ArticleEuropean child & adolescent psychiatry2022
Vulnerability and resilience in children during the COVID-19 pandemic.
Article in European child & adolescent psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06621134 (Comparing the Effectiveness of an AI Chatbot with That of a Telephone Hotline for Answering COVID-19 Related Issues), which is not on this map. Cited by 133 papers, 7 of them syntheses that pooled 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.
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.
Comparing the Effectiveness of an AI Chatbot with That of a Telephone Hotline for Answering COVID-19 Related Issues
Who cites it
133 citing papers in PubMed, 7 syntheses or guidelines pooled it, 278 citations in OpenAlex.
- Exploring the psychological impact on children and adolescents during the initial period of the COVID-19 pandemic-a systematic review.BMC psychology · 2025Pooled it
- Models of integrated care for young people experiencing medical emergencies related to mental illness: a realist systematic review.European child & adolescent psychiatry · 2023Pooled it
- Mental Health Is a Family Affair-Systematic Review and Meta-Analysis on the Associations between Mental Health Problems in Parents and Children during the COVID-19 Pandemic.International journal of environmental research and public health · 2023Pooled it
- Development and Validation of a Chinese Resilience Scale for Young Children.International journal of environmental research and public health · 2023Pooled it
- Review: Mental health impacts of the COVID-19 pandemic on children and youth - a systematic review.Child and adolescent mental health · 2022Pooled it
- Effects of COVID-19 home confinement on sleep in children: A systematic review.Sleep medicine reviews · 2022Pooled it
- Impact of COVID-19 pandemic lockdown on movement behaviours of children and adolescents: a systematic review.BMJ global health · 2022Pooled it
- The effectiveness of a mindfulness-based stress reduction (MBSR) programme for parents of children with attention deficit hyperactivity disorder (ADHD): a pilot randomized controlled trial.BMC psychology · 2025Trial
- Impact of the COVID-19 pandemic on children with and without affective dysregulation and their families.European child & adolescent psychiatry · 2023Trial
- School Readiness, Learning Challenges, and Lifestyle Changes Among Children During the COVID-19 Pandemic.The Journal of school health · 2026Article
- Psychological Distress and Self-Rated Health Among Single Fathers and Mothers During the COVID-19 Pandemic in Japan.Journal of general and family medicine · 2026Article
- Neurobehavioral outcomes and associated risk factors in pediatric brain tumor survivors.Journal of neuro-oncology · 2026Article
- Family Resilience and Fear of Disease Recurrence in Elderly OVCF Patients and Spouses: A Cross-Lagged Actor-Partner Interdependence Model Analysis.Patient preference and adherence · 2026Article
- Health-related quality of life among urban children living in poverty.BMC psychology · 2025Article
- School Refusal Behavior in Japan: The Impact of COVID-19 on Children.Children (Basel, Switzerland) · 2025Review
- Looking Back After the First Year of the COVID-19 Pandemic: Parents' View on Screen Media Use, Psychopathology, and Psychological Burden in a Clinical Sample of Children and Adolescents.Healthcare (Basel, Switzerland) · 2025Article
- Uncovering the wider impact of COVID-19 public health measures on the lives of children with complex care needs and their families in the Canadian Maritimes: a qualitative study.BMJ paediatrics open · 2025Article
- Families of Children/Youth with Complex Needs Before, During, and After COVID-19 Pandemic Restrictions.Journal of child & adolescent trauma · 2025Article
- Trajectories of emotional and behavioral problems in young children during the COVID-19 pandemic: A longitudinal study.PLOS mental health · 2025Article
- Incidence of depression and anxiety in children and adolescents following COVID-19 infection.PloS one · 2025Article
73 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
25 authors at 7 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe coronavirus disease 2019 (COVID-19) pandemic is having a profound impact on the health and development of children worldwide. There is limited evidence on the impact of COVID-19 and its related school closures and disease-containment measures on the psychosocial wellbeing of children; little research has been done on the characteristics of vulnerable groups and factors that promote resilience.
methodsWe conducted a large-scale cross-sectional population study of Hong Kong families with children aged 2-12 years. Parents completed an online survey on family demographics, child psychosocial wellbeing, functioning and lifestyle habits, parent-child interactions, and parental stress during school closures due to COVID-19. We used simple and multiple linear regression analyses to explore factors associated with child psychosocial problems and parental stress during the pandemic.
resultsThe study included 29,202 individual families; of which 12,163 had children aged 2-5 years and 17,029 had children aged 6-12 years. The risk of child psychosocial problems was higher in children with special educational needs, and/or acute or chronic disease, mothers with mental illness, single-parent families, and low-income families. Delayed bedtime and/or inadequate sleep or exercise duration, extended use of electronic devices were associated with significantly higher parental stress and more psychosocial problems among pre-schoolers.
conclusionsThis study identifies vulnerable groups of children and highlights the importance of strengthening family coherence, adequate sleep and exercise, and responsible use of electronic devices in promoting psychosocial wellbeing during the COVID-19 pandemic.
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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.