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Nolvi S, Paavonen EJ, Korja R, Pelto J, Karukivi M, Tuulari JJ, Karlsson H, Karlsson L. Course of child social-emotional and sleep symptoms, parental distress and pandemic-related stressors during COVID-19. Dev Psychopathol 2024; 36:518-532. [PMID: 36794405 DOI: 10.1017/s0954579422001377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
Research on the longitudinal courses of child social-emotional symptoms and sleep during the COVID-19 pandemic within societies would be of key value for promoting child well-being in global crises. We characterized the course of children's social-emotional and sleep symptoms before and throughout the pandemic in a Finnish longitudinal cohort of 1825 5- to 9-year-old children (46% girls) with four follow-up points during the pandemic from up to 695 participants (spring 2020-summer 2021). Second, we examined the role of parental distress and COVID-related stressful events in child symptoms. Child total and behavioral symptoms increased in spring 2020 but decreased thereafter and remained stable throughout the rest of the follow-up. Sleep symptoms decreased in spring 2020 and remained stable thereafter. Parental distress was linked with higher child social-emotional and sleep symptoms. The cross-sectional associations between COVID-related stressors and child symptoms were partially mediated by parental distress. The findings propose that children can be protected from the long-term adverse influences of the pandemic, and parental well-being likely plays a mediating role between pandemic-related stressors and child well-being. Further research focusing on the societal and resilience factors underlying family and child responses to the pandemic is warranted.
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Affiliation(s)
- Saara Nolvi
- Turku Institute for Advanced Studies, Department of Psychology and Speech-Language Pathology, FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku. Medisiina A (307), Kiinamyllynkatu 10, 20014 Turun yliopisto, Turku, Finland
| | - E Juulia Paavonen
- Department of Public Health, Finnish Institute for Health and Welfare, Helsinki, Finland; Pediatric Research Center, Child Psychiatry, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
| | - Riikka Korja
- Department of Psychology and Speech-Language Pathology, FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland
| | - Juho Pelto
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine and Department of Mathematics and Statistics, University of Turku, Turku, Finland
| | - Max Karukivi
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine & Department of Adolescent Psychiatry, University of Turku and Turku University Hospital, Turku, Finland
| | - Jetro J Tuulari
- Turku Collegium for Science, Medicine and Technology; FinnBrain Birth Cohort Study, Turku Brain and Mind Center & Department of Psychiatry, Department of Clinical Medicine, University of Turku and Turku University Hospital, Turku, Finland
| | - Hasse Karlsson
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center & Department of Psychiatry & Center for Population Health Research, Department of Clinical Medicine, University of Turku and Turku University Hospital, Turku, Finland
| | - Linnea Karlsson
- FinnBrain Birth Cohort Study & Center for Population Health Research, Psychiatry, Paediatrics and Adolescent Medicine, Department of Clinical Medicine, University of Turku and Turku University Hospital, Turku, Finland
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Al-Shekaili M, Al-Huseini S, Al-Kalbani Y, Mirza H, Chan MF, Hassan W, Al-Sulimani F, Al-Ghafri GS, Al-Sumri HS, Amer AB, Ganesh A, Al-Saadoon M, Al-Adawi S. Factors associated with anxiety-related symptoms in children and adolescents during COVID-19 in Oman: a cross-sectional study. Sci Rep 2024; 14:9812. [PMID: 38684717 PMCID: PMC11058269 DOI: 10.1038/s41598-024-59769-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Accepted: 04/15/2024] [Indexed: 05/02/2024] Open
Abstract
Reports from different parts of the world suggest that the COVID-19 pandemic and the resultant lockdown and social distancing measures have heralded unprecedented mental health challenges among children and adolescents. To date, there is a dearth of studies emerging from the Arabian Gulf, where the majority of its population are children and adolescents. The study aims to examine the prevalence of anxiety-related symptoms and their covariates among children and adolescents in an Arabian Gulf country, Oman. This is a cross-sectional analytic study carried out over two weeks (1st to 15th of August 2020) during the COVID-19 pandemic across Oman. Parents were asked to complete the online survey, which consisted of the parent version of the Screen for Child Anxiety Related Emotional Disorders (SCARED) instrument and questions regarding basic socio-demographic information. Logistic regression was used to identify the contributing variables associated with anxiety-related symptoms. A total of 790 valid responses were received. Among the 790 children, 33.3% (n = 263) were diagnosed with anxiety-related symptoms by the SCARED instrument. Logistic regression analysis suggested that anxiety-related symptoms in children and adolescents were significantly associated with three demographic variables. The model shows that children with divorced or separated parents were 1.9 times more likely to have anxiety-related symptoms than children of married couples (OR = 1.93, p = 0.035). Children living in families with an income below USD 1000/month, were 1.8 times more likely to have anxiety-related symptoms than a family with an income of USD 4000/month (OR = 1.833, p = 0.018). Children in grades 3-6 were 1.8 times more likely to have anxiety-related symptoms than those in grades 1-2 (OR = 1.79, p = 0.024). Anxiety-related symptoms are common among Omani children and adolescents. They are more likely to be reported in middle scholastic grade levels and children from families with marital discord and low socioeconomic status. It is not clear whether the presently observed rates of anxiety exceed the prevalence that would have been observed prior to the COVID-19 pandemic. More studies are therefore warranted using children and adolescents' self-reported scales.
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Affiliation(s)
| | | | | | - Hassan Mirza
- Department of Behavioural Medicine, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat 123, Oman
| | - Moon Fai Chan
- Department of Family Medicine and Public Health, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat 123, Oman
| | - Walid Hassan
- Al Massarah Hospital, Ministry of Health, Muscat, Oman
- The Okasha Institute of Psychiatry, Ain Shams University, El-Demerdash, El Abbassia, Cairo, 11657, Egypt
| | | | - Ghaniya Saif Al-Ghafri
- Directorate General of Health Services, Al Dhahira Governorate, Ibri Regional Hospital, Ministry of Health, Ibri, Oman
| | | | - Ahmed Bait Amer
- Department of Family Medicine and Public Health, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat 123, Oman
| | - Aishwarya Ganesh
- Department of Behavioural Medicine, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat 123, Oman
| | - Muna Al-Saadoon
- Department of Child Health, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat 123, Oman
| | - Samir Al-Adawi
- Department of Behavioural Medicine, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat 123, Oman.
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AlSamhori JF, Toubasi AA, Jaber DZ, Ghanem HH, Thainat BI, AlSamhori AF, Kalbouneh H. Jordanian parental perception of screen time and its association with psychological distress: A cross-sectional design. Pediatr Neonatol 2024:S1875-9572(24)00052-4. [PMID: 38677918 DOI: 10.1016/j.pedneo.2023.11.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2023] [Revised: 10/31/2023] [Accepted: 11/10/2023] [Indexed: 04/29/2024] Open
Abstract
BACKGROUND The excessive use of electronic devices among children is a global concern because of its negative impact on behavior. This cross-sectional study aimed to assess parents' awareness of their children's electronic device use and their perspective on how screen time affects behavior for 4-10-year-olds in Jordan. METHODS A cross-sectional study was conducted to assess parents' awareness of their children's electronic device usage. The study included 807 mothers and fathers from Jordan with at least one child aged 4 to 10. The data collection instrument consisted of a self-administered survey with 43 questions, including sociodemographic characteristics and the Strength and Difficulties Questionnaire. Descriptive analysis, categorical Chi-square test, Independent t-test, and Mann-Whitney U test were used for statistical analysis. The study followed ethical standards and principles. RESULTS A survey of 807 parents in Jordan found that gaming and videos were the most common content watched by children, and 61.3% used devices alone. Only 37.1% of parents believed that device use could improve their children's psychological growth, while 72.7% and 65.9% believed it could impact negatively their children's mental and psychological growth, respectively. The Strengths and Difficulties Questionnaire showed that 51.4% of children were normal, while 25.3% were borderline and 23.3% were abnormal. CONCLUSION Children in the study used electronic devices excessively and this was linked to severe behavioral problems. Parents should follow AAP guidelines and spend more time with their children through non-electronic activities to improve their behavior.
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Affiliation(s)
| | | | - Dunia Z Jaber
- Faculty of Medicine, University of Jordan, Amman, Jordan
| | | | | | | | - Heba Kalbouneh
- Department of Anatomy, Faculty of Medicine, University of Jordan, Amman, Jordan
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Abdoli M, Khoshgoftar M, Jadidi H, Daniali SS, Kelishadi R. Screen Time and Child Behavioral Disorders During COVID-19 Pandemic: A Systematic Review. Int J Prev Med 2024; 15:9. [PMID: 38563038 PMCID: PMC10982732 DOI: 10.4103/ijpvm.ijpvm_78_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2023] [Accepted: 08/17/2023] [Indexed: 04/04/2024] Open
Abstract
Background The extensive use of various electronic games and communication devices, particularly among children and adolescents, has raised concerns, particularly during the COVID-19 pandemic. This study investigated the link between screen time and internalizing disorders, such as anxiety and depression, among individuals aged ≤18 during the global COVID-19 pandemic. Methods This systematic review aims to summarize scientific publications from 2019 to early 2022 by searching databases, including the Cochrane Library, PubMed, Web of Science, Scopus, and PsycINFO, to identify suitable studies. In each paper, we searched the following keywords and their synonyms: screen, child, high school, middle school, and psychiatric disorders. The quality of the selected papers was evaluated using a checklist recommended by the National Institutes of Health (NIH) for observational cohort studies. Results Out of 986 reports identified, we included 12 papers with 14,483 participants. The study revealed a negative correlation between screen time (TV, computer, video games, and mobile phones) and behavioral outcomes. Smartphones were the most frequently used devices, with video games being more prevalent among older participants for education, communication, and entertainment purposes. The prevalence of depression ranged between 10% and 25%. Furthermore, anxiety and depression were identified as predictors of increased screen usage. Some results displayed variation based on the type of screen exposure, the questionnaires used, and the age of the participants. Conclusions The findings imply an indirect association between increased screen time and depression and anxiety. It is crucial to consider limitations on screen time exposure and parental supervision as measures to prevent certain mental disorders.
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Affiliation(s)
- Maryam Abdoli
- Department of Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Isfahan, Iran
| | - Mohadeseh Khoshgoftar
- Assistant Professor of Health Education and Health Promotion, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Hosin Jadidi
- Department of Biostatistics and Epidemiology, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Seyede Shahrbanoo Daniali
- Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan, Iran
| | - Roya Kelishadi
- Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan, Iran
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Liang Y, Jin Q, Miao J, Ni X, Qian X, Xiong Y, Liu Z, Xue H. Association between screen time and physical activity on mental health among preschoolers: a cross-sectional study from Southwest China. BMC Public Health 2024; 24:261. [PMID: 38254090 PMCID: PMC10804503 DOI: 10.1186/s12889-024-17722-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Accepted: 01/10/2024] [Indexed: 01/24/2024] Open
Abstract
BACKGROUND Screen time and physical activity behaviors undergo development during early childhood and impact mental health. However, there is limited knowledge regarding the associations between physical activity, screen time, and mental health problems (MHP) in preschoolers. This study examines these associations using a large sample size and brief measures. METHODS A multistage cluster stratified sampling method was used to conduct an observational cross-sectional study of 19,015 Chinese preschoolers in 2020. Information on physical activity, and screen time was collected by a self-administered questionnaire; MHP was assessed by the parent-reported Strengths and Difficulties Questionnaire (SDQ). Logistic regression models were used to obtain the odds ratios (ORs) and 95% confidence intervals (95% CIs) of preschoolers' MHP associated with screen time, total physical activities, moderate to vigorous physical activity (MVPA), and outdoor physical activities. RESULTS A total of 19,015 participants from the 19,548 recruited population were included in the analyses (missing rate: 2.73%), 52.60% were boys. 64.01%, 57.96%, 35.98%, and 82.64% of preschoolers were reported to meet total physical activities, MVPA, and outdoor activities with screen time recommendations level. The results of multivariable-adjusted ORs (95% CIs) of preschoolers' MHP for comparisons of different levels of screen time (< 2 h/day, 2-4 h/day,≥4 h/day) show that screen time positively associated with MHP after adjusting for confounders (P < 0.05), but the association was not significant among girls with screen time ≥ 4 h/day. In addition, increased engagement in physical activity was reversely linked to MHP (P < 0.05). A stronger association between MHP and MVPA was observed in boys, however, this association was weakened when the total time spent engaging in MVPA exceeded two hours per day (P < 0.05). CONCLUSION Less physical activity and more screen time positively relate to MHP, but the relationship differs by type of physical activity, total time, and gender. These findings provide novel insights and evidence supporting for guidelines on physical activity, screen time, and improvement of mental health for preschoolers.
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Affiliation(s)
- Yi Liang
- Department of Clinical Nutrition, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China
| | - Qiyun Jin
- Department of Child Healthcare, Zunyi Maternal and Child Health Care Hospital, Zunyi, Guizhou, China
| | - Junjie Miao
- School of Public Health, Hebei Medical University, Shijiazhuang, China
| | - Xiaorong Ni
- School of Public Health, Guizhou Medical University, Guiyang, Guizhou, China
| | - Xiaoxiao Qian
- Department of Clinical Nutrition, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China
| | - Yi Xiong
- Department of Child Healthcare, Zunyi Maternal and Child Health Care Hospital, Zunyi, Guizhou, China
| | - Zhijun Liu
- Department of Applied Psychology, School of Management, Zunyi Medical University, Zunyi, Guizhou, China.
| | - Hongmei Xue
- Department of Clinical Nutrition, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
- College of Public Health, Hebei University, Baoding, Hebei, China.
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Freda MF, Scandurra C, Auriemma E, Guarino A, Lemmo D, Martino ML, Nunziata F, Maldonato NM, Continisio GI. Long-COVID in children: An exploratory case-control study from a bio-psycho-social perspective. J Psychosom Res 2024; 176:111564. [PMID: 38100898 DOI: 10.1016/j.jpsychores.2023.111564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Revised: 12/05/2023] [Accepted: 12/08/2023] [Indexed: 12/17/2023]
Abstract
OBJECTIVE This study aimed to determine psychosocial differences between children with Long-COVID Syndrome (LCS) and two control groups (i.e., children who did not have COVID-19 and children who had previously had COVID-19 but did not develop LCS) from a bio-psycho-social and psychosomatic perspective. To classify children in these three groups, we examined the percentage of children meeting criteria for LCS, the type, frequency, perceived severity of symptoms, and their prevalence compared with children who never had SARS-CoV-2 infection. METHODS Data were collected from 198 Italian mothers of children aged 4 to 13 years using a cross-sectional web-based case-control survey. Of these, 105 were mothers of children who had contracted SARS-CoV-2 and 94 were mothers of children who had previously had COVID-19. Information was collected on the type and frequency of symptoms commonly referred to as "Long-COVID symptoms" and psychosocial dimensions (i.e., maternal and child health anxiety, COVID-19 anxiety, adjustment, and child deprivation). Descriptive analyses, chi-square tests, Student's T-Test, and analyses of variance were performed. RESULTS 29 children (15% of the total sample) developed LCS, mostly in the neurological/neuropsychiatric domain (59%), and of mild intensity. Regarding psychosocial and psychological dimensions, maternal health anxiety, child deprivation, and fear of SARS-CoV-2 infection differed between groups, with the first two dimensions higher in children with LCS than in controls and the latter lower in children with LCS than in controls. CONCLUSION This study sheds light on the need of integrating a psychosocial approach into the medical care of children with LCS and their caregivers.
