童年期是个体神经系统发育的关键期,发生在这一阶段的应激性事件将对个体的心理发展造成不同程度的近期和远期影响。为了应对新冠肺炎疫情的暴发,国际社会采取了一系列的政策,如关闭学校、鼓励社交隔离等,给儿童的心理社会环境带来冲击,增加了儿童出现心理问题的风险。介绍了新冠疫情下儿童(包括青少年)可能出现的心理问题,并探讨了政府、社会、以及家庭可以采取的应对措施,对如何促进疫情后儿童的心理复原提出了建议。
Childhood is a critical period in the development of their central nervous system. Stressful life events in childhood may have both short-term and long-term impacts on their mental health. To cope with the COVID-19 epidemic, a series of policies have been adopted worldwide, such as the school closure and the social distancing, which have changed the children's psychosocial environment and are associated with an increased risk of mental health problems. This paper reviews the mental health problems that the children might face amid the COVID-19 epidemic, and discusses the countermeasures that the government, the society, and the family might take. Finally, suggestions are made to promote the psychological recovery of children after the epidemic.
[1] Membride H. Mental health:Early intervention and prevention in children and young people[J]. British Journal of Nursing, 2016, 25(10):552-557.
[2] Flaxman S, Mishra S, Gandy A, et al. Estimating the effects of non-pharmaceutical interventions on COVID-19 in Europe[J]. Nature, 2020, 584(7820):257-261.
[3] Oberle E, Schonert-Reichl K A, Thomson K C. Understanding the link between social and emotional well-being and peer relations in early adolescence:Gender-specific predictors of peer acceptance[J]. Journal of Youth and Adolescence, 2010, 39(11):1330-1342.
[4] Zhou S J, Zhang L G, Wang L L, et al. Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19[J]. European Child and Adolescent Psychiatry. 2020, 291:1-10.
[5] Green P. Risks to children and young people during covid-19 pandemic[J]. BMJ, 2020, 369:1669.
[6] Rosenthal C M, Thompson L A. Child abuse awareness month during the coronavirus disease 2019 pandemic[J]. JAMA Pediatrics, 2020, 174(8):812.
[7] Cuartas J. Heightened risk of child maltreatment amid the COVID-19 pandemic can exacerbate mental health problems for the next generation[J]. Psychological Trauma:Theory, Research, Practice, and Policy, 2020, 12(S1):195-196.
[8] Peterman A. Pandemics and violence against women and children[EB/OL]. (2020-04-07)[2020-7-29]. https://www.cgdev.org/publication/pandemics-andviolence-against-women-and-children.
[9] McLaughlin K A, Weissman D, Bitrán D. Childhood adversity and neural development:A systematic review[J]. Annual Review of Psychology, 2019, 1:277-312.
[10] YoungMinds. Coronavirus:Impact on young people with mental health needs[EB/OL]. (2020-03-06)[2020-07-29]. https://youngminds.org.uk/about-us/reports/coronavirus-impact-on-young-people-with-mental-health-needs/.
[11] 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 Journal of Psychiatry, 2020, 51:102077.
[12] Fineberg N A, van Ameringen M, Drummond L, et al. How to manage obsessive-compulsive disorder (OCD) under COVID-19:A clinician's guide from the International College of Obsessive Compulsive Spectrum Disorders (ICOCS) and the Obsessive-Compulsive and Related Disorders Research Network (OCRN) of the European College of Neuropsychopharmacology[J]. Comprehensive Psychiatry, 2020, 100:152174.
[13] Király O, Potenza M N, Stein D J, et al. Preventing problematic internet use during the COVID-19 pandemic:Consensus guidance[J]. Comprehensive Psychiatry, 2020, 100:152180.
[14] Bavel J J V, Baicker K, Boggio P S, et al. Using social and behavioural science to support COVID-19 pandemic response[J]. Nature Human Behaviour, 2020, 4(5):460-471.
[15] Naslund J A, Aschbrenner K A, Araya R, et al. Digital technology for treating and preventing mental disorders in low-income and middle-income countries:A narrative review of the literature[J]. Lancet Psychiatry, 2017, 4(6):486-500.
[16] Cortese S, Asherson P, Sonuga-Barke E, et al. ADHD management during the COVID-19 pandemic:Guidance from the European ADHD Guidelines Group[J]. Lancet Child & Adolescent Health, 2020, 4(6):412-414.
[17] Daley D, van der Oord S, Ferrin M, et al. Practitioner review:Current best practice in the use of parent training and other behavioural interventions in the treatment of children and adolescents with attention deficit hyperactivity disorder[J]. Journal of Child Psychology and Psychiatry, 2018, 59(9):932-947.
[18] Zoellner T, Maercker A. Posttraumatic growth in clinical psychology-A critical review and introduction of a two component model[J]. Clinical Psychology Review, 2006, 26(5):626-653.