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      Prevalence of mental health symptoms in children and adolescents during the COVID‐19 pandemic: A meta‐analysis

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          Abstract

          The COVID‐19 pandemic and its accompanying infection control measures introduced sudden and significant disruptions to the lives of children and adolescents around the world. Given the potential for negative impacts on the mental health of youths as a result of these changes, we conducted a systematic review and meta‐analysis to examine the prevalence of depressive symptoms, anxiety symptoms, and sleep disturbances in children and adolescents during the pandemic. We searched major literature databases for relevant cross‐sectional or longitudinal studies that included primary and secondary school students or children and adolescents ≤18 years of age. Prevalence values were extracted, logit‐transformed, and pooled. Based on 191 included studies with 1,389,447 children and adolescents, we found the pooled prevalence of depressive symptoms, anxiety symptoms, and sleep disturbances to be 31%, 31%, and 42%, respectively. Age, grade levels, education levels, gender, geographical regions, and electronics use were correlated with the prevalence of mental health symptoms. The prevalence of mental health symptoms also increased with time, although signs of recovery and stabilization were also observed. Overall, the results from this review demonstrate the need for increased mental health research, monitoring, and intervention for children and adolescents during the current and future pandemics.

          Abstract

          The COVID‐19 pandemic and its accompanying infection control measures introduced significant disruptions to the lives of children and adolescents. We conducted a systematic review and meta‐analysis to examine the prevalence of mental health issues in youths and found the pooled prevalence of depressive symptoms, anxiety symptoms, and sleep disturbances to be 31%, 31%, and 42%, respectively. These results call for increased mental health research for children and adolescents.

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          Most cited references279

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          Is Open Access

          The PRISMA 2020 statement: an updated guideline for reporting systematic reviews

          The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement, published in 2009, was designed to help systematic reviewers transparently report why the review was done, what the authors did, and what they found. Over the past decade, advances in systematic review methodology and terminology have necessitated an update to the guideline. The PRISMA 2020 statement replaces the 2009 statement and includes new reporting guidance that reflects advances in methods to identify, select, appraise, and synthesise studies. The structure and presentation of the items have been modified to facilitate implementation. In this article, we present the PRISMA 2020 27-item checklist, an expanded checklist that details reporting recommendations for each item, the PRISMA 2020 abstract checklist, and the revised flow diagrams for original and updated reviews.
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            The psychological impact of quarantine and how to reduce it: rapid review of the evidence

            Summary The December, 2019 coronavirus disease outbreak has seen many countries ask people who have potentially come into contact with the infection to isolate themselves at home or in a dedicated quarantine facility. Decisions on how to apply quarantine should be based on the best available evidence. We did a Review of the psychological impact of quarantine using three electronic databases. Of 3166 papers found, 24 are included in this Review. Most reviewed studies reported negative psychological effects including post-traumatic stress symptoms, confusion, and anger. Stressors included longer quarantine duration, infection fears, frustration, boredom, inadequate supplies, inadequate information, financial loss, and stigma. Some researchers have suggested long-lasting effects. In situations where quarantine is deemed necessary, officials should quarantine individuals for no longer than required, provide clear rationale for quarantine and information about protocols, and ensure sufficient supplies are provided. Appeals to altruism by reminding the public about the benefits of quarantine to wider society can be favourable.
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              Is Open Access

