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As the coronavirus disease 2019 (COVID-19) epidemic progressed in Wuhan, Hubei province, China, the Chinese government ordered a nationwide school closure. More than 180 million students in China were restricted to their homes (http://www.chinanews.com/sh/2020/02-17/9094648.shtml). The COVID-19 infection has become a global pandemic. As of April 9, 2020, the infection has caused 188 countrywide closures around the world and has affected 1 576 021 818 learners (https://zh.unesco.org/themes/education-emergencies/coronavirus-school-closures). The caution about protecting the mental health of children in home confinement is warranted. This study investigated depressive and anxiety symptoms among students in Hubei province, China, which can help optimize interventions on the mental health of children for stakeholders in all countries affected by COVID-19.
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Acceptance Date: April 14, 2020.
Corresponding Author: Ranran Song, PhD, MS, Department of Maternal and Child Health and Ministry of Education Key Laboratory of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, No. 13 Hangkong Rd, Wuhan 430030, Hubei, China (email@example.com).
Published Online: April 24, 2020. doi:10.1001/jamapediatrics.2020.1619
Author Contributions: Dr Song had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Mss Xie and Xue contributed equally.
Concept and design: Xie, Xue, Song.
Acquisition, analysis, or interpretation of data: All authors.
Drafting of the manuscript: Xie, Xue, Zhou, Zhu, Liu.
Critical revision of the manuscript for important intellectual content: Zhang, Song.
Statistical analysis: Xie, Xue, Zhou, Zhu, Liu, Zhang.
Obtained funding: Song.
Administrative, technical, or material support: Song.
Conflict of Interest Disclosures: None reported.
Funding/Support: This work was supported by the National Natural Science Foundation of China (grant 81673194 [Dr Song]).
Role of the Funder/Sponsor: The funder had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
Additional Contributions: We thank the families and the children that participated in this study. They were in the first epicenter of the coronavirus disease 2019 outbreak, but they were willing to complete the investigation.
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