Effects of the COVID-19 Pandemic on the Risk of Developing Psychopathology in Children in Portugal: A Cross-Section Study
DOI:
https://doi.org/10.51338/rppsm.397Keywords:
Child, Portugal, Post-Acute COVID-19 Syndrome, SARS-CoV-2Abstract
Introduction: This study is based on preliminary data from a 2021 survey of parents of children aged 3-13 years at
the time of SARS-CoV-2 infection. The aim is to understand the consequences of SARS-CoV-2 infection on children's mental health.
Methods: Using the Strengths and Difficulties Questionnaire (SDQ) and survey data, we specified multiple linear regression models to explain the variation in the total SDQ and the variation in its five components ‐ emotional symptoms, conduct problems, hyperactivity, peer relationship problems, and prosocial behaviour. We used explanatory variables selected according to current literature and other empirical studies, such as age, gender, household changes, confinement, hospitalization time, previous mental health care and long‐COVID symptoms (headache, sleep problems, concentration problems, fatigue).
Results: The results showed that age was not statistically significant in any of the estimated models. The gender variable proved to be significant in three models (total SDQ, conduct problems, hyperactivity) and the results show that girls have fewer problems when compared to boys.
Conclusion: Results suggest that intensive care hospitalisation and long-COVID symptoms increase the risk of psychopathology.
Downloads
References
Ravens-Sieberer U, Kaman A, Erhart M, Otto C, Devine J, Loffer C, et al. Quality of life and mental health in children and adolescents during the first year of the COVID-19 pandemic: results of a two-wave nationwide population-based study. Eur Child Adolesc Psychiatry. 2023;32:575-88. doi: 10.1007/ s00787-021-01889-1.
Skripkauskalte S, Shum A, Pearcey S, McCall A, Waite P, Creswell C. Changes in Children ́s mental health symptoms from March 2020 to June 2021 (Report 11). Co-SPACE study. [accessed Jan 2022] Available from: http://cospaceoxford.org/findings/ changes-in-childrens-mental-health-symptoms-from-march-2020-to-june-2021/.
Schum A, Skripkauskalte S, Pearcey S, Waite P, Creswell C. Report 10: Children and adolescent ́s mental health: one year in the pandemic. May 5, 2021. Co-Space study. [accessed Jan 2022] Available from: https://cospaceoxford.org/wp-content/uploads/2021/04/Report-10_05May2021.pdf.
Creswell C, Schum A, Pearcey S, Skripkauskaite S, Patalay P, Waite P. Young people ́s mental health during the COVID-19 pandemic. Lancet Child Adolesc Health. 2021;5:535-7. doi: 10.1016/ S2352-4642(21)00177-2.
Creswell C. Editorial Perspective: Rapid responses to understand and address children and young people ́s mental health in the context of COVID-19. J Child Psychol Psychiatry. 2023;64:209-11. doi: 10.1111/ jcpp.13626.
Hu Y, Qian Y. COVID-19 and Adolescent Mental Health in the United Kingdom. J Adolesc Health. 2021;69:26-32. doi: 10.1016/j.jadohealth.2021.04.005.
Michelen M, Manoharan L, Elkheir N, Cheng V, Dagens A, Hastie C, et al. Characterising long COVID: a living systematic review. BMJ Global Health. 2021;6:e005427. doi:10.1136/bmjgh-2021-005427.
Kumar A, Nayar KR. Covid 19 and its mental health consequences. J Mental Health. 2021; 30: 1-2 .doi: 10.1080/09638237.2020.1757052.
Osmanov IM, Spiridonova E, Bobkova P, Gaminova A, Shikleva A, Andreva M, et al. Risk factors for post-COVID-19 condition in previously hospitalised children using the ISARIC Global follow-up protocol: a prospective cohort study. Eur Respir J. 2022; 59:2101341.doi: 10.1183/13993003.01341-2021.
CrooK H, Raza S, Nowell J, Young M, Edison P. Long covidmechanisms, risk factors, and management. BMJ. 2021;374:n1648. doi: 10.1136/bmj.n1648.
Altman D, Boyton R. Decoding the unknowns in long covid. BMJ. 2021;372:n132. doi: 10.1136/bmj.n132.
Braz S. Long‐COVID: Um Desafio para a Comunidade Médica e para o Serviço Nacional de Saúde. Acta Med Port. 2021;34:567-8. doi: 10.20344/amp.16991.