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Affiliation(s)
- Maria Francesca Freda
- Department of Humanistic Studies, University of Naples Federico II - Via Porta di Massa 1, Napoli 80133, Italy.
| | - Cristiano Scandurra
- Department of Humanistic Studies, University of Naples Federico II - Via Porta di Massa 1, Napoli 80133, Italy.
| | - Ersilia Auriemma
- Department of Humanistic Studies, University of Naples Federico II - Via Porta di Massa 1, Napoli 80133, Italy
| | - Alfredo Guarino
- Department of Translational Medical Sciences, University of Naples Federico II - Via Sergio Pansini 5, Napoli 80131, Italy.
| | - Daniela Lemmo
- Department of Humanistic Studies, University of Naples Federico II - Via Porta di Massa 1, Napoli 80133, Italy.
| | - Maria Luisa Martino
- Department of Humanistic Studies, University of Naples Federico II - Via Porta di Massa 1, Napoli 80133, Italy.
| | - Francesco Nunziata
- Department of Translational Medical Sciences, University of Naples Federico II - Via Sergio Pansini 5, Napoli 80131, Italy
| | - Nelson Mauro Maldonato
- Department of Neuroscience, Reproductive Sciences, and Dentistry, University of Naples Federico II - Via Sergio Pansini 5, Napoli 80131, Italy.
| | - Grazia Isabella Continisio
- Department of Translational Medical Sciences, University of Naples Federico II - Via Sergio Pansini 5, Napoli 80131, Italy.
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Chutko LS, Fateeva VV, Surushkina SY. [Attention deficit hyperactivity disorder in children and adolescents: lessons from the COVID-19 pandemic]. Zh Nevrol Psikhiatr Im S S Korsakova 2024; 124:60-65. [PMID: 38261285 DOI: 10.17116/jnevro202412401160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2024]
Abstract
To limit the spread of the coronavirus infection COVID-19, which has received the status of a pandemic, a lockdown was temporarily introduced. In conditions of isolation, children and adolescents suffering from attention deficit hyperactivity disorder (ADHD) were faced with forced changes in their daily routine in the form of a transition to distance learning, a decrease in physical activity, an increase in time in front of TV screens/computer monitors/tablets, etc. The review provides current evidence on the associations between social restrictions caused by the COVID-19 pandemic and behavioral problems in children and adolescents with ADHD. The main factors that can influence the severity of the disease in children and adolescents are analyzed. Particular attention is paid to the role of parental behavior and its influence on the manifestations of ADHD in children in isolation. The results of numerous observations and online surveys of relatives and children suffering from ADHD have demonstrated a multidirectional trajectory of the disease depending on numerous factors, including relationships with parents and immediate family. Despite the end of the COVID-19 pandemic, the effects of isolation during critical periods of childhood have the potential to increase the burden of mental illness. Treatment of children and adolescents with ADHD during the COVID-19 pandemic should be pathogenetic, taking into account the main symptoms of the disease. When choosing pharmacotherapy, priority should be given to drugs with verified effectiveness and a reliable safety profile.
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Affiliation(s)
- L S Chutko
- N. Bekhtereva Institute of the Human BraIn Russian Academy of Sciences, St. Petersburg, Russia
| | - V V Fateeva
- Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
| | - S Yu Surushkina
- N. Bekhtereva Institute of the Human BraIn Russian Academy of Sciences, St. Petersburg, Russia
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Eom TH, Kim YH. Clinical practice guidelines for attention-deficit/hyperactivity disorder: recent updates. Clin Exp Pediatr 2024; 67:26-34. [PMID: 37321571 PMCID: PMC10764666 DOI: 10.3345/cep.2021.01466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Revised: 02/10/2023] [Accepted: 04/17/2023] [Indexed: 06/17/2023] Open
Abstract
Attention-deficit/hyperactivity disorder (ADHD) is one of the most common neurodevelopmental disorders found in children and adolescents. The American Academy of Pediatrics (AAP) first published a clinical practice guideline on ADHD in 2000, which was revised in 2011 and republished together with an accompanying process-of-care algorithm. More recently, the 2019 clinical practice guideline revision was published. Since the 2011 guideline, the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5), was released. In addition, the Society of Developmental and Behavioral Pediatrics (SDBP) recently released another clinical practice guideline for complex ADHD. Although there are nonessential changes reflected in these updates, a number of changes have still been made; for example, the DSM-5 criteria lowered the diagnostic threshold for ADHD in older teens and adults. Additionally, the criteria were revised to facilitate application to older teens and adults, and a comorbid diagnosis with autism spectrum disorder is now allowed. Meanwhile, the 2019 AAP guideline added the recommendation related to comorbid conditions with ADHD. Lastly, SDBP developed a complex ADHD guideline, covering areas such as comorbid conditions, moderate-to-severe impairment, treatment failure, and diagnostic uncertainty. In addition, other national ADHD guidelines have been published, as have European guidelines for managing ADHD during the coronavirus disease 2019 pandemic. To facilitate ADHD management in a primary care, it is important to provide and review clinical guidelines and recent updates. In this article, we will review and summarize the recent clinical guidelines and their updates.
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Affiliation(s)
- Tae Hoon Eom
- Department of Pediatrics, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Young-Hoon Kim
- Department of Pediatrics, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea
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Çiçek S, Yalçin SS. Emotional status and problem behavior of pre-school children according to the pandemic period and occupational status of the mother. INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2023; 33:1406-1417. [PMID: 35801677 DOI: 10.1080/09603123.2022.2096208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 06/27/2022] [Indexed: 06/15/2023]
Abstract
The aim was to compare the emotional status and problem behavior of pre-school children according to their mother's occupational status in two groups before the pandemic and during the pandemic period. Mothers were asked to fill out a survey form containing sociodemographic characteristics, the Emotion Regulation Checklist (ERC) and the Strengths and Difficulties Questionnaire (SDQ) . Total ERC and Emotion Regulation Subscale scores were significantly higher and Lability-Negativity Subscale scores, conduct problems, peer relationship problems, internalising scores and total SDQ scores were significantly lower in the pandemic period group than in the pre-pandemic group. The occupational status of mothers in the PanP and Pre-Pan groups did not significantly differ in ERC scores, peer relationship problems scores, and prosocial behavior, whereas, internalization was lower during PanP and was associated with the mother's occupational status.
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Affiliation(s)
- Seyma Çiçek
- Department of Pediatrics, Etimesgut Şehit Sait Ertürk State Hospital, Ankara, Turkey
| | - Siddika Songul Yalçin
- Department of Social Pediatrics, Faculty of Medicine, Hacettepe University, Ankara, Turkey
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Awn MA, Mohroofi AD, Alsaqer JK, Aljowder AA, Mohroofi AD, Alsuliti MA. Impact of covid-19 outbreak on the behavior of children and adolescents in the Kingdom of Bahrain. Medicine (Baltimore) 2023; 102:e35925. [PMID: 37960760 PMCID: PMC10637495 DOI: 10.1097/md.0000000000035925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/02/2023] [Accepted: 10/12/2023] [Indexed: 11/15/2023] Open
Abstract
With coronavirus disease-2019 (COVID-19) pandemic restrictions and lockdown, children and adolescents have experienced emotional and physical isolation from family and community members. This isolation has a negative impact on children's and adolescents' mental health, physical health, and behavior. An online cross-sectional study of children and adolescents aged 5 to 11 years was conducted to assess the effect of the COVID-19 pandemic on their behavior, emotions, and sleep routines. A total of 413 participants, with a mean age of seven (217 boys and 195 girls), were included in the study. Most of the children were in primary school and lived with both parents. Boys and older children were found to have been fatigued during the pandemic. A significant association was found between the participants' age and regression, opposition, and adaptation behaviors. A significant increase in screen usage and decrease in children's physical activity after the outbreak were noted. The COVID-19 pandemic has negatively affected children's and adolescents' psychosocial, behavioral, and physical habits. Government programs to support the mental and psychological well-being of children and adolescents should be encouraged. Social communication, physical activity, and collaborative games are also important factors.
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Affiliation(s)
- Muna A. Awn
- Family Medicine Department, Royal Medical Service – Bahrain Defense Force Hospital, Riffa, Bahrain
| | - Abdulrahman D. Mohroofi
- Pediatric Department, Royal Medical Service – King Hamad University Hospital, Muharraq, Bahrain
| | | | - Ahmed A. Aljowder
- Anesthesia Resident, Royal Medical Service – Mohammed Bin Khalid Bin Salman Al Khalifa Cardiac Center, Awali, Bahrain
| | | | - Mariam A. Alsuliti
- Family Medicine Department, Royal Medical Service – Bahrain Defense Force Hospital, Riffa, Bahrain
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Mahmoodi Z, Rostami M, Bahrami G, Rasouli F, Ghavidel N. Predictor factors affecting emotional and behavioral problems in school-aged (6-12 years) children during the COVID-19 pandemic: a cross-sectional study. BMC Psychiatry 2023; 23:633. [PMID: 37644456 PMCID: PMC10466850 DOI: 10.1186/s12888-023-05125-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Accepted: 08/21/2023] [Indexed: 08/31/2023] Open
Abstract
OBJECTIVES The prolonged outbreak of COVID-19 has caused psychological problems in the community, especially in children. Given that limited studies have been conducted on this vulnerable group in Iran, we conducted this study to determine the predictor factors affecting emotional and behavioral problems in school-aged (6-12 years) children during the COVID-19 pandemic. METHODS We conducted a cross-sectional study on 322 mothers of elementary school-aged children (6-12 years) from April 21 to June 21, 2021, in Karaj, Alborz, Iran. Sociodemographic checklist, socioeconomic status scale (SES), Depression, Anxiety, and Stress Scale (DASS-21), Corona Disease Anxiety Scale (CDAS), and the Rutter Children's Behavior Questionnaire (RCBQ) were used to evaluate the children's behavioral symptoms, the mental health of their mothers, and sociodemographic factors. RESULTS In total, 17.7% of children (male = 27.0%, female = 11.7%) had behavioral problems. Results showed income (p-value = 0.007, 95%CI (-3.85- -0.607)), and physical activity of the child (p-value = 0.026, 95%CI (-1.03- -0.067)), were indirectly associated with children's behavioral symptoms. Having underlying disease (p-value = 0.00, 95%CI (1.712-5.949)), breastfeeding (p-value = 0.027, 95%CI (0.335-5.61)), corona-related anxiety (p-value = 0.00, 95%CI (0.158-0.318)), and DASS score (p-value = 0.00, 95%CI (0.149-0.334)) in the mothers, as well as male gender (p-value = 0.003, 95%CI (0.724-3.471)) were directly associated with children's behavioral symptoms. The most factors involved in the behavioral symptom score of children were corona-related anxiety (β = .298), DASS (β = 0.273), underlying disease of mothers (β = 0.163), income (β = -0.154), child's gender (β = 0.142) and physical activity (β = -0.101), and breastfeeding (β = 0.099) respectively. CONCLUSION Study findings showed that some factors affect the emotional and behavioral problems of school-aged (6-12 years) children during the COVID-19 pandemic. These data may help future researchers and policymakers with early intervention.
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Affiliation(s)
- Zohreh Mahmoodi
- Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
| | - Mahnoosh Rostami
- Health Systems Evaluation and Evidence, Provincial Clinical Excellence, Alberta Health Services, Alberta, Canada
| | - Giti Bahrami
- Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
| | - Fatemeh Rasouli
- Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
| | - Nooshin Ghavidel
- Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.
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Di Norcia A, Mascaro C, Bianchi D, Cannoni E, Szpunar G, Laghi F. Psychological Difficulties in Children and Adolescents during the COVID-19 Lockdown: The Effects of Spending Free Time with Parents or Using Digital Devices. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1349. [PMID: 37628348 PMCID: PMC10453172 DOI: 10.3390/children10081349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 07/26/2023] [Accepted: 08/01/2023] [Indexed: 08/27/2023]
Abstract
The present study investigated protective and risk factors for psychological difficulties in children and adolescents during the COVID-19 lockdown. Specifically, the role of increased use of digital devices (DDs) for recreational purposes and the role of free time spent with parents were explored. Furthermore, the possible mediating effect of increased use of DDs in the relationship between free time spent with parents and psychological difficulties was tested. Participants were 4412 Italian children and adolescents, divided into two groups: children aged 6-10 years (n = 2248) and adolescents aged 11-18 years (n = 2164). Data were collected in Italy during the national lockdown and questionnaires were completed online by parents, who reported on their children's habits. The daily use of DDs increased significantly during the lockdown compared to the previous period, in both children and adolescents. Additionally, psychological difficulties increased in both children and adolescents during the lockdown, with a more severe impairment for children. Increased use of DDs during the lockdown positively predicted psychological difficulties (children: beta = 0.18, p < 0.001; adolescents: beta = 0.13, p < 0.001), while free time spent with parents was protective (children: beta = -13, p < 0.001; adolescents: beta = -0.12, p < 0.001). For children (but not adolescents), increased use of DDs mediated the effects of free time spent with parents on psychological difficulties (children: beta = -0.01, 95% CI [-0.018, -0.002]; adolescents: beta = -0.003, 95% CI [-0.009, 0.003]). The findings provide new insights for education and research.
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Affiliation(s)
- Anna Di Norcia
- Department of Social and Developmental Psychology, Sapienza University of Rome, 00185 Rome, Italy; (C.M.); (D.B.); (E.C.); (G.S.); (F.L.)
