The Effect of the Covid-19 Pandemic on Mental Health (Children, Adolescents, Young Adults) and Mental Health Service: Systematic Review

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Endang Purnawati
Lintang Dian Saraswati
Moh. Arie Wurjanto
Sri Yuliawati

Abstract

The impact of the COVID-19 pandemic on mental health in young age groups (children, adolescents, and young adults) has a higher prevalence than individuals at other stages of the lifecycle (adults and the elderly). The implementation of mental health services faces more barriers to professional care than in the pre-pandemic period. This study aims to identify the effect of sociodemographic and Public Health Measures on the mental health of young age groups and mental health services during the COVID-19 pandemic. A systematic review without meta-analysis was performed on seven databases. The selection procedure followed the flow diagram of the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA). Inclusion criteria included all types of research that looked at the impact of COVID-19 on mental health and mental health services. There are 44 included articles and the quality assessment shows that the study was evaluated as 80% and 100% quality criteria met. During the implementation of Public Health and Social Measures, the young age group experienced mental health problems, including stress, depression, anxiety, sleeping disorder, eating disorder, and post-traumatic stress disorder related to socioeconomic status, academic, and social factors. This systematic review proves that the COVID-19 pandemic affects the mental health of the young age group and mental health services.

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How to Cite
Purnawati, E., Saraswati, L., Wurjanto, M., & Yuliawati, S. (2022). The Effect of the Covid-19 Pandemic on Mental Health (Children, Adolescents, Young Adults) and Mental Health Service: Systematic Review. Unnes Journal of Public Health, 11(2), 179-197. https://doi.org/10.15294/ujph.v11i2.53472

References

Abdulah DM, Abdulla BMO, Liamputtong P. Psychological response of children to home confinement during COVID-19: A qualitative arts-based research. Int J Soc Psychiatry. 2021 Jan 1;(Preprints).
Abdulghani HM, Sattar K, Ahmad T, Akram A. Association of COVID-19 Pandemic with undergraduate Medical Students’ Perceived Stress and Coping. Psychol Res Behav Manag. 2020;13:871–81.
Al Omari O, Al Sabei S, Al Rawajfah O, Abu Sharour L, Aljohani K, Alomari K, et al. Prevalence and Predictors of Depression, Anxiety, and Stress among Youth at the Time of COVID-19: An Online Cross-Sectional Multicountry Study. Depress Res Treat. 2020 Oct 6;2020:1–9.
Al-Shuaibi A. The Importance of Education [Internet]. Qatar Chronicle. 2014. Available from: http://www.qatarchronicle.com/forum/47660/the-importance-of-education-2/
Baloch GM, Sundarasen S, Chinna K, Nurunnabi M, Kamaludin K, Khoshaim HB, et al. COVID-19: exploring impacts of the pandemic and lockdown on mental health of Pakistani students. PeerJ. 2021 Feb 3;9:e10612.
BCM. Mental health services provider information. Texas: Baylor College of Medicine; 2019. p. 3–4.
Callaghan P. Exercise: a neglected intervention in mental health care? J Psychiatr Ment Health Nurs [Internet]. 2004 Aug;11(4):476–83. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2850.2004.00751.x
CDC. Ensure Children’s Wellbeing During COVID-19: Parental Resources [Internet]. CDC. 2020. Available from: https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/parental-resource-kit/index.html
Chen B, Sun J, Feng Y. How Have COVID-19 Isolation Policies Affected Young People ’ s Mental Health ? – Evidence From Chinese College Students. Front Psychol [Internet]. 2020;11(June):1–6. Available from: https://doi.org/10.3389/fpsyg.2020.01529
Chen S, Cheng Z, Wu J. Risk factors for adolescents’ mental health during the COVID-19 pandemic: a comparison between Wuhan and other urban areas in China. Global Health. 2020 Dec 9;16(1):96.
