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Post COVID-19 condition and behavioral manifestations in Taiwanese children
Chia-Jung Li1, Hong-Ren Yu2, Kuang-Che Kou3
1Department of Child and Adolescent Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Insights
Nearly half of Taiwanese children experienced post COVID-19 condition (PCC) symptoms, showing slower behavioral recovery. PCC symptoms in children were not linked to parental stress or family functioning in this study.
Area of Science:
- Pediatric Health
- Infectious Diseases
- Psychology
Background:
- Investigated the prevalence and characteristics of post COVID-19 condition (PCC) in Taiwanese children.
- Explored common symptoms and behavioral changes associated with PCC in pediatric populations.
- Examined the relationship between PCC, parental stress, and family functioning.
Purpose of the Study:
- To determine the prevalence of post COVID-19 condition (PCC) in children in Taiwan.
- To identify common symptoms and behavioral manifestations in children with PCC.
- To analyze associations between PCC, parental stress, and family functioning.
Main Methods:
- A cohort of 116 children with confirmed COVID-19 and their parents were followed for 3 months.
- Parents completed questionnaires on PCC symptoms, child behavior (CBCL), and parental stress (IES-C, Family APGAR) at 1 and 3 months post-infection.
- Longitudinal data analysis was used to assess changes in symptoms and behavioral scores.
Main Results:
- 44.8% of children met the criteria for PCC, with common symptoms including congestion, fatigue, and reduced concentration.
- Children with PCC showed no significant improvement in behavioral scores (CBCL) over the 2-month follow-up, unlike those without PCC.
- No significant correlations were found between PCC symptom severity, behavioral issues, parental stress, or family functioning.
Conclusions:
- Children with PCC exhibit a less favorable trajectory for behavioral improvement.
- Post COVID-19 symptoms in children may not correlate with parental stress or family functioning.
- Further research is essential to understand the long-term mental health impacts of PCC on children and families.
Background:
This study investigated the prevalence of post COVID-19 condition (PCC) in Taiwanese children, explored common symptoms and behavioral manifestations in children with PCC, and examined potential associations with parental stress and family functioning.
Methods:
A total of 116 children who had contracted COVID-19 and their parents participated. At 1 month after the confirmed COVID-19 infection (baseline), the parents were asked to complete a questionnaire about the post COVID-19 symptoms, the child behavior checklist (CBCL) based on the child's situation, also the impact event scale of COVID-19 (IES-C) and family APGAR based on the parents' own situation. Three months after the confirmed COVID-19 infection, parents were again asked to complete the same questionnaires as they did at baseline.
Results:
Results showed that 44.8% of the children met the criteria for PCC, with the most common symptoms being sputum/nasal congestion, tiredness and decreased concentration. Children without PCC exhibited a significant decrease in CBCL scores during the 2-month follow-up, while no such decrease was observed in children with PCC. However, no significant correlations were found between the number of post COVID-19 symptoms, behavioral manifestations, parental stress levels, and family functioning.
Conclusions:
Children with PCC have a less favorable trajectory in improving their behavioral manifestations. Additionally, in the post-pandemic era, post COVID-19 symptoms in children are not necessarily correlated with parental stress and family functioning. Further research is needed to better understand the long-term implications of PCC in children and its impact on their mental well-being, as well as their families.
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