EXAMINING THE PSYCHOLOGICAL EFFECTS OF THE COVID-19 PANDEMIC ON CHILDREN

Year 2023, , 36 - 53, 12.01.2023

Yasin Çilhoroz

https://doi.org/10.55050/sarad.1182479

Cited By: 1

Abstract

Caused by many deaths and adverse health outcomes worldwide, COVID-19 has affected people of all age groups, including children. Children have not been able to stay away from the devastating psychological effects of the COVID-19 pandemic. In particular, they have experienced psychological problems because they are exposed to high levels of parental stress, as well as fears, uncertainties, significant changes in their daily routines, and physical and social isolation. In this study, it was aimed to examine the articles that reveal the psychological effects of the COVID-19 pandemic on children. As a result of the document analysis carried out with the data reached through the Web of Science database, it was determined that the most articles were published in 2021, most of the articles were in the quantitative research type, and the most articles were published in the journal Frontiers in Psychology. Identifying the psychological effects that children experience during the COVID-19 process is crucial to understanding their emotions and reactions, and to properly addressing their needs during this pandemic.

Keywords

COVID-19, Children, Psychological effects, Web of Science.

COVID-19 Pandemisinin Çocuklar Üzerindeki Psikolojik Etkilerinin İncelenmesi

Abstract

Dünya genelinde çok sayıda ölüme ve olumsuz sağlık sonuçlarına neden olan COVID-19, çocuklar dâhil olmak üzere her yaş grubundaki kişileri etkilemiştir. Çocuklar, COVID-19 Pandemisinin yıkıcı nitelikteki psikolojik etkilerinden uzak kalamamıştır. Özellikle, yüksek düzeyde ebeveyn stresinin yanı sıra korkular, belirsizlikler, günlük rutinlerinde önemli değişiklikler, fiziksel ve sosyal izolasyona maruz kaldıkları için psikolojik olarak problemler yaşamaktadırlar. Bu çalışmada COVID-19 pandemisinin çocuklar üzerindeki psikolojik etkilerini ortaya koyan makalelerin incelenmesi amaçlanmıştır. Web of Science veri tabanı yoluyla ulaşılan verilerle gerçekleştirilen doküman analizi sonucunda en fazla makalenin 2021 yılında yayımlandığı, çoğu makalenin nicel araştırma türünde olduğu ve en fazla makalenin Frontiers in Psychology dergisinde yayımlandığı belirlenmiştir. Çocukların COVID-19 sürecinde yaşadıkları psikolojik etkilerin neler olduğunun belirlenmesi onların duygularını ve tepkilerini anlamak, bu pandemi sırasında ihtiyaçlarını doğru bir şekilde ele almak için çok önemlidir.

Keywords

COVID-19,, Çocuklar,, Psikolojik etkiler, Web of Science, COVID-19, Children, Psychological effects, Web of Science.

