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27.05.2022 | COVID-19 | Original Contribution

Children and adolescents' emotional problems during the COVID-19 pandemic in Brazil

verfasst von: Pedro Fonseca Zuccolo, Caio Borba Casella, Daniel Fatori, Elizabeth Shephard, Luisa Sugaya, Wagner Gurgel, Luis Carlos Farhat, Adriana Argeu, Monike Teixeira, Luara Otoch, Guilherme V. Polanczyk

Erschienen in: European Child & Adolescent Psychiatry | Ausgabe 6/2023

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Abstract

Brazil has been severely affected by the COVID-19 pandemic with one of the largest numbers of youth impacted by school closure globally. This longitudinal online survey assessed emotional problems in children and adolescents aged 5–17 years living in Brazil during the COVID-19 pandemic. Recruitment occurred between June to November 2020 and participants were invited for follow-up assessments every 15 days until June 2021. Participants were 5795 children and adolescents living across the country with mean age of 10.7 (SD 3.63) years at recruitment; 50.5% were boys and 69% of white ethnicity. Weighted prevalence rates of anxiety, depressive and total emotional symptoms at baseline were 29.7%, 36.1% and 36%, respectively. Longitudinal analysis included 3221 (55.6%) participants and revealed fluctuations in anxiety and depressive symptoms during one year follow-up, associated with periods of social mobility and mortality. Emotional problems significantly increased in July and September 2020 and decreased from December 2020 to February 2021 and then significantly increased in May 2021 relative to June 2020. Older age, feeling lonely, previous diagnosis of mental or neurodevelopmental disorder, previous exposure to traumatic events or psychological aggression, parental psychopathology, and sleeping less than 8/h a day were associated with increased rates of anxiety and depressive symptoms at baseline and over time. Food insecurity and less social contact with family and peers were associated with baseline anxiety and depressive symptoms, and lowest socio-economic strata, chronic disease requiring treatment and family members physically ill due to COVID-19 were associated with increasing rates over time. The pandemic severely affected youth, particularly those from vulnerable populations and in moments of increased mortality and decreased social mobility. Results underscore the need for allocation of resources to services and the continuous monitoring of mental health problems among children and adolescents.

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Titel: Children and adolescents' emotional problems during the COVID-19 pandemic in Brazil
verfasst von: Pedro Fonseca Zuccolo
Caio Borba Casella
Daniel Fatori
Elizabeth Shephard
Luisa Sugaya
Wagner Gurgel
Luis Carlos Farhat
Adriana Argeu
Monike Teixeira
Luara Otoch
Guilherme V. Polanczyk
Publikationsdatum: 27.05.2022
Verlag: Springer Berlin Heidelberg
Schlagwort: COVID-19
Erschienen in: European Child & Adolescent Psychiatry / Ausgabe 6/2023
Print ISSN: 1018-8827
Elektronische ISSN: 1435-165X
DOI: https://doi.org/10.1007/s00787-022-02006-6

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