National Institute for Health and Care Excellence. COVID-19 rapid guideline: managing the long-term effects of COVID-19. London: NICE; 2020. [accessed Jan 2022] Available from: https://www.nice.org.uk/ guidance/ng188.
Hysiang M, Elgen I, Gillberg C, Lie S, Lundervold A. Chronic physical illness mental health in children. Results from a large-scale population study. J Child Psychol Psychiatry. 2007;48:785-92. doi: 10.1111/j.1469-7610.2007.01755.x.
Goodman A, Lamping D, Ploubidis G. When to Use Broader Internalising and Externalising Subscales Instead of the Hypothesised Five Subscales on the Strengths and Difficulties Questionnaire (SDQ): Data from British Parents, Teachers and Children. J Abnorm Child Psychol. 2010;38:1179-91. doi: 10.1007/ s10802-010-9434-x.
Niclasen J, Teasdale TW, Andersen AM, Skovgaard AM, Elberling H, Obel C. Psychometric Properties of the Danish Strength and Difficulties Questionnaire: The SDQ Assessed for more than 70,000 Raters in Four Different Cohorts. PLOS ONE. 2012;7: e32025. doi: 10.1371/journal.pone.0032025.
Jusienè R, Baukienè E, Breidokienè R. Risk of Behavioural and Emotional Disorders in Lithuanian School Aged Children as Assessed with SDQ During the Second Lockdown due to COVID-19. Psichologija. 2021; 64: 77-85. doi: 10.15388/psichol.2021.43.
Mendolia S, Suziedelyte A, Zhu A. Have girls been left behind during the COVID-19 pandemic? Gender differences in pandemic effects on children ́s mental wellbeing. Ecomics Lett. 2022; 214: 110458. doi: 10.1016/j.econlet.2022.110458.
«Blanden J, Crawford C, Fumagalli L, Rabe B. School Closures and Children ́s Emotional and Behavioural Difficulties. ISER Rep. 2021. [accessed Jan 2022] Available from: https://www.iser.essex.ac.uk/research/ publications/536633.
«Costa C, Ticló S, Ferreira-Carvalho R, Delgado RM, Lobarinhas M, Teixeira G, et al. Avaliação de Sintomas Psiquiátricos Durante o Confinamento no Contexto da Pandemia COVD-19 numa População Clínica Pedopsiquiátrica. Rev Port Psiquiatr Saúde Mental.
;7:9-21. doi: 10.51338/rppsm.2021.v.i1.176.
Brackel CLH, Lap CR, Buddingh EP, van Houten MA, van der Sande LJ, Langereis EJ, et al. Pediatric long-COVID: An overlooked phenomenon? Pediatr Pulmonol. 2021;56:2495-502. doi: 10.1002/ppul.25521. 22. «Buonsenso D, Munblit D, De Rose C, Sinatti D, Ricchiuto A, Carfi A, et al. Preliminary evidence on long COVID in children. Acta Paediatr. 2021;110:2208-11. doi: 10.1111/apa.15870.
Picão de Carvalho C, Castro C, Sampaio Graça I, Lorenzo C, Barbosa Rodrigues A, Inácio R, et al. Série de Casos de 103 Crianças com Infeção por SARS-CoV-2 em Portugal/case Series of 103 Children with SARS-CoV-2 Infection in Portugal. Acta Med Port. 2020; 33(12):795-802. https://doi.org/10.20344/amp.14537.
Dos Reis FP, Amaro R, Silva MS, Pinto SV, Barroca I, Sá T, et al. The Impact of Confinement on Children and Adolescents. Acta Med Port. 2021; 34;245-6. doi: 10.20344/amp.15854.
Poppe M, Aguiar B, Sousa R, Oom P. The Impact of the COVID-19 Pandemic on Children ́s Health in Portugal: The Parental Perspective. Acta Med Port. 2021;34:355-61. https://doi.org/10.20344/amp.14805.
Carneiro L, Oliveira AL, Cunha F, Castro L, Lima J, Simões C, et al. Saúde Mental em Jovens Adultos: O Impacto da Pandemia COVID-19. Rev Port Psiquiatr Saúde Mental. 2022; 8: 6-11. doi: 10.51338/rppsm.248.
Manuel C, Figueiredo I, Prioste A, Duque T, