Systematic Review: Investigating the Impact of COVID-19 on Mental Health Outcomes of Individuals With ADHD

Behrmann, Julie; Blaabjerg, Julie; Jordansen, Josefine; López, Kristine Jensen de

doi:10.1177/10870547211050945

Cited by 38 publications

(31 citation statements)

References 44 publications

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“…In children with ADHD there was a significant increase in levels of anxiety/depression, somatic disorders, rule violation, affective disorders, anxiety disorders, somatic disorders and conduct disorders. Our finding is in agreement with a systematic review by Behrmann [ 29 ], which showed that the impact of the pandemic was generally negative for individuals with ADHD who experienced behavioral and psychological issues, such as depression, anxiety, loneliness, boredom and emotional distress, particularly in adolescents and preteens.…”

Section: Discussionsupporting

confidence: 93%

Impact of COVID-19 Pandemic on Children and Adolescents with Neuropsychiatric Disorders: Emotional/Behavioral Symptoms and Parental Stress

Operto

Coppola

Vivenzio

et al. 2022

IJERPH

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The objective of our study was to evaluate the impact of the COVID-19 pandemic on the emotional and behavioral symptoms in minors with neuropsychiatric disorders and on parental stress through a standardized neuropsychological assessment, comparing the data collected before the pandemic with those collected during the lock-down. Another goal of our study was to analyze the relationship between parental stress and behavioral/emotional symptoms in children. Our study was conducted on 383 families of patients who had already been referred at the Child Neuropsychiatry Unit of the University Hospital of Salerno for different neuropsychiatric conditions. All the parents completed two neuropsychological standardized questionnaires for the assessment of parental stress (PSI—Parenting Stress Index-Short Form) and the emotional/behavioral problems of their children (Child Behaviour CheckList). The data collected during the pandemic were compared with those collected from questionnaires administered during the six months preceding the pandemic, as is our usual clinical practice. The comparison between the mean scores of PSI and CBCL before and after the pandemic showed a statistically significant increase in all subscales analyzed in the total sample. The correlation analysis showed significant positive relationship between the subscale Total Stress of PSI and the subscales Total Problems and Internalizing Problems of CBCL. Our study suggested that the COVID-19 pandemic and the corresponding measures adopted led to an increase in internalizing and externalizing symptoms in children and adolescents with neuropsychiatric disorder. Similarly, parental stress increased during COVID-19 and ahigher level of stress in parents can be related to the internalizing symptoms of their children.

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Section: Discussionsupporting

confidence: 93%

Impact of COVID-19 Pandemic on Children and Adolescents with Neuropsychiatric Disorders: Emotional/Behavioral Symptoms and Parental Stress

Operto

Coppola

Vivenzio

et al. 2022

IJERPH

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“…Nascent research indicates that pandemic-related disruptions to daily life activities significantly exacerbate functional impairments already experienced by individuals with ADHD (for reviews, see Behrmann et al, 2021; Hollingdale et al, 2021). Several studies, albeit with small to medium effect sizes, indicate that the pandemic may increase the severity of ADHD symptoms (e.g., Breaux, Dvorsky et al, 2021; Wendel et al, 2020; Zhang et al, 2020) and may be associated with less exercise and outdoor time, less enjoyment in activities, and increased screen time and negative mood (Sciberras et al, 2020).…”

mentioning

confidence: 99%

Impact of COVID-19 on Youth With ADHD: Predictors and Moderators of Response to Pandemic Restrictions on Daily Life

et al. 2021

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We examined COVID-19 symptoms and infection rates, disruptions to functioning, and moderators of pandemic response for 620 youth with ADHD and 614 individually matched controls (70% male; Mage = 12.4) participating in the Adolescent Brain and Cognitive Development study. There were no group differences in COVID-19 infection rate; however, youth with ADHD were more likely to exhibit COVID-19 symptoms ( d = 0.25), greater sleep problems ( d = −0.52), fear and negative emotions to infection risk ( d = −0.56), trouble with remote learning ( d = −0.54), rule-breaking behavior related to COVID-19 restrictions ( d = −0.23), family conflict ( d = −0.13), and were less prepared for the next school year ( d = 0.38). Youth with ADHD were less responsive to protective environmental variables (e.g., parental monitoring, school engagement) during the pandemic and may need more specialized support with return to in-person schooling and daily activities.

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“…Additional negative consequences included school dropout, poor sleep quality, and increased social media and gaming time. Notably, some youth with ADHD reported positive impacts including better academic performance, less anxiety, and improved family relationships [42 ▪ ]. Changes in environmental factors including social isolation, remote schooling, and familial stress may be largely responsible for these outcomes.…”

Section: Impact Of Covid-19 On Adolescents and Young Adults With Atte...mentioning

confidence: 99%

Caring for adolescents and young adults with attention-deficit/hyperactivity disorder in primary care: seizing opportunities to address youth mental health needs

Driscoll¹,

Kimberg

Chung³

2022

Current Opinion in Pediatrics

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Purpose of reviewTo provide primary care providers (PCPs) with updated practical guidance around the assessment and management of attention-deficit/hyperactivity disorder (ADHD) in adolescents and young adults (AYA).Recent findingsOf the three different presentations of ADHD delineated in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), the Predominantly Inattentive presentation is the most common among AYA. Multiple rating scales exist to assist clinicians in identifying ADHD symptoms and monitoring treatment effects. Importantly, ADHD frequently persists into adulthood with negative impacts in many life domains if left untreated. It is important for PCPs to provide support for AYA as they transition to adulthood, as treatment adherence often drops sharply at that time, and, once treatment is discontinued, it is rarely restarted. Further, clinicians should be aware of the negative psychological, behavioral, and social impacts that COVID-19 has had on AYA with ADHD.SummaryAYA with ADHD often seek care first from PCPs. However, diagnosis and management of ADHD among AYA are challenging, and many clinicians feel ill-equipped, creating concern that many youth may go undiagnosed and untreated. Despite these long-standing challenges, recent advances have opened up critical opportunities for PCPs to proactively address ADHD in primary care settings and make a profound impact on youth as they seek to realize their full potential.

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Systematic Review: Investigating the Impact of COVID-19 on Mental Health Outcomes of Individuals With ADHD

Cited by 38 publications

References 44 publications

Impact of COVID-19 Pandemic on Children and Adolescents with Neuropsychiatric Disorders: Emotional/Behavioral Symptoms and Parental Stress

Impact of COVID-19 Pandemic on Children and Adolescents with Neuropsychiatric Disorders: Emotional/Behavioral Symptoms and Parental Stress

Impact of COVID-19 on Youth With ADHD: Predictors and Moderators of Response to Pandemic Restrictions on Daily Life

Caring for adolescents and young adults with attention-deficit/hyperactivity disorder in primary care: seizing opportunities to address youth mental health needs

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