared on the Patient-Reported Outcomes Measurement Information System (PROMIS) domains: global health, peer relationships, anxiety, depressive symptoms, anger, sleep-related impairment by linear mixed models and calculating relative risks (RR (95% CI)) for the proportion of severe scores. Variables associated with worse mental/social health during COVID-19 were explored through multivariable regression models. The impact of COVID-19 regulations on the daily life of children was qualitatively analyzed. Results Participants reported worse PROMIS T-scores on all domains during COVID-19 lockdown compared to before (absolute mean difference range 2.1-7.1 (95% CI 1.3-7.9). During lockdown, more children reported severe Anxiety (RR = 1.95 (1.55-2.46) and Sleep-Related Impairment (RR = 1.89 (1.29-2.78) and fewer children reported poor Global Health (RR = 0.36 (0.20-0.65)). Associated factors with worse mental/social health were single-parent family, >= three children in the family, negative change in work situation of parents due to COVID-19 regulations, and a relative/friend infected with COVID-19. A large majority (> 90%) reported a negative impact of the COVID-19 regulations on daily life. Conclusion This study showed that governmental regulations regarding lockdown pose a serious mental/social health threat on children/adolescents that should be brought to the forefront of political decision-making and mental healthcare policy, intervention, and prevention.
机译：目的 在荷兰的 COVID-19 大流行期间，政府法规导致对成人和儿童/青少年实施封锁。学校关闭，与其他人的接触受到限制。在这项基于人群的横断面研究中，我们旨在调查 COVID-19 封锁期间儿童/青少年的心理/社会健康状况。方法 在 COVID-19 之前（2018 年，N = 2401）和封锁期间（2020 年 4 月，N = 844）在患者报告结果测量信息系统 （PROMIS） 领域比较荷兰儿童/青少年（8-18 岁）的两个代表性样本：全球健康、同伴关系、焦虑、抑郁症状、愤怒、睡眠相关损伤通过线性混合模型和计算严重评分比例的相对风险 （RR （95% CI））。通过多变量回归模型探索了与 COVID-19 期间较差的心理/社会健康状况相关的变量。定性分析了 COVID-19 法规对儿童日常生活的影响。结果：与之前相比，参与者报告在 COVID-19 封锁期间所有领域的 PROMIS T 分数更差（绝对均数差范围 2.1-7.1 （95% CI 1.3-7.9）。在封锁期间，更多的儿童报告了严重的焦虑（RR = 1.95 （1.55-2.46）和睡眠相关障碍（RR = 1.89 （1.29-2.78）），更少的儿童报告全球健康状况不佳（RR = 0.36 （0.20-0.65））。与精神/社会健康状况较差相关的因素是单亲家庭、>=家庭中的三个孩子、由于COVID-19法规导致父母工作状况的负面变化以及感染COVID-19的亲戚/朋友。绝大多数（> 90%）报告了COVID-19法规对日常生活的负面影响。结论 本研究表明，政府关于封锁的法规对儿童/青少年构成了严重的精神/社会健康威胁，应将其置于政治决策和精神保健政策、干预和预防的最前沿。

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