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Confinamiento y distanciamiento social: estrés, ansiedad, depresión en niños y adolescentes / Confinement and social distancing: stress, anxiety, depression in children and adolescents
Resumen
Resumen
Entre las estrategias para evitar la enfermedad por COVID-19 que afecta a la población mundial está evitar el contagio a partir del confinamiento y el distanciamiento social, lo que puede ocasionar en niños y adolescentes un cambio en el entorno psicosocial con alta prevalencia de alteraciones psicológicas y psiquiátricas, como estrés, transtornos de ansiedad, transtornos depresivos, riesgo de suicidio y trastornos de la conducta alimentaria. Durante el confinamiento se realizaron cierres de escuelas, de espacios recreativos y deportivos, cancelación de actividades fuera de casa, lo cual puede tener consecuencias en los hábitos sociales, del sueño, modificaciones en el patrón de alimentación que conllevan alteraciones en las variables antropométricas, alteraciones neurofisiológicas conductuales que afectan la salud mental, además de la frustración de la no ejecución de planes, miedo, aburrimiento y la incertidumbre de la duración, los cuales podrían generar mayor estrés. El distanciamiento social propicia una reducción de la interacción y se relaciona con ansiedad, estrés y depresión, además de la preocupación de contagiar a la familia. Estos escenarios pueden generar estrés en los padres, violencia intrafamiliar y uso descontrolado de internet. Los niños y adolescentes son población vulnerable que se adapta al entorno en crisis generadas por el confinamiento y distanciamiento social. El objetivo de este trabajo fue revisar la influencia del confinamiento y el distanciamiento social en el estrés, la ansiedad y la depresión de niños y adolescentes.
Abstract
Among the strategies to avoid COVID-19 disease that affects the world population it is keeping away from contagion through confinement and social distancing, which can cause in children and adolescents a change in the psychosocial environment with a high prevalence of psychological and psychiatric disorders, such as stress, anxiety disorders, depressive disorders, risk of suicide and eating disorders. During confinement, were made school closures, shutdowns of recreational and sports spaces, cancellation of outdoor activities, which can have consequences in social habits, sleep, modifications in the eating pattern that entails alterations in anthropometric variables, neurophysiological alterations with behaviors that affect mental health, in addition to the frustration of not executing plans, fear, boredom and the uncertainty of the duration of the pandemic could lead to further stress. Social distancing favors a reduction in interaction, is related to anxiety, stress and depression, in addition to the concern of infecting the family. These scenarios can generate stress for parents, domestic violence and uncontrolled use of the internet. Children and adolescents are vulnerable populations that adapt to the environment in crisis. The objective of this work was to review the influence of confinement and social distancing on stress, anxiety and depression in children and adolescents.
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Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5):1729. doi:10.3390/ ijerph17051729.
Nearchou F, Flinn C, Niland R, Subramaniam SS, Hennessy E. Exploring the impact of COVID-19 on mental health out-comes in children and adolescents: A Systematic Review. Int J Environ Res Public Health. 2020;17(22):8479. doi:10.3390/ ijerph17228479.
Fegert JM, Vitiello B, Plener PL, Clemens V. Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: a narrative review to highlight clinical and research needs in the acute phase and the long return to normality. Child Adolesc Psychiatry Ment Health. 2020;14:20. doi:10.1186/s13034-020-00329-3.
Spiteri J. Quality early childhood education for all and the Covid-19 crisis: A viewpoint. Prospects. 2021;51:143-8. doi:10.1007/s11125-020-09528-4.
Xie X, Xue Q, Zhou Y, Zhu K, Liu Q, Zhang J, et al. Mental health status among children in home confinement during the Coronavirus disease 2019 outbreak in Hubei province, China. JAMA Pediatr. 2020;174(9):898-900. doi:10.1001/ jamapediatrics.2020.1619.
Saurabh K, Ranjan S. Compliance and psychological impact of quarantine in children and adolescents due to covid-19 pandemic. Indian J Pediatr. 2020;87(7):532-6. doi:10.1007/ s12098-020-03347-3.
Arantes de Araújo L, Veloso CF, de Campos Souza M, Coelho de Azevedo JM, Tarro G. The potential impact of the COVID-19 pandemic on child growth and development: a systematic review. J Pediatr. 2021;97(4):369-77. doi:10.1016/j. jped.2020.08.008.
Prout TA, Zilcha-Mano S, Aafjes van Doom K, Békés V, Christman-Cohen I, Whistler K, et al. Identifying predictors of psychological distress during COVID-19: A machine learning approach. Front Psychol. 2020;11:586202. doi:10.3389/ fpsyg.2020.586202.