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13
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Tavano S, Caini S, Sforzi I, Silvestri C, Voller F, Pisano T. Mental Health of Children and Adolescents before and during the COVID-19 Pandemic: How Did the Lockdown Modify Psychiatric Emergencies in Tuscany, Italy? J Clin Med 2023; 12:4154. [PMID: 37373847 DOI: 10.3390/jcm12124154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Revised: 06/16/2023] [Accepted: 06/17/2023] [Indexed: 06/29/2023] Open
Abstract
The COVID-19 pandemic has deeply impacted several aspects of the lives of children and adolescents. We analyzed the trends of psychiatric disorders in the emergency room. The analysis comprised the pre-pandemic (2018-2019) and the pandemic years (2020-2021). We conducted a retrospective observational epidemiological study that compared admissions during the two periods on a sample of 1311 patients aged between 4 and 18, focusing on new admissions vs. relapse, demographic variables, lockdown severity, presentation of psychiatric symptoms, diagnosis, severity, and outcome. Over the two-year pandemic period, we observed a 33% decrease in admissions to the emergency room for non-psychiatric disorders and a 200% increase in admissions for psychiatric emergencies. This increase is concentrated in periods with fewer restrictions and in the second year of the pandemic. We also observed a greater impact of psychiatric disorders on female patients, a greater severity of psychiatric disorders, a change in diagnoses associated with the presentation of symptoms, and an increase in hospitalizations. The children's psychiatric emergency service faced an "emergency within the emergency". In the future, it will be necessary to continue the follow-up of these patients, strengthen the field of study of gender psychiatry, and intensify our efforts towards prevention.
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Affiliation(s)
- Simone Tavano
- Child and Adolescent Psychiatry Unit, Neuroscience Department, Meyer Children's Hospital IRCCS, Viale Pieraccini 24, 50139 Florence, Italy
| | - Saverio Caini
- Cancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), 50139 Florence, Italy
| | - Idanna Sforzi
- Emergency Department, Trauma Center, Meyer Children's Hospital IRCCS, Viale Pieraccini 24, 50139 Florence, Italy
| | - Caterina Silvestri
- Regional Health Agency of Tuscany, Via Taddeo Alderotti, 26/N, 50139 Florence, Italy
| | - Fabio Voller
- Regional Health Agency of Tuscany, Via Taddeo Alderotti, 26/N, 50139 Florence, Italy
| | - Tiziana Pisano
- Child and Adolescent Psychiatry Unit, Neuroscience Department, Meyer Children's Hospital IRCCS, Viale Pieraccini 24, 50139 Florence, Italy
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Levante A, Martis C, Bianco F, Castelli I, Petrocchi S, Lecciso F. Internalizing and externalizing symptoms in children during the COVID-19 pandemic: a systematic mixed studies review. Front Psychol 2023; 14:1182309. [PMID: 37397311 PMCID: PMC10313408 DOI: 10.3389/fpsyg.2023.1182309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Accepted: 05/02/2023] [Indexed: 07/04/2023] Open
Abstract
Introduction Given the vulnerability of children during the COVID-19 pandemic, paying close attention to their wellbeing at the time is warranted. The present protocol-based systematic mixed-studies review examines papers published during 2020-2022, focusing on the impact of the COVID-19 pandemic on children's internalizing/externalizing symptoms and the determinants thereof. Method PROSPERO: CRD42022385284. Five databases were searched and the PRISMA diagram was applied. The inclusion criteria were: papers published in English in peer-reviewed journals; papers published between January 2020 and October 2022 involving children aged 5-13 years; qualitative, quantitative, and mixed studies. The standardized Mixed Method Appraisal Tool protocol was used to appraise the quality of the studies. Results Thirty-four studies involving 40,976 participants in total were analyzed. Their principal characteristics were tabulated. The results showed that children's internalizing/externalizing symptoms increased during the pandemic, largely as a result of disengagement from play activities and excessive use of the internet. Girls showed more internalizing symptoms and boys more externalizing symptoms. Distress was the strongest parental factor mediating children's internalizing/externalizing symptoms. The quality of the studies was appraised as low (n = 12), medium (n = 12), and high (n = 10). Conclusion Gender-based interventions should be designed for children and parents. The studies reviewed were cross-sectional, so long-term patterns and outcomes could not be predicted. Future researchers might consider a longitudinal approach to determine the long-term effects of the pandemic on children's internalizing and externalizing symptoms. Systematic review registration https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022385284, identifier: CRD42022385284.
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Affiliation(s)
- Annalisa Levante
- Department of Human and Social Sciences, University of Salento, Lecce, Italy
- Lab of Applied Psychology, Department of Human and Social Sciences, University of Salento, Lecce, Italy
| | - Chiara Martis
- Department of Human and Social Sciences, University of Salento, Lecce, Italy
| | - Federica Bianco
- Department of Human and Social Science, University of Bergamo, Bergamo, Italy
| | - Ilaria Castelli
- Department of Human and Social Science, University of Bergamo, Bergamo, Italy
| | - Serena Petrocchi
- Lab of Applied Psychology, Department of Human and Social Sciences, University of Salento, Lecce, Italy
- Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
| | - Flavia Lecciso
- Department of Human and Social Sciences, University of Salento, Lecce, Italy
- Lab of Applied Psychology, Department of Human and Social Sciences, University of Salento, Lecce, Italy
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15
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Peng B, Reeves KKL, Lee SWY, Chung THY, Hui HWL, Leung AHL, Pang JCY. Physical, psychological, and behavioral problems among children and adolescents in countries with different economic statuses during the COVID-19 pandemic: a systematic review and meta-analysis. Front Pediatr 2023; 11:1181186. [PMID: 37342536 PMCID: PMC10277820 DOI: 10.3389/fped.2023.1181186] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Accepted: 05/02/2023] [Indexed: 06/23/2023] Open
Abstract
Introduction The COVID-19 pandemic has impacted children and adolescents' physical activity (PA), sleeping patterns, and psychological and behavioral health. Yet, little is known about the differences between those in countries with various economic statuses. Methods Articles published from database inception through 16 March 2022 were retrieved using CINAHL Complete, Cochrane Library, EMBASE, Medline, PubMed, and PsycINFO. High-quality studies that reported the number of participants with parameters associated with PA, sleeping patterns, and psychological and behavioral problems in young people aged under 18 years during the pandemic were included. We referenced the Canadian 24-Hour Movement Guidelines for PA and sleep duration to provide the event rate for young people who were not compliant with the guidelines. The event rate of young people who had decreased sleep quality and experienced psychological and behavioral problems were also investigated. A subgroup analysis was conducted to identify the differences in those in countries with diverse economic statuses. Funnel plot analysis and Egger's test were also conducted to identify any risk of publication bias. Result A total of 66 studies with 1,371,168 participants aged between 0 and 18 years, involving 27 countries, were included. During the pandemic, we identified that 41% (95% CI: 39%, 43%; I2 = 96.62) and 43% (95% CI: 34%, 52%; I2 = 99.42) of young people did not meet the PA and sleep duration recommendation guidelines. In addition, 31% (95% CI: 28%, 35%; I2 = 99.66) of young people had decreased their sleep quality. Yet, no significant difference was found across countries with different economic statuses. However, the event rates of participants with psychological and behavioral problems were 32% (95% CI: 28%, 36%; I2 = 99.85) and 19% (95% CI: 14%, 25%; I2 = 99.72), respectively. In addition, the rate of psychological problems was more severe in those who live in lower middle-income countries (p < 0.001), while the rate of behavioral problems was more severe in those who live in high-income countries (p = 0.001). Discussion During the pandemic, the discouragement of PA, poor sleep quality, and high risk of psychological and behavioral problems are concerning. A large number of young people did not comply with the recommendation guidelines. Timely implementation of recovery plans is critical to address the adverse effects on young people. Systematic review registration https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=309209, identifier CRD42022309209.
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Affiliation(s)
- Bo Peng
- School of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, China
- Department of Rehabilitation Medicine, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chinese Academy of Sciences Sichuan Translational Medicine Research Hospital, Chengdu, China
| | - Kara K. L. Reeves
- School of Health Sciences, Caritas Institute of Higher Education, Hong Kong SAR, China
- Research Rehab Centre Limited, Hong Kong SAR, China
| | - Shara W. Y. Lee
- Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong Kong SAR, China
| | - Tina H. Y. Chung
- School of Health Sciences, Caritas Institute of Higher Education, Hong Kong SAR, China
| | - Heidi W. L. Hui
- School of Health Sciences, Caritas Institute of Higher Education, Hong Kong SAR, China
| | - Alfred H. L. Leung
- School of Health Sciences, Caritas Institute of Higher Education, Hong Kong SAR, China
| | - Johnson C. Y. Pang
- School of Health Sciences, Caritas Institute of Higher Education, Hong Kong SAR, China
- Research Rehab Centre Limited, Hong Kong SAR, China
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Perry KJ, Penner F, Contreras HT, Santos RP, Sarver DE. A U.S. National Study of Family Resilience During the COVID-19 Pandemic. JOURNAL OF CHILD AND FAMILY STUDIES 2023; 32:1627-1642. [PMID: 37304391 PMCID: PMC10134703 DOI: 10.1007/s10826-023-02581-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Accepted: 04/09/2023] [Indexed: 06/13/2023]
Abstract
The COVID-19 pandemic has significantly disrupted the lives of children and their caregivers. Recent research has examined the impact of the pandemic on child and caregiver functioning but there is a paucity of work examining the impact of the pandemic on the broader family system. The current study examined family resilience during the COVID-19 pandemic across three aims: Aim 1 tested whether meaning, control, and emotion systems form a unitary family adaption factor, Aim 2 evaluated a concurrent model of family resilience, and Aim 3 examined whether parent gender and vaccination status moderated paths in the final model. A nationally representative sample of U.S. parents (N = 796; 51.8% fathers, M age = 38.87 years, 60.3% Non-Hispanic White) completed a cross-sectional survey about themselves and one child (5-16 years old) between February-April 2021, including measures of COVID-19 family risk and protective factors, pre-existing family health vulnerabilities, race, COVID-19 stressors, and family adaptation. Confirmatory Factor Analysis demonstrated that the meaning (i.e., family making meaning of COVID-19), control (i.e., stability in routines), and emotional (i.e., family support) facets of family adaptation are unique but related. A path model revealed that there were concurrent effects from COVID-19 exposure, pre-existing vulnerabilities, and racial diversity status to the family protective, vulnerability, and adaptation variables. Additionally, parent COVID-19 vaccination status altered the association between pre-existing family health vulnerabilities and the family protective factor. Overall, results underscore the importance of examining pre-existing and concurrent risk and protective factors for family resilience during a stressful, global, and far-reaching event.
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Affiliation(s)
- Kristin J. Perry
- Edna Bennett Pierce Prevention Research Center, The Pennsylvania State University, 314 Biobehavioral Health Building, University Park, PA 16802 USA
| | - Francesca Penner
- Child Study Center, School of Medicine, Yale University, 230 S Frontage Rd, New Haven, CT 06519 USA
| | | | - Roberto P. Santos
- University of Mississippi Medical Center, 2500 N. State St, Jackson, MS 39216 USA
- Department of Population Health Sciences, John D. Bower School of Population Health, University of Mississippi Medical Center, 2500N. State St, Jackson, MS 39216 USA
| | - Dustin E. Sarver
- Department of Psychiatry and Human Behavior, School of Medicine, University of Mississippi, Medical Center, 2500N. State St, Jackson, MS 39216 USA
- Center for the Advancement of Youth, University of Mississippi Medical Center, 4400 Old Canton Rd, Jackson, MS 39211 USA
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Pang JCY, Chan ELS, Lau HMC, Reeves KKL, Chung THY, Hui HWL, Leung AHL, Fu ACL. The impacts of physical activity on psychological and behavioral problems, and changes in physical activity, sleep and quality of life during the COVID-19 pandemic in preschoolers, children, and adolescents: A systematic review and meta-analysis. Front Pediatr 2023; 11:1015943. [PMID: 36969271 PMCID: PMC10038232 DOI: 10.3389/fped.2023.1015943] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Accepted: 02/21/2023] [Indexed: 03/29/2023] Open
Abstract
Background The COVID-19 pandemic has greatly affected the level of physical activity (PA). However, little is known about its effect on health outcomes. Methods Articles without language restrictions published from the database inception through March 16, 2022, were retrieved using the CINAHL Complete, Cochrane Library, EMBASE, Medline, PubMed, and PsycINFO databases. High-quality articles assessing the effect of PA on psychological and behavioral problems. Additionally, PA, QoL, and/or sleep problems before and during the pandemic were included. Articles without data regarding PA or involving non-general populations were excluded. The PRISMA and MOOSE guidelines were followed. Data quality of the selected articles was assessed using the Newcastle-Ottawa Scale and GRADE approach. Data were pooled using a random-effects model and sensitivity analysis if heterogenicity was high (I 2 ≥ 50%). The relationship between PA and psychological and behavioral problems; and changes in PA, QoL, and sleeping patterns before and during the pandemic in preschoolers, children, and adolescents were investigated. A meta-analysis was conducted; odds ratios (ORs), mean differences (MD), and standardized MDs (SMDs) were calculated. Results Thirty-four articles involving 66,857 participants were included. The results showed an overall significant protective effect between PA and psychological and/or behavioral problems (OR = 0.677; 95% CI = 0.630, 0.728; p-value <0.001; I 2 = 59.79%). This relationship was also significant in the subgroup analysis of children (OR = 0.690; 95% CI = 0.632, 0.752; p-value <0.001; I 2 = 58.93%) and adolescents (OR = 0.650; 95% CI = 0.570, 0.741; p-value <0.001; I 2 = 60.85%); however, no data on the relationship in preschoolers were collected. In addition, the overall time spent on PA significantly decreased by 23.2 min per day during the COVID-19 pandemic (95% CI = -13.5, -32.9; p-value <0.001; I 2 = 99.82%). Moreover, the results showed an overall significant decrease in QoL (SMD = -0.894, 95% CI = -1.180, -0.609, p-value <0.001, I 2 = 96.64%). However, there was no significant difference in sleep duration during the COVID-19 pandemic (MD = 0.01 h per day, 95% CI = -0.027, 0.225; p-value = 0.125; I 2 = 98.48%). Conclusion During the pandemic, less PA was contributed to poor QoL and sleep quality. However, increases in PA are associated with reduced occurrences of psychological and behavioral problems. Implementing recovery plans to address the health effect of the pandemic is essential.
