The quality of life of children with neurodevelopmental disorders and their parents during the Coronavirus disease 19 emergency in Japan

Ueda, Riyo; Okada, Takashi; Kita, Yoshiko; Ozawa, Yuri; Inoue, Hisami; Shioda, Mutsuki; Kono, Yoshimi; Kono, Chika; Nakamura, Yukiko; Amemiya, Kei; Ito, Ai; Sugiura, Nobuko; Matsuoka, Yuichiro; Kaiga, Chinami; Kubota, Masaya; Ozawa, Hiroshi

doi:10.1038/s41598-021-82743-x

Cited by 37 publications

(44 citation statements)

References 34 publications

(49 reference statements)

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“…In fact, the majority of children with autism spectrum disorder (ASD) had a higher probability of worsened behavioral symptoms during the pandemic than during the pre-COVID-19 era, and the need for professional support as perceived by parents was more for children with NDDs than for TDC 2 , 5 . Moreover, in a previous study, the prevalence of maternal depression increased especially in children with NDDs during the COVID-19 pandemic 6 , 7 , and maternal depressive state negatively interacted with changes in lifestyles and maladaptive behaviors of children with NDDs during the COVID-19 pandemic 1 , 3 – 5 , 8 . This negative interaction was observed between children with NDDs and their caregivers during ordinary times 9 , 10 and previous natural disasters prior to the COVID-19 pandemic 11 , and was even worse during emergency situations.…”

Section: Introductionmentioning

confidence: 78%

“…In this study, we evaluated the quality of life (QOL) of children with NDDs and their parents in the early period of COVID-19 pandemic (May 2020; T1) and one year later (May 2021; T2) during the pandemic. The QOL describes an individual’s subjective perception of their position in life, as evidenced by their physical, psychological, and social functioning, and is often used to examine well-being and burden in children with NDDs and parents 8 , 13 . During the early period of the COVID-19 pandemic, previous studies revealed that higher QOL of children with NDDs and their parents was associated with less parental stress, parental depression and anxiety, and milder maladaptive behavior in children 8 .…”

Section: Introductionmentioning

confidence: 99%

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Quality of life of children with neurodevelopmental disorders and their parents during the COVID-19 pandemic: a 1-year follow-up study

Ueda

Okada

Kita

et al. 2022

Sci Rep

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This study aimed to reveal changes in the quality of life (QOL) of children with neurodevelopmental disorders and their parents, and the interaction between their QOL and parental mental state during the coronavirus 2019 (COVID-19) pandemic. Eighty-nine school-aged children and parents participated in surveys in May 2020 (T1) and May 2021 (T2). The parents completed questionnaires that assessed their QOL, depression, parenting stress, and living conditions. Children’s temporary mood status was evaluated using the self-reported visual analog scale (VAS). Children’s QOL and VAS at T2 were higher than their QOL at T1. Parents’ QOL at T2 was lower than their QOL at T1. Severe parental depression at T1 had a synergistic effect on severe parenting stress and severe depressive state at T2. Additionally, children’s high QOL at T1 had a synergistic effect on low parenting stress and children’s high QOL at T2. Furthermore, children’s low VAS scores and parents’ low QOL at T2 were associated with deterioration of family economic status. Children and parents’ QOL changed during the prolonged COVID-19 pandemic. Improvement in children’s QOL was influenced by reduced maternal depressive symptoms. Public support for parental mental health is important to avoid decreasing QOL.

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Section: Introductionmentioning

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Quality of life of children with neurodevelopmental disorders and their parents during the COVID-19 pandemic: a 1-year follow-up study

Ueda

Okada

Kita

et al. 2022

Sci Rep

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“…A Turkish study during the COVID-19 pandemic indicated that severe sleep disorders led to highly increased ASD symptoms ( 32 ). In our previous study, QOL of children in parent proxy-reports also decreased with changes in sleep during the COVID-19 stay-at-home period ( 19 ). Despite a weak correlation of the same domain in both reports in a previous study ( 20 ), the similarity of the results in self-report and proxy-report was clarified in this study.…”

Section: Discussionmentioning

confidence: 82%

“…In a previous study, we asked parents to respond to the questionnaire survey on changes in children's QOL and lifestyle during the COVID-19 stay-at-home period. We found that changes in children's sleep schedules were associated with reduced QOL, and decreased maladaptive behavior with a maintained QOL ( 19 ). Thus, our former study indicated the importance of adjusting the sleep schedule to maintain the QOL of children.…”

