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Parents' Fears about Hospital Visits and Trait Anxiety in the COVID-19 Pandemic
Atsuko Nakano1, Akihiro Maeta2, Yuri Takaoka3
1Department of Pediatrics, Kokuho Central Hospital, Nara 6360302, Japan.
Insights
Parental anxiety during the COVID-19 pandemic heightened fears regarding hospital visits for children with allergies. High trait anxiety correlated with increased worry about allergy and COVID-19 worsening.
Area of Science:
- Pediatric Allergy
- Infectious Disease Epidemiology
- Clinical Psychology
Background:
- The COVID-19 pandemic introduced significant stressors for parents of children with chronic conditions.
- Parental anxiety may influence healthcare-seeking behaviors and adherence to medical advice.
Purpose of the Study:
- To investigate the impact of the COVID-19 pandemic on parental fears associated with hospital visits for pediatric allergic diseases.
- To examine the relationship between parental personality traits, specifically trait anxiety, and these pandemic-related fears.
Main Methods:
- A cross-sectional, questionnaire-based study involving 2439 parents of children (0-15 years) with allergic diseases.
- Data collected on demographics, fears about hospital visits, desired information, and State-Trait Anxiety Inventory scores.
- Comparison of responses between parents with high and low trait anxiety.
Main Results:
- The most prevalent fears were "Fear of getting medical care as usual" (85.2%) and "Fear of COVID-19 infection during hospital visits" (87.1%).
- High trait anxiety was significantly associated with increased fear of "worsening of children's allergies" (aOR=1.31) and "worsening of COVID-19 due to allergy" (aOR=1.52).
Conclusions:
- Healthcare providers should proactively share updates on COVID-19 and healthcare system operations to mitigate parental anxiety.
- Communicating the importance of continued treatment is crucial to prevent exacerbations of allergic conditions and COVID-19, especially considering parental trait anxiety.
Abstract:
Anxiety in parents of children with allergic diseases during the COVID-19 pandemic may impact hospital visits. This study explored the effect of the pandemic on parents' fears about hospital visits and their relationship with their personality traits. A cross-sectional, questionnaire-based study was conducted between September 2020 and March 2021, with parents of children aged 0-15 years, who regularly visited 24 outpatient facilities for allergic disease. The survey included patient information, fears about hospital visits, desired information, and the State-Trait Anxiety Inventory. Responses were compared between parents with high and low trait anxiety. The response rate was 97.6% (2439/2500). The most common fear was "Fear of getting medical care as usual (85.2%)" and "Fear of COVID-19 infection during hospital visits (87.1%)". High trait anxiety showed a significant association with "Fear of worsening of children's allergies" (adjusted OR: 1.31, 95%CI: 1.04 to 1.65, p = 0.022), and "Fear of worsening of COVID-19 due to allergy" (adjusted OR: 1.52, 95%CI: 1.27 to 1.80, p < 0.01). Healthcare professionals should share updates on COVID-19 and healthcare system to reduce parents' fear. Subsequently, they should communicate the importance of continuing treatment to prevent worsening of COVID-19 and avoid emergency visits, considering parental trait anxiety.
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