Bates LC, Zieff G, Stanford K COVID-19 impact on behaviours across the 24-hour day in children and adolescents: Physical activity, sedentary behaviour, and sleep. Children. 2020; 7:(138)1-9

Becker SP, Gregory AM. Editorial Perspective: Perils and promise for child and adolescent sleep and associated psychopathology during the COVID-19 pandemic. Journal of Child Psychology and Psychiatry, and Allied Disciplines. 2020; 61:(7)757-759

Benner AD, Mistry RS. Child development during the COVID-19 pandemic through a life course theory lens. Child Development Perspectives. 2020; 14:(4)236-243

Boden M, Zimmerman L, Azevedo KJ Addressing the mental health impact of COVID-19 through population health. Clinical Psychology Review. 2021; 85

Castillo EG, Ijadi-Maghsoodi R, Shadravan S Community interventions to promote mental health and social equity. Current Psychiatry Reports. 2019; 21:35-35

Courtney D, Watson P, Battaglia M, Mulsant BH, Szatmari P. COVID-19 impacts on child and youth anxiety and depression: Challenges and opportunities. The Canadian Journal of Psychiatry. 2020; 65:(10)688-691

Cui Y, Li Y, Zheng Y. Mental health services for children in China during the Covid-19 Pandemic: Results of an expert-based national survey among child and adolescent psychiatric hospitals. European Child & Adolescent Psychiatry. 2020; 29:(6)743-748

Dalton L, Rapa E, Stein A. Protecting the psychological health of children through effective communication about COVID-19. The Lancet Child & Adolescent Health. 2020; 4:(5)346-347

de Figueiredo CS, Sandre PC, Portugal LC COVID-19 pandemic impact on children and adolescents' mental health: Biological, environmental, and social factors. Progress in Neuro-Psychopharmacology and Biological Psychiatry. 2021; 106:1-8

Durlak JA, Weissberg RP, Dymnicki AB, Taylor RD, Schellinger K. The impact of enhancing students' social and emotional learning: A meta-analysis of school-based universal interventions. Child Development. 2011; 82:405-432

Fegert JM, Vitiello B, Plener PL, Clemens V. Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: A narrative review to highlight clinical and research needs in the acute phase and the long return to normality. Child and Adolescent Psychiatry and Mental Health. 2020; 14:(20)1-11

Golberstein E, Wen H, Miller BF. Coronavirus Disease 2019 (COVID-19) and mental health for children and adolescents. JAMA Pediatrics. 2020; 174:(9)

Green JG, McLaughlin KA, Alegría M School mental health resources and adolescent mental health service use. J Am Acad Child Adolesc Psychiatry. 2013; 52:(5)501-510

Hill RM, Rufino K, Kurian S, Saxena J, Saxena K, Williams L. Suicide ideation and attempts in a paediatric emergency department before and during COVID-19. Pediatrics. 2020; 147:(3)1-6

Imran N, Zeshan M, Pervaiz Z. Mental health considerations for children & adolescents in COVID-19 Pandemic. Pakistan Journal of Medical Sciences. 2020; 36:(4)67-72

Knopf A. Prepare for increased depression, anxiety in youth due to COVID-19 lockdown. The Brown University Child & Adolescent Psychopharmacology Update. 2020; 22:(8)1-4

Loades ME, Chatburn E, Higson-Sweeney N Rapid systematic review: The impact of social isolation and loneliness on the mental health of children and adolescents in the context of COVID-19. Journal of the American Academy of Child & Adolescent Psychiatry. 2020; 59:(11)1218-1239.e3

Magson NR, Freeman JY, Rapee RM, Richardson CE, Oar EL, Fardouly J. Risk and protective factors for prospective changes in adolescent mental health during the covid-19 pandemic. Journal of Youth and Adolescence. 2020; 50:(1)44-57

National Association of School Nurses. The school nurse's role in behavioral health of students (Position Statement). 2017. (accessed 22 September 2021)

Pérez-Escamilla R, Cunningham K, Moran VH. COVID-19 and maternal and child food and nutrition insecurity: A complex syndemic. Maternal & Child Nutrition. 2020; 16:(3)1-4

Raony Í, de Figueiredo CS, Pandolfo P, Giestal-de-Araujo E, Oliveira-Silva Bomfim P, Savino W. Psycho-Neuroendocrine-Immune Interactions in COVID-19: Potential Impacts on Mental Health. Front Immunol. 2020; 11

Witt A, Ordóñez A, Martin A, Vitiello B, Fegert JM. Child and adolescent mental health service provision and research during the COVID-19 pandemic: Challenges, opportunities, and a call for submissions. Child and Adolescent Psychiatry and Mental Health. 2020; 14:(19)1-4

School nursing intervention for COVID-19-related mental health issues in the school health office

02 October 2021
11 min read
Volume 2 · Issue 5


The purpose of this review is to discuss the impact of coronavirus disease 2019 (COVID-19) on the mental, physical and social health of children and young people aged 0–18 years, better understand the risk factors for these issues and explore available interventions to promote optimal health in this population globally. The risk factors, including increased screen time, economic instability, pre-existing mental illness and isolation, are explored in relation to their impact on paediatric health and wellbeing. Current mental health trends, including elevated rates of anxiety, depression, and suicide, and gaps in the available literature are discussed. The impact of the pandemic on overall health, nutrition, physical activity, household environments and sleep are also analysed in relation to possible school nurse interventions for children, parents, and communities in developing solutions to improve the health of children and adolescents. As a result of this review, the authors found significant negative correlations between children and adolescents' mental health and COVID-19 restrictions, such as altered social interaction, disturbed sleep, changes in level of exercise, and altered dietary habits.

Researchers have stated that children and adolescents may be extremely vulnerable to the biopsychosocial stressors brought about by the pandemic, as a result of their limited understanding of the pandemic and restricted coping strategies (Imran et al, 2020; de Figueiredo et al, 2021). COVID-19 is expected to give rise to many mental health problems in children and adolescents, as well as worsen those that already exist (Imran et al, 2020; de Figueiredo et al, 2021). Because youth are especially vulnerable to stressors during developmentally sensitive times, their mental health during and after the pandemic requires heightened attention (Courtney et al, 2020; Golberstein et al, 2020). If children are left untreated, mental health problems can lead to negative health and social outcomes in the future (Golberstein et al, 2020).

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