Mental health during the COVID-19 pandemic in children and adolescents with ADHD: a systematic review of controlled longitudinal cohort studies
Mental health during the COVID-19 pandemic in children and adolescents with ADHD: a systematic review of controlled longitudinal cohort studies
Prior studies reported mixed effects of the COVID-19 pandemic on the mental health of children and adolescents with ADHD, but they were mainly cross-sectional and without controls. To clarify the impact, we searched Web of Science, EMBASE, Medline, and PsychINFO until 18/11/2023 and conducted a systematic review of controlled longitudinal cohort studies (Prospero: CRD42022308166). The Newcastle-Ottawa scale was used to assess quality. We identified 6 studies. Worsening of mental health symptoms was more evident in ADHD or control group according to symptom considered and context. However, those with ADHD had more persistent elevated symptoms and remained an at-risk population. Sleep problems deteriorated more significantly in those with ADHD. Lower pre-COVID emotion regulation skills and greater rumination were associated with worse mental health outcomes, and longer screen time with poorer sleep. Quality was rated as low in most studies, mainly due to self-report outcome measures and no information on attrition rates. Despite these limitations, results suggest a predominantly negative impact on youths with ADHD and may guide clinical practice and policy.
Child, Humans, Adolescent, Attention Deficit Disorder with Hyperactivity/epidemiology, Mental Health, COVID-19, Longitudinal Studies, Pandemics, Cross-Sectional Studies, Cohort Studies
105502
Dessain, Amabel
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Parlatini, Valeria
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Singh, Anjali
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De Bruin, Michelle
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Cortese, Samuele
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Sonuga-Barke, Edmund
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Serrano, Julio Vaquerizo
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19 December 2023
Dessain, Amabel
eb5cc5f1-c1d6-4b0f-a9e5-fa90d42ab65b
Parlatini, Valeria
6cdfb200-40ce-43ce-84da-dcb6eba0f67a
Singh, Anjali
777022ef-15c8-4a9d-8b5a-d234d405dfb5
De Bruin, Michelle
32da04ef-6360-4ef7-960f-3afe77b5c9b2
Cortese, Samuele
53d4bf2c-4e0e-4c77-9385-218350560fdb
Sonuga-Barke, Edmund
bc80bf95-6cf9-4c76-a09d-eaaf0b717635
Serrano, Julio Vaquerizo
0eceacb8-6372-497a-9f71-2f69c3fc390c
Dessain, Amabel, Parlatini, Valeria, Singh, Anjali, De Bruin, Michelle, Cortese, Samuele, Sonuga-Barke, Edmund and Serrano, Julio Vaquerizo
(2023)
Mental health during the COVID-19 pandemic in children and adolescents with ADHD: a systematic review of controlled longitudinal cohort studies.
Neuroscience and Biobehavioral Reviews, 156, .
(doi:10.1016/j.neubiorev.2023.105502).
Abstract
Prior studies reported mixed effects of the COVID-19 pandemic on the mental health of children and adolescents with ADHD, but they were mainly cross-sectional and without controls. To clarify the impact, we searched Web of Science, EMBASE, Medline, and PsychINFO until 18/11/2023 and conducted a systematic review of controlled longitudinal cohort studies (Prospero: CRD42022308166). The Newcastle-Ottawa scale was used to assess quality. We identified 6 studies. Worsening of mental health symptoms was more evident in ADHD or control group according to symptom considered and context. However, those with ADHD had more persistent elevated symptoms and remained an at-risk population. Sleep problems deteriorated more significantly in those with ADHD. Lower pre-COVID emotion regulation skills and greater rumination were associated with worse mental health outcomes, and longer screen time with poorer sleep. Quality was rated as low in most studies, mainly due to self-report outcome measures and no information on attrition rates. Despite these limitations, results suggest a predominantly negative impact on youths with ADHD and may guide clinical practice and policy.
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Accepted/In Press date: 3 December 2023
Published date: 19 December 2023
Keywords:
Child, Humans, Adolescent, Attention Deficit Disorder with Hyperactivity/epidemiology, Mental Health, COVID-19, Longitudinal Studies, Pandemics, Cross-Sectional Studies, Cohort Studies
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Local EPrints ID: 488898
URI: http://eprints.soton.ac.uk/id/eprint/488898
ISSN: 0149-7634
PURE UUID: 46d54160-98f5-4d30-b747-4011207b98d2
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Date deposited: 09 Apr 2024 16:34
Last modified: 13 Apr 2024 01:47
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Contributors
Author:
Amabel Dessain
Author:
Valeria Parlatini
Author:
Anjali Singh
Author:
Michelle De Bruin
Author:
Edmund Sonuga-Barke
Author:
Julio Vaquerizo Serrano
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