References

• KAYNAKÇA AboKresha, S. A., Abdelkreem, E., & Ali, R. A. E. (2021). Impact of COVID-19 pandemic and related isolation measures on violence against children in Egypt. Journal of the Egyptian Public Health Association, 96(1), 1-10.
• Almhizai, R. A., Almogren, S. H., Altwijery, N. A., Alanazi, B. A., Al Dera, N. M., Alzahrani, S. S., & Alabdulkarim, S. M. (2021). Impact of COVID-19 on Children's and Adolescent's Mental Health in Saudi Arabia. Cureus, 13(11).
• Alves, J. M., Yunker, A. G., DeFendis, A., Xiang, A. H., & Page, K. A. (2021). BMI status and associations between affect, physical activity and anxiety among US children during COVID‐19. Pediatric Obesity, e12786.
• Arnsten, A. F. T., Condon, E. M., Dettmer, A. M., Gee, D. G., Lee, K. S., Mayes, L. C., Stover, C. S., & Tseng, W.-L. (2021). The prefrontal cortex in a pandemic: Restoring functions with system-, family-, and individual-focused interventions. American Psychologist, 76(5), 729–743. https://doi.org/10.1037/amp0000823.
• Atkinson, P. A. & Coffey, A. (1997). Analysing documentary realities. In D. Silverman (Ed.), Qualitative research: Theory, method and practice, London: Sage, 45–62.
• Augusti, E. M., Sætren, S. S., & Hafstad, G. S. (2021). Violence and abuse experiences and associated risk factors during the COVID-19 outbreak in a population-based sample of Norwegian adolescents. Child Abuse & Neglect, 105156.
• Bitsika, V., Sharpley, C. F., Andronicos, N. M., & Agnew, L. L. (2016). Prevalence, structure and correlates of anxiety-depression in boys with an autism spectrum disorder. Research in developmental disabilities, 49, 302-311.
• Brazendale, K., Beets, M. W., Weaver, R. G., Pate, R. R., Turner-mcgrievy, G. M., Kaczynski, A. T., Chandler, J. L., Bohnert, A., & Hippel, P. T. Von. (2017). Understanding differences between summer vs . school obesogenic behaviors of children : the structured days hypothesis. 1–14. https://doi.org/10.1186/s12966- 017-0555-2.
• Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it : Rapid review of the evidence. The Lancet, 395(10227), 912–920. https://doi.org/10. 1016/S0140-6736(20)30460-8.
• Cao, Y., Huang, L., Si, T., Wang, N. Q., Qu, M., & Zhang, X. Y. (2021). The role of only-child status in the psychological impact of COVID-19 on mental health of Chinese adolescents. Journal of Affective Disorders, 282, 316-321.
• Chen, I. H., Chen, C. Y., Pakpour, A. H., Griffiths, M. D., Lin, C. Y., Li, X. D., & Tsang, H. W. (2021). Problematic internet-related behaviors mediate the associations between levels of internet engagement and distress among schoolchildren during COVID-19 lockdown: A longitudinal structural equation modeling study. Journal of Behavioral Addictions, 10(1), 135-148.
• Colizzi, M., Sironi, E., Antonini, F., Ciceri, M. L., Bovo, C., & Zoccante, L. (2020). Psychosocial and behavioral impact of COVID-19 in autism spectrum disorder: an online parent survey. Brain sciences, 10(6), 341.
• Collaço, N., Legg, J., Day, M., Culliford, D., Campion, A., West, C., & Darlington, A. S. (2021). COVID‐19: Impact, experiences and support needs of children and young adults with Cystic Fibrosis and parents. Pediatric Pulmonology. 56:2845–2853.
• Conti, E., Sgandurra, G., De Nicola, G., Biagioni, T., Boldrini, S., Bonaventura, E., ... & Battini, R. (2020). Behavioural and emotional changes during covid-19 lockdown in an italian paediatric population with neurologic and psychiatric disorders. Brain Sciences, 10(12), 918.
• Corbett, B. A., Muscatello, R. A., Klemencic, M. E., & Schwartzman, J. M. (2021). The impact of COVID‐19 on stress, anxiety, and coping in youth with and without autism and their parents. Autism Research, 14:1496–1511.
• Corbin, J. & Strauss, A. (2008). Basics of qualitative research: Techniques and procedures for developing grounded theory. Thousand Oaks: Sage.
• Courtney, D., Watson, P., Battaglia, M., Mulsant, B. H., & Szatmari, P. (2020). COVID-19 impacts on child and youth anxiety and depression: challenges and opportunities. The Canadian Journal of Psychiatry, 65(10), 688-691.
