Mental health considerations for children quarantined because of COVID-19

Liu, Jiajia; Bao, Yanping; Huang, Xiaolin; Shi, Jie; Lü, Lin

doi:10.1016/s2352-4642(20)30096-1

Cited by 752 publications

(694 citation statements)

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“…Moreover, 30% of the children who were isolated or quarantined met the clinical criteria for post-traumatic stress disorder. 7,8 The prominent clinical responses to traumatic and stressful events include anhedonic and dysphoric symptoms, externalizing angry and aggressive symptoms, or dissociative symptoms, 4 including inattentiveness.…”

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

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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.

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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

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“…Social distancing policies, which have been shown to mitigate the outbreak 2,3,4 , were implemented worldwide 5 . The reduced companionship associated with quarantine, isolation, and school closures 6 can produce social stress 7 , which may adversely affect child health and development 8 .…”

Section: Introductionmentioning

confidence: 99%

SARS pandemic exposure impaired early childhood development: A lesson for COVID-19

Fan

Wang

et al. 2020

Preprint

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Social and mental stressors associated with the COVID-19 pandemic may promote long-term effects on child development. However, reports aimed at identifying the relationship between pandemics and child health are limited. We conducted a retrospective study to evaluate the severe acute respiratory syndrome (SARS) pandemic in 2003 and its relationship to child development indicators using a representative sample across China. Our study involved longitudinal measurements of 14,647 children, 36% of whom (n = 5216) were born before or during the SARS pandemic. Cox models were utilized to examine the effects of SARS on preterm birth and four milestones of development: age to (1) walk independently, (2) say a complete sentence, (3) count from 0 to 10, and (4) undress him/herself for urination. Mixed effect models were utilized to associate SARS with birthweight, body weight and height. Our results show that experiencing SARS during early childhood was significantly associated with delayed milestones, with adjusted hazard ratios of 3.17 [95% confidence intervals (CI): 2.71, 3.70], 3.98 (3.50, 4.53), 4.96 (4.48, 5.49), or 5.57 (5.00, 6.20) for walking independently, saying a complete sentence, counting from 0 to 10, and undressing him/herself for urination, respectively. Experiencing SARS was also associated with reduced body weight. This effect was strongest for preschool children [a weight reduction of 4. 86 (0.36, 9.35) kg, 5.48 (-0.56, 11.53) kg or 5.09 (-2.12, 12.30) kg for 2, 3, 4year-olds, respectively]. We did not identify a significant effect of maternal SARS exposure on birthweight or gestational length. Collectively, our results showed that the SARS pandemic was associated with delayed child development and provided epidemiological evidence to support the association between infectious disease epidemics and impaired child health. These results provide a useful framework to investigate and mitigate relevant impacts from the COVID-19 pandemic.

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“…Liu et al suggests that children who are separated from their parents/ caregivers due to their infections or their parents being affected or their parents serving in hospitals are more susceptible to psychological problems. Their vulnerability to depression, stress, anxiety, avoidance behavior, and post-traumatic stress disorder have been reported [3]. Infant's development of attachment to their caregivers can be affected by their separation which is crucial for the child psychological wellbeing in the adulthood [4].…”

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confidence: 99%