![]() ![]() People were asked to stay inside and work from home as much as possible, to comply with social distancing (1.5 m), and all large events were canceled. In the Netherlands, the first COVID-19 patient was identified on February 27th 2020 and restrictions were imposed by the government starting on March 12th 2020. Although children and adolescents are less affected by morbidity and mortality, the restrictions imposed by governments worldwide profoundly impact their daily life, including their mental and social health. The COVID-19 pandemic has an enormous impact on society as a whole, and on children and adolescents in particular. This study showed that governmental regulations regarding lockdown pose a serious mental/social health threat on children/adolescents that should be brought to the forefront of political decision-making and mental healthcare policy, intervention, and prevention. A large majority (> 90%) reported a negative impact of the COVID-19 regulations on daily life. Associated factors with worse mental/social health were single-parent family, ≥ three children in the family, negative change in work situation of parents due to COVID-19 regulations, and a relative/friend infected with COVID-19. During lockdown, more children reported severe Anxiety (RR = 1.95 (1.55–2.46) and Sleep-Related Impairment (RR = 1.89 (1.29–2.78) and fewer children reported poor Global Health (RR = 0.36 (0.20–0.65)). ![]() Participants reported worse PROMIS T-scores on all domains during COVID-19 lockdown compared to before (absolute mean difference range 2.1–7.1 (95% CI 1.3–7.9). The impact of COVID-19 regulations on the daily life of children was qualitatively analyzed. Variables associated with worse mental/social health during COVID-19 were explored through multivariable regression models. Two representative samples of Dutch children/adolescents (8–18 years) before COVID-19 (2018, N = 2401) and during lockdown (April 2020, N = 844) were compared on the Patient-Reported Outcomes Measurement Information System (PROMIS) domains: global health, peer relationships, anxiety, depressive symptoms, anger, sleep-related impairment by linear mixed models and calculating relative risks (RR (95% CI)) for the proportion of severe scores. In this cross-sectional, population-based study, we aimed to investigate the mental/social health of children/adolescents during COVID-19 lockdown. Schools were closed and contact with other people was limited. ![]() During the COVID-19 pandemic in the Netherlands, governmental regulations resulted in a lockdown for adults as well as children/adolescents. ![]()
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