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Affiliation(s)
- Johnson C. Y. Pang
- School of Health Sciences, Caritas Institute of HIgher Education, Tseung Kwan O, Hong Kong, Hong Kong SAR, China
| | - Eric L. S. Chan
- School of Health Sciences, Caritas Institute of HIgher Education, Tseung Kwan O, Hong Kong, Hong Kong SAR, China
| | - Herman M. C. Lau
- School of Health Sciences, Caritas Institute of HIgher Education, Tseung Kwan O, Hong Kong, Hong Kong SAR, China
| | - Kara K. L. Reeves
- School of Health Sciences, Caritas Institute of HIgher Education, Tseung Kwan O, Hong Kong, Hong Kong SAR, China
| | - Tina H. Y. Chung
- School of Health Sciences, Caritas Institute of HIgher Education, Tseung Kwan O, Hong Kong, Hong Kong SAR, China
| | - Heidi W. L. Hui
- School of Health Sciences, Caritas Institute of HIgher Education, Tseung Kwan O, Hong Kong, Hong Kong SAR, China
| | - Alfred H. L. Leung
- School of Health Sciences, Caritas Institute of HIgher Education, Tseung Kwan O, Hong Kong, Hong Kong SAR, China
| | - Allan C. L. Fu
- Discipline of Physiotherapy, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
- Sydney Musculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, NSW, Australia
- China Studies Centre, The University of Sydney, Sydney, NSW, Australia
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Foley S, Ronchi L, Lecce S, Feng X, Chan MHM, Hughes C. Cross-cultural equivalence of parental ratings of child difficulties during the pandemic: Findings from a six-site study. Int J Methods Psychiatr Res 2023; 32:e1933. [PMID: 35994374 PMCID: PMC9976603 DOI: 10.1002/mpr.1933] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Revised: 06/06/2022] [Accepted: 07/22/2022] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVES The Strengths and Difficulties Questionnaire (SDQ) has been shown to be invariant across informants, developmental stage and settings, but tests of cross-cultural equivalence are limited to adolescents' self-reports. The COVID-19 pandemic makes this gap particularly pertinent, given the need to understand whether distinct government approaches (e.g., school closures) are uniquely associated with variability in children's psychosocial outcomes and the reliance on parents' ratings for young children. METHODS Within a Confirmatory Factor Analysis framework, we tested the cross-cultural measurement invariance of the SDQ across six countries: Australia, China, Italy, Sweden, the United Kingdom and USA, using a sample of 1761 parents of 3- to 8-year-olds (M = 5.76, SD = 1.09). RESULTS A five-factors model showed good fit to the data and partial cross-cultural scalar invariance. In this sample, Swedish parents reported the fewest peer problems (Cohen's d = 0.950) and the highest prosocial scores (Cohen's d = 0.547), whilst British parents reported the greatest child emotional (Cohen's d = 0.412) and hyperactivity problems (Cohen's d = 0.535). CONCLUSIONS The present results indicate that the parent-version of the SDQ is appropriate for use and comparison across different contexts during the pandemic.
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Affiliation(s)
- Sarah Foley
- Moray House School of Education and SportUniversity of EdinburghEdinburghUK
| | - Luca Ronchi
- Department of Brain and Behavioural SciencesUniversity of PaviaPaviaItaly
| | - Serena Lecce
- Department of Brain and Behavioural SciencesUniversity of PaviaPaviaItaly
| | - Xin Feng
- Department of Human ScienceOhio State UniversityColumbusOhioUSA
| | | | - Claire Hughes
- Centre for Family ResearchUniversity of CambridgeCambridgeUK
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ALEKOZAY M, NIAZI AUR, NAJM AF. Prevalence of emotional and behavioral problems among schoolchildren in Herat – Afghanistan. GLOBAL HEALTH JOURNAL 2023. [DOI: 10.1016/j.glohj.2023.02.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
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20
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Rashwan ZI, Hassan BH, Selim A, Radwan RIM, Mohamed AAERA, Eweida RS. Looking through Mothers' Lens on Children's Technology Overuse, Behavioral and Psychosocial Alterations during Home Confinement: Future Recommendations. SCIENTIFIC AFRICAN 2023. [DOI: 10.1016/j.sciaf.2023.e01590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/24/2023] Open
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21
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Lau EYH, Li JB, Chan DKC. Children infected vs. uninfected with COVID-19: Differences in parent reports of the use of mobile phones to calm children, routines, parent-child relationship, and developmental outcomes. Front Public Health 2023; 11:1114597. [PMID: 37124810 PMCID: PMC10133475 DOI: 10.3389/fpubh.2023.1114597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Accepted: 03/22/2023] [Indexed: 05/02/2023] Open
Abstract
Children were suggested to be at lower risk of developing the severe form of the COVID-19. However, children infected with COVID-19 may be more likely to experience biopsychosocial stressors associated with the pandemic and display poorer developmental outcomes. The current study is among the first to compare children infected and uninfected with COVID-19 on outcomes related to parents' use of mobile phones to calm children, routines, parent-child relationship, externalizing and internalizing problems, prosocial behavior, gratitude, and happiness. A total of 1,187 parents (88.6% mothers) of children aged 5 to 12 completed an online survey between April 2022 and May 2022 when schools were suspended during the 5th wave of resurgence in Hong Kong. Our findings showed no substantial differences in various psychological, social, emotional, and behavioral outcomes between infected and uninfected children. Our findings can be used to educate parents to reduce their fear and anxieties associated with their children's COVID-19 infection. Our findings also suggested that support during the pandemic should be provided to children and families regardless of whether children have been infected with COVID-19.
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Xiang GX, Li H, Gan X, Qin KN, Jin X, Wang PY. School resources, self-control and problem behaviors in Chinese adolescents: a longitudinal study in the post-pandemic era. CURRENT PSYCHOLOGY 2022:1-13. [PMID: 36593906 PMCID: PMC9797384 DOI: 10.1007/s12144-022-04178-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/13/2022] [Indexed: 12/31/2022]
Abstract
The outbreak of COVID-19 has brought many challenges to youth development. During this specific period, adolescents have suffered from numerous behavioral problems, which will lead to more maladaptive consequences. It is necessary to explore several protective factors to prevent or reduce the occurrence of problem behaviors in adolescence. The current study combined school resources and self-control to evaluate the multiple protective effects on adolescents' problematic behaviors in a two-wave longitudinal study. A sample of 789 Chinese adolescents (Mage = 14.00 years, SD = 2.05, 418 boys) were recruited via the random cluster sampling method to participate in the survey. The results confirmed the assumptions about the multiple protective effects of school resources and self-control on adolescents' problem behaviors. Specifically, school resources could negatively predict IGD and victimization, and self-control mediated these associations. Moreover, one problematic behavior could also mediate the associations between self-control and another problematic behavior. This is the first study to focus on the multiple protective effects of positive factors on adolescents' problem behaviors during the post-pandemic period, which has made several contributions to the literature and practice.
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Affiliation(s)
- Guo-Xing Xiang
- Department of Psychology, College of Education and Sports Sciences, Yangtze University, Jingzhou, China
| | - Hao Li
- Department of Psychology, College of Education and Sports Sciences, Yangtze University, Jingzhou, China
| | - Xiong Gan
- Department of Psychology, College of Education and Sports Sciences, Yangtze University, Jingzhou, China
| | - Ke-Nan Qin
- Department of Psychology, College of Education and Sports Sciences, Yangtze University, Jingzhou, China
| | - Xin Jin
- Yangtze University College of Technology and Engineering, Jingzhou, China
| | - Pin-Yi Wang
- Department of Psychology, College of Education and Sports Sciences, Yangtze University, Jingzhou, China
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Cai J, Cheung YT, Au-Doung PLW, Hu W, Gao Y, Zhang H, Ji M, Shen S, Chen J, Tang J. Psychosocial outcomes in Chinese survivors of pediatric cancers or bone marrow failure disorders: A single-center study. PLoS One 2022; 17:e0279112. [PMID: 36512620 PMCID: PMC9746993 DOI: 10.1371/journal.pone.0279112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Accepted: 11/30/2022] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND/OBJECTIVES Most of the studies on functional outcomes in pediatric survivors of cancers and bone marrow failure disorders have been conducted in North American, European, and Oceanian populations, with few studies having been performed in China. The objective of this study was to evaluate psychosocial outcomes in a cohort of Chinese pediatric survivors diagnosed with cancer or conditions requiring hematopoietic stem cell transplantation (HSCT), and to identify clinical and behavioral factors associated with adverse psychosocial outcomes. METHODS This was a cross-sectional survey study. We recruited pediatric survivors of cancer or inherited disorder requiring HSCT at ≤18 years old and were ≥6 months post-treatment. Parents completed the St. Jude Children's Research Hospital After Completion of Therapy questionnaire to report their child's emotional functioning, social functioning, attention/concentration and behavior. Multivariable general linear modeling was used to identify clinical, treatment and behavioral factors associated with psychosocial outcomes, adjusting for sex, age and cancer diagnoses. RESULTS Ninety-five pediatric survivors were recruited (62.1% male; mean [standard deviation] age 9.7 [3.4] years; 4.1 [2.6] years post-diagnosis). They were diagnosed with bone marrow failure disorders (23.2%), hematological malignancies (45.3%) or solid tumors (23.2%). Compared with survivors with no current health problems, those with more than one current health problem performed worse in emotional functioning (Estimate = 2.42, SE = 0.88, P = 0.008) and social functioning (Estimate = 2.90, SE = 1.64, P = 0.03). Higher pain interference was significantly associated with worse emotional functioning (Estimate = 0.19, SE = 0.08, P = 0.03) and attention functioning (Estimate = 0.26, SE = 0.11, P = 0.03). Compared with survivors who reported less sleep problems, those who had more sleep problems demonstrated poorer emotional functioning (Estimate = 0.30, SE = 0.08, P = 0.001). Survivors who had a longer duration of screen usage per day reported more impairment on attention and behavior functioning than those who had a shorter duration of screen usage per day (both P<0.5). CONCLUSION Survivors who were diagnosed at a younger age or had unaddressed/untreated health problems may require additional psychological evaluation. The implementation of psychosocial assessments during routine long-term follow-up care may help to identify high-risk patients during the early phase of survivorship. Rehabilitation interventions should address modifiable behavioral factors (e.g. sleep habits, screen time and chronic pain).
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Affiliation(s)
- Jiaoyang Cai
- Department of Hematology/Oncology, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Key Laboratory of Pediatric Hematology and Oncology of China Ministry of Health, Shanghai, China
- * E-mail: (JC); (YTC)
| | - Yin Ting Cheung
- Faculty of Medicine, School of Pharmacy, The Chinese University of Hong Kong, Hong Kong SAR, China
- * E-mail: (JC); (YTC)
| | | | - Wenting Hu
- Department of Hematology/Oncology, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Key Laboratory of Pediatric Hematology and Oncology of China Ministry of Health, Shanghai, China
| | - Yijin Gao
- Department of Hematology/Oncology, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Key Laboratory of Pediatric Hematology and Oncology of China Ministry of Health, Shanghai, China
| | - Hua Zhang
- Department of Hematology/Oncology, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Key Laboratory of Pediatric Hematology and Oncology of China Ministry of Health, Shanghai, China
| | - Mingjing Ji
- Department of Hematology/Oncology, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Key Laboratory of Pediatric Hematology and Oncology of China Ministry of Health, Shanghai, China
| | - Shuhong Shen
- Department of Hematology/Oncology, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Key Laboratory of Pediatric Hematology and Oncology of China Ministry of Health, Shanghai, China
| | - Jing Chen
- Department of Hematology/Oncology, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Key Laboratory of Pediatric Hematology and Oncology of China Ministry of Health, Shanghai, China
| | - Jingyan Tang
- Department of Hematology/Oncology, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Key Laboratory of Pediatric Hematology and Oncology of China Ministry of Health, Shanghai, China
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Longitudinal impact of COVID-19 pandemic on mental health of children in the ABCD study cohort. Sci Rep 2022; 12:19601. [PMID: 36379997 PMCID: PMC9665012 DOI: 10.1038/s41598-022-22694-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Accepted: 10/18/2022] [Indexed: 11/16/2022] Open
Abstract
A large longitudinal study on the impact of the COVID-19 pandemic on mental health in children is limited. This large-scale longitudinal observational study examines the pandemic's effects on children's mental health while considering the effects of parental care styles. The Adolescent Brain Cognitive Development Study is a large-scale, longitudinal multicenter study in the United States. Of the 11,875 children aged 9-12 years in its database, 4702 subjects were selected for this study. The child behavior checklist and parental monitoring questionnaire (PMQ) were used to assess children's mental health and parental support styles, respectively. Data collected before and during the pandemic were compared. Withdrawn/depressed and attention problems significantly worsened during compared to before the COVID-19 pandemic (p < 0.001, withdrawn/depressed; 53.4 ± 5.7 to 53.7 ± 5.9, attention problems; 53.4 ± 5.4 to 53.6 ± 5.6). However, the T scores are in the normal range both before and during the crisis. Simple slope analysis found withdrawn/depressed problems and aggressive behavior worsened when the PMQ was 1 SD below the mean, and rule-breaking behavior was improved when the PMQ was 1 SD above the mean. While the COVID-19 pandemic exacerbated children's depressive symptoms and attention issues, the effects may be minor. Additionally, parental involvement serve as a protective factor for the child's mental health even during the pandemic.
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Wen X, Ren J, Li X, Li J, Chen S. Parents' personality, parenting stress, and problem behaviors of children with special needs in China before and during the COVID-19 pandemic. CURRENT PSYCHOLOGY 2022; 42:1-12. [PMID: 36277263 PMCID: PMC9580424 DOI: 10.1007/s12144-022-03869-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/07/2022] [Indexed: 01/03/2023]
Abstract
The positive predictive effect of children's problem behaviors on parenting stress has been verified to some extent, but research on parents of children with special needs remains insufficient. Moreover, the role of parental personality traits in the relationship between children's problem behaviors and parenting stress, and whether it differs from before the COVID-19 pandemic, remains unclear. Accordingly, in this study, online questionnaires were used to survey parents of children with autism and intellectual disabilities in China - 337 parents before and 604 during the COVID-19 pandemic - to explore the relationship between problem behaviors in the children and parenting stress as well as the moderating effect of parents' personality. The results showed that problem behaviors of children with autism and intellectual disabilities had a positive predictive effect on parenting stress. However, there was no significant difference in this effect before and during the pandemic. In addition, the relationship between children's problem behaviors and parenting stress was moderated by the Agreeableness and Neuroticism of the parents, but only during COVID-19 pandemic. The research results suggest that, during the pandemic when facing problem behaviors of children with autism or intellectual disabilities, positive personality characteristics such as Agreeableness have a protective effect on parenting stress. By contrast, negative personality characteristics such as Neuroticism are risk factors. The study results provide evidence from special groups regarding the role of parents' personalities in the parent - child interaction and the parenting stress models.
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Affiliation(s)
- Xiaohong Wen
- School of Education, Guangzhou University, Guangzhou, China
| | - Jie Ren
- School of Education, Guangzhou University, Guangzhou, China
- Center for Special Education Research, School of Education, Guangzhou University, Guangzhou, China
| | - Xingkai Li
- Huan Shi Road Primary School, Guangzhou, China
| | - Jianlin Li
- School of Education, Guangzhou University, Guangzhou, China
- Foshan Fumi Rehabilitation Technology Co., Ltd, Fushan, China
| | - Suiqing Chen
- School of Education, Guangzhou University, Guangzhou, China
- Center for Special Education Research, School of Education, Guangzhou University, Guangzhou, China
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26
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Do B, Kirkland C, Besenyi GM, Carissa Smock M, Lanza K. Youth physical activity and the COVID-19 pandemic: A systematic review. Prev Med Rep 2022; 29:101959. [PMID: 36034528 PMCID: PMC9394097 DOI: 10.1016/j.pmedr.2022.101959] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Revised: 06/17/2022] [Accepted: 08/15/2022] [Indexed: 12/01/2022] Open
Abstract
Numerous studies examined youth physical activity (PA) during the COVID-19 pandemic. Overall decreases in youth PA were seen during the first 1.5 years of the pandemic. There were differences in PA by sub-populations (e.g., age, sex/gender) There were also differences in PA by location/type (e.g., outdoor, play) Programming and policy should focus on evolving PA promotion for youth.
The purpose of the systematic review was to identify, evaluate, and synthesize evidence from available published literature examining the impact of the coronavirus disease 2019 (COVID-19) pandemic on youth physical activity (PA). A systematic review of the literature was conducted for years 2020–2021. Published articles were searched in eight databases. Inclusion criteria included: availability of full-text, written in English language, and reported quantitative or qualitative results of original or secondary data on PA and COVID-19 related factors among youth (ages 5–17 years). A standard quality assessment tool assessed risk of bias and quality of included articles. The search retrieved 2,899 articles with 51 articles ultimately meeting inclusion criteria. The majority of articles (65 %) investigated change in PA from before to during the pandemic. Most evidence indicated an overall decrease in youth PA levels during the pandemic with differences observed among sub-populations (e.g., age, sex or gender), type, and location. Findings suggest pandemic-related closures hindered PA participation due to a high reliance on school- and sport-based PA. Programmatic strategies (e.g., activity breaks, active curriculum, free online activities/lessons) should include aligning intervention measures and geared towards evolving and ongoing PA promotion based on the latest findings.
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Affiliation(s)
- Bridgette Do
- Department of Population and Public Health Sciences, University of Southern California, Los Angeles, CA 90032, USA
| | - Chelsey Kirkland
- Center for Public Health Systems, School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA.,College of Public Health, Kent State University, Kent, OH 44240, USA
| | - Gina M Besenyi
- Department of Kinesiology, College of Health and Human Sciences, Kansas State University, Manhattan, KS 66506, USA
| | - Mph Carissa Smock
- School of Business, Northcentral University, San Diego, CA 92123, USA
| | - Kevin Lanza
- School of Public Health in Austin, University of Texas Health Science Center at Houston, Austin, TX 78701, USA
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27
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Zarowsky Z, Rashid T. Resilience and Wellbeing Strategies for Pandemic Fatigue in Times of Covid-19. INTERNATIONAL JOURNAL OF APPLIED POSITIVE PSYCHOLOGY 2022; 8:1-36. [PMID: 36196257 PMCID: PMC9523176 DOI: 10.1007/s41042-022-00078-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Accepted: 09/05/2022] [Indexed: 11/29/2022]
Abstract
The COVID-19 pandemic is truly one of the greatest collective health crises in history which have altered our life and living. For years, people have felt fatigued from following public health directives such as social distancing, wearing masks, washing hands frequently, and working or studying remotely without in-person interactions. In this paper, we explore strategies for resilience and wellbeing which can mitigate pandemic-caused stress and behavioural fatigue. We start with individual level strategies including reworking stress appraisals, the importance of psychological flexibility, reducing loneliness through adaptive online platform use, optimizing familial relationships when living in close quarters for a prolonged period, reducing symptoms of burnout and using adaptive distractions, using specific evidence-based resilience strategies. We discuss specific considerations which tap on our shared identities and shared responsibilities which can enhance a sense of community, especially for individuals from marginalized backgrounds and how suicide risks can be minimized.
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Affiliation(s)
- Zachary Zarowsky
- Department of Psychology, University of Toronto Scarborough, 1265 Military Trial, Toronto, ON M1C 1A4 Canada
| | - Tayyab Rashid
- Department of Psychology, University of Toronto Scarborough, 1265 Military Trial, Toronto, ON M1C 1A4 Canada
- Centre for Wellbeing Science, Melbourne Graduate School of Education, Melbourne, Australia
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Ganjeh P, Hagmayer Y, Meyer T, Kuhnert R, Ravens-Sieberer U, von Steinbuechel N, Rothenberger A, Becker A. Physical activity and the development of general mental health problems or attention-deficit hyperactivity disorder (ADHD) symptoms in children and adolescents: A cross-lagged panel analysis of long-term follow-up epidemiological data. Front Behav Neurosci 2022; 16:933139. [PMID: 36177095 PMCID: PMC9513200 DOI: 10.3389/fnbeh.2022.933139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2022] [Accepted: 08/08/2022] [Indexed: 11/13/2022] Open
Abstract
Studies have shown that physical activity (PA) can provide a helpful, low-risk, and cost-effective intervention for children and adolescents suffering from mental health problems. This longitudinal study aimed to assess whether PA prevents the development of mental health problems, such as attention-deficit/hyperactivity disorder (ADHD) in children and adolescents. Data were analyzed from the German Health Interview and Examination Survey for Children and Adolescents (KiGGS) collected from more than 15.000 children and adolescents at three different time points over a period of more than 10 years. Parents scored the PA of the study participants on three frequency levels according to WHO recommendations, and mental health problems were assessed by means of the Strengths and Difficulties Questionnaire (SDQ). The total problem score (SDQ-Total) and the hyperactivity/inattention symptoms sub-scale (SDQ-H/I) were used in an autoregressive cross-lagged model to examine their relationship with PA. The results showed that PA of boys and girls at preschool age was inversely associated with the occurrence of mental health problems and, in particular, ADHD symptoms about 6 years later. Higher levels of PA were associated with better general mental health and fewer ADHD symptoms at the next time point (Wave 1). These effects were not observed from preadolescence (Wave 1) to adolescence (Wave 2), neither for girls nor for boys. These findings indicate that medium-to-high PA may be a supportive factor for good mental health in children in preschool and elementary school. Future studies will have to show whether PA may be a helpful add-on for interventional programs for improving general mental health and alleviating ADHD symptoms among children and adolescents.
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Affiliation(s)
- Parisa Ganjeh
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Göttingen, Göttingen, Germany
- *Correspondence: Parisa Ganjeh
| | - York Hagmayer
- Department of Cognitive Science and Decision Psychology, Georg-Elias-Müller-Institute for Psychology, University of Göttingen, Göttingen, Germany
| | - Thomas Meyer
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Göttingen, Göttingen, Germany
| | - Ronny Kuhnert
- Unit Mental Health, Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany
| | - Ulrike Ravens-Sieberer
- Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Nicole von Steinbuechel
- Institute of Medical Psychology and Medical Sociology, University Medical Center Göttingen, Göttingen, Germany
| | - Aribert Rothenberger
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Göttingen, Göttingen, Germany
| | - Andreas Becker
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Göttingen, Göttingen, Germany
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Bourion-Bédès S, Rousseau H, Batt M, Tarquinio P, Lebreuilly R, Sorsana C, Legrand K, Machane R, Tarquinio C, Baumann C. Mental Health Status of French School-Aged Children's Parents during the COVID-19 Lockdown and Its Associated Factors. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191710999. [PMID: 36078712 PMCID: PMC9518493 DOI: 10.3390/ijerph191710999] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Revised: 08/25/2022] [Accepted: 08/30/2022] [Indexed: 05/27/2023]
Abstract
The COVID-19 pandemic has led to widespread social isolation. This study aimed to determine anxiety levels among parents of school-aged children and investigate the associated factors. Data on sociodemographic characteristics, living and working conditions, family relationships, social support (MSPSS) and health status (SF-12) were collected from French parents through an online survey. The Generalized Anxiety Disorder Scale (GAD-7) was used to assess anxiety. Logistic regression analysis was performed to identify the factors associated with moderate to severe anxiety. Among 698 parents, 19.2% experienced moderate to severe anxiety. A low level of resilience (OR = 4.3, 95% CI: 2.7-6.7) and confirmed COVID-19 cases involving hospitalization (OR = 3.8, 95% CI: 2.0-7.3) among individuals in one's household or in the family circle were found to be the main risk factors for moderate to severe anxiety. Other factors were also identified: a level of education less than high school (OR = 2.1, 95% CI: 1.3-3.2), conflicts at home (OR = 2.3, 95% CI: 1.4-3.7), noises outside the home (OR = 2.0, 95% CI: 1.0-3.9), confirmed cases not involving hospitalization (OR = 1.8, 95% CI: 1.0-3.1) and suspected cases (OR = 1.9, 95% CI: 1.0-3.8). Family support was a protective factor. These findings suggest some need for support programs to help parents cope with public health crises and work-family challenges.
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Affiliation(s)
- Stéphanie Bourion-Bédès
- Centre Hospitalier de Versailles, Service Universitaire de Psychiatrie de l’Enfant et de l’Adolescent, 78157 Versailles, France
- UR 4360 APEMAC (Health Adjustment, Measurement and Assessment, Interdisciplinary Approaches), University of Lorraine, 54000 Nancy, France
| | - Hélène Rousseau
- Methodology, Data Management and Statistics Unit, University Hospital of Nancy, 54000 Nancy, France
| | - Martine Batt
- InterPsy, GRC Team, University of Lorraine, 54000 Nancy, France
| | | | | | | | - Karine Legrand
- UR 4360 APEMAC (Health Adjustment, Measurement and Assessment, Interdisciplinary Approaches), University of Lorraine, 54000 Nancy, France
- Clinical Investigation Center, INSERM, University Hospital of Nancy, 54000 Nancy, France
| | - Rabah Machane
- Centre Hospitalier de Versailles, Service Universitaire de Psychiatrie de l’Enfant et de l’Adolescent, 78157 Versailles, France
| | - Cyril Tarquinio
- UR 4360 APEMAC (Health Adjustment, Measurement and Assessment, Interdisciplinary Approaches), University of Lorraine, 54000 Nancy, France
| | - Cédric Baumann
- UR 4360 APEMAC (Health Adjustment, Measurement and Assessment, Interdisciplinary Approaches), University of Lorraine, 54000 Nancy, France
- Methodology, Data Management and Statistics Unit, University Hospital of Nancy, 54000 Nancy, France
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30
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Raccanello D, Rocca E, Vicentini G, Brondino M. Eighteen Months of COVID-19 Pandemic Through the Lenses of Self or Others: A Meta-Analysis on Children and Adolescents' Mental Health. CHILD & YOUTH CARE FORUM 2022; 52:737-760. [PMID: 36059590 PMCID: PMC9421638 DOI: 10.1007/s10566-022-09706-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/26/2022] [Indexed: 12/02/2022]
Abstract
Background The COVID-19 pandemic can have a serious impact on children and adolescents' mental health. We focused on studies exploring its traumatic effects on young people in the first 18 months after that the pandemic was declared, distinguishing them also according to the type of informants (self-report and other-report instruments). Objective We applied a meta-analytic approach to examine the prevalence of depression, anxiety, posttraumatic stress disorder, and psychological distress among children and adolescents during the COVID-19 pandemic, considering the moderating role of kind of disorder and/or symptom, type of instrument, and continent. Method We used PsycINFO, PubMed, and Scopus databases to identify articles on the COVID-19 pandemic, applying the following filters: participants until 20 years of age, peer-review, English as publication language. Inclusion required investigating the occurrence of disorders and/or symptoms during the first 18 months of the pandemic. The search identified 26 publications. Results The meta-analysis revealed that the pooled prevalence of psychological disorders and/or symptoms for children and adolescents, who were not affected by mental health disturbances before the outbreak of the COVID-19 pandemic, was .20, 95% CI [.16, .23]. Moreover, we found a moderating role of type of instrument: occurrence was higher for self-report compared to other-report instruments. Conclusions The study presented an analysis of the psychological consequences for children and adolescents of the exposure to the COVID-19 pandemic, soliciting further research to identify factors underlying resilience. Notwithstanding limitations such as the small number of eligible articles and the fact that we did not examine the role of further characteristics of the studies (such as participants' age or design), this meta-analysis is a first step for future research documenting the impact of such an unexpected and devastating disaster like the COVID-19 pandemic.
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Affiliation(s)
- Daniela Raccanello
- Department of Human Sciences, University of Verona, Lungadige Porta Vittoria 17, 37129 Verona, Italy
| | - Emmanuela Rocca
- Department of Human Sciences, University of Verona, Lungadige Porta Vittoria 17, 37129 Verona, Italy
| | - Giada Vicentini
- Department of Human Sciences, University of Verona, Lungadige Porta Vittoria 17, 37129 Verona, Italy
| | - Margherita Brondino
- Department of Human Sciences, University of Verona, Lungadige Porta Vittoria 17, 37129 Verona, Italy
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31
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Cornaggia A, Bianco F, Gilli G, Marchetti A, Massaro D, Castelli I. Children’s representations of the COVID-19 lockdown and pandemic through drawings. Front Psychol 2022; 13:960893. [PMID: 36092051 PMCID: PMC9449491 DOI: 10.3389/fpsyg.2022.960893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Accepted: 08/08/2022] [Indexed: 12/04/2022] Open
Abstract
The COVID-19 pandemic and the measures to face it have placed children and their caregivers in front of many challenges that could represent sources of stress. This work aims to explore the point of view of children through drawing, as a spontaneous means of expression, relating it to parents’ perceptions of children’s difficulties, strengths, and mentalization skills. The sample consists of 18 children (mean age = 8.22, SD = 1.79). Parents were asked to complete: a socio-demographic questionnaire with information on the impact of COVID-19 on the family, the Strengths and Difficulties Questionnaire, and the Everyday Mindreading Scale. Children were asked to draw three moments: “Before” the pandemic, “During” the lockdown, and “After,” when the COVID-19 will be passed. The drawings were coded by constructing a content and expressive analysis grid, adapting coding systems found in the literature. Data were collected at the beginning of the summer of 2020, just after the first lockdown period (from March to May 2020 in Italy). The results of the present work are in line with previous studies that reported experiences of wellbeing and tranquility of children in time spent at home with family during the pandemic. From the drawings emerges that children feel sufficiently able to master the situation, as reflected by including themselves in drawings and providing many details of the house in “During” drawings. The literature also reports a feeling of sadness/loneliness caused by the lack of friends, an element that we also find in the tendency to represent friends significantly more in the drawings concerning the future. Some contents of drawings (inclusion of friends, relatives, and parents) appeared associated with emotional, interpersonal, and mentalizing abilities of children, as perceived by parents. Exploring children’s representations of a stressful event like the pandemic through drawings allows to focus both on their difficulties and on their resources, with useful implications for the educational support.
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Affiliation(s)
- Alessia Cornaggia
- Department of Psychology, Catholic University of Sacred Heart, Milan, Italy
- *Correspondence: Alessia Cornaggia,
| | - Federica Bianco
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Gabriella Gilli
- Department of Psychology, Catholic University of Sacred Heart, Milan, Italy
| | | | - Davide Massaro
- Department of Psychology, Catholic University of Sacred Heart, Milan, Italy
| | - Ilaria Castelli
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
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32
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Polizzi C, Giordano G, Burgio S, Lavanco G, Alesi M. Maternal Competence, Maternal Burnout and Personality Traits in Italian Mothers after the First COVID-19 Lockdown. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19169791. [PMID: 36011427 PMCID: PMC9408086 DOI: 10.3390/ijerph19169791] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Revised: 07/29/2022] [Accepted: 08/06/2022] [Indexed: 05/07/2023]
Abstract
This study aimed to investigate the maternal sense of competence and maternal burnout in Italian mothers during the COVID-19 pandemic. The sample was composed of 278 mothers of children/adolescents aged 4 to 17 years old. Participants were recruited after the end of the first spring total Italian lockdown (June-October 2020) through online advertisements on websites and social media. We hypothesized a model in which a specific personality trait, such as neuroticism, affected maternal competence by the mediating role of maternal burnout. Results showed that neuroticism was directly and negatively predictive of perception of maternal competence, and it was negatively associated with maternal burnout, specifically specific antecedents that were strictly related to parental burnout. ANOVA results highlighted that the maternal level of education affected maternal competence in terms of satisfaction. In contrast, the working regimen during the first lockdown for COVID-19 affected maternal competence in terms of efficacy. Maternal burnout was affected by atypical child development in terms of both common (job burnout, stress management abilities) and specific (parental burnout) antecedents. COVID-19 strongly increased the risk of maternal burnout, resulting in mothers having a poor perception of their own competency. This is particularly the case in the presence of a neurotic personality.
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Oliveira TDO, Costa DS, Alvim-Soares A, de Paula JJ, Kestelman I, Silva AG, Malloy-Diniz LF, Miranda DM. Children's behavioral problems, screen time, and sleep problems' association with negative and positive parenting strategies during the COVID-19 outbreak in Brazil. CHILD ABUSE & NEGLECT 2022; 130:105345. [PMID: 34625278 PMCID: PMC9221927 DOI: 10.1016/j.chiabu.2021.105345] [Citation(s) in RCA: 21] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Revised: 09/20/2021] [Accepted: 09/22/2021] [Indexed: 05/21/2023]
Abstract
UNLABELLED Families' health, safety, and economic stability were jeopardized during the pandemic. Parental stress is a risk factor for hostile and less supportive parenting. Parenting styles are a set of attitudes, feelings and behaviors related to parenting that modulate the child's psychosocial functioning and might impact on the adaptability to a stressful time. OBJECTIVE To investigate the group differences among children raised by negative and positive parenting families during COVID-19 pandemic. METHODS We have done an online survey with 329 parents. Parents answer about parenting strategies and styles, children's behavior, Covid related questions, socio-economic information, sleep and gaming disorders. RESULTS Parents' frequent use of negative strategies were a risk factor to have a negative outcome related to mental health, games, sleep, and children behavior. DISCUSSION Parenting strategies are some targets pointed in this study for intervention. Parents' styles and strategies training to better manage children might be even more important to avoid negative consequences for children in stressful times.
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Affiliation(s)
- T D O Oliveira
- Programa de Pós-Graduação em Medicina Molecular, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - D S Costa
- Programa de Pós-Graduação em Medicina Molecular, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - A Alvim-Soares
- Departamento de Saúde Mental, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - J J de Paula
- Departamento de Pediatria, Faculdade de Medicina, Laboratório de Medicina Molecular, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - I Kestelman
- Associação Brasileira do Déficit de Atenção, ABDA, Brazil
| | - A G Silva
- Associação Brasileira de Psiquiatria, Brazil; FMUP - Faculdade de Medicina da Universidade do Porto, Brazil
| | - L F Malloy-Diniz
- Departamento de Saúde Mental, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - D M Miranda
- Departamento de Pediatria, Faculdade de Medicina, Laboratório de Medicina Molecular, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
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Ferro V, Nacca R, Pisani M, Cristaldi S, Faa MF, Supino MC, Raucci U, Reale A, Atti MCD, Raponi M, Villani A, Musolino AM. Children at risk of domestic accidents when are locked up at home: the other side of COVID-19 outbreak lockdown. Ital J Pediatr 2022; 48:129. [PMID: 35897106 PMCID: PMC9326437 DOI: 10.1186/s13052-022-01318-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Accepted: 07/07/2022] [Indexed: 11/17/2022] Open
Abstract
Background We proposed to analyze thoroughly the impact of the COVID-19 lockdown (CL) in changes of profiles and in trend of the domestic accidents (DAs) in children. Methods This was a single experience, cross-sectional study conducted at the emergency department (ED) of III trauma center. We enrolled children under 18 years admitted to ED with a diagnosis of DAs comparing the CL period from 10th March 2020 to 4th May 2020 with the same period of the previous year,10th March 2019 to 4th May 2019. Results In CL period, the cumulative incidence of ED visits for DAs increased from 86.88 to 272.13 per 1,000 children and the cumulative incidence of hospitalizations for DAs increased from 409.72 to 534.48 per 1,000 children. We reported in CL a decrease in the severity of ED presentation assessed by proxy measures: the level of priority ED visits reduced by 67% in CL period (OR: 0.33; 95%CI 0.22–0.48; p < 0.001); the likelihood of delayed time of presentation to ED increased by 65% in case of domestic injuries occurring in CL period (OR: 1.65; 95% CI: 1.17–2.34; p = 0.004); the odds of transfer from other hospital decreased by 78% in CL (OR: 0.15–0.33; p < 0.001). Children were more at risk of poisoning (OR:3.35–106.11; p = 0.001), of body foreign ingestion (OR: 1.83–14.39; p = 0.002) and less at risk of animal bite trauma (OR:0.05–0.35; p < 0.001). Conclusion Although the need to stay home has made a decisive breakthrough on the spread of COVID-19, the experience from this study underlines how this preventive measure has also had a downside in term of increased cumulative incidence of ED visits and of hospitalizations for DA.
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Affiliation(s)
- Valentina Ferro
- Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
| | - Raffaella Nacca
- Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Mara Pisani
- Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Sebastian Cristaldi
- Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Maria Francesca Faa
- Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Maria Chiara Supino
- Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Umberto Raucci
- Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Antonino Reale
- Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Marta Ciofi Degli Atti
- Clinical Pathways and Epidemiology Unit-Medical Direction, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | | | - Alberto Villani
- Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Anna Maria Musolino
- Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
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Volodina A. Home learning environment and out-of-home activities: their relations to prosocial behaviour and peer relationships in primary school children. CURRENT PSYCHOLOGY 2022; 42:1-15. [PMID: 35910239 PMCID: PMC9309242 DOI: 10.1007/s12144-022-03410-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/24/2022] [Indexed: 11/24/2022]
Abstract
There is consensus that child socio-emotional development is influenced by various contexts, such as the family one. Research on influencing factors on child socio-emotional skills mainly investigated the effects of home learning environment, whereas the effects of out-of-home activities were often analysed mainly in samples of adolescents. The present study aimed to shed light on effects of preschool home learning environment and out-of-home activities on two facets of socio-emotional skills at the beginning of primary school: Prosocial behaviour and peer relationships. The information on the child prosocial behaviour and peer relationships at preschool age was included with the aim to control for most of the differences across children. Using data from a large sample of children (N = 1,818; M age = 7.08 years, SD = 0.15; 49.9% girls), results of regression analyses show significant effects of out-of-home activities on prosocial behaviour after controlling a range of child- and family-related influencing factors on prosocial behaviour as well as prosocial behaviour at preschool age. The effects of home learning environment were significant after controlling a range of child- and family-related influencing factors on both facets of socio-emotional skills but became nonsignificant after taking into account respective behaviour at preschool age. The results of the present study suggest that fostering participation in out-of-home activities might contribute to an increase of prosocial behaviour in primary school children.
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Affiliation(s)
- Anna Volodina
- University of Bamberg, Markusplatz 3, 96047 Bamberg, Germany
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Ding X, Liu H, Wang H, Song Q, Su W, Li N, Liang M, Guo X, Qu G, Ma S, Qin Q, Chen M, Sun L, Sun Y. COVID-19 Pandemic Impact on Family Life and Exacerbated Emotional and Behavioral Health among Preschool Children: A Longitudinal Study. Int J Clin Health Psychol 2022; 22:100327. [PMID: 35910285 PMCID: PMC9309157 DOI: 10.1016/j.ijchp.2022.100327] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2022] [Accepted: 07/13/2022] [Indexed: 11/29/2022] Open
Abstract
Background/Objective This study aimed to examine associations of the impact of COVID-19 pandemic on family life with emotional and behavioral health among preschool children. Methods A longitudinal study including 1595 preschool children aged 3–6 years and their families was conducted in Anhui Province. The linear regression was applied to examine associations between the impact of COVID-19 pandemic on family life and emotional and behavioral health. Results Results of the multivariable linear regression indicated that the severe impact of COVID-19 pandemic on family life was significantly associated with more sleep problems, poor dietary behavior habits, more anxiety symptoms, and more problematic behaviors; and these effects exhibited gender and age differences. Conclusions The severe impact of COVID-19 pandemic on family life significantly increased the risk for exacerbated emotional and behavioral health among preschool children. It is considered vital to identify risk factors for vulnerable families and then to implement precise interventions when necessary for emotional and behavioral health of children in these families.
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Affiliation(s)
- Xiuxiu Ding
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China
| | - Haixia Liu
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China
| | - Hao Wang
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China
| | - Qiuxia Song
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China
| | - Wanying Su
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China
| | - Ning Li
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China
| | - Mingming Liang
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China
| | - Xianwei Guo
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China
| | - Guangbo Qu
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China
| | - Shaodi Ma
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China
| | - Qirong Qin
- Ma'anshan Center for Disease Control and Prevention, No.849, Jiangdong Avenue, Ma'anshan 243011, Anhui, China
| | - Mingchun Chen
- Fuyang Center for Disease Control and Prevention, No.19, Zhongnan Avenue, Fuyang 236069, Anhui, China
| | - Liang Sun
- Changfeng Center for Disease Control and Prevention, Hefei 231199, Anhui, China
| | - Yehuan Sun
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China.,Chaohu Hospital, Anhui Medical University, No. 64 Chaohubei Road, Hefei 238000, Anhui, China
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Zhi JC, Pei F, Zhang SW, Huang ML, Zhao MY, Wang Y. [Psychological and behavioral problems in children and adolescents during the coronavirus disease 2019 epidemic: a Scoping review]. ZHONGGUO DANG DAI ER KE ZA ZHI = CHINESE JOURNAL OF CONTEMPORARY PEDIATRICS 2022; 24:728-735. [PMID: 35894185 PMCID: PMC9336617 DOI: 10.7499/j.issn.1008-8830.2204187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Accepted: 05/30/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVES To investigate the psychological and behavioral problems and related influencing factors in children and adolescents during the coronavirus disease 2019 (COVID-19) epidemic. METHODS China National Knowledge Infrastructure, Wanfang Data, PubMed, and Web of Science were searched using the method of subject search for articles published up to March 31, 2022, and related data were extracted for Scoping review. RESULTS A total of 3 951 articles were retrieved, and 35 articles from 12 countries were finally included. Most of the articles were from the journals related to pediatrics, psychiatry, psychology, and epidemiology, and cross-sectional survey was the most commonly used research method. Psychological and behavioral problems in children and adolescents mainly included depression/anxiety/stress, sleep disorder, internet behavior problems, traumatic stress disorder, and self-injury/suicide. Influencing factors were analyzed from the three aspects of socio-demographic characteristics, changes in living habits, and ways of coping with COVID-19. CONCLUSIONS During the COVID-19 epidemic, the psychological and behavioral problems of children and adolescents in China and overseas are severe. In the future, further investigation and research can be carried out based on relevant influencing factors to improve the psychological and behavioral problems.
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Affiliation(s)
| | - Fei Pei
- Rehabilitation Center, Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, Harbin, Heilongjiang 150001, China
| | | | | | - Ming-Yue Zhao
- Rehabilitation Center, Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, Harbin, Heilongjiang 150001, China
| | - Yan Wang
- Rehabilitation Center, Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, Harbin, Heilongjiang 150001, China
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Bilar JA, Bulhões CDSG, Sette GCS, Perrelli JGA, Soares AKF, Lima APE. Saúde mental de crianças na pandemia da COVID-19. REME: REVISTA MINEIRA DE ENFERMAGEM 2022. [DOI: 10.35699/2316-9389.2022.37693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Objetivo: analisar as evidências científicas sobre as repercussões da pandemia da COVID-19 para a saúde mental de crianças e suas estratégias de enfrentamento. Método: estudo do tipo revisão integrativa de literatura nas bases de dados SciELO, Lilacs, Scopus e Medline. A busca resultou em um total de 6.094 artigos; após aplicação dos critérios de elegibilidade, 12 artigos compuseram a revisão. Resultados: os resultados mostraram que as principais repercussões para a saúde mental foram: ansiedade, estresse, sintomas depressivos, hiperatividade, irritabilidade, alterações no padrão do sono, estados de humor, distanciamento social, alterações de comportamento, diminuição ou ausência de conexão com os pares e aumento do tempo em tela. Foram apontadas como estratégias de enfrentamento: diálogos abertos e explicativos entre pais e filhos acerca da pandemia e do coronavírus, regulação do padrão de sono e do tempo em tela, prática de atividade física regular, melhora da qualidade do ensino remoto e universalidade do acesso às aulas e implementação de políticas públicas e ações em saúde. Conclusão: concluiu-se que as crianças já estão sofrendo com essas repercussões, as quais poderão afetar sua saúde mental e física, surgindo a necessidade de organizar estratégias de enfrentamento a nível populacional que minimizem os danos no período pós-pandemia.
