Table 1.

Summary of findings.

Domain	COVID-Related Impacts	Implications/Interventions
Mental Health	Problematic Internet use; complicated grief; social isolation/loneliness; depression and anxiety	Teletherapy; self-guided therapy programs
Physical health	Decreased physical activity; disruption to routine; decreased access to in-person care; increased consumption of unhealthy foods; increase in prevalence of eating disorders; decreased access to sexual healthcare	Telemedicine; regulation of routine; school-based programs; comprehensive sexual education
Education	Virtual learning; learning loss; isolation; student distraction/engagement; disconnected educator–student relationships	Improved virtual learning/online teaching methods; changes to assessment/curricula
Peer Relationships	Sharp decline in physical social time; increase in online contact; greater loneliness; disruption to socioemotional development	Facilitate positive online relationships; assessment of adolescents’ quality of peer relationships (both in-person and online)
Family Relationships	Shifts in family/sibling power dynamics; exacerbation of pre-existing socioeconomic vulnerabilities; increased opportunities for dissemination of parental stress to child; increased potential for family conflict, domestic violence, and child abuse	Family systems-based approach to understanding family and ecological factors that may impact adolescent wellbeing and relationships