Expert recommendations for prevention and coping strategies on  psychological and behavioral problems of children and adolescents  during home quarantine/online learning (the 2nd Version)

doi:10.11852/zgetbjzz2022-1469

Abstract

Abstract: Children and adolescents are vulnerable to major public health stress events. Since the outbreak coronavirus disease 2019 (COVID-19) in December 2019, home quarantine and online learning have been adopted to contain the spread of COVID-19. In view of the increasing social and psychological behavioral problems of children and adolescents during the COVID-19 pandemic, as well as the long-term or intermittent home quarantine and online learning in the post-COVID-19 period, the Developmental Behavior Pediatrics Group of Chinese Pediatric Society formulated this recommendation, which is based on "Psychological impact of coronavirus disease 2019 on children and adolescents and recommendations for family intervention(1st version)" in 2020 and the current domestic situation. It is hoped that social and psychological support will be provided to children of all ages during home quarantine/online learning from family, school and health, and continue to implement coping strategies in the prevention and treatment of children′s social and behavioral problems in special periods.

Key words: coronavirus disease 2019, home quarantine, children, adolescents, psychosocial and behavioral problems

摘要： 儿童和青少年是重大公共卫生应激事件的脆弱人群。自2019年12月新型冠状病毒肺炎(COVID-19)爆发以来,居家隔离和线上学习成为遏制COVID-19传播的防疫措施。针对儿童青少年疫情期间社会生活和心理行为问题增加的现状,以及后疫情时代可能面临的长期或间断居家隔离和线上学习情况,中华医学会儿科分会发育行为学组专家团队在2020年制定的《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)》的基础上,结合当前国内的形势,反复讨论制定本建议,希望从家庭、学校、卫生等各个层面对“居家隔离/线上学习”中的各个年龄段的儿童青少年提供社会心理支持,继续做好特殊时期儿童社会生活和行为问题的防治策略。

关键词: 新型冠状病毒感染, 居家防疫, 儿童, 青少年, 心理行为问题

CLC Number:

R179

中华医学会儿科分会发育行为学组, 中国医师协会儿科分会儿童保健学组. 居家隔离/线上学习期间儿童青少年心理行为问题预防和心理支持专家建议(第二版)[J]. 中国儿童保健杂志, 2023, 31(2): 117-122.

