Interviewing children: the impact of the COVID-19 quarantine on children's perceived psychological distress and changes in routine
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Updated: Nov 5, 2025

Experimental Paradigm for Measuring the Effects of Self-distancing in Young Children
Published on: March 1, 2019
G Segre1, R Campi1, F Scarpellini1
1Laboratory for Mother and Child Health, Department of Public Health, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, 20156, Milan, Italy.
Insights
The COVID-19 quarantine significantly impacted Italian children's mental health, causing widespread anxiety and mood symptoms. Many students struggled with home learning, altered diets, and disrupted sleep patterns during the lockdown.
Area of Science:
- Child and Adolescent Psychology
- Public Health
- Epidemiology
Background:
- The COVID-19 pandemic necessitated widespread public health measures, including school closures and social distancing.
- Limited research has explored the psychological effects of these containment strategies on children's mental well-being.
- Italian primary and middle school students experienced significant routine changes due to the COVID-19 quarantine.
Purpose of the Study:
- To investigate psychological distress, specifically anxiety and mood symptoms, in Italian children during the COVID-19 quarantine.
- To assess perceived changes in daily routines among primary and middle school students under lockdown conditions.
Main Methods:
- An interview-based study was conducted with 82 children and adolescents (aged 6-14) and their parents in Milan, Italy.
- Data collection occurred between May 18 and June 7, 2020, during the COVID-19 quarantine period.
- The study focused on psychological distress, dietary habits, sleep patterns, and home learning adjustments.
Main Results:
- 78% of children reported anxiety symptoms, and 43.9% experienced significant mood symptoms.
- Nearly 30% of students found it difficult to adapt to home learning.
- Lockdown measures led to changes in dietary habits for 36% and sleep disturbances for 28% of participants.
Conclusions:
- Children are demonstrably affected by the COVID-19 epidemic and associated quarantine measures.
- The study highlights difficulties children face in adapting to altered routines and the psychological distress experienced.
- Long-term follow-up is recommended to understand the lasting developmental impacts of this stress exposure.
Background:
The COVID-19 outbreak has resulted in governments implementing disease containment measures such as school closures, social distancing, and home quarantine. To date, only a few studies have drawn attention to the psychological impact of lockdown on Italian children's mental health. The present study aimed to investigate the psychological distress (anxiety and mood symptoms) and perceived changes in routine among Italian primary and middle school students during the COVID-19 quarantine.
Methods:
This interview study was performed between the 18th of May and 7th of June 2020: it involved a sample of 82 children and adolescents living in Milan (Italy), attending primary and middle school (aged 6 to 14 years), and their parents.
Results:
Almost 30 % of the subjects reported having struggled to adjust to home learning. 36 responders completely changed their dietary habits during the lockdown: they were not eating the same amount of food and were consuming more junk food. Sleep habits were also affected by the lockdown measures: 28 % of the sample had difficulties sleeping and wished to sleep in their parents' bed. Concerning psychological distress, 64 (78 %) children and adolescents had anxiety symptoms; 43.9 % of the students reported significant mood symptoms.
Conclusions:
Children are not indifferent to the dramatic impact of the COVID-19 epidemic: our data confirm their difficulties in adapting to the quarantine measures. The effects of stress exposure may not manifest later on during the children's development, and, for this reason, it would be interesting to follow up on these participants to improve our understanding of how long these outcomes may last.
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