Chen S, Cheng Z, Wu J. Risk factors for adolescents’ mental health during the COVID-19 pandemic: A comparison between Wuhan and other urban areas in China. Global Health. 2020;16(1):1–11.
Chen X, Qi H, Liu R, Feng Y, Li W, Xiang M, et al. Depression, anxiety and associated factors among Chinese adolescents during the COVID-19 outbreak: a comparison of two cross-sectional studies. Transl Psychiatry. 2021 Jun 2;11(1):148.
Chi X, Becker B, Yu Q, Willeit P, Jiao C, Huang L, et al. Prevalence and Psychosocial Correlates of Mental Health Outcomes Among Chinese College Students During the Coronavirus Disease (COVID-19) Pandemic. Front Psychiatry. 2020 Aug 7;11.
de Avila MAG, Filho PTH, da Silva Jacob FL, Alcantara LRS, Berghammer M, Nolbris MJ, et al. Children’s Anxiety and Factors Related to the COVID-19 Pandemic: An Exploratory Study Using the Children’s Anxiety Questionnaire and the Numerical Rating Scale. Int J Environ Res Public Health. 2020;17(16):1–13.
De Man J, Buffel V, van de Velde S, Bracke P, Van Hal GF, Wouters E. Disentangling depression in Belgian higher education students amidst the first COVID-19 lockdown (April-May 2020). Arch Public Heal. 2021 Dec 7;79(1):3.
Dewa LH, Crandell C, Choong E, Jaques J, Bottle A, Kilkenny C, et al. CCopeY: A Mixed-Methods Coproduced Study on the Mental Health Status and Coping Strategies of Young People During COVID-19 UK Lockdown. J Adolesc Heal. 2021;68(4):666–75.
Dodd RH, Dadaczynski K, Okan O, McCaffery KJ, Pickles K. Psychological Wellbeing and Academic Experience of University Students in Australia during COVID-19. Int J Environ Res Public Health. 2021 Jan 20;18(3):866.
East P, Doom J, Delker E, Blanco E, Burrows R, Correa-Burrows P, et al. Childhood socioeconomic hardship, family conflict, and young adult hypertension: The Santiago Longitudinal Study. Soc Sci Med [Internet]. 2020;253(October 2019):112962. Available from: https://doi.org/10.1016/j.socscimed.2020.112962
Essangri H, Sabir M, Benkabbou A, Majbar MA, Amrani L, Ghannam A, et al. Predictive Factors for Impaired Mental Health among Medical Students during the Early Stage of the COVID-19 Pandemic in Morocco. Am J Trop Med Hyg. 2021 Jan 6;104(1):95–102.
Fitzpatrick O, Carson A, Weisz JR. Using Mixed Methods to Identify the Primary Mental Health Problems and Needs of Children, Adolescents, and Their Caregivers during the Coronavirus (COVID-19) Pandemic. Child Psychiatry Hum Dev. 2021 Jan 1;(Preprints):1–12.
García-González J, Ruqiong W, Alarcon-Rodriguez R, Requena-Mullor M, Ding C, Ventura-Miranda MI. Analysis of Anxiety Levels of Nursing Students Because of e-Learning during the COVID-19 Pandemic. Healthcare. 2021 Mar 1;9(3):252.
Garvey AM, Jimeno García I, Otal Franco SH, Mir Fernández C. The Psychological Impact of Strict and Prolonged Confinement on Business Students during the COVID-19 Pandemic at a Spanish University. Int J Environ Res Public Health. 2021 Feb 10;18(4):1710.
Ghazawy ER, Ewis AA, Mahfouz EM, Khalil DM, Arafa A, Mohammed Z, et al. Psychological impacts of COVID-19 pandemic on the university students in Egypt. Health Promot Int. 2020 Dec 25;
Gittings L, Toska E, Medley S, Cluver L, Logie CH, Ralayo N, et al. ‘Now my life is stuck!’: Experiences of adolescents and young people during COVID-19 lockdown in South Africa. Glob Public Health. 2021 Jun 3;16(6):947–63.