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Sasaki Y, Sasaki S, Sunakawa H, Toguchi Y, Tanese S, Saito K, Shinohara R, Kurokouchi T, Sugimoto K, Itagaki K, Yoshida Y, Namekata S, Takahashi M, Harada I, Hakosima Y, Inazaki K, Yoshimura Y, Mizumoto Y, Okada T, Usami M. Evaluating the daily life of child and adolescent psychiatric outpatients during temporary school closure over COVID-19 pandemic: A single-center case-control study in Japan. Glob Health Med 2022; 4:159-165. [PMID: 35855068 PMCID: PMC9243403 DOI: 10.35772/ghm.2022.01001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Revised: 03/20/2022] [Accepted: 03/27/2022] [Indexed: 06/15/2023]
Abstract
This study evaluated the clinical characteristics of mental health of child and adolescent psychiatric patients during temporary school closure throughout the coronavirus 2019 (COVID-19) pandemic in Japan using the Questionnaire - Children with Difficulties (QCD) and other useful psychological rating scales. The participants were those who visited the Department of Child and Adolescent Psychiatry, Kohnodai Hospital. From those 1,463 participants, case and control groups were selected: 92 patients who visited the hospital during the temporary school closure from March 2020 to May 2020 (case group) and randomly sampled sex- and age-matched 92 patients during the pre-COVID period from April 2017 to March 2020 (control group). QCD is a parent-assessed questionnaire designed to evaluate the difficulties of children along the course of a day, right from waking up in the morning to retiring to bed at night. Lower scores indicate stronger difficulties. QCD scores were compared between the two groups in each of the following age groups: elementary school (6-12 years of age) and junior high school (12-15 years of age). In elementary school students, scores "during school" of QCD indicating functioning or disabilities during school hours were 3.31 ± 2.52 and 4.52 ± 2.33 in case group and control group, respectively (p < 0.05). In junior high school students, scores "Attention-Deficit Hyperactivity Disorder Rating Scale (ADHD-RS)" indicating ADHD symptoms were 16.78 ± 12.69 and 11.80 ± 10.40 in case group and control group, respectively (p < 0.05). The findings suggest that the closure of schools due to the pandemic might worsen difficulties among elementary school patients, and hyperactivity and impulsivity might increase among junior high school patients. The long-term impact of stress caused by school closure on child and adolescent psychiatric patients needs to be investigated in the future.
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Affiliation(s)
- Yoshinori Sasaki
- Department of Psychiatry and Behavioral Science, Tokyo Medical and Dental University Graduate School, Tokyo, Japan
- Department of Child and Adolescent Psychiatry, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan
| | - Shoko Sasaki
- Department of Child and Adolescent Psychiatry, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan
| | - Hikaru Sunakawa
- Department of Child and Adolescent Psychiatry, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan
| | - Yusuke Toguchi
- Department of Child and Adolescent Psychiatry, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan
| | - Shuichi Tanese
- Department of Child and Adolescent Psychiatry, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan
| | - Kiyoshi Saito
- Department of Child and Adolescent Psychiatry, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan
| | - Rena Shinohara
- Department of Child and Adolescent Psychiatry, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan
| | - Toshinari Kurokouchi
- Department of Child and Adolescent Psychiatry, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan
| | - Kaori Sugimoto
- Department of Child and Adolescent Psychiatry, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan
| | - Kotoe Itagaki
- Department of Clinical psychology, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan
| | - Yukino Yoshida
- Clinical Center of Children's Mental Health, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan
| | - Saori Namekata
- Department of Clinical psychology, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan
| | - Momoka Takahashi
- Clinical Center of Children's Mental Health, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan
| | - Ikuhiro Harada
- Department of Social worker, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan
| | - Yuki Hakosima
- Department of Child and Adolescent Psychiatry, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan
| | - Kumi Inazaki
- Department of Child and Adolescent Psychiatry, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan
| | - Yuta Yoshimura
- Department of Child and Adolescent Psychiatry, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan
| | - Yuki Mizumoto
- Department of Child and Adolescent Psychiatry, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan
| | - Takayuki Okada
- Department of Psychiatry and Behavioral Science, Tokyo Medical and Dental University Graduate School, Tokyo, Japan
| | - Masahide Usami
- Department of Child and Adolescent Psychiatry, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan
- Department of Clinical psychology, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan
- Clinical Center of Children's Mental Health, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan
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Cimino S, Di Vito P, Cerniglia L. The impact of COVID-19 pandemic on psychopathological symptoms in mothers and their school-age children before, during and after the COVID-19 pandemic peak. CURRENT PSYCHOLOGY 2022:1-10. [PMID: 35789629 PMCID: PMC9243995 DOI: 10.1007/s12144-022-03360-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/13/2022] [Indexed: 11/28/2022]
Abstract
The COVID-19 pandemic had an impact on children's and caregivers' mental health. We investigated psychopathological symptoms in a group of non-at-risk and a group of at-risk mothers and their school-age children from the pre-pandemic period to the lockdown period and to the post-lockdown period. We used the SCL-90/R to assess mothers' psychological symptoms, the CBCL 1½-5, and the CBCL 6-18 for the perceived children's emotional-behavioral functioning. Analysis of variance was conducted to assess significant differences in the groups over the three assessment points. Linear regressions were run to investigate the effect of maternal psychological symptoms on their children's functioning. In the non-at-risk group, maternal psychopathological symptoms significantly varied during the pandemic. Children's Aggression scores decreased after the lockdown, while Depression scores significantly increased during lockdown and after. The mothers in the at- risk group presented overall decreasing scores over the three assessment points. Children's Aggression scores did not increase during lockdown. Depression scores did not show significant changes over the three assessment points. Overall, our results showed that mothers' psychopathological risk did not influence specific areas of children's emotional/behavioral functioning, but it had an effect on the general offspring psychological well-being.
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Affiliation(s)
- Silvia Cimino
- Department of Dynamic, Clinical and Health Psychology, Sapienza University of Rome, Rome, Italy
| | - Paola Di Vito
- Department of Dynamic, Clinical and Health Psychology, Sapienza University of Rome, Rome, Italy
| | - Luca Cerniglia
- Faculty of Psychology, International Telematic University Uninettuno, 00186 Rome, Italy
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Gete DG, Waller M, Mishra GD. The role of child diets in the association between pre-pregnancy diets and childhood behavioural problems: a mediation analysis. Public Health Nutr 2022; 25:1-10. [PMID: 35723008 PMCID: PMC9991854 DOI: 10.1017/s1368980022001410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Revised: 02/28/2022] [Accepted: 06/01/2022] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To quantify the mediating role of childhood diets in the relationship between maternal diets prior to pregnancy and childhood behavioural disorders. DESIGN The Healthy Eating Index score was constructed using a semi-quantitative and validated 101-item FFQ. We assessed childhood behavioural disorders using the Strengths and Difficulties Questionnaire. Three dietary patterns were identified using principal component analysis to explore childhood dietary patterns (high fats and sugar; prudent diets; and diary). A causal inference framework for mediation analysis was used to quantify the mediating role of childhood diets in the association between pre-pregnancy diets and the risk of offspring behavioural problems. SETTING This is a national representative population-based survey which covers all Australian citizens and permanent residents in Australia. PARTICIPANTS We included 1448 mother-child pairs from the Australian Longitudinal Study on Women's Health and its sub-study mothers and their children's health. RESULTS We found a 20 % of the total effect of the poor adherence to pre-pregnancy diet quality on the risk of offspring behavioural problems was mediated through childhood high consumptions of fats and sugar. No clear mediating effect through prudent and diary childhood diets was observed. CONCLUSION This study suggests that childhood high fats and sugar consumption may contribute to the total effects of the pre-pregnancy diets on the risk of childhood behavioural problems.
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Affiliation(s)
- Dereje G Gete
- Centre for Longitudinal and Life Course Research, School of Public Health, Faculty of Medicine, University of Queensland, 266 Herston Road, Brisbane, QLD4006, Australia
| | - Michael Waller
- Centre for Longitudinal and Life Course Research, School of Public Health, Faculty of Medicine, University of Queensland, 266 Herston Road, Brisbane, QLD4006, Australia
| | - Gita D Mishra
- Centre for Longitudinal and Life Course Research, School of Public Health, Faculty of Medicine, University of Queensland, 266 Herston Road, Brisbane, QLD4006, Australia
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Li G, Li M, Peng S, Wang Y, Ran L, Chen X, Zhang L, Zhu S, Chen Q, Wang W, Xu Y, Zhang Y, Tan X. Current status and influential factors for family health management during quarantine: A latent category analysis. PLoS One 2022; 17:e0265406. [PMID: 35446866 PMCID: PMC9022814 DOI: 10.1371/journal.pone.0265406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Accepted: 03/01/2022] [Indexed: 11/24/2022] Open
Abstract
Objective We aimed to explore factors affecting family health management during home quarantine as well as the effects of variations in family health management (FHM) on individuals’ health status. Methods Using stratified random sampling, 618 families in Wuhan as well as cities within its surrounding provinces were recruited and surveyed online. Latent class variables were extracted from four modules: disinfection, space layout, physical exercise, and food reserves. The analysis was conducted using the poLCA package in R software (v.4.1.0). Chi-squared tests, Fisher’s exact tests, and non-parametric Kruskal–Wallis tests were used to compare groups as appropriate. Results We found an overall questionnaire reliability of 0.77 and a total omega of 0.92, indicating that the survey results were credible. The Bayesian information criterion and Akaike information criterion were used to identified four latent class variables, namely latent non-family health management (18.9%) and latent low, medium, and advanced FHM (30.93%, 29.49%, and 20.59%, respectively). Gender, household income level, body mass index, the presence of a nearby community hospital, and self-rated health status showed statistically significant differences with respect to latent FHM. Moreover, we found a statistically significant difference in emotional reactions when comparing latent advanced and low to mid-level latent FHM. Compared with latent non-family health managers, we detected statistically significant differences in individual energy levels between potential family health managers at latent low and medium levels. Additionally, we found statistically significant differences in individual energy levels between latent advanced and low level family health managers. Conclusions We found that multiple factors, including gender, household income, and body mass index, were correlated with latent FHM during home quarantine. We conclude that FHM can meaningfully improve individuals’ health. Thus, increasing social support for individuals can improve FHM as well as individuals’ health during home quarantine.
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Affiliation(s)
- Guangming Li
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan, Hubei, China
| | - Mengying Li
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan, Hubei, China
| | - Shuzhen Peng
- Department of Health Management, The People’s Hospital of Huangpi, Wuhan, Hubei, China
| | - Ying Wang
- Department of Hospital Infection Management, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China
| | - Li Ran
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan, Hubei, China
| | - Xuyu Chen
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan, Hubei, China
| | - Ling Zhang
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan, Hubei, China
| | - Sirong Zhu
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan, Hubei, China
| | - Qi Chen
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan, Hubei, China
| | - Wenjing Wang
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan, Hubei, China
| | - Yang Xu
- Department of Geography, The College of Geography and Environment, Henan University, Kaifeng, Henan, China
- Department of Geography, National Earth System Science Data Center, National Science & Technology Infrastructure of China, Beijing, China
| | - Yubin Zhang
- Department of Health management, Wuchang Center for Disease Control and Prevention, Wuhan, Hubei, China
- * E-mail: (XDT); (YBZ)
| | - Xiaodong Tan
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan, Hubei, China
- * E-mail: (XDT); (YBZ)
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Tuntipuchitanon S, Kangwanthiti IO, Jirakran K, Trairatvorakul P, Chonchaiya W. Online positive parenting programme for promoting parenting competencies and skills: randomised controlled trial. Sci Rep 2022; 12:6420. [PMID: 35440798 PMCID: PMC9017087 DOI: 10.1038/s41598-022-10193-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Accepted: 03/29/2022] [Indexed: 11/26/2022] Open
Abstract
Positive parenting programmes (PPP), albeit effective, are not readily accessible to the general public, particularly during the COVID-19 pandemic. In 103 healthy caregiver-child dyads, we investigated the effectiveness of online PPP on parenting sense of competencies (primary outcome), parenting styles and behavioural concerns of children aged 3–6 years (secondary outcomes) between 2 blinded, parallel groups. After block of 4 randomisations, intervention group (n = 52) attended live, group-based, internet delivered PPP while both intervention and active control group (n = 51) received weekly general education via communication application. Outcomes were measured at baseline, 8 and 14 weeks. Most parents from both groups had high education and household income. From the intervention group, 87.5% of the parents attended live sessions while 8.6% subsequently watched recorded sessions. At 14 weeks, the intervention group reported higher sense of competence (Wald 9.63, p = 0.008); both groups reported using more authoritative parenting style (Wald 15.52, p ≤ 0.001) from Generalised Estimating Equations model. Compared to baseline, both groups had significant reduction of children’s emotional problems at 14 weeks (mean change: Intervention = − 0.44, p = 0.033; Control = − 0.30, p = 0.046) and behavioural problems over time (Wald 7.07, p = 0.029). Online PPP offered an easily accessible, primary preventive measure to mitigate behavioural concerns and improve parental competency. Clinical trial registration Thai Clinical Trials Registry; https://www.thaiclinicaltrials.org/; TCTR20201030001; October 30, 2020.
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Affiliation(s)
- Sararat Tuntipuchitanon
- Division of Growth and Development, Department of Paediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
| | - Ing-On Kangwanthiti
- Division of Growth and Development, Department of Paediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
| | - Ketsupar Jirakran
- Maximizing Thai Children's Developmental Potential Research Unit, Division of Growth and Development, Department of Paediatrics, Sor Kor Building, 11th floor, King Chulalongkorn Memorial Hospital, Faculty of Medicine, Chulalongkorn University, 1873 Rama IV Road, Pathumwan, Bangkok, 10330, Thailand
| | - Pon Trairatvorakul
- Division of Growth and Development, Department of Paediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. .,Maximizing Thai Children's Developmental Potential Research Unit, Division of Growth and Development, Department of Paediatrics, Sor Kor Building, 11th floor, King Chulalongkorn Memorial Hospital, Faculty of Medicine, Chulalongkorn University, 1873 Rama IV Road, Pathumwan, Bangkok, 10330, Thailand.
| | - Weerasak Chonchaiya
- Division of Growth and Development, Department of Paediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.,Maximizing Thai Children's Developmental Potential Research Unit, Division of Growth and Development, Department of Paediatrics, Sor Kor Building, 11th floor, King Chulalongkorn Memorial Hospital, Faculty of Medicine, Chulalongkorn University, 1873 Rama IV Road, Pathumwan, Bangkok, 10330, Thailand
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44
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Goldman RD. Long COVID in children. CANADIAN FAMILY PHYSICIAN MEDECIN DE FAMILLE CANADIEN 2022; 68:263-265. [PMID: 35418390 DOI: 10.46747/cfp.6804263] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
QUESTION Several physicians in our family medicine clinic noted a recent increase in the number of children with nonspecific symptoms after having had COVID-19. Based on the assumption that these children may have long COVID syndrome, what is the recommended treatment? ANSWER Lockdowns and isolation during the COVID-19 pandemic have affected the physical and mental health of children and adolescents. A recognized complication of COVID-19 is a post-COVID-19 syndrome (long COVID) that was initially reported in adults with an estimated prevalence of 10%. More recent reports on long COVID in children suggest a prevalence of 8% to 10%, but small cohorts, a range of symptoms, and challenges in defining the syndrome make accurately estimating the prevalence difficult. Furthermore, providers may find it challenging to differentiate between neuropsychiatric symptoms that are consequences of COVID-19 infection versus those that are a result of stress, anxiety, or changes in behaviour owing to restrictions associated with the pandemic. Until more evidence is available, management includes obtaining a detailed history, performing a comprehensive physical examination, and aiming to relieve symptoms while following up every 2 to 4 months.