• Cusinato, M., Iannattone, S., Spoto, A., Poli, M., Moretti, C., Gatta, M., & Miscioscia, M. (2020). Stress, resilience, and well-being in Italian children and their parents during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 17(22), 8297.
• Dalton, L., Rapa, E., & Stein, A. (2020). Mental health considerations for children quarantined because of COVID-19 4642(20), 347–349. https://doi.org/10.1016/S2352- 4642(20)30096-1.
• Danese A, Smith P, Chitsabesan P, Dubicka B. Child and adolescent mental health amidst emergencies and disasters. Br J Psychiatry. 2020;216:159-62
• Davico, C., Ghiggia, A., Marcotulli, D., Ricci, F., Amianto, F., & Vitiello, B. (2021). Psychological impact of the COVID-19 pandemic on adults and their children in Italy. Frontiers in psychiatry, 12, 239.
• De Young, A. C., Vasileva, M., Boruszak-Kiziukiewicz, J., Demipence Seçinti, D., Christie, H., Egberts, M. R., ... & COVID-19 Unmasked Global Collaboration. (2021). COVID-19 Unmasked Global Collaboration Protocol: longitudinal cohort study examining mental health of young children and caregivers during the pandemic. European Journal of Psychotraumatology, 12(1), 1940760.
• Dondi, A., Fetta, A., Lenzi, J., Morigi, F., Candela, E., Rocca, A., ... & Lanari, M. (2021). Sleep disorders reveal distress among children and adolescents during the Covid-19 first wave: results of a large web-based Italian survey. Italian journal of pediatrics, 47(1), 1-10.
• Duan, L., Shao, X., Wang, Y., Huang, Y., Miao, J., Yang, X., & Zhu, G. (2020). An investigation of mental health status of children and adolescents in china during the outbreak of COVID-19. Journal of affective disorders, 275, 112-118.
• Francisco, R., Pedro, M., Delvecchio, E., Espada, J. P., Morales, A., Mazzeschi, C., & Orgilés, M. (2020). Psychological symptoms and behavioral changes in children and adolescents during the early phase of COVID-19 quarantine in three European countries. Frontiers in Psychiatry, 11, 1329.
• Genova, H. M., Arora, A., & Botticello, A. L. (2021). Effects of School Closures Resulting From COVID-19 in Autistic and Neurotypical Children. In Frontiers in Education (pp. 9-9).
• Ghanamah, R., & Eghbaria-Ghanamah, H. (2021). Impact of COVID-19 Pandemic on Behavioral and Emotional Aspects and Daily Routines of Arab Israeli Children. International Journal of Environmental Research and Public Health, 18(6), 2946.
• Giannotti, M., Mazzoni, N., Bentenuto, A., Venuti, P., & de Falco, S. (2021). Family adjustment to COVID‐19 lockdown in Italy: Parental stress, coparenting, and child externalizing behavior. Family Process.
• Gilsbach, S., Herpertz-Dahlmann, B., & Konrad, K. (2021). Psychological Impact of the COVID-19 Pandemic on Children and Adolescents With and Without Mental Disorders. Frontiers in public health, 9.
• Golberstein, E., Wen, H., & Pilgrim, H. (2020). Coronavirus Disease 2019 (COVID-19) and Mental Health for Children and Adolescents. JAMA Pediatrics. https://doi.org/10. 1002/hec.3885.
• Gonzalez-Domenech, P., Romero-Béjar, J. L., Gutierrez-Rojas, L., Jimenez-Fernandez, S., & Diaz-Atienza, F. (2021). Behavioural Difficulties in Children and Adolescents with Mental Disorders under Extreme Situations. Journal of Clinical Medicine, 10(21), 4876.
• Grist, R., Croker, A., Denne, M., & Stallard, P. (2018). Technology delivered interventions for depression and anxiety in children and adolescents: a systematic review and meta-analysis. Clinical Child and Family Psychology Review, 22, 147–171. doi: 10.1007/s10567-018-0271-8
• Gutiérrez, Y. I. E., Núñez, D. N. A., Padilla-López, L. A., León, I. A. G., Galindo-Aldana, G., & González, C. T. (2021). COVID-19 voluntary social isolation and its effects in sociofamily and children’s behavior. Salud mental, 43(6), 263-271.
• Haig-Ferguson, A., Cooper, K., Cartwright, E., Loades, M. E., & Daniels, J. (2021). Practitioner review: Health anxiety in children and young people in the context of the COVID-19 pandemic. Behavioural and cognitive psychotherapy, 49(2), 129-143.
