Impact of COVID-19 Pandemic on the Mental Health of Children and Adolescents with Attention Deficit Hyperactivity Disorder: A Cross Sectional Study
DOI:
https://doi.org/10.51338/rppsm.313Keywords:
COVID‐19, Adolescent, Attention Deficit Disorder with Hyperactivity, Child, Mental HealthAbstract
Introduction: Children and adolescents with attention deficit and hyperactivity disorder (ADHD) could experience dis- turbances in their behaviour due to the COVID-19 pandemic and its consequences.
On the other hand, the absence of classroom rules (good behaviour, timed tasks) at home might have led to symptomatic improvement.
The main goal of our study was to evaluate the perception of the carers of children and adolescents with ADHD regarding the impact of the pandemic in their child’s behaviour, emotions, and routines
Methods: We inquired 40 carers using the following instruments: Sociodemographic and Clinical data questionnaire; survey of evaluation of the impact of COVID-19 pandemic on carers and their children and Conners Parent Rating Scale Revised (CPRSR) – Short form.
Results: Regarding the carer’s perception of the child’s behaviour changes, the majority noticed an improvement in agitation and instruction following and worsening in anxiety and frustration tolerance.
As far as the carer’s own perception of impact of the lockdown on themselves is concerned, there was a significant wors- ening of parental stress and carer’s irritability and anxiety.
We also evaluated the association between children’s behavioural worsening and the CPRSR dimensions. We highlight a positive and statistically significant association between child’s global worsening and the following dimensions: opposi- tion, motor activity and ADHD index.
Regarding the difference between child’s global worsening considering the carer’s own perception of impact of the lockdown on themselves, we found that children and adolescents whose carers reported worsening of anxiety, sadness, parental stress, and family relationship difficulties, revealed more severe worsening in their behaviour.
Conclusion: We consider that this study shows the importance of mental health services’ intervention in children and adolescents with ADHD amidst the COVID pandemic.
Downloads
References
Sayal K, Prasad V, Daley D, Ford T. Coghill D. ADHD in children and young people: prevalence, care path- ways, andservice provision. Lancet Psychiatry. 2018; 5:175-86. doi: 10.1016/S2215-0366(17)30167-0 .
McGrath J. ADHD and Covid-19: Current road- blocks and future opportunities. Ir. J. Psychol. Med. 2020;37:204-11. doi: 10.1017/ipm.2020.53.
BeckerSP, Fogleman ND. Psychiatric co-occurrence (comorbidity) in adolescents with ADHD. In: ADHD in adolescents: Development, assessment, and treat- ment. London: The Guilford Press; 2020. p.170-203.
Sciberras E, Patel P, Stokes MA, Coghill D, Mid- deldorp CM, Bellgrove MA, et al. Physical Health, Media Use, and Mental Health in Children and Ado- lescents With ADHD During the COVID-19 Pandem- ic in Australia. J Atten Disord. 2022;26:549-62. doi: 10.1177/1087054720978549..
Melegari MG, Giallonardo M, Sacco R, Marcucci L, Orecchio S, Bruni O. Identifying the impact of the confine- ment of Covid-19 on emotional-mood and behavioural dimensions in children and adolescents with attention deficit hyperactivity disorder (ADHD). Psychiatry Res. 2021; 296:113692. doi:10.1016/j.psychres.2020.113692..
Kawaoka N, Ohashi K, Fukuhara S, Miyachi T, Asai T, Imaeda M, et al. Impact of School Closures due to COVID-19 on Children with Neurodevelopmental Disorders in Japan. J Autism Dev Disord. 2021; 3:1-7. doi:10.1007/s10803-021-05119-0.
ZhangJ,ShuaiL,YuH,WangZ,QiuM,LuL,etal. Acute stress, behavioural symptoms and mood states among school‐age children with attention‐deficit/ hyperactive disorder during the COVID-19 outbreak. Asian J Psychiatr. 2020;51:102077. doi: 10.1016/j. ajp.2020.102077..
Shah R, Raju VV, Sharma A,Grover S. Impact of COVID-19 and Lockdown on Children with ADHD and Their Families - An Online Survey and a Continui- ty Care Model. J Neurosci Rural Pract. 2021; 12: 71–9. doi: 10.1055/s-0040-1718645. .
Orgilés M, Morales A, Delvecchio E, Mazzeschi C,Espada JP. Immediate Psychological Effects of the COVID-19 Quarantine in Youth From Italy and Spain. Front. Psychol.2020; 11:579038. doi:10.3389/ fpsyg.2020.579038.
Rodrigues A. Contributos para a avaliação da crian- ça com Perturbação de Hiperactividade e Défice de Atenção – Estudo de estandardização e Propriedades Psicométricas das Forças Reduzidas das Escalas de
Conners Revistas para Professores e Pais em crianças do primeiro ciclo.[Tese de Doutoramento].Lisboa: Fa- culdade de Motricidade Humana: 2003.
