“…One study in China made a geographical comparison, demonstrating significantly higher levels of anxiety symptomatology among adolescents in the COVID-19 outbreak region of Wuhan compared with other urban areas ( 8 ). Reports were most common on symptoms of anxiety ( 8 – 10 , 12 , 14 , 15 , 18 , 24 , 28 – 32 , 43 , 44 , 46 , 49 ) and depression ( 8 – 10 , 12 – 15 , 18 , 19 , 22 , 24 , 26 , 29 , 31 , 32 , 42 , 44 , 46 , 50 ), but other mental health disorders such as obsessive compulsive disorder ( 23 , 29 ) and post-traumatic stress disorder ( 17 – 19 , 25 , 32 ) have been investigated as well as stress ( 9 , 15 , 24 , 25 , 34 , 41 , 42 , 48 ), loneliness ( 28 , 31 , 42 ), and well-being ( 26 , 33 , 35 , 45 , 47 ) among other outcomes ( Table 2 ). Although most of these studies indicate raised levels of mental health concerns among children and adolescents during the pandemic period, the evidence is mixed with some reporting no behavioural changes ( 40 ), good levels of well-being ( 27 , 50 ) or even suggestion of improvement ( 15 ).…”