              Rayyan—a web and mobile app for systematic reviews

              Background Synthesis of multiple randomized controlled trials (RCTs) in a systematic review can summarize the effects of individual outcomes and provide numerical answers about the effectiveness of interventions. Filtering of searches is time consuming, and no single method fulfills the principal requirements of speed with accuracy. Automation of systematic reviews is driven by a necessity to expedite the availability of current best evidence for policy and clinical decision-making. We developed Rayyan (http://rayyan.qcri.org), a free web and mobile app, that helps expedite the initial screening of abstracts and titles using a process of semi-automation while incorporating a high level of usability. For the beta testing phase, we used two published Cochrane reviews in which included studies had been selected manually. Their searches, with 1030 records and 273 records, were uploaded to Rayyan. Different features of Rayyan were tested using these two reviews. We also conducted a survey of Rayyan’s users and collected feedback through a built-in feature. Results Pilot testing of Rayyan focused on usability, accuracy against manual methods, and the added value of the prediction feature. The “taster” review (273 records) allowed a quick overview of Rayyan for early comments on usability. The second review (1030 records) required several iterations to identify the previously identified 11 trials. The “suggestions” and “hints,” based on the “prediction model,” appeared as testing progressed beyond five included studies. Post rollout user experiences and a reflexive response by the developers enabled real-time modifications and improvements. The survey respondents reported 40% average time savings when using Rayyan compared to others tools, with 34% of the respondents reporting more than 50% time savings. In addition, around 75% of the respondents mentioned that screening and labeling studies as well as collaborating on reviews to be the two most important features of Rayyan. As of November 2016, Rayyan users exceed 2000 from over 60 countries conducting hundreds of reviews totaling more than 1.6M citations. Feedback from users, obtained mostly through the app web site and a recent survey, has highlighted the ease in exploration of searches, the time saved, and simplicity in sharing and comparing include-exclude decisions. The strongest features of the app, identified and reported in user feedback, were its ability to help in screening and collaboration as well as the time savings it affords to users. Conclusions Rayyan is responsive and intuitive in use with significant potential to lighten the load of reviewers.
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                Author and article information

                Contributors
                dengj35@mcmaster.ca
                Journal
                Ann N Y Acad Sci
                Ann N Y Acad Sci
                10.1111/(ISSN)1749-6632
                NYAS
                Annals of the New York Academy of Sciences
                John Wiley and Sons Inc. (Hoboken )
                0077-8923
                1749-6632
                20 December 2022
                20 December 2022
                : 10.1111/nyas.14947
                Affiliations
                [ 1 ] Temerty Faculty of Medicine University of Toronto Toronto Ontario Canada
                [ 2 ] Faculty of Health Sciences McMaster University Hamilton Ontario Canada
                [ 3 ] Schulich School of Medicine & Dentistry University of Western Ontario London Ontario Canada
                [ 4 ] Mayo Clinic Alix School of Medicine Mayo Clinic (Rochester) Rochester Minnesota USA
                [ 5 ] Schulich School of Medicine & Dentistry (Windsor Campus) University of Western Ontario Windsor Ontario Canada
                [ 6 ] Department of Neuroscience, Faculty of Science Carleton University Ottawa Ontario Canada
                [ 7 ] Michael G. DeGroote School of Medicine (Waterloo Regional Campus) McMaster University Kitchener Ontario Canada
                [ 8 ] Physician Assistant Education Program, Faculty of Health Sciences McMaster University Hamilton Ontario Canada
                [ 9 ] Faculty of Medicine University of Ottawa Ottawa Ontario Canada
                [ 10 ] Department of Anesthesiology Rutgers New Jersey Medical School Newark New Jersey USA
                [ 11 ] Faculty of Science McGill University Montréal Quebec Canada
                [ 12 ] Virginia Commonwealth University School of Medicine Virginia Commonwealth University Richmond Virginia USA
                [ 13 ] Faculty of Health Sciences Queen's University Kingston Ontario Canada
                Author notes
                [*] [* ] Correspondence

                Jiawen Deng, Temerty Faculty of Medicine, University of Toronto, 1 King's College Cir, Toronto, ON M5S 1A8, Canada.

                Email: dengj35@ 123456mcmaster.ca

                Author information
                https://orcid.org/0000-0002-8274-6468
                Article
                NYAS14947
                10.1111/nyas.14947
                9880764
                36537131
                a2821ff8-f6fb-4dbf-93f9-f781dc7ec37d
                © 2022 New York Academy of Sciences.

                This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.

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                Page count
                Figures: 7, Tables: 0, Pages: 21, Words: 17583
                Categories
                Nyaspsyc7766
                Nyaspubl8657
                Nyasdeve3255
                Nyassoci9990
                Review
                Reviews
                Custom metadata
                2.0
                corrected-proof
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.2.4 mode:remove_FC converted:27.01.2023

                Uncategorized
                adolescent,anxiety,children,covid‐19,depression,sleep disturbances
                Uncategorized
                adolescent, anxiety, children, covid‐19, depression, sleep disturbances

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