Loades ME, Chatburn E, Higson-Sweeney N, Reynolds S, Shafran R, Brigden A, 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 Am Acad Child Adolesc Psychiatry. 2020;59(11):1218-39.e3. doi:10.1016/j.jaac.2020.05.009.
Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatr. 2020;33(2):e100213. doi: 10.1136/ gpsych-2020-100213.
Wells GA, Shea B, O’Connell D, Peterson J, Welch V, Losos M, et al. The Newcastle–Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Ottawa. Ottawa Hospital Research Institute; 2021. Disponible en http:// www.ohri.ca/programs/clinical_epidemiology/oxford.asp.
Kieling C, Baker-Henningham H, Belfer M, Conti G, Ertem I, Omigbodun O, et al. Child and adolescent mental health worldwide: evidence for action. Lancet. 2011;378(9801):1515- 25. doi: 10.1016/S0140-6736(11)60827-1.
Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-20. doi: 10.1016/S0140 -6736(20)30460-8.
Cui Y, Li F, Leckman JF, Guo L, Ke X, Liu J, et al. The prevalence of behavioral and emotional problems among Chinese school children and adolescents aged 6-16: a national survey. Eur Child Adolesc Psychiatry. 2021;30(2):233-41. doi: 10.1007/s00787-020-01507-6.
Zhou SJ, Zhang LG, Wang LL, Guo ZC, Wang JQ, Chen JC, et al. Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. Eur Child Adolesc Psychiatry. 2020;29(6):749-58. doi: 10.1007/s00787-020-01541-4.
Hawes MT, Szenczy AK, Klein DN, Hajcak G, Nelson BD. Increases in depression and anxiety symptoms in adolescents and young adults during the COVID-19 pandemic. Psychol Med. 2021;1-9. doi: 10.1017/S0033291720005358.
Ma L, Mazidi M, Li K, Li Y, Chen S, Kirwan R, et al. Prevalence of mental health problems among children and adolescents during the COVID-19 pandemic: A systematic review and meta-analysis. J Affect Disord. 2021;293:78-89. doi: 10.1016/j.jad.2021.06.021.
Fong VC, Larocci G. Child and family outcomes following pandemics: A systematic review and recommendations on COVID-19 policies. J Pediatr Psychol. 2020;45(10):1124-43. doi: 10.1093/jpepsy/jsaa092.
Tang S, Xiang M, Cheung T, Xiang YT. Mental health and its correlates among children and adolescents during COVID-19 school closure: The importance of parent-child discussion. J Affect Disord. 2021;279:353-60. doi: 10.1016/j.jad.2020.10.016.
Golberstein E, Wen H, Miller BF. Coronavirus disease 2019 (COVID-19) and mental health for children and adolescents. JAMA Pediatr. 2020;174(9):819-20. doi: 10.1001/ jamapediatrics.2020.1456.
Liang L, Ren H, Cao R, Hu Y, Qin Z, Li C, et al. The effect of COVID-19 on youth mental health. Psychiatr Q. 2020;91(3): 841-52. doi: 10.1007/s11126-020-09744-3.
Chen F, Zheng D, Liu J, Gong Y, Guan Z, Lou D. Depression and anxiety among adolescents during COVID-19: A cross-sectional study. Brain Behav Immun. 2020;88:36-8. doi: 10.1016/j.bbi.2020.05.061.
Siste K, Hanafi E, Sen LT, Murtani BJ, Christian H, Limawan AP, et al. Implications of COVID-19 and lockdown on Internet addiction among adolescents: Data from a developing country. Front Psychiatry. 2021;12:665675. doi: 10.3389/fpsyt.2021.665675.
Cohen D. Appréhender le COVID-19 au fil de l’eau en tant que psychiatre d’enfant et d’adolescent. Encephale. 2020;46 (3S):S99-106. doi: 10.1016/j.encep.2020.05.005.
Pérez-Cano HJ, Moreno-Murguía MB, Morales-López O, Crow-Buchanan O, English JA, Lozano-Alcázar J, et al. Anxiety, depression, and stress in response to the coronavirus disease-19 pandemic. Cir Cir. 2020;88(5):562-8. doi: 10.24875/ CIRU.20000561.
Xiong J, Lipsitz O, Nasri F, Lui LMW, Gill H, Phan L, et al. Impact of COVID-19 pandemic on mental health in the general population: A systematic review. J Affect Disord. 2020;277: 55-64. doi: 10.1016/j.jad.2020.08.001.