• Hollis, C., Falconer, C. J., Martin, J. L., Whittington, C., Stockton, S., Glazebrook, C., & Davies, E. B. (2017). Annual research review: digital health interventions for children and young people with mental health problems – a systematic and meta-review. Journal of Child Psychology and Psychiatry, 58, 474–503.
• Imran, N., Zeshan, M., & Pervaiz, Z. (2020). Mental health considerations for children & adolescents in COVID-19 Pandemic. Pakistan journal of medical sciences, 36(COVID19-S4), S67.
• Jiao, W. Y., Wang, L. N., Liu, J., Fang, S. F., Jiao, F. Y., Pettoello-Mantovani, M., & Somekh, E. (2020). Behavioral and emotional disorders in children during the COVID-19 epidemic. The Journal of pediatrics, 221, 264.
• Khan, Y. S., Khan, A. W., Ahmed, I. A. N., Hammoudeh, S., Salim, H., AbuKhattab, M., ... & Alabdulla, M. (2021). Prevalence of elevated anxiety symptoms among children in quarantine with COVID-19 infection in the State of Qatar: A cross-sectional study. Scandinavian Journal of Child and Adolescent Psychiatry and Psychology, 9, 187.
• Lancker, W. V., & Parolin, Z. (2020). Comment COVID-19, school closures, and child poverty :A social crisis in the making. The Lancet Public Health, 2019(20), 2019–2020. https://doi.org/10.1016/S2468-2667(20)30084-0.
• Larsen, L., Helland, M. S., & Holt, T. (2021). The impact of school closure and social isolation on children in vulnerable families during COVID-19: a focus on children’s reactions. European child & adolescent psychiatry, 1-11.
• Lee J. Mental health effects of school closures during COVID-19. Lancet Child Adolesc Heal. 2020;4:421.
• Letourneau, N., McDonald, S., MacKay, L. J., Bell, R. C., Hetherington, E., Deane, A. J., ... & Tough, S. C. (2021). Cross-Sectional Study Protocol for the COVID-19 Impact Survey of Mothers and Their 7–11 Year Old Children in Alberta, Canada. Frontiers in Psychiatry, 12.
• Liu, K., Yang, Y., Li, M., Li, S., Sun, K., & Zhao, Y. (2021). Parents’ and adolescents’ perceptions of parental involvement and their relationships with depression among Chinese middle school students during the COVID-19 pandemic. Children and youth services review, 129, 106190.
• Liu, Z., Tang, H., Jin, Q., Wang, G., Yang, Z., Chen, H., ... & Owens, J. (2021). Sleep of preschoolers during the coronavirus disease 2019 (COVID‐19) outbreak. Journal of sleep research, 30(1), e13142.
• Malboeuf-Hurtubise, C., Léger-Goodes, T., Mageau, G. A., Taylor, G., Herba, C. M., Chadi, N., & Lefrançois, D. (2021). Online art therapy in elementary schools during COVID-19: results from a randomized cluster pilot and feasibility study and impact on mental health. Child and Adolescent Psychiatry and Mental Health, 15(1), 1-11.
• Marchetti, D., Fontanesi, L., Di Giandomenico, S., Mazza, C., Roma, P., & Verrocchio, M. C. (2020). The effect of parent psychological distress on child hyperactivity/inattention during the COVID-19 lockdown: testing the mediation of parent verbal hostility and child emotional symptoms. Frontiers in psychology, 11, 3417.
• Morgül, E., Kallitsoglou, A., & Essau, C. A. E. (2020). Psychological effects of the COVID-19 lockdown on children and families in the UK. Revista de Psicología Clínica con Niños y Adolescentes, 7(3), 42-48.
• Napier-Raman, S., Rattani, A., Qaiyum, Y., Bose, V., Seth, R., & Raman, S. (2021). Impact of COVID-19 on the lives of vulnerable young people in New Delhi, India: a mixed method study. BMJ Paediatrics Open, 5(1).
• Newby, J. M., Smith, J., Uppal, S., Mason, E., Mahoney, A. E. J., & Andrews, G. (2018). Internet-based cognitive behavioral therapy versus psychoeducation control for illness anxiety disorder and somatic symptom disorder: a randomized controlled trial. Journal of Consulting and Clinical Psychology, 86, 89–98. doi: 10.1037/ccp0000248.
• O’Sullivan, K., Clark, S., McGrane, A., Rock, N., Burke, L., Boyle, N., ... & Marshall, K. (2021). A qualitative study of child and adolescent mental health during the COVID-19 pandemic in Ireland. International journal of environmental research and public health, 18(3), 1062.
