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Sociodemographic Characteristics, Anxiety, Depression Levels, and Emotional and Behavioral Problems in Hospitalized
Eda Kizilyaprak1, Semiha Comertoglu Arslan2, Hatice Altun2
1Department of Child and Adolescent Psychiatry, Mehmet Akif Inan Training and Research Hospital, Sanlıurfa, Turkey.
Insights
Children hospitalized with COVID-19 showed no significant differences in anxiety, depression, or behavioral issues compared to healthy peers. However, preadolescents experienced higher separation anxiety during acute inpatient treatment.
Area of Science:
- Pediatric Psychology
- Infectious Diseases
- Mental Health
Background:
- The COVID-19 pandemic has raised concerns about the psychological impact on children and adolescents.
- Understanding the mental health status of pediatric patients during acute illness is crucial.
Purpose of the Study:
- To investigate anxiety, depression, and emotional/behavioral problems in children and adolescents admitted to a COVID-19 unit.
- To compare these outcomes with age- and gender-matched healthy controls.
Main Methods:
- A study involving 50 pediatric COVID-19 patients and 50 healthy controls (aged 7-18).
- Utilized sociodemographic forms, Revised Child Anxiety and Depression Scale (RCADS), and Strengths and Difficulties Questionnaire (SDQ).
- Assessed both child (RCADS-C) and parent (RCADS-P) perspectives.
Main Results:
- No significant differences in overall anxiety, depression, or emotional/behavioral problems between COVID-19 patients and controls.
- COVID-19 patients showed significantly lower conduct problem scores (SDQ).
- Preadolescents in the patient group reported higher separation anxiety (RCADS) and required more accompanying companions compared to adolescents.
Conclusions:
- In the acute phase of inpatient treatment, COVID-19 positive children and adolescents do not exhibit elevated anxiety, depression, or behavioral issues compared to healthy peers.
- Separation anxiety and the need for companionship may be more pronounced in younger pediatric patients during hospitalization.
- Findings suggest that psychological support should be tailored to age groups within pediatric COVID-19 care.
Abstract:
This study aimed to investigate anxiety, depression levels, and emotional/behavioral problems of children and adolescents while being treated in the COVID-19 unit. The present study included 50 children who were COVID-19 positive, aged 7-18 years, and 50 age- and gender-matched healthy controls. The sociodemographic data form and Revised Child Anxiety and Depression Scale-Child Version (RCADS-C) were applied to all children, and all families were asked sociodemographic data form, Revised Child Anxiety and Depression Scale-Parent Version (RCADS-P), and Strengths and Difficulties Questionnaire (SDQ). There was no significant difference between the patient and control groups in terms of anxiety, depression levels, and emotional/behavioral problems. The conduct problems subscale score of SDQ in the patient group was found to be significantly lower than the control group (p = 0.037). Separation anxiety subscale scores of RCADS (p = 0.034) and the rate of accompanying companions (p = 0.01) in the patient group were found to be significantly higher in preadolescents than in adolescents. In conclusion, this study demonstrated that children and adolescents who were COVID-19 positive were not different from healthy children in terms of anxiety and depression levels, and emotional and behavioral problems in the acute period during inpatient treatment.
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