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Depressive Anxiety Symptoms in Hospitalized Children with Chronic Illness during the First Italian COVID-19 Lockdown
Cinzia Correale1, Chiara Falamesca1, Ilaria Tondo1
1Clinical Psychology Unit, IRCCS Bambino Gesù Children Hospital, 00146 Rome, Italy.
Insights
The COVID-19 pandemic significantly impacted children with chronic illnesses (CI), with high rates of anxiety and depression observed. Tailored psychological support is crucial for their mental health during this period.
Area of Science:
- Pediatric Psychology
- Public Health
- Epidemiology
Background:
- The COVID-19 pandemic has had a profound impact on global health and daily life.
- While its mental health effects on the general population are documented, less is known about vulnerable groups like children with chronic illnesses (CI).
Purpose of the Study:
- To assess the prevalence of anxiety and depressive symptoms in pediatric patients with CI during the initial COVID-19 lockdown in Italy.
- To identify clinical and demographic factors associated with these symptoms.
Main Methods:
- A multi-centered, cross-sectional study was conducted in six Italian public children's hospitals.
- Included were children aged 11-18 with at least one chronic condition and no cognitive delay.
- Standardized questionnaires screened for anxiety and depressive symptoms during scheduled medical visits.
Main Results:
- A high proportion of children with CI exhibited symptoms of anxiety (approx. 63%) and depression (approx. 68%), ranging from mild to severe.
- These findings underscore the significant psychological distress experienced by this population.
Conclusions:
- Children with chronic illnesses are particularly vulnerable to the mental health consequences of the COVID-19 pandemic and associated public health measures.
- There is an urgent need for specialized psychological interventions to support the mental well-being of these children.
Abstract:
COVID-19 is continuing to spread around the world, having a direct impact on people's daily lives and health. Although the knowledge of the impact of the COVID-19 pandemic on mental health in the general population is now well established, there is less information on its effect on specific and vulnerable populations, such as children with chronic illness (CI). We conducted a multi-centered cross-sectional study among pediatric patients in six public children's hospitals in Italy during the first lockdown, with the aim of assessing the proportion of children with CI presenting anxiety and depressive symptoms, and the clinical and demographic characteristics affecting such symptomatology. We included children with at least one chronic condition, with no cognitive delay, aged between 11 and 18 years. Brief standardized questionnaires were administered during medical scheduled visits to screen anxiety and depressive symptoms. We found a very high proportion of children showing mild to severe depressive and anxiety symptomatology (approximately 68% and 63%, respectively). Our results highlight the need of ensuring tailored psychological interventions to protect children with CI from the effect of the pandemic (and related restrictive measures such as quarantine and social distancing), with the final aim of promoting mental health and psychological well-being in this vulnerable population.
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