Psychological Impact of the COVID-19 Pandemic on Children and Adolescents With and Without Mental Disorders

被引:24
作者
Gilsbach, Susanne [1 ]
Herpertz-Dahlmann, Beate [1 ]
Konrad, Kerstin [2 ,3 ]
机构
[1] Rhein Westfal TH Aachen, Med Fac, Dept Child & Adolescent Psychiat Psychosomat & Ps, Aachen, Germany
[2] Rhein Westfal TH Aachen, Med Fac, Dept Child & Adolescent Psychiat Psychosomat & Ps, Child Neuropsychol Sect, Aachen, Germany
[3] RWTH Aachen & Res Ctr Juelich, JARA Brain Inst 2, Mol Neurosci & Neuroimaging, Julich, Germany
关键词
COVID-19; pandemic; mental health children and adolescents; mental disorder; psychological burden; quarantine; HEALTH;
D O I
10.3389/fpubh.2021.679041
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: The previous and current studies highlight the psychological distress caused by coronavirus disease 2019 (COVID-19)-associated restrictions among the general population, especially among children and adolescents; however, few studies have examined children and adolescents with a mental disorder. The current study aimed to explore whether youth with mental disorders show a higher pandemic-associated psychological burden than healthy children and adolescents and to determine which psychiatric diagnoses are particularly associated with a higher distress level.Methods: In this study, 144 children and adolescents between the ages of 6 and 18 years with a mental disorder and 48 children and adolescents within the same age range without a mental disorder, and their caregivers, completed questionnaires assessing the pandemic-associated trauma symptoms (the Child Report of Post-Traumatic Symptoms [CROPS] and the Parents Report of Post-Traumatic Symptoms [PROPS]). Additionally, we asked specific questions about the pandemic-associated stress factors, such as financial problems, prolonged screen times, or loneliness.Results: Children and adolescents with a mental illness showed a significantly higher psychological burden than their mentally healthy peers. Female gender was a risk factor for a higher self-reported psychological burden, and younger age was associated with a more extensive parent-reported psychological burden. The patients with a depressive disorder showed significantly higher levels of psychological distress associated with the COVID-19 pandemic than the patients with an attention deficit and/or a conduct disorder.Conclusions: Children and adolescents with a mental illness, particularly, female children and individuals with a depressive disorder, are at an increased risk of suffering from pandemic-associated psychological distress. Adequate mental health care options, such as telepsychiatry, are indispensable.
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页数:8
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共 22 条
[1]   Personality and Lockdown: A Study on Italian Undergraduates During the COVID-19 Pandemic [J].
Biondi, Silvia ;
Casale, Simona ;
Burrai, Jessica ;
Mazza, Cristina ;
Cavaggioni, Gabriele ;
Ferracuti, Stefano ;
Giannini, Anna Maria ;
Roma, Paolo .
FRONTIERS IN PSYCHIATRY, 2021, 12
[2]   Prospective impact of COVID-19 on mental health functioning in adolescents with and without ADHD: protective role of emotion regulation abilities [J].
Breaux, Rosanna ;
Dvorsky, Melissa R. ;
Marsh, Nicholas P. ;
Green, Cathrin D. ;
Cash, Annah R. ;
Shroff, Delshad M. ;
Buchen, Natalie ;
Langberg, Joshua M. ;
Becker, Stephen P. .
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY, 2021, 62 (09) :1132-1139
[3]   The psychological impact of quarantine and how to reduce it: rapid review of the evidence [J].
Brooks, Samantha K. ;
Webster, Rebecca K. ;
Smith, Louise E. ;
Woodland, Lisa ;
Wessely, Simon ;
Greenberg, Neil ;
Rubin, Gideon James .
LANCET, 2020, 395 (10227) :912-920
[4]   An investigation of mental health status of children and adolescents in china during the outbreak of COVID-19 [J].
Duan, Li ;
Shao, Xiaojun ;
Wang, Yuan ;
Huang, Yinglin ;
Miao, Junxiao ;
Yang, Xueping ;
Zhu, Gang .
JOURNAL OF AFFECTIVE DISORDERS, 2020, 275 :112-118
[5]   Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: a narrative review to highlight clinical and research needs in the acute phase and the long return to normality [J].
Fegert, Joerg M. ;
Vitiello, Benedetto ;
Plener, Paul L. ;
Clemens, Vera .
CHILD AND ADOLESCENT PSYCHIATRY AND MENTAL HEALTH, 2020, 14 (01)
[6]   Assessment of posttraumatic symptoms in children: Development and preliminary validation of parent and child scales [J].
Greenwald, R ;
Rubin, A .
RESEARCH ON SOCIAL WORK PRACTICE, 1999, 9 (01) :61-75
[7]   Features Mental health effects of school closures during COVID-19 [J].
Lee, Joyce .
LANCET CHILD & ADOLESCENT HEALTH, 2020, 4 (06) :421-421
[8]   A Nationwide Survey of Psychological Distress among Italian People during the COVID-19 Pandemic: Immediate Psychological Responses and Associated Factors [J].
Mazza, Cristina ;
Ricci, Eleonora ;
Biondi, Silvia ;
Colasanti, Marco ;
Ferracuti, Stefano ;
Napoli, Christian ;
Roma, Paolo .
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2020, 17 (09)
[9]   Exploring the Impact of COVID-19 on Mental Health Outcomes in Children and Adolescents: A Systematic Review [J].
Nearchou, Finiki ;
Flinn, Clodagh ;
Niland, Rachel ;
Subramaniam, Sheena Siva ;
Hennessy, Eilis .
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2020, 17 (22)
[10]   Adversity in childhood is linked to mental and physical health throughout life [J].
Nelson, Charles A. ;
Scott, Richard David ;
Bhutta, Zulfiqar A. ;
Harris, Nadine Burke ;
Danese, Andrea ;
Samara, Muthanna .
BMJ-BRITISH MEDICAL JOURNAL, 2020, 371