Social distancing and school closures are likely to result in increased loneliness in children and adolescents whose usual social contacts are curtailed by the disease containment measures. 1 Social distancing and school closures may therefore increase mental health problems in children and adolescents, already at higher risk of developing mental health problems compared to adults 3 at a time when they are also experiencing anxiety over a health threat and threats to family employment/income. 1, 2 Duration of quarantine, fear of infection, boredom, frustration, lack of necessary supplies, lack of information, financial loss, and stigma appear to increase the risk of negative psychological outcomes. Quarantine in adults generally has negative psychological effects including confusion, anger, and posttraumatic distress. Children and adolescents are experiencing a prolonged state of physical isolation from their peers, teachers, extended families, and community networks. The COVID-19 pandemic has resulted in governments implementing disease containment measures such as school closures, social distancing, and home quarantine.
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