Yoshikawa H, Wuermli AJ, Britto PR, Dreyer B, Leckman JF, Lye SJ, et al. Effects of the global Coronavirus disease-2019 pandemic on early childhood development: Short- and long-term risks and mitigating program and policy actions. J Pediatr. 2020;223:188-93. doi: 10.1016/j.jpeds.2020.05.020.
Prime H, Wade M, Browne DT. Risk and resilience in family well-being during the COVID-19 pandemic. Am Psychol. 2020;75(5):631-43. doi: 10.1037/amp0000660.
Blackman JS. A psychoanalytic view of reactions to the coronavirus pandemic in China. Am J Psychoanal. 2020;80(2):119- 32. doi: 10.1057/s11231-020-09248-w.
Fares-Otero NE, Pfaltz MC, Estrada-Lorenzo JM, Rodriguez-Jiménez R. COVID-19: The need for screening for domestic violence and related neurocognitive problems. J Psychiatr Res. 2020;130:433-4. doi: 10.1016/j.jpsychires.2020.08.015.
Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020;287:112934. doi:10.1016/j.psychres.2020.112934.
Marques de Miranda D, da Silva Athanasio B, Sena-Oliveira AC, Simoes-e-Silva AC. How is COVID-19 pandemic impacting mental health of children and adolescents? Int J Disaster Risk Reduct. 2020;51:101845. doi: 10.1016/j.ijdrr.2020.101845.
Fernández-Torres MJ, Almansa-Martínez A, Chamizo-Sánchez R. Infodemic and Fake News in Spain during the COVID-19 Pandemic. Int J Environ Res Public Health. 2021;18 (4):1781. doi: 10.3390/ijerph18041781.
Pedreira-Massa JL. Salud mental y covid-19 en infancia y adolescencia: visión desde la psicopatología y la salud pública. Rev Esp Salud Pública. 2020;94:1-17. https://www.sanidad.gob.es/biblioPublic/publicaciones/recursos_propios/resp/revista_cdrom/VOL94/C_ESPECIALES/RS94C_202010141.pdf.
Browne NT, Snethen JA, Greenberg CS, Frenn M, Kilanowski JF, Gance-Cleveland B, et al. When pandemics collide: The impact of COVID-19 on childhood obesity. J Pediatr Nurs. 2020. doi: 10.1016/j.pedn.2020.11.004.
Javelot H, Weiner L. Panique et pandémie : revue de la littérature sur les liens entre le trouble panique et l’épidémie à SARS-CoV-2. Encephale. 2020;46(3S):S93-8. doi: 10.1016/j. encep.2020.05.010.
Guessoum SB, Lachal J, Radjack R, Carretier E, Minassian S, Benoit L, et al. Adolescent psychiatric disorders during the COVID-19 pandemic and lockdown. Psychiatry Res. 2020; 291:113264. doi: 10.1016/j.psychres.2020.113264.
Valenzano A, Scarinci A, Monda V, Sessa F, Messina A, Monda M, et al. The social brain and emotional contagion: COVID-19 effects. Medicina. 2020;56(12):640. doi: 10.3390/ medicina56120640.
Barzilay R, Moore TM, Greenberg DM, DiDomenico GE, Brown LA, White LK, et al. Resilience, COVID-19-related stress, anxiety and depression during the pandemic in a large population enriched for healthcare providers. Transl Psychiatry. 2020;10(1):291. doi: 10.1038/s41398-020-00982-4.
Bottino CJ. Preventing toxic childhood stress in the COVID era: A role for telemedicine. Telemed J E Health. 2021;27(4): 385-7. doi: 10.1089/tmj.2020.0280.
Wang G, Zhang Y, Zhao J, Zhang J, Jiang F. Mitigate the effects of home confinement on children during the COVID-19 outbreak. Lance. 2020;395(10228):945-7. doi: 10.1016/S0140 -6736(20)30547-X.
Singh S, Roy D, Sinha K, Parveen S, Sharma G, Joshi G. Impact of COVID-19 and lockdown on mental health of children and adolescents: A narrative review with recommendations. Psychiatry Res. 2020;293:113429. doi: 10.1016/j. psychres.2020.113429.
Dalton L, Rapa E, Stein A. Protecting the psychological health of children through effective communication about COVID-19. Lancet Child Adolesc Health. 2020;4(5):346-7. doi: 10.1016/S2352-4642(20)30097-3.
Ye J. Pediatric mental and behavioral health in the period of quarantine and social distancing with COVID-19. JMIR Pediatr Parent. 2020;3(2):e19867. doi: 10.2196/19867.
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