Acute stress, behavioural symptoms and mood states among school-age children with attention-deficit/hyperactive disorder during the COVID-19 outbreak

Zhang, Jinsong; Shuai, Lan; Yu, Hui; Wang, Zhouye; Qiu, Meihui; Lu, Lu; Cao, Xuan; Xia, Weipin; Wang, Yuanyuan; Chen, Runsen

doi:10.1016/j.ajp.2020.102077

Cited by 284 publications

(360 citation statements)

References 8 publications

Supporting

Mentioning

313

Contrasting

Unclassified

Order By: Relevance

“…It is plausible that the worsened inattentive symptoms in our patients were associated with psychological trauma due to being quarantined. A very recent study 6 showed that ADHD symptoms in children signi cantly worsened in comparison to the baseline state during the COVID-19 outbreak in China and that children's negative mood state was associated with ADHD symptoms. It was also reported 7,8 that children who were isolated or quarantined during pandemic diseases were more likely to develop acute stress disorder, adjustment disorder, and grief.…”

Section: Main Textmentioning

confidence: 99%

The Inattentiveness of Children with ADHD may Worsen During the COVID-19 Quarantine

Sasaki

Niitsu

Tachibana

et al. 2020

Preprint

View full text Add to dashboard Cite

Objective: The coronavirus disease 2019 pandemic has caused school closures worldwide. Japan's Prime Minister declared a state of emergency based on the coronavirus pandemic for Tokyo, Chiba, and other prefectures on April 7, 2020. Children with ADHD are particularly vulnerable to the distress caused by the pandemic and physical distancing measures, and they might display increased behavioral problems. We surveyed 15 children with ADHD, aged 11.8 ± 2.8 years old; 13 were males and 2 were females (combined subtype, n=12; inattentive subtype, n=3). The children's ADHD-RS scores were assessed by their mother (n=12), father (n=1), or nursing home staff (n=2) from before the emergency declaration (in February or March 2020) to after the emergency declaration (April or May 2020). There were no changes of treating physician, drug type or quantity, or psychotherapy or assessment person from January 2020 to May 2020. Results: A comparison of the baseline scores and secondary outcomes reveals that the ADHD-RS total score and inattentive subscore worsened significantly during this period, whereas the hyper/impulsive subscore did not. In conclusion, we suggest that policymakers, healthcare providers and families should be mindful of the potential development of inattentiveness among children with ADHD who are quarantined because of COVID-19.

show abstract

Section: Main Textmentioning

confidence: 99%

The Inattentiveness of Children with ADHD may Worsen During the COVID-19 Quarantine

Sasaki

Niitsu

Tachibana

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…In samples of children with previous mental illnesses in other countries, their conditions have been reported to be negatively affected by the pandemic [ 6 ]. This is the case of children with attention-deficit/hyperactivity disorder [ 7 ] and autism [ 8 ]. The variables that were more predictive of already existing conditions worsening were children’s and parents’ general worse mood, less time dedicated to studying [ 7 ], and not receiving support from the school [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…This is the case of children with attention-deficit/hyperactivity disorder [ 7 ] and autism [ 8 ]. The variables that were more predictive of already existing conditions worsening were children’s and parents’ general worse mood, less time dedicated to studying [ 7 ], and not receiving support from the school [ 8 ]. Older age and living with a single parent were protection factors against more intense behavior problems in autistic children [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Life Conditions during COVID-19 Lockdown and Mental Health in Spanish Adolescents

Ezpeleta

Navarro

Osa

et al. 2020

IJERPH

133

134

View full text Add to dashboard Cite

Spanish children were locked down for 72 days due to COVID-19, causing severe disruption to their normal life. The threat posed by COVID-19 continues and clinicians, administrators, and families need to know the life conditions associated with more psychological problems to modify them and minimize their effect on mental health. The goal was to study the life conditions of adolescents during lockdown and their association with psychological problems. A total of 226 parents of 117 girls and 109 boys (mean age: 13.9; Standard deviation: 0.28) from the community that were participants in a longitudinal study answered an online questionnaire about life conditions during lockdown and the Strengths and Difficulties Questionnaire (SDQ). Stepwise regression analyses controlling by previous reports of SDQ were performed. Conduct, peer, prosocial, and total problems scores increased after lockdown. After adjusting for previous measures of psychopathology, worse adolescents’ mental health during COVID-19 lockdown was associated with unhealthy activities, worsening of the relationships with others, and dysfunctional parenting style. It seems important to mitigate psychological stress in a situation of isolation due to a state of emergency by keeping the adolescent active and maintaining their daily habits and routines in a non-conflictive atmosphere and give support to parents.

show abstract

“…Children with neuropsychological developmental disorders are more sensitive to disease-related information and are more likely to display behavioral problems. 26,27 Guideline-recommended strategies for those with pre-existing mental illness, such as ADHD and ASD, are therefore needed to be reinforced to manage children's disruptive behaviors. 45 Since national social distancing measures present considerably increased challenges to children with a mental illness history, mental training programs that help healthcare professionals deliver timely psychotherapy to children in poor mental health conditions should be implemented in the face of COVID-19 crisis.…”

Section: Discussionmentioning

confidence: 99%

“…25 Children who had a history of somatic symptom disorder (SSD), autism spectrum disorder (ASD), and attention de cit hyperactivity disorder (ADHD) were also reported to experience an exacerbation of psychological symptoms. [26][27][28] Emotional needs…”

Section: Psychological Impactmentioning

confidence: 99%

Psychosocial impact of respiratory infectious disease pandemics on children: a systematic review

Wang¹,

Xiao

Sun

et al. 2020

Preprint

View full text Add to dashboard Cite

Objective To examine the impact of respiratory infectious disease pandemics in the new millennium on mental health, behavioral responses, and parenting practices in children, and provide further intervention directions to mitigate negative effects of the 2019 novel coronavirus disease (COVID-19). Methods We conducted a systemic literature review of researches from January 2003 to May 2020 with three mainstream electronic databases including PubMed, Web of Science, and China National Knowledge Infrastructure. Quality of included studies were assessed using Agency for Healthcare Research and Quality (AHRQ), Newcastle-Ottawa Scale (NOS), and Critical Appraisal Skills Programme (CASP) according to different study design. Further directions were identified for developing appropriate interventions. Results Twenty-four studies conducted in the context of severe acute respiratory syndrome (SARS) (n = 10), influenza A (H1N1) (n = 3), and COVID-19 (n = 11) pandemics met the inclusion criteria. Children showed emotional conditions such as anxiety, fear, and depression, while psychological responses varied across age and gender groups. Children with mental illness history experienced an exacerbation of psychological symptoms. The pandemics changed hygiene habits and learning styles, and led to the increased participation in unfavorable lifestyles. For families with pediatric patients, the pandemic decreased parents’ participation in providing family-centered care and threatened to supportive family relationship and effective parents-child communication. Conclusion The emerging virus outbreaks and subsequent disease-control measures have impacts on mental health status, behavioral responses, and parenting practices in children. In response to COVID-19, greater efforts taking into account children’s developmental stage should be made to implement evidence-based psychological interventions, enhance effective communication, and encourage collaboration.

show abstract

Acute stress, behavioural symptoms and mood states among school-age children with attention-deficit/hyperactive disorder during the COVID-19 outbreak

Cited by 284 publications

References 8 publications

The Inattentiveness of Children with ADHD may Worsen During the COVID-19 Quarantine

The Inattentiveness of Children with ADHD may Worsen During the COVID-19 Quarantine

Life Conditions during COVID-19 Lockdown and Mental Health in Spanish Adolescents

Psychosocial impact of respiratory infectious disease pandemics on children: a systematic review

Contact Info

Product

Resources

About