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Mental Health of Children With Attention Deficit and Hyperactivity Disorder and Their Parents During the COVID-19

E Bobo1, E Fongaro1,2, L Lin3

  • 1CHU Montpellier, Saint Eloi Hospital, Unit for Child and Adolescent Psychiatry (MPEA1), Montpellier, France.

Frontiers in Psychiatry
|June 30, 2022
PubMed

Insights

The COVID-19 lockdown did not worsen behavior in most children with Attention Deficit Hyperactivity Disorder (ADHD), but hyperactivity and behavioral symptoms remained high. Positive coping strategies helped parents and children, suggesting a need for online interventions.

Area of Science:

  • Child Psychology
  • Neurodevelopmental Disorders
  • Pandemic Mental Health

Background:

  • The COVID-19 pandemic and associated lockdowns significantly disrupted children's lives, particularly those with neurodevelopmental disorders.
  • Children with Attention Deficit Hyperactivity Disorder (ADHD) and their parents are vulnerable to negative mental health impacts during restrictive measures.

Purpose of the Study:

  • To investigate the psychological state of children with ADHD and their parents during the initial COVID-19 lockdown in France.
  • To identify factors influencing child behavior and parental mental health during the lockdown.

Main Methods:

  • A national prospective, cross-sectional, parent-reported online survey was conducted.
  • Data collected using open-ended questions, multiple-choice items, and standardized questionnaires (SDQ, Brief COPE, PHQ-2).
  • 538 parents of children with ADHD completed the survey during the first French lockdown (April 2020).

Main Results:

  • Most children (65.29%) did not show worsened behavior, yet pathological hyperactivity (56.47%) and behavioral symptoms (57.60%) persisted.
  • A significant portion of parents (26.27%) exhibited symptoms indicative of possible major depressive disorder.
  • Positive parental coping strategies correlated with improved child behavior and reduced parental depressive symptoms.

Conclusions:

  • While most children's behavior did not deteriorate, ADHD symptoms remained prevalent during lockdown.
  • Parental coping strategies are crucial for mitigating negative psychological effects on both children with ADHD and their parents.
  • Adapting psychological care to include robust online interventions is essential for supporting families with ADHD during pandemics.

Keywords:
Attention Deficit Hyperactivity Disorder (ADHD)COVID-19behavioral symptomschilddepressive disorderlockdownparental coping strategies

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