Behavioral problems of pediatric patients recovered from COVID-19 in Wuhan, China

Han Xiao1, Qi Liu2, Hong Mei1

  • 1Institute of Maternal and Child Health, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Acta Psychologica
|April 2, 2022
PubMed

Insights

Behavioral problems are common in children after recovering from COVID-19, affecting 13% overall. Parental emotional issues, like anxiety and depression, were linked to increased difficulties in these children.

Area of Science:

  • Pediatrics
  • Psychology
  • Infectious Diseases

Background:

  • Coronavirus disease 2019 (COVID-19) has impacted global health, with most research focusing on acute infection phases.
  • Limited attention has been given to the long-term health outcomes of recovered pediatric patients.
  • Understanding the psychological and behavioral sequelae in children post-COVID-19 is crucial.

Purpose of the Study:

  • To investigate the prevalence of behavioral problems in pediatric patients after recovering from COVID-19.
  • To assess the association between parental emotional well-being and behavioral issues in recovered children.

Main Methods:

  • A cohort of 122 hospitalized children (suspected or confirmed COVID-19) in Wuhan, China, were studied.
  • Data on hospitalization, discharge, and parental emotional symptoms were collected via medical records and questionnaires.
  • The Strengths and Difficulties Questionnaire (SDQ) was used to evaluate behavioral problems in children.

Main Results:

  • Among 122 recovered pediatric patients (62% boys, mean age 6.71 years), 13% exhibited total difficulties.
  • The highest prevalence of specific behavioral issues included prosocial behavior (15%), emotional symptoms (11%), and hyperactivity (10%).
  • Parents reported anxiety (26%) and depression (23%); higher parental emotional distress correlated with increased child behavioral problems.

Conclusions:

  • COVID-19 recovery in children is associated with a notable prevalence of behavioral problems.
  • Parental mental health significantly influences the behavioral outcomes of recovered pediatric patients.
  • Longitudinal studies are essential to fully understand the psychological impact of COVID-19 on children and their families.
Abstract