Evidence map›Paper›PMID 32504808›Full record

SynthesisJournal of the American Academy of Child and Adolescent Psychiatry2020

Rapid Systematic Review: The Impact of Social Isolation and Loneliness on the Mental Health of Children and Adolescents in the Context of COVID-19.

Maria Elizabeth Loades, Eleanor Chatburn, Nina Higson-Sweeney, Shirley Reynolds, Roz Shafran, Amberly Brigden, Catherine Linney, Megan Niamh McManus, Catherine Borwick, Esther Crawley

3 registry-linked trialsOpen access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Journal of the American Academy of Child and Adolescent Psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 1,178 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,178citing papers in PubMed, 8 pooled it
186.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05083676 nacompletednot on this mapstarted 2022, after this paper: background citation

A Study Protocol on Peer Digital Acceset (PDA): A Randomized Controlled Trial to Translate Online Peer Support for Youth Mental Well-being

TypeinterventionalSponsorThe N.1 Institute for Health (N.1)Ran2022 to 2023Enrolled100ConditionsMental Health IssueArmsAcceset Intervention
NCT05109026 completednot on this mapstarted 2022, after this paper: background citation

Connect-5 Needs Assessment to Identify Requirements of a Rural Irish Community Related to a an Online Digital Platform Solution, Designed to Change Behaviour, Related to Lifestyle Medicine and Mental Health.

TypeobservationalSponsorRoyal College of Surgeons, IrelandRan2022 to 2023Enrolled228ConditionsHealthy Lifestyle
NCT05199675 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Implementing Digital Peer Support Training for Adolescent Mental Health: Study Protocol For A Type III Hybrid Randomized Controlled Trial

TypeinterventionalSponsorThe N.1 Institute for Health (N.1)Ran2022 to 2023Enrolled100ConditionsAdolescent Development, Peer Group, Mental Health Wellness 1ArmsDigital Peer Support Training Program
3 · Its place in the literature

Who cites it

1,178 citing papers in PubMed, 8 syntheses or guidelines pooled it, 2,869 citations in OpenAlex.

  1. Pooled it
  2. Exploring Loneliness in Clinical and Sub-Clinical Eating Disorders: A Systematic Review.European eating disorders review : the journal of the Eating Disorders Association · 2026
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  9. Trial
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  13. Article
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  17. Social emotional learning and autonomic regulation enhance social connectedness in female adolescents with extensive exposure to adverse childhood experiences.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2026
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  18. Review
  19. Article
  20. Review

1,118 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Maria Elizabeth LoadesUniversity of Bath, United Kingdom. Electronic address: m.e.loades@bath.ac.uk.
Eleanor ChatburnUniversity of Bath, United Kingdom.
Nina Higson-SweeneyUniversity of Bath, United Kingdom.
Shirley ReynoldsUniversity of Reading, UK.
Roz ShafranUCL Great Ormond Street Institute of Child Health, London, United Kingdom.
Amberly BrigdenUniversity of Bristol, United Kingdom.
Catherine LinneyUniversity of Bristol, United Kingdom.
Megan Niamh McManusUniversity of Edinburgh, United Kingdom.
Catherine BorwickUniversity of Bath, United Kingdom.
Esther CrawleyUniversity of Bristol, United Kingdom.
University of Bath · GBUniversity of Bristol · GBGreat Ormond Street Hospital · GBUniversity of Edinburgh · GBUniversity of Reading · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDisease containment of COVID-19 has necessitated widespread social isolation. We aimed to establish what is known about how loneliness and disease containment measures impact on the mental health in children and adolescents.

methodFor this rapid review, we searched MEDLINE, PsycInfo, and Web of Science for articles published between January 1, 1946, and March 29, 2020. Of the articles, 20% were double screened using predefined criteria, and 20% of data was double extracted for quality assurance.

resultsA total of 83 articles (80 studies) met inclusion criteria. Of these, 63 studies reported on the impact of social isolation and loneliness on the mental health of previously healthy children and adolescents (n = 51,576; mean age 15.3 years). In all, 61 studies were observational, 18 were longitudinal, and 43 were cross-sectional studies assessing self-reported loneliness in healthy children and adolescents. One of these studies was a retrospective investigation after a pandemic. Two studies evaluated interventions. Studies had a high risk of bias, although longitudinal studies were of better methodological quality. Social isolation and loneliness increased the risk of depression, and possibly anxiety at the time at which loneliness was measured and between 0.25 and 9 years later. Duration of loneliness was more strongly correlated with mental health symptoms than intensity of loneliness.

conclusionChildren and adolescents are probably more likely to experience high rates of depression and most likely anxiety during and after enforced isolation ends. This may increase as enforced isolation continues. Clinical services should offer preventive support and early intervention where possible and be prepared for an increase in mental health problems.

Indexed as

Mental HealthSocial IsolationAdolescentChildCoronavirus InfectionsCOVID-19HumansLonelinessPandemicsPneumonia, ViralCOVID-19disease containmentlonelinessmental healthpandemic

Identifiers

PMID32504808
PMCPMC7267797
OpenAlexW3032994313

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.