Building the mental health management system for children post COVID-19 pandemic: an urgent focus in China

Li, Yanlin; Deng, Hang; Wang, Huan; Abbey, Cody; Zheng, Yi; Chen, Jingxu; An, Ning; Zhang, Pan; Xiao, Xue; Chu, Jie; Li, Ying; Cui, Yonghua

doi:10.1007/s00787-021-01763-0

Cited by 16 publications

(4 citation statements)

References 19 publications

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“…In special periods, parents may be more careful or nervous about symptoms of suspected cardiac involvement in children. We encourage attention due to the symptoms that may be related to cardiac diseases and COVID-19, however, clinicians ought to comfort children and parents properly after confirming the exclusion of organic diseases to relieve the stress and anxiety [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

The change in pediatric subject symptoms during the COVID-19 pandemic in China: an increase in cardiac consultation

Tang

Luo

et al. 2022

Ital J Pediatr

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Background It is reported that the adverse impact of nonpharmaceutical interventions (NPIs) on the mental health of children and adolescents may lead to psychologically related disorders during the coronavirus disease 2019 (COVID-19) period. Subject symptoms such as chest pain, chest tightness, and palpitation may be related to increased stress and anxiety in children and adolescents. The present research aimed to determine the number of pediatric consults and etiology of subject symptoms during the COVID-19 pandemic period and compared it with the same timelines in 2019 and 2021 to discuss the impact of different periods on the organic disease onset of children with subject symptoms, especially in cardiac involvement. Methods Children who visited Qingdao Women and Children’s Hospital, Qingdao University between January 23 to April 30, 2019 (pre-COVID-19 period), January 23 to April 30, 2020 (COVID-19 period), and January 23 to April 30, 2021 (post-COVID-19 period) presenting chest pain, chest tightness, and palpitation were recruited. Information to determine gender, age, medical history, department for the initial visit, clinical manifestations, time from the latest onset to the visit, and diagnosis were recorded. Result A total of 891 patients were enrolled in the present study (514 males; median age: 7.72). One hundred twenty-three patients presented during the pre-COVID-19 period while 130 during the COVID-19 period, nevertheless, the number substantially increased during the post-COVID-19 period (n = 638). Cardiac etiology accounted for 1.68% (n = 15) of the patient population, including arrhythmias (n = 10, 1.12%), myocarditis (n = 4, 0.44%), and atrial septal defect (n = 1, 0.11%). There was no significant difference among groups in the distribution of organic etiology. The median time from the latest onset to the visit during the pre-COVID-19 period was 7 days compared to 10 days during the COVID-19 period and 3 days during the post-COVID period. Conclusion During the post-COVID-19 period, the median time from the latest onset to the visit was significantly shorter than that in the pre-COVID-19 period or COVID-19 period. The pediatric consult of children with subject symptoms presented increased substantially during the post-COVID-19 period, while there was no significant difference in the number of patients involving the cardiac disease. Clinicians ought to be more careful to screen heart diseases to prevent missed diagnosis and misdiagnosis during special periods.

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Section: Discussionmentioning

confidence: 99%

The change in pediatric subject symptoms during the COVID-19 pandemic in China: an increase in cardiac consultation

Tang

Luo

et al. 2022

Ital J Pediatr

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“…This disparity was possibly related to the attention paid to children by their parents during the post-COVID-19 period. Though we have already passed the period of the pandemic, people in China had not eliminated their anxiety or panic about the pandemic and still maintained a certain level of risk perception 24,25 .…”

Section: Discussionmentioning

confidence: 99%

The change in pediatric subject symptoms during the COVID-19 pandemic in China

Tang

Luo

et al. 2022

Preprint

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Background: It is reported that the adverse impact of nonpharmaceutical interventions (NPIs) on the mental health of children and adolescents may lead to psychologically related disorders during the coronavirus disease 2019 (COVID-19) period. Subject symptoms such as chest pain, chest tightness, and palpitation are closely related to increased stress and anxiety in children and adolescents. The present research aimed to determine the change in pediatric consult of the symptoms onset in children during the COVID-19 period compared with before and after the COVID-19 period.Methods: Children who visited Women and Children's Hospital, Qingdao University between January 23 to April 30, 2019 (pre-COVID-19 period), January 23 to April 30, 2020 (COVID-19 period), and January 23 to April 30, 2021 (post-COVID-19 period) presenting chest pain, chest tightness, and palpitation were recruited. Information to determine gender, ages, department for the initial visit, clinical manifestations, time from the latest onset to the visit, and diagnosis were recorded.Result: A total of 891 patients were enrolled in the present study (514 males; median age: 7.72). 123 patients presented during the pre-COVID-19 period while 130 during the COVID-19 period, nevertheless, the number substantially increased during the post-COVID-19 period (n=638). There was no significant difference among groups in the distribution of organic etiology. The median time from the latest onset to the visit during the pre-COVID-19 period was 7 days compared to 10 days during the COVID-19 period and 3 days during the post-COVID period. Conclusion: The pediatric consult of children with subject symptoms presented increased substantially during the post-COVID-19 period, with a less median time from the latest onset to the visit. The major etiology of subject symptoms was shown in favor of non-organic during the three periods.

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“…Nowadays, based on the current situation of mental health in China, the government is promoting a "Top-down and Bottom-up" mental health care system ( Li et al, 2022 ). It is a four-level model.…”

mentioning

confidence: 99%

“…The referral system for patients with mental disorders follows the bottom-up strategy. In brief, patients can get their mental health services from the fourth level as a start to the end of the top-level corresponding to varying degrees of demand ( Li et al, 2022 ). This framework mainly shows the following two characteristics: On the one hand, government-led national strategies and supports are crucial to ensure adequate medical resources based on China's existing hierarchical health care system.…”

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confidence: 99%

China ends its zero-COVID-19 policy: New challenges facing mental health services

Chen

Liu

et al. 2023

Asian Journal of Psychiatry

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Building the mental health management system for children post COVID-19 pandemic: an urgent focus in China

Cited by 16 publications

References 19 publications

The change in pediatric subject symptoms during the COVID-19 pandemic in China: an increase in cardiac consultation

The change in pediatric subject symptoms during the COVID-19 pandemic in China: an increase in cardiac consultation

The change in pediatric subject symptoms during the COVID-19 pandemic in China

China ends its zero-COVID-19 policy: New challenges facing mental health services

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