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Impacts of long-term coronavirus disease 2019 school closures on Japanese school children

Chiaki Hayano1, Shuichi Shimakawa1, Miho Fukui1,2

  • 1Department of Pediatrics, Osaka Medical and Pharmaceutical Hospital, Takatsuki, Osaka, Japan.

Pediatrics International : Official Journal of the Japan Pediatric Society
|July 27, 2022
PubMed

Insights

School closures during the COVID-19 pandemic negatively impacted students with chronic diseases. Mental health risks increased, varying by diagnosis and feelings about school reopening.

Area of Science:

  • Pediatric Mental Health
  • Chronic Disease Management
  • Epidemiology

Background:

  • Investigated the mental health effects of COVID-19 pandemic school closures on students with chronic diseases.
  • Examined the psychological impact on pediatric populations during a public health crisis.

Purpose of the Study:

  • To assess the risk of psychosomatic disorders in students with chronic conditions during school closures.
  • To understand the relationship between school closure, student well-being, and specific diagnoses.

Main Methods:

  • Surveyed 286 families of students (4th-9th grade) with chronic diseases.
  • Utilized self-report questionnaires (Questionnaire for Triage and Assessment) and parent/caregiver reports to calculate somatic symptom (SS) scores.
  • Categorized students into psychosomatic disorder, developmental disorder, and other disease groups.

Main Results:

  • Increased risk of psychosomatic disorders observed across all student groups.
  • Specific student responses indicated varying impacts on mental health, with some desiring school return and others showing reluctance.
  • Psychosomatic disorder group students experienced transient decreases in SS scores during closure, followed by an increase post-reopening.

Conclusions:

  • The mental health impact of school closures on students with chronic diseases is diagnosis-dependent.
  • Student attitudes towards school during closure influenced their mental health outcomes.
  • Findings highlight the need for tailored mental health support for vulnerable student populations.
Abstract

Keywords:
COVID-19Japanchronic diseasemental healthreturn to school

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