References

[1] Rothe D, Gallinetti J, Lagaay M, et al. Ebola: Beyond the health emergency[R]. Monrovia, Liberia: Plan International, 2015. https://reliefweb.int/report/sierra-leone/ebola-beyond-health-emergency-summary-research-consequences-ebola-outbreak.
[2] Wang C,Horby PW, Hayden FG, et al. A novel coronavirus outbreak of global health concern[J]. Lancet, 2020, 395(10223):470-473.
[3] Li Q, Guan X, Wu P, et al. Earlytransmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia[J]. N Engl J Med,2020,382(13):1199-1207.
[4] 央视网.教育部:国家中小学网络云平台今开通免费使用[EB/OL].(2020-02-17) http://news.cctv.com/2020/02/17/ARTIjriGNKRf9fZJE7gVj080200217.shtml.
CCTV.com. Ministry of Education: The national primary and secondary school network cloud platform opened freeuse[EB/OL].(2020-02-17)http://news.cctv.com/2020/02/17/ARTIjriGNKRf9fZJE 7gVj080200217.shtml.
[5] 中华人民共和国教育部.教育部办公厅工业和信息化部办公厅关于中小学延期开学期间“停课不停学”有关工作安排的通知[EB/OL]. (2020-02-02) http://www.moe.gov.cn/srcsite/A06/s3321/202002/t20200212_420435.html.
Ministry of Education of the People′s Republic of China. Notice of the General Office of the Ministry of Education and the Ministry of Industry and Information Technology on the work arrangement of “suspended class, ongoing learning” during the postponement of the opening of primary and secondary schools[EB/OL]. (2020-02-02)http://www.moe.gov.cn/srcsite/A06/s3321/202002/t20200212_420435.html.
[6] 国家卫生健康委员会.《新型冠状病毒感染的肺炎疫情紧急心理危机干预指导原则》,应对新型冠状病毒感染的肺炎疫情联防联控工作机制[Z].2020.
National Health Commission. Guidelines for emergency psychological crisis intervention in the outbreak of novel Coronavirus Pneumonia, Working mechanism for joint prevention and control of the novel coronavirus epidemic[Z].2020.
[7] 国家卫生健康委员会.应对新型冠状病毒肺炎疫情社区服务心理支持技巧50问[M]. 北京:北京大学医学出版社,2020.
National Health Commission. Coping with the novel coronavirus epidemic community service psychological support skills 50 questions[M]. Beijing: Peking University Medical Press,2020.
[8] 魏华,陈立,钱英,等.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.
Wei H, Chen L,Qian Y, et al. 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.
[9] 王琳,张南,刘一蓉,等. 新冠肺炎疫情下儿童青少年心理健康干预进展[J].科技导报, 2021, 39(18): 25-33.
Wang L, Zhang N, Liu YR, et al.Psychological health intervention for children and adolescents during outbreak of novel coronavirus[J]. Science & Technology Review, 2021, 39(18): 25-33.
[10] 王琳,郝燕,陈立,等.长期居家学习期间儿童和青少年心理行为问题的研究[J].中华预防医学杂志,2021,55(9):1059-1066.
Wang L,Hao Y, Chen L, et al. Psychological and behavioral functioning of children and adolescents during long-term home-schooling[J]. Pediatric Disease Control and Prevention, 2021,55(9):1059-1066.
[11] Wang L, Zhang Y, Chen L, et al. Psychosocial and behavioral problems of children and adolescents in the early stage of reopening schools after the COVID-19 pandemic: A national cross-sectional study in China[J]. Transl Psychiatry,2021,11(1):342.
[12] Wang L, Chen L,Jia F, et al. Risk factors and prediction nomogram model for psychosocial and behavioural problems among children and adolescents during the COVID-19 pandemic: A national multicentre study: Risk factors of childhood psychosocial Problems[J]. J Affect Disord, 2021,294:128-136.
[13] Woolford SJ, Sidell M, Li X, et al. Changes in body mass index among children and adolescents during the COVID-19 pandemic[J].JAMA, 2021,326(14):1434-1436.
[14] Moore SA, Faulkner G, Rhodes RE, et al. Impact of the COVID-19 virus outbreak on movement and playbehaviours of Canadian children and youth: A national survey[J].Int J Behav Nutr Phys Act,2020,17(1):85.
[15] 梁静,王朝晖,李燕晖,等.新型冠状病毒肺炎流行期间学龄前儿童心理健康状况调查及影响因素分析[J].中国儿童保健杂志,2020,28(9):1033-1036, 1059.
Liang J, Wang ZH, Li YH, et al.Investigation on the mental health of preschool children and the relevant factors during coronavirus disease 2019[J].Chin J Child Health Care, 2020,28(9):1033-1036, 1059.
[16] Hosker DK, Elkins RM, Potter MP. Promoting mental health and wellness in youth through physical activity, nutrition, and sleep[J]. Child Adolesc Psychiatr Clin N Am,2019,28(2):171-193.
[17] Xiang M, Zhang Z,Kuwahara K. Impact of COVID-19 pandemic on children and adolescents′ lifestyle behavior larger than expected[J].Prog Cardiovasc Dis,2020,63(4):531-532.
[18] Lissak G. Adverse physiological and psychological effects of screen time on children and adolescents: Literature review and case study[J].Environ Res,2018(164):149-157.
[19] Nagata JM, AbdelMagid HS, Pettee Gabriel K. Screen time for children and adolescents during the coronavirus disease 2019 pandemic[J].Obesity(Silver Spring),2020,28(9):1582-1583.
[20] 陈永香,崔丽蓉,刘丽,等.新冠肺炎疫情期间中小学生亲子冲突及其应对[J].中国学校卫生,2021,42(5):719-722, 727.
Chen YX, CuiLR,Liu L, et al. Parent-child conflict among primary and middle school students during the COVID-19 epidemic and its countermeasures[J]. Chin J Sch Health, 2021,42(5):719-722, 727.
[21] Lee SJ, Ward KP, Lee JY,et al. Parental social isolation and child maltreatment risk during the COVID-19 pandemic[J].J Fam Violence,2021,14:1-12.
[22] 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.
[23] Zhou SJ, Zhang LG, Wang LL, 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.
[24] Wang MT, Henry DA, Del Toro J,et al. COVID-19 employment status, dyadic family relationships, and child psychological well-being[J]. J Adolesc Health,2021,69(5):705-712.
[25] Danese A, Smith P, Chitsabesan P, et al. Child and adolescent mental health amidst emergencies and disasters[J].Br J Psychiatry,2020,216(3):159-162.
[26] Lee J. Mental health effects of school closures during COVID-19[J].Lancet Child Adolesc Health,2020,4(6):421.
[27] Liu X,Luo WT, Li Y, et al. Psychological status and behavior changes of the public during the COVID-19 epidemic in China[J]. Infect Dis Poverty,2020,9(1):58.
[28] 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.
[29] Loades ME, Chatburn E, Higson-Sweeney N, et al. Rapid systematic review: The impact of social isolation and loneliness on the mental health of children and adolescents in the context of COVID-19[J].J Am Acad Child Adolesc Psychiatry,2020,59(11):1218-1239.e3.
[30] Viner RM, Russell SJ, Croker H, et al. School closure and management practices during coronavirus outbreaks including COVID-19:A rapid systematic review[J]. Lancet Child Adolesc Health,2020,4(5):397-404.
[31] Cooper K.Don′t let children be the hidden victims of COVID-19 pandemic[R]. https://www.unicef.org/press-releases/dont-let-children-be-hidden-victims-covid-19-pandemic.
[32] UN: PolicyBrief: The impact of COVID-19 on Children[EB/OL].(2020-04-15). https://unsdg.un.org/resources/policy-brief-impact-covid-19-children.
[33] Panda PK, Gupta J,Chowdhury SR, et al. Psychological and behavioral impact of lockdown and quarantine measures for COVID-19 pandemic on children, adolescents and caregivers: A systematic review and Meta-analysis[J]. J Trop Pediatr,2021,67(1):fmaa122.
[34] Orgilés 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.
[35] Bobo E, Fongaro E, Lin L, et al. Mental health of children with attention deficit and hyperactivity disorder and their parents during the COVID-19 lockdown: A national cross-sectional study[J].Front Psychiatry,2022,13:902245.
[36] 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.
[37] Wang W,Xu Y, Gao R, et al. Detection of SARS-CoV-2 in different types of clinical specimens[J]. JAMA,2020,323(18):1843-1844.
[38] Jiao WY, Wang LN, Liu J,et al. Behavioral and emotional disorders in children during the COVID-19 epidemic[J]. J Pediatr,2020,221:264-266.e1.
[39] 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.
[40] Vigerland S, Lenhard F, Bonnert M, et al. Internet-delivered cognitive behavior therapy for children and adolescents: A systematic review and Meta-analysis[J]. Clin Psychol Rev,2016, 50:1-10.
[41] Rice SM,Goodall J, Hetrick SE, et al. Online and social networking interventions for the treatment of depression in young people: A systematic review[J].J Med Internet Res,2014, 16(9):e206.
[42] Reyes-Portillo JA,Mufson L, Greenhill LL, et al. Web-based interventions for youth internalizing problems: A systematic review[J]. J Am Acad Child Adolesc Psychiatry, 2014,53(12):1254-1270.e5.
[43] Domhardt M, Steubl L, Baumeister H. Internet- and mobile-based interventions for mental and somatic conditions in children and adolescents[J]. Z Kinder Jugendpsychiatr Psychother,2020,48(1):33-46.

Expert recommendations for prevention and coping strategies on psychological and behavioral problems of children and adolescents during home quarantine/online learning (the 2nd Version)

居家隔离/线上学习期间儿童青少年心理行为问题预防和心理支持专家建议(第二版)

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