• Oosterhoff, B., Palmer, C. A., Wilson, J., & Shook, N. (2020). Adolescents' motivations to engage in social distancing during the COVID-19 pandemic: associations with mental and social health. Journal of Adolescent Health, 67(2), 179-185.
• Petrocchi, S., Levante, A., Bianco, F., Castelli, I., & Lecciso, F. (2020). Maternal distress/coping and children's adaptive behaviors during the COVID-19 lockdown: mediation through children's emotional experience. Frontiers in public health, 8.
• Poppe, M., Aguiar, B., Sousa, R., & Oom, P. (2021). The Impact of the COVID-19 Pandemic on Children’s Health in Portugal: The Parental Perspective. Acta Médica Portuguesa, 34(5), 355-361.
• Racine, N., McArthur, B. A., Cooke, J. E., Eirich, R., Zhu, J., & Madigan, S. (2021). Global prevalence of depressive and anxiety symptoms in children and adolescents during COVID-19: a meta-analysis. JAMA pediatrics, 175(11), 1142-1150.
• Raffagnato, A., Iannattone, S., Tascini, B., Venchiarutti, M., Broggio, A., Zanato, S., ... & Gatta, M. (2021). The COVID-19 Pandemic: A Longitudinal Study on the Emotional-Behavioral Sequelae for Children and Adolescents with Neuropsychiatric Disorders and Their Families. International Journal of Environmental Research and Public Health, 18(18), 9880.
• Robertson, E. L., Piscitello, J., Schmidt, E., Mallar, C., Davidson, B., & Natale, R. (2021). Longitudinal transactional relationships between caregiver and child mental health during the COVID-19 global pandemic. Child and adolescent psychiatry and mental health, 15(1), 1-14.
• Rosen, Z., Weinberger-Litman, S. L., Rosenzweig, C., Rosmarin, D. H., Muennig, P., Carmody, E. R., ... & Litman, L. (2020). Anxiety and distress among the first community quarantined in the US due to COVID-19: Psychological implications for the unfolding crisis.
• Saddik, B., Hussein, A., Albanna, A., Elbarazi, I., Al-Shujairi, A., Temsah, M. H., ... & Halwani, R. (2021). The psychological impact of the COVID-19 pandemic on adults and children in the United Arab Emirates: a nationwide cross-sectional study. BMC psychiatry, 21(1), 1-18.
• Saurabh, K., & Ranjan, S. (2020). Compliance and psychological impact of quarantine in children and adolescents due to Covid-19 pandemic. The Indian Journal of Pediatrics, 87, 532-536.
• Sayed, M. H., Hegazi, M. A., El-Baz, M. S., Alahmadi, T. S., Zubairi, N. A., Altuwiriqi, M. A., ... & Almurashi, S. H. (2021). COVID-19 related posttraumatic stress disorder in children and adolescents in Saudi Arabia. PloS one, 16(8), e0255440.
• Schnaiderman, D., Bailac, M., Borak, L., Comar, H., Eisner, A., Ferrari, A., ... & Garibotti, G. (2021). Psychological impact of COVID-19 lockdown in children and adolescents from San Carlos de Bariloche, Argentina: Parents’ perspective. Arch Argent Pediatr, 119(3), 170-176.
• Sciberras, E., Patel, P., Stokes, M. A., Coghill, D., Middeldorp, C. M., Bellgrove, M. A., ... & Westrupp, E. (2020). Physical health, media use, and mental health in children and adolescents with ADHD during the COVID-19 pandemic in australia. Journal of attention disorders, 1087054720978549.
• Son C, Hegde S, Smith A, Wang X, Sasangohar F. Effects of COVID-19 on college students’ mental health in the United States: interview survey study. J Med Internet Res. (2020) 22:e21279. doi: 10.2196/21279.
• Soriano-Ferrer, M., Morte-Soriano, M. R., Begeny, J., & Piedra-Martínez, E. (2021). Psychoeducational Challenges in Spanish Children With Dyslexia and Their Parents’ Stress During the COVID-19 Pandemic. Frontiers in Psychology, 12, 2005.
• Spinelli, M., Lionetti, F., Pastore, M., & Fasolo, M. (2020). Parents' stress and children's psychological problems in families facing the COVID-19 outbreak in Italy. Frontiers in psychology, 11, 1713.
• Sprang, G., & Silman, M. (2013). Posttraumatic stress disorder in parents and youth after health-related disasters. Disaster medicine and public health preparedness, 7(1), 105-110.