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45
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Tessarollo V, Scarpellini F, Costantino I, Cartabia M, Canevini MP, Bonati M. Distance Learning in Children with and without ADHD: A Case-control Study during the COVID-19 Pandemic. J Atten Disord 2022; 26:902-914. [PMID: 34388941 DOI: 10.1177/10870547211027640] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE This research involved the parents of ADHD students to explore how their children coped with online distance learning during COVID-19 pandemic and what implications this schooling method had on their emotional and behavioral well-being. METHOD Data were collected during lockdown using an online questionnaire addressed to 100 mothers and were compared with 184 matched controls from a national survey launched in the same period. RESULTS Attention span, spontaneous commitment, and autonomy in distance learning was found to be more limited in ADHD group. Compared to controls, 21.7% of ADHD students were not assessed and 40.9% did not receive grades. Behavioral changes were reported in both groups (64.2%), represented mainly by restlessness, aggressiveness, and anxiety. CONCLUSION Distance education increases academic difficulties, especially in ADHD pupils. The effects of lockdown should be adequately evaluated upon school reopening and appropriate recovery interventions should be planned.
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Affiliation(s)
| | | | | | - Massimo Cartabia
- Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy
| | | | - Maurizio Bonati
- Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy
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46
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Oliveira JMDD, Butini L, Pauletto P, Lehmkuhl KM, Stefani CM, Bolan M, Guerra E, Dick B, De Luca Canto G, Massignan C. Mental health effects prevalence in children and adolescents during the COVID-19 pandemic: A systematic review. Worldviews Evid Based Nurs 2022; 19:130-137. [PMID: 35229967 PMCID: PMC9115455 DOI: 10.1111/wvn.12566] [Citation(s) in RCA: 39] [Impact Index Per Article: 19.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2021] [Revised: 10/27/2021] [Accepted: 11/21/2021] [Indexed: 11/29/2022]
Abstract
Background The COVID‐19 pandemic health crisis has changed household and school routines leaving children and adolescents without important anchors in life. This, in turn, can influence their mental health, changing their behavioral and psychological conditions. Aims To systematically review the literature to answer the question: “What is the worldwide prevalence of mental health effects in children and adolescents during the COVID‐19 pandemic?”. Methods Embase, Epistemonikos database, LILACS, PsycINFO, PubMed, Scopus, Web of Science, and World Health Organization Global literature on coronavirus disease were searched. Grey literature was searched on Google Scholar, Grey Literature Report, and Preprint server MedRxiv. Observational studies assessing the prevalence of mental health effects in children and adolescents during the COVID‐19 pandemic were included. Four authors independently collected the information and assessed the risk of bias of the included studies. Results From a total of 11,925 identified studies, 2873 remained after the removal of the duplicated records. Nineteen studies remained after the final selection process. The proportion of emotional symptoms and behavior changes varied from 5.7% to 68.5%; anxiety 17.6% to 43.7%, depression 6.3% to 71.5%, and stress 7% to 25%. Other outcomes such as the prevalence of post‐traumatic stress disorder (85.5%) and suicidal ideation (29.7% to 31.3%) were also evaluated. Linking Evidence to Action Overall findings showed that the proportion of children and adolescents presenting mental health effects during the COVID‐19 pandemic showed a wide variation in different countries. However, there was a trend toward mental health issues. Therefore, policymakers, healthcare planners, youth mental health services, teachers, parents, and researchers need to be prepared to deal with this demand.
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Affiliation(s)
- Júlia Meller Dias de Oliveira
- Brazilian Centre for Evidence-Based Research (COBE), Florianópolis, Brazil.,Department of Dentistry, Federal University of Santa Catarina (UFSC), Florianópolis, Brazil
| | - Luciana Butini
- Brazilian Centre for Evidence-Based Research (COBE), Florianópolis, Brazil.,Division of Pediatric Dentistry, Faculdade São Leopoldo Mandic, São Paulo, Brazil
| | - Patrícia Pauletto
- Brazilian Centre for Evidence-Based Research (COBE), Florianópolis, Brazil.,Department of Dentistry, Federal University of Santa Catarina (UFSC), Florianópolis, Brazil
| | - Karyn Munyk Lehmkuhl
- Brazilian Centre for Evidence-Based Research (COBE), Florianópolis, Brazil.,University Library, Federal University of Santa Catarina (UFSC), Florianópolis, Brazil
| | - Cristine Miron Stefani
- Brazilian Centre for Evidence-Based Research (COBE), Florianópolis, Brazil.,Department of Dentistry, Health Sciences Faculty, University of Brasília (UnB), Brasília, Brazil
| | - Michele Bolan
- Department of Dentistry, Federal University of Santa Catarina (UFSC), Florianópolis, Brazil
| | - Eliete Guerra
- Department of Dentistry, Health Sciences Faculty, University of Brasília (UnB), Brasília, Brazil
| | - Bruce Dick
- Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Alberta, Canada
| | - Graziela De Luca Canto
- Brazilian Centre for Evidence-Based Research (COBE), Florianópolis, Brazil.,Department of Dentistry, Federal University of Santa Catarina (UFSC), Florianópolis, Brazil
| | - Carla Massignan
- Brazilian Centre for Evidence-Based Research (COBE), Florianópolis, Brazil.,Department of Dentistry, Health Sciences Faculty, University of Brasília (UnB), Brasília, Brazil
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47
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González M, Loose T, Liz M, Pérez M, Rodríguez-Vinçon JI, Tomás-Llerena C, Vásquez-Echeverría A. School readiness losses during the COVID-19 outbreak. A comparison of two cohorts of young children. Child Dev 2022; 93:910-924. [PMID: 35194777 PMCID: PMC9111374 DOI: 10.1111/cdev.13738] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
The COVID‐19 context has created the most severe disruption to education systems in recent history. Its impact on child development was estimated comparing two cohorts of 4‐ to 6‐year‐old Uruguayan children: control (n = 34,355, 48.87% girls) and COVID cohort (n = 30,158, 48.95% girls) assessed between 2018 and 2020 in three waves, by a routinely administered school readiness instrument in public preschools. Ethnicity information is not available. For the COVID cohort, losses were observed in Motor and Cognitive development, Attitudes towards learning, and Internalizing behavior (range 0.13 – 0.27 SD). Losses were less pronounced among children from higher socioeconomic schools. These results extend the literature on the consequences of the pandemic on learning and early child development.
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Affiliation(s)
- Meliza González
- Faculty of Psychology and Interdisciplinary Center of Cognition in Teaching and Learning, Universidad de la República, Montevideo, Uruguay
| | - Tianna Loose
- Faculty of Psychology and Interdisciplinary Center of Cognition in Teaching and Learning, Universidad de la República, Montevideo, Uruguay
| | - Maite Liz
- Faculty of Psychology and Interdisciplinary Center of Cognition in Teaching and Learning, Universidad de la República, Montevideo, Uruguay
| | - Mónica Pérez
- Faculty of Psychology and Interdisciplinary Center of Cognition in Teaching and Learning, Universidad de la República, Montevideo, Uruguay
| | - Juan I Rodríguez-Vinçon
- Faculty of Psychology and Interdisciplinary Center of Cognition in Teaching and Learning, Universidad de la República, Montevideo, Uruguay
| | - Clementina Tomás-Llerena
- Faculty of Psychology and Interdisciplinary Center of Cognition in Teaching and Learning, Universidad de la República, Montevideo, Uruguay
| | - Alejandro Vásquez-Echeverría
- Faculty of Psychology and Interdisciplinary Center of Cognition in Teaching and Learning, Universidad de la República, Montevideo, Uruguay
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48
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Trajectories of Behavioral Problems and Predictors in Children Aged 4 to 7 Years: a Growth Mixture Model Analysis. JOURNAL OF PSYCHOPATHOLOGY AND BEHAVIORAL ASSESSMENT 2022. [DOI: 10.1007/s10862-022-09953-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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49
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Hagihara H, Yamamoto N, Meng X, Sakata C, Wang J, Watanabe R, Moriguchi Y. COVID-19 school and kindergarten closure relates to children's social relationships: a longitudinal study in Japan. Sci Rep 2022; 12:814. [PMID: 35075129 PMCID: PMC8786973 DOI: 10.1038/s41598-022-04944-2] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Accepted: 01/04/2022] [Indexed: 12/19/2022] Open
Abstract
The COVID-19 pandemic has led children to experience school closures. Although increasing evidence suggests that such intense social quarantine influences children’s social relationships with others, longitudinal studies are limited. Using longitudinal data collected during (T1) and after (T2) intensive school closure and home confinement, this study investigated the impacts of social quarantine on children’s social relationships. Japanese parents of children aged 0–9 years (n = 425) completed an online questionnaire that examined children’s socio-emotional behavior and perceived proximity to parents or others. The results demonstrated that social quarantine was not significantly related to children’s socio-emotional behavior across all age groups. However, changes in children’s perceived proximity varied depending on certain age-related factors: elementary schoolers’ perceived closeness to parents significantly decreased after the reopening of schools, whereas that to others, such as peers, increased. Such effects were not observed in infants and preschoolers. The follow-up survey 9-month after the reopening of schools (T3; n = 130) did not detect significant differences in both children’s socio-emotional behavior and perceived proximity from that after the intense quarantine. These findings suggest that school closure and home confinement may have influenced children’s social development differently across their age, and its effects were larger in perceived closeness rather than social behavior.
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Affiliation(s)
- Hiromichi Hagihara
- International Research Center for Neurointelligence, The University of Tokyo, Tokyo, Japan.,Japan Society for the Promotion of Science, Tokyo, Japan
| | - Nozomi Yamamoto
- Graduate School of Letters, Kyoto University, Yoshidahoncho, Kyoto, 606-8501, Japan
| | - Xianwei Meng
- Graduate School of Human Sciences, Osaka University, Osaka, Japan
| | - Chifumi Sakata
- Japan Society for the Promotion of Science, Tokyo, Japan.,Graduate School of Letters, Kyoto University, Yoshidahoncho, Kyoto, 606-8501, Japan
| | - Jue Wang
- Graduate School of Letters, Kyoto University, Yoshidahoncho, Kyoto, 606-8501, Japan
| | - Ryoichi Watanabe
- Graduate School of Letters, Kyoto University, Yoshidahoncho, Kyoto, 606-8501, Japan
| | - Yusuke Moriguchi
- Graduate School of Letters, Kyoto University, Yoshidahoncho, Kyoto, 606-8501, Japan.
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50
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Spadafora N, Reid-Westoby C, Pottruff M, Wang J, Janus M. From Full Day Learning to 30 Minutes a Day: A Descriptive Study of Early Learning During the First COVID-19 Pandemic School Shutdown in Ontario. EARLY CHILDHOOD EDUCATION JOURNAL 2022; 51:287-299. [PMID: 35068918 PMCID: PMC8761377 DOI: 10.1007/s10643-021-01304-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 12/17/2021] [Indexed: 06/14/2023]
Abstract
UNLABELLED When the COVID-19 pandemic was declared in March 2020, the lives of families all over the world were disrupted. Many adults found themselves working from home while their children were unable to go to school. To better understand the potential impact of these educational disruptions, it is important to establish what learning looked like during the first school shutdown in the spring of 2020, particularly for the youngest learners who may feel the longest lasting impacts from this pandemic. Therefore, the purpose of the current descriptive study was to gather information on how kindergarten teaching and learning occurred during this time, what the biggest barriers were, and what concerns educators had regarding returning in person to the classroom setting. The sample for the current study was 2569 kindergarten educators (97.6% female; 74.2% teachers, 25.8% early childhood educators) in Ontario, Canada. Participants completed a questionnaire consisting of both quantitative scales and qualitative open-ended questions. Educators reported that parents most often contacted them regarding technological issues or how to effectively support their child. The largest barrier to learning was the ability of both parents and educators to balance work, home life, and online learning/teaching. With regards to returning to school, educators were most concerned about the lack of ability of kindergarten aged children to do tasks independently and to follow safety protocols. Our findings highlight unique challenges associated with teaching kindergarten during the pandemic, contributing to our understanding of the learning that occurred in Ontario during the first COVID-19 shutdown. SUPPLEMENTARY INFORMATION The online version contains supplementary material available at 10.1007/s10643-021-01304-z.
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Affiliation(s)
- Natalie Spadafora
- Department of Psychiatry and Behavioural Neurosciences, Offord Centre for Child Studies, McMaster University, McMaster Innovation Park, Suite 201A, 1280 Main St. West, Hamilton, ON L8S 4K1 Canada
| | - Caroline Reid-Westoby
- Department of Psychiatry and Behavioural Neurosciences, Offord Centre for Child Studies, McMaster University, McMaster Innovation Park, Suite 201A, 1280 Main St. West, Hamilton, ON L8S 4K1 Canada
| | - Molly Pottruff
- Department of Psychiatry and Behavioural Neurosciences, Offord Centre for Child Studies, McMaster University, McMaster Innovation Park, Suite 201A, 1280 Main St. West, Hamilton, ON L8S 4K1 Canada
| | - Jade Wang
- Department of Psychiatry and Behavioural Neurosciences, Offord Centre for Child Studies, McMaster University, McMaster Innovation Park, Suite 201A, 1280 Main St. West, Hamilton, ON L8S 4K1 Canada
| | - Magdalena Janus
- Department of Psychiatry and Behavioural Neurosciences, Offord Centre for Child Studies, McMaster University, McMaster Innovation Park, Suite 201A, 1280 Main St. West, Hamilton, ON L8S 4K1 Canada
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