Giusti L, Salza A, Mammarella S, Bianco D, Ussorio D, Casacchia M, et al. #Everything Will Be Fine. Duration of Home Confinement and “All-or-Nothing” Cognitive Thinking Style as Predictors of Traumatic Distress in Young University Students on a Digital Platform During the COVID-19 Italian Lockdown. Front Psychiatry. 2020 Dec 15;11.
Gulliver AKMGHC. Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review Amelia. BMC Psychiatry. 2010;113(10):9.
Hong Q, Pluye P, Fàbregues S, Bartlett G, Boardman F, Cargo M, et al. Mixed Methods Appraisal Tool (MMAT), Version 2018. User guide. McGill. 2018. p. 1–11.
Hou J, Yu Q, Lan X. COVID-19 Infection Risk and Depressive Symptoms Among Young Adults During Quarantine: The Moderating Role of Grit and Social Support. Front Psychol. 2021 Jan 8;11:577942.
Islam A, Barna SD, Raihan H, Khan NA, Hossain T. Depression and anxiety among university students during the COVID-19 pandemic in Bangladesh: A web-based cross-sectional survey. PLoS One. 2020 Aug;15(8).
Kecojevic A, Basch CH, Sullivan M, Davi NK. The impact of the COVID-19 epidemic on mental health of undergraduate students in New Jersey, cross-sectional study. Vickers K, editor. PLoS One. 2020 Sep 30;15(9):e0239696.
Khan AH, Sultana MS, Hossain S, Hasan MT, Ahmed HU, Sikder MT. The impact of COVID-19 pandemic on mental health & wellbeing among home-quarantined Bangladeshi students: A cross-sectional pilot study. J Affect Disord. 2020 Dec;277:121–8.
Khan S, Huremović D. Psychology of the Pandemic. In: Huremović D, editor. Psychiatry of Pandemic: A Mental Health Response to Infection Outbreak [Internet]. Manhasset, NY: Springer Nature Switzerland AG; 2019. p. 37–44. Available from: https://doi.org/10.1007/978-3-030-15346-5
Kılınçel Ş, Kılınçel O, Muratdağı G, Aydın A, Usta MB. Factors affecting the anxiety levels of adolescents in home‐quarantine during COVID‐19 pandemic in Turkey. Asia-Pacific Psychiatry. 2021 Jun 11;13(2).
Kowal M, Coll-Martín T, Ikizer G, Rasmussen J, Eichel K, Studzińska A, et al. Who is the Most Stressed During the COVID-19 Pandemic? Data From 26 Countries and Areas. Appl Psychol Heal Well-Being [Internet]. 2020;12(4):946–66. Available from: https://doi.org/10.1111/aphw.12234
Li W, Wang Z, Wang G, Ip P, Sun X, Jiang Y, et al. Socioeconomic inequality in child mental health during the COVID-19 pandemic: First evidence from China. J Affect Disord. 2021;287:8–14.
Li X, Fu P, Fan C, Zhu M, Li M. COVID-19 Stress and Mental Health of Students in Locked-Down Colleges. Int J Environ Res Public Health. 2021 Jan 18;18(2):771.
Liu CH, Zhang E, Wong GTF, Hyun S, Hahm H “Chris.” Factors associated with depression, anxiety, and PTSD symptomatology during the COVID-19 pandemic: Clinical implications for U.S. young adult mental health. Psychiatry Res. 2020 Aug;290:113172.
Liu R, Chen X, Qi H, Feng Y, Xiao L, Yuan X-F, et al. The proportion and associated factors of anxiety in Chinese adolescents with depression during the COVID-19 outbreak. J Affect Disord. 2021;284:114–9.
Ma Z, Zhao J, Li Y, Chen D, Wang T, Zhang Z, et al. Mental health problems and correlates among 746 217 college students during the coronavirus disease 2019 outbreak in China. Epidemiol Psychiatr Sci. 2020 Nov 13;29:e181.
