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Effects of psychosocial function in pediatric-onset inflammatory bowel disease during the coronavirus disease 2019
Huihui Zhang1, Yun Yang1, Xixi Zhao1
1Department of Gastroenterology Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing Key Laboratory of Child Health and Nutrition, Chongqing, China.
Insights
The COVID-19 pandemic did not significantly impact the mental health of pediatric inflammatory bowel disease (PIBD) patients. However, guardians of PIBD patients experienced increased anxiety and depression during the pandemic.
Area of Science:
- Pediatric Gastroenterology
- Psychosocial Health
- Epidemiology
Background:
- Limited research exists on the psychosocial effects of the COVID-19 pandemic on pediatric-onset inflammatory bowel disease (PIBD) patients.
- Understanding these effects is crucial for providing appropriate mental health support.
Purpose of the Study:
- To evaluate the psychological status of PIBD patients before and during the COVID-19 pandemic.
- To assess the relationship between mental health and disease activity in PIBD patients.
- To examine the anxiety and depression levels in guardians of PIBD patients during the pandemic.
Main Methods:
- A retrospective cohort study design was employed.
- Demographic, clinical, and psychological data (questionnaires) from PIBD patients were analyzed.
- Guardians' emotional status regarding anxiety and depression was evaluated during the pandemic.
Main Results:
- Female PIBD patients reported lower quality of life (QOL) and higher anxiety scores compared to males.
- The COVID-19 pandemic did not substantially affect patients' QOL, sleep quality, anxiety, or depressive symptoms.
- Guardians of PIBD patients exhibited significantly higher rates of anxiety and depression than healthy controls.
Conclusions:
- Female children with PIBD are more susceptible to reduced QOL and increased anxiety.
- The mental well-being of guardians of PIBD patients was negatively impacted by the pandemic.
- Despite the pandemic, PIBD patients' overall quality of life, sleep, and mood remained largely unaffected in this cohort.
Background And Aims:
Research on the effect of the coronavirus disease 2019 (COVID-19) pandemic on psychosocial function in patients with pediatric-onset inflammatory bowel disease (PIBD) is limited. This study aimed to evaluate the psychological status of patients with PIBD before and during the pandemic, and the relationship between mental health and disease activity.
Methods:
This study was a retrospective cohort study. Statistical analyses were performed to assess the relationship between demographic, clinical data and psychological data (questionnaires) of PIBD patients before and during the epidemic. The anxiety and depression emotional status of the guardians during the pandemic were evaluated.
Results:
In the PIBD follow-up cohort, 42 patients(male 61.9%) were included. Female with PIBD had lower pediatric quality of life inventory(PedsQL) scores (P = 0.007) and higher spence children's anxiety scale(SCAS) scores (P = 0.038) than male. The pandemic did not have a substantial impact on PedsQL, pittsburgh sleep quality index(PSQI), SCAS, or children's depression inventory(CDI) in patients with PIBD. The self-rating anxiety scale(SAS) score, anxiety rate, self-rating depression scale(SDS) score, and depression rate of PIBD guardians were significantly higher than those of healthy controls (SAS, P = 0.008; SDS, P = 0.001).
Conclusions:
Female children with PIBD were more vulnerable to decreased QOL and increased anxiety than male children. The anxiety and depression status of PIBD guardians were significantly higher than those of healthy controls during the COVID-19 pandemic. But the COVID-19 pandemic did not significantly affect quality of life(QOL), sleep, anxiety, or depressive mood of patients with PIBD in our study.
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