• Tang, S., Xiang, M., Cheung, T., & Xiang, Y. T. (2021). Mental health and its correlates among children and adolescents during COVID-19 school closure: The importance of parent-child discussion. Journal of affective disorders, 279, 353-360.
• Tee, M. L., Tee, C. A., Anlacan, J. P., Aligam, K. J. G., Reyes, P. W. C., Kuruchittham, V., & Ho, R. C. (2020). Psychological impact of COVID-19 pandemic in the Philippines. Journal of affective disorders, 277, 379-391.
• Thew, G. (2020). IAPT and the internet: the current and future role of therapist-guided internet interventions within routine care settings. The Cognitive Behaviour Therapist, 13. doi: 10.1017/S1754470X20000033.
• Tse, Y., Darlington, A. S. E., Tyerman, K., Wallace, D., Pankhurst, T., Chantziara, S., ... & Nagra, A. (2021). COVID-19: experiences of lockdown and support needs in children and young adults with kidney conditions. Pediatric Nephrology, 1-14.
• Vigerland, S., Lenhard, F., Bonnert, M., Lalouni, M., Hedman, E., Ahlen, J., ::: & Lj´otsson, B. (2016). Internet-delivered cognitive behavior therapy for children and adolescents: a systematic review and meta-analysis. Clinical Psychology Review, 50, 1–10.
• Vindegaard N, Benros ME. COVID-19 pandemic and mental health consequences: systematic review of the current evidence. Brain Behav Immun. (2020) 89:531–42. doi: 10.1016/j.bbi.2020.05.048
• Wang, G., Zhang, J., Lam, S. P., Li, S. X., Jiang, Y., Sun, W., Chan, N. Y., Kong, A. P. S., Zhang, Y., Li, S., Li, A. M., Jiang, F., Shen, X., & Wing, Y. K. (2019). Ten-Year Secular Trends in Sleep/Wake Patterns in Shanghai and Hong Kong School-Aged Children: A Tale of Two Cities. Journal of Clinical Sleep Medicine, 15(10), 1495–1502. https://doi. org/10.5664/jcsm.7984.
• Wang, J., Wang, Y., Lin, H., Chen, X., Wang, H., Liang, H., ... & Fu, C. (2021). Mental health problems among school-aged children after school reopening: a cross-sectional study during the COVID-19 post-pandemic in East China. Frontiers in psychology, 5168.
• Werling, A. M., Walitza, S., Grünblatt, E., & Drechsler, R. (2021). Media use before, during and after COVID-19 lockdown according to parents in a clinically referred sample in child and adolescent psychiatry: Results of an online survey in Switzerland. Comprehensive psychiatry, 109, 152260.
• WHO (World Health Organization). (2022). Coronavirus disease (COVID-2019) situation report. Erişim yeri: https://www.who.int/publications/m/item/weekly-epidemiological-update-on-covid-19---11-january-2022. Erişim tarihi: 13.01.2022.
• Willner, P., Rose, J., Stenfert Kroese, B., Murphy, G. H., Langdon, P. E., Clifford, C., ... & Cooper, V. (2020). Effect of the COVID‐19 pandemic on the mental health of carers of people with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 33(6), 1523-1533.
• Wong, J. Y. H., Wai, A. K. C., Wang, M. P., Lee, J. J., Li, M., Kwok, J. Y. Y., ... & Choi, A. W. M. (2021). Impact of CoViD-19 on child maltreatment: income instability and parenting issues. International journal of environmental research and public health, 18(4), 1501.
• Xie, X., Xue, Q., Zhou, Y., Zhu, K., Liu, Q., Zhang, J., & Song, R. (2020). Mental health status among children in home confinement during the coronavirus disease 2019 outbreak in Hubei Province, China. JAMA pediatrics, 174(9), 898-900. Yeasmin, S., Banik, R., Hossain, S., Hossain, M. N., Mahumud, R., Salma, N., & Hossain, M. M. (2020). Impact of COVID-19 pandemic on the mental health of children in Bangladesh: A cross-sectional study. Children and youth services review, 117, 105277.
• Yue, J., Zang, X., Le, Y., & An, Y. (2020). Anxiety, depression and PTSD among children and their parent during 2019 novel coronavirus disease (COVID-19) outbreak in China. Current Psychology, 1-8.
• Zainudeen, Z. T., Abd Hamid, I. J., Azizuddin, M. N. A., Bakar, F. F. A., Sany, S., Zolkepli, I. A., & Mangantig, E. (2021). Psychosocial impact of COVID-19 pandemic on Malaysian families: a cross-sectional study. BMJ open, 11(8), e050523.