Section: Introductionmentioning

confidence: 99%

Psychological Status Associated With Low Quality of Life in School-Age Children With Neurodevelopmental Disorders During COVID-19 Stay-At-Home Period

et al. 2021

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Background: This study seeks to ascertain how the COVID-19 stay-at-home period has affected the quality of life (QOL) of children with neurodevelopmental disorders (NDDs) who had experienced sleep schedules alteration and clarify what psychological status predicted low QOL in children with and without altered sleep patterns.Materials and Methods: Study participants were 86 children between 8 and 17 years of age (mean age, 11.7 years; 70 boys, 16 girls; mean intellectual quotient, 83.6). QOL was evaluated using the self-assessment KINDLR. Participants answered questions regarding depression and anxiety on a visual analog scale (VAS) for temporary mood. Their parents answered questionnaires regarding their maladaptive behaviors and differences in sleep patterns before and during the COVID-19 pandemic. The student's t-test was performed to examine the presence or absence of sleep changes in the children, which affected QOL, temporary mood, and maladaptive behaviors. Multiple or simple linear regression analyses were also performed to identify the psychogenic factors that significantly affected decreased QOL for each group with and without changes in sleep schedule.Results: During the COVID-19 stay-at-home period, 46.5% of participants experienced changes in sleep patterns. These changes were associated with decreased QOL as well as internalized symptoms. The decreased QOL of children with sleep patterns changed was predicted by a high level of depression. In addition, low QOL in children with unchanged sleep patterns was predicted by a high level of depression and low current mood status.Conclusions: Almost half of the participants experienced a poor sleep schedule during the stay-at-home period. These alterations in sleep patterns were associated with a low QOL. The QOL of children with a stable life schedule was affected not only by depressive tendencies but also temporary moods. Therefore, they need to live a fulfilling life to maintain their QOL. However, the QOL of children with poor sleep patterns was affected only by depressive tendencies. Hence, clinicians need to ensure that children with NDDs are well-diagnosed with depression and treated for sleep problems.

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“…Especially in children and adolescents with diseases such as attention deficit hyperactivity disorder (ADHD) and autism, fluctuations and increases in their symptoms emerged in this process. This statement also negatively affected the mood of the parents and caregivers [91][92][93]. Sleep disturbances in children and adolescents with ADHD were also reported [94].…”

Section: Mental Problems Due To Chronic Stress and Social Isolationmentioning

confidence: 96%

Effects of the Covid-19 pandemic on brain and behavior

Uzbay¹

2021

jrp

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The Covid-19 viral infection, which was first detected in Wuhan, China at the end of 2019, spread rapidly around the world and turned into a major pandemic. At the time this article was written, Covid-19 has infected more than 250 million people worldwide, causing close to 5 million deaths. In addition to the fact that Covid-19 is a lytic infection, its easy spread through the respiratory tract required a social isolation that people were not accustomed in the pandemic period. Social isolation and economic losses caused significant social and psychological problems in society. On the other hand, Covid-19 also has direct effects on the central nervous system (CNS), and these effects may be responsible for some serious early or late neuropsychic disorders. In addition, acute symptoms of infection involved in respiratory system failure and cytokine storm, and vaccination activities were discussed detailed. Although neurological problems such as seizure, encephalitis, anosmia, dysgeusia, stroke and delirium are discussed to a certain extent, current data on psychological and/or psychiatric problems due to pandemic itself or the virus are remaining limited. In this review article, it is aimed to evaluate the effects of Covid-19 on brain and mental health in the light of current data. In addition, the literature on neuropsychiatric side effects of vaccines approved for emergency use was also reviewed.

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The quality of life of children with neurodevelopmental disorders and their parents during the Coronavirus disease 19 emergency in Japan

Cited by 37 publications

References 34 publications

Quality of life of children with neurodevelopmental disorders and their parents during the COVID-19 pandemic: a 1-year follow-up study

Quality of life of children with neurodevelopmental disorders and their parents during the COVID-19 pandemic: a 1-year follow-up study

Psychological Status Associated With Low Quality of Life in School-Age Children With Neurodevelopmental Disorders During COVID-19 Stay-At-Home Period

Effects of the Covid-19 pandemic on brain and behavior

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