The impact of COVID-19 pandemic on emotional and behavioral problems of children with autism spectrum disorder and developmental delay aged 1–6 years in China

Zhao, Yanan; Luo, Yanan; Zhang, Rong; Zheng, Xiaoying

doi:10.3389/fpsyt.2023.1134396

Cited by 7 publications

(4 citation statements)

References 48 publications

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“…Thirdly, previous psychiatric disorders, especially neurodevelopmental disorders, are a frequent comorbidity in subjects who do an ED admission for psychological fragility. Moreover, subjects with ASD and ADHD showed worrying symptomatology during the first phases of COVID-19 pandemic ( Giallonardo et al, 2021 ; Zhao et al, 2023 ), thus suggesting that a cluster of subjects in our sample could have a neurodevelopmental disorder and that this could be an important variable that should have been considered in our analyses. By the way, due to the retrospective nature of this study, it was impossible including a cluster analysis on these subjects.…”

Section: Discussionmentioning

confidence: 96%

“…Those with ADHD exhibited an increased prevalence of exaggerated startle responses, difficulties in waking up, angry moods, and COVID-19-related fears compared to typically developing children and adolescents ( Giallonardo et al, 2021 ). Another study also revealed a higher likelihood of negative emotional and behavioral changes in children aged 1–6 years with autism spectrum disorder (ASD) ( Zhao et al, 2023 ). Mental problems caused by the COVID-19 pandemic in adolescents may have serious and lasting effects, leading to poor mental and physical health conditions ( Jones et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

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Psychological disorders and suicide attempts in youths during the pre-COVID and post-COVID era in a Taiwan pediatric emergency department

Guo,

Chen,

Huang

et al. 2023

Front. Psychol.

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BackgroundThe COVID-19 pandemic has had a significant impact on pediatric patients, increasing their vulnerability to psychological fragility. The aim of this study was to investigate the epidemiology and clinical spectrum of pediatric psychological fragility and suicide attempts in the emergency department (ED) before and after the onset of the COVID-19 outbreak.MethodsA total of 340 pediatric patients admitted to the ED for psychological fragility between 2019 and 2022 were retrospectively collated and categorized according to three periods: pre pandemic, pandemic, and post pandemic. Epidemiological and clinical information were analyzed and compared among the three groups. Moreover, patients with suicidal ideation or suicidal attempts and types of substance use disorders in children with suicidal attempts sent to the ED were analyzed.ResultsThe proportion of psychological fragility increased during the pandemic period (0.4%) and the post-pandemic period (0.8%) compared to that in the pre-pandemic period (0.28%). Suicide ideation was the highest before the pandemic period (0.04%), while suicidal attempts were the highest in the post pandemic period (0.42%). Significantly elevated trends in suicide attempts involving overdose and injury were observed among the three groups (p < 0.05). Intensive care unit (ICU) admission rates increased significantly after the COVID-19 outbreak (p < 0.05), and major depressive disorder was the most common psychological fragility in the ED in all three groups.ConclusionAn increase in the proportion of pediatric psychological fragility in the ED was noted in the post pandemic period than before or during the pandemic. With higher rates of ICU admissions and an increase in suicide attempts among children and adolescents during the pandemic compared to before or after the pandemic, it is of utmost importance to provide mental health support to this vulnerable population in order to prevent suicide attempts in the event of a new global outbreak of infectious diseases.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Psychological disorders and suicide attempts in youths during the pre-COVID and post-COVID era in a Taiwan pediatric emergency department

Guo,

Chen,

Huang

et al. 2023

Front. Psychol.

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“…Telomere attrition can cause alterations such as apoptosis, blocked cell division, cell aging, and death [43]. Telomere shortening in the brain has been linked to aging and aging-related diseases in observational studies, including AD, Parkinson's disease, schizophrenia among others [44][45][46][47][48][49][50][51][52]. Notably, individuals with AD had a higher rate of leukocyte telomere shortening per year compared to healthy individuals and those with MCI [53].…”

Section: Telomere Length and Cognitive Functionmentioning

confidence: 99%

Dietary fat, telomere length and cognitive function: unravelling the complex relations

Mostafa,

Gutierrez-Tordera,

Mateu-Fabregat

et al. 2023

Current Opinion in Lipidology

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Purpose of review The review aims to explore the recent evidence on the associations between different dietary fat intake and cognitive function, and to understand the role of telomere length in this relationship. Recent findings Clinical and preclinical studies included in this review suggest that dietary fat intake is associated with cognitive function and telomere length. High intake of saturated fats and trans fats, commonly found in ultra-processed foods, appears to have negative effects on cognitive function and telomere length, while other dietary fats, such as omega-3 polyunsaturated fatty acids and monounsaturated fatty acids are associated with improved cognitive performance and reduced telomere attrition. Controversial results related to omega-6 polyunsaturated fatty acids intake and its impact on cognitive function were found. Dietary fats may affect telomere length and cognition through oxidative stress, inflammation, and insulin resistance. Summary The current review illustrated the relationship between dietary fat and cognitive function by focusing on the role of telomere length as a potential intermediator. More future studies are required, however, in order to develop targeted interventions aimed at preserving cognitive well-being throughout life.

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“…According to the article, children with developmental disabilities, especially ASD, faced emotional challenges during COVID-19. Online support was found to be ineffective for providing educational intervention to children with ASD in China (Zhao et al, 2023). In this study, the authors investigated challenges faced by 50 children (aged 6 to 10 years old) diagnosed with ASD, ADHD, and DLD.…”

Section: Related Workmentioning

confidence: 99%

Comparative Analysis of Sentiments in Children with Neurodevelopmental Disorders

Kumar,

Jaiswal

2023

ADCAIJ

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In-group favoritism is the tendency of people where, individuals tend to punish transgressors with varying intensity based on whether they belong to their own group or not. In this cross-sectional analytical study, we examine matched samples of children with developmental disorders, observing their perspectives on punishment after watching two videos in which rules are broken. Data (video 1) shows a football player from the viewer’s country scoring a handball goal, while in data (video 2), a foreign player replicates the same action against the host nation. Every contestant viewed both videos, and their responses were then compared. Our proposed methods compare and analyze the data to determine player’s opinions using artificial intelligence-based machine learning such as text analysis and opinion, extract on- favorable, unfavorable, neutral feelings, or emotions. In both sets of data, the autism spectrum disorder (ASD) group displayed negative emotions for both video 1 (M = −.1; CI 90% −.41 to .21) and video 2 (t (7) = 1.54, p =.12; M = -.42; CI 90% 76 to -.08). On the contrary, the groups with attention deficit hyperactivity disorder (ADHD), learning disabilities (LD), and intellectual disability (ID) had a favorable reaction to video1 but an unfavorable reaction to video 2. Children diagnosed with ASD typically display a consistent adherence to rules, even when those breaking the rules are not part of their group. This behavior may be linked to lower levels of empathy.

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The impact of COVID-19 pandemic on emotional and behavioral problems of children with autism spectrum disorder and developmental delay aged 1–6 years in China

Cited by 7 publications

References 48 publications

Psychological disorders and suicide attempts in youths during the pre-COVID and post-COVID era in a Taiwan pediatric emergency department

Psychological disorders and suicide attempts in youths during the pre-COVID and post-COVID era in a Taiwan pediatric emergency department

Dietary fat, telomere length and cognitive function: unravelling the complex relations

Comparative Analysis of Sentiments in Children with Neurodevelopmental Disorders

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