Mathes BM, Norr AM, Allan NP, Albanese BJ, Schmidt NB. Cyberchondria: Overlap with health anxiety and unique relations with impairment, quality of life, and service utilization. Psychiatry Res [Internet]. 2018 Mar;261:204–11. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0165178117318437
McKune SL, Acosta D, Diaz N, Brittain K, Beaulieu DJ-, Maurelli AT, et al. Psychosocial health of school-aged children during the initial COVID-19 safer-at-home school mandates in Florida: a cross-sectional study. BMC Public Health. 2021 Dec 29;21(1):603.
Mekonen EG, Workneh BS, Ali MS, Muluneh NY. The Psychological Impact of COVID-19 Pandemic on Graduating Class Students at the University of Gondar, Northwest Ethiopia. Psychol Res Behav Manag. 2021 Feb;Volume 14:109–22.
Mensi MM, Capone L, Rogantini C, Orlandi M, Ballante E, Borgatti R. COVID‐19‐related psychiatric impact on Italian adolescent population: A cross‐sectional cohort study. J Community Psychol. 2021 Jul 29;49(5):1457–69.
Muse K, McManus F, Leung C, Meghreblian B, Williams JMG. Cyberchondriasis: Fact or fiction? A preliminary examination of the relationship between health anxiety and searching for health information on the Internet. J Anxiety Disord [Internet]. 2012;26(1):189–96. Available from: http://dx.doi.org/10.1016/j.janxdis.2011.11.005
Neill RO’. Perpetuating a Vicious Cycle: The Causes and Effects of Poorly Educated Children in Sierra Leone. Glob Major E-Journal [Internet]. 2014;5(1):44–56. Available from: https://www.american.edu/cas/economics/ejournal/upload/Global_Majority_e_Journal_5_1_O-Neill.pdf
Neppl TK, Senia JM, Donnellan MB. Effects of economic hardship: Testing the family stress model over time. J Fam Psychol [Internet]. 2016 Feb;30(1):12–21. Available from: http://doi.apa.org/getdoi.cfm?doi=10.1037/fam0000168
O’Sullivan K, Clark S, McGrane A, Rock N, Burke L, Boyle N, et al. A Qualitative Study of Child and Adolescent Mental Health during the COVID-19 Pandemic in Ireland. Int J Environ Res Public Health [Internet]. 2021 Jan 25;18(3):1062. Available from: https://www.mdpi.com/1660-4601/18/3/1062
Octavius GS, Silviani FR, Lesmandjaja A, Angelina, Juliansen A. Impact of COVID-19 on adolescents’ mental health: a systematic review. Middle East Curr Psychiatry. 2020;27(1):4–11.
Pearson A, White H, Bath-Hextall F, Salmond S, Apostolo J, Kirkpatrick P. A mixed-methods approach to systematic reviews. Int J Evid Based Healthc. 2015;13(3):121–31.
Pramukti I, Strong C, Sitthimongkol Y, Setiawan A, Pandin MGR, Yen C-F, et al. Anxiety and Suicidal Thoughts During the COVID-19 Pandemic: Cross-Country Comparative Study Among Indonesian, Taiwanese, and Thai University Students. J Med Internet Res. 2020 Dec 24;22(12):e24487.
Qin Z, Shi L, Xue Y, Lin H, Zhang J, Liang P, et al. Prevalence and Risk Factors Associated With Self-reported Psychological Distress Among Children and Adolescents During the COVID-19 Pandemic in China. JAMA Netw Open [Internet]. 2021 Jan 26;4(1):e2035487. Available from: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2775633
Ryan A, Wilson S. Internet healthcare: Do self-diagnosis sites do more harm than good? Expert Opin Drug Saf. 2008;7(3):227–9.
Salman M, Asif N, Mustafa ZU, Khan TM, Shehzadi N, Tahir H, et al. Psychological Impairment and Coping Strategies During the COVID-19 Pandemic Among Students in Pakistan: A Cross-Sectional Analysis. Disaster Med Public Health Prep. 2020 Oct 22;1–7.
Sandelowski M, Voils CI, Barroso J. Defining and Designing Mixed Research Synthesis Studies. Res Sch. 2006;13(1):29.
Sayeed A, Kundu S, Banna MH Al, Hasan MT, Begum MR, Khan MSI. Mental health outcomes during the COVID-19 and perceptions towards the pandemic: Findings from a cross sectional study among Bangladeshi students. Child Youth Serv Rev. 2020 Dec;119:105658.
Stavridou A, Stergiopoulou AA, Panagouli E, Mesiris G, Thirios A, Mougiakos T, et al. Psychosocial consequences of COVID-19 in children, adolescents and young adults: A systematic review. Psychiatry Clin Neurosci. 2020;74(11):615–6.
Suhail A, Iqbal N, Smith J. Lived experiences of Indian Youth amid COVID-19 crisis: An interpretative phenomenological analysis. Int J Soc Psychiatry [Internet]. 2021 Jan 1;(Preprints). Available from: http://search.ebscohost.com/login.aspx?direct=true&AuthType=ip,shib&db=eoah&AN=54524261&site=ehost-live&scope=site&custid=ns003811
Sundarasen S, Chinna K, Kamaludin K, Nurunnabi M, Baloch GM, Khoshaim HB, et al. Psychological Impact of COVID-19 and Lockdown among University Students in Malaysia: Implications and Policy Recommendations. Int J Environ Res Public Health [Internet]. 2020 Aug 27;17(17):6206. Available from: https://www.mdpi.com/1660-4601/17/17/6206
UNICEF. Novel Coronavirus (COVID-19): What you should know - UNICEF Indonesia [Internet]. UNICEF. 2020 [cited 2021 Feb 2]. Available from: https://www.unicef.org/indonesia/coronavirus/FAQ
Villani L, Pastorino R, Molinari E, Anelli F, Ricciardi W, Graffigna G, et al. Impact of the COVID-19 pandemic on psychological well-being of students in an Italian university: a web-based cross-sectional survey. Global Health. 2021 Dec 6;17(1):39.
Wathelet M, Duhem S, Vaiva G, Baubet T, Habran E, Veerapa E, et al. Factors Associated With Mental Health Disorders Among University Students in France Confined During the COVID-19 Pandemic. JAMA Netw Open. 2020 Oct 23;3(10):e2025591.
World Health Organization (WHO). COVID-19 disrupting mental health services in most countries, WHO survey. 2020; Available from: https://www.who.int/news/item/05-10-2020-covid-19-disrupting-mental-health-services-in-most-countries-who-survey
Yeasmin S, Banik R, Hossain S, Hossain MN, Mahumud R, Salma N, et al. Impact of COVID-19 pandemic on the mental health of children in Bangladesh: A cross-sectional study. Child Youth Serv Rev. 2020 Oct;117:105277.
Yu M, Tian F, Cui Q, Wu H. Prevalence and its associated factors of depressive symptoms among Chinese college students during the COVID-19 pandemic. BMC Psychiatry. 2021 Dec 29;21(1):66.
Yu Y, She R, Luo S, Xin M, Li L, Wang S, et al. Factors Influencing Depression and Mental Distress Related to COVID-19 Among University Students in China: Online Cross-sectional Mediation Study. JMIR Ment Heal [Internet]. 2021 Feb 22;8(2):e22705. Available from: http://mental.jmir.org/2021/2/e22705/
Zhou J, Yuan X, Qi H, Liu R, Li Y, Huang H, et al. Prevalence of depression and its correlative factors among female adolescents in China during the coronavirus disease 2019 outbreak. Global Health [Internet]. 2020 Dec 28;16(1):69. Available from: https://globalizationandhealth.biomedcentral.com/articles/10.1186/s12992-020-00601-3