Jiao WY, Wang LN, Liu J, Fang SF, Jiao FY, Pettoello-Mantovani M, et al. Behavioral and Emo- tional Disorders in Children during the COVID-19 Epidemic. J Pediatr. 2020; 221: 264–6. doi: 10.1016/j. jpeds.2020.03.013.
Cost KT, Crosbie J, Anagnostou E, Birken CS, Charach A, Monga S et al. . Mostly worse, occasionally better: impact of COVID-19 pandemic on the mental health of Canadian children and adolescents. Eur Child Adolesc Psychiatry. 2021; 26;1-14. doi: 10.1007/ s00787-021-01744-3.
Racine N, McArthur BA, Cooke JE, Eirich R, Zhu J, Madigan S Global Prevalence of Depres- sive and Anxiety Symptoms in Children and Ad- olescents during COVID-19: A Meta-analysis. JAMA Pediatr. 2021;175:1142–50. doi: 10.1001/ jamapediatrics.2021.2482.
Saddik B, Hussein A, Albanna A, Elbarazi I, Al- -Shujairi A, Temsah MH, et al. The psychological impact of the COVID-19 pandemic on adults and children in the United Arab Emirates: a nationwide cross-sectional study. BMC Psychiatry.2021; 21:1–18 . doi:10.1186/s12888-021-03213-2.
Navarro‐Soria I, Real‐Fernández M, Mier RJD, Costa‐ ‐López B, Sánchez M, Lavigne R. Consequences of con- finement due to covid‐19 in spain on anxiety, sleep and executive functioning of children and adolescents with ADHD. Sustain. 2021; 13: 1–17. doi:10.3390/su13052487.
Anindyajati G, Wiguna T, Murtani BJ, Christian H, Wigantara N, Putra AA, et al. Anxiety and Its Associ- ated Factors During the Initial Phase of the COVID-19 Pandemic in Indonesia. Front Psychiatry. 2021; 12:634585. doi:10.3389/fpsyt.2021.634585
Muñoz‐Fernández N, Rodríguez‐Meirinhos A. Ado- lescents’ concerns, routines, peer activities, frustration, and optimism in the time of covid‐19 confinement in Spain. J Clin Med. 2021; 10: 798. doi:10.3390/ jcm10040798.
Seymour KE, Macatee R,Chronis-Tuscano A. Frustra- tion Tolerance in Youth With ADHD. J Atten Disord. 2019; 23:1229–39.doi: 10.1177/1087054716653216.
Xiang M, Zhang Z, Kuwahara K. Impact of COVID-19 pandemic on children and adolescents’ lifestyle behav- ior larger than expected. Prog Cardiovasc Dis. 2020; 63: 531–2 .doi:10.1016/j.pcad.2020.04.013.
Dunton, G F, Do B, Wang SD. Early effects of the COVID-19 pandemic on physical activity and sedentary behavior in children living in the U.S. BMC Public Health.2020; 20: 1351.doi:10.1186/ s12889-020-09429-3
ZhouJ,JunminZ,XieX,GuoB,PeiR,PeiX,et al. Impact of COVID-19 Lockdown on Physical Ac- tivity Among the Chinese Youths: The COVID-19 Impact on Lifestyle Change Survey (COINLICS). Front Public Health.2021;9:592795. doi: 10.3389/ fpubh.2021.592795..
Swansburg R, Ha T, Macmaster FP, Lemay JF. Impact of COVID-19 on lifestyle habits and mental health symptoms in children with attention‐deficit/hyper- activity disorder in Canada. Paediatr. Child Health. 2021; 26:e199-e207. doi: 10.1093/pch/pxab030.
Pecor KW, Barbayannis G, Yang M, Johnson J, Mater- asso S, Borda M, et al. Quality of life changes during the covid-19 pandemic for caregivers of children with ADHD and/or ASD. Int J Environ Res Public Health. 2021;18:3667. doi: 10.3390/ijerph18073667
Walcott CM, Landau S,. The Relation Between Dis- inhibition and Emotion Regulation in Boys With At- tention Deficit Hyperactivity Disorder. J Clin Child Adolesc Psychol. 2004;33:772-82. doi: 10.1207/ s15374424jccp3304_12.
Seymour, KE, Chronis-Toscano A, Iwamoto, DK, Kurdziel G; MacPherson L. Emotion regulation me- diates the association between ADHD and depressive symptoms in a community sample of youth. J Ab- norm Child Psychol. 2014;42:611-21. doi: 10.1007/ s10802-013-9799-8.
Spinelli M, Lionetti F, Pastore M, Fasolo M. Parents’ Stress and Children’s Psychological Problems in Fami- lies Facing the COVID-19 Outbreak in Italy. Front Psy- chol. 2020;11:1713.doi:10.3389/fpsyg.2020.01713.
Meherali S, Punjani N, Louie-Poon S, Rahim KA, Das JK , Salam RA, et al. Mental health of children and ad- olescents amidst covid-19 and past pandemics: A rapid systematic review.Int J Environ Res Public Health. 2021;18:3432. doi: 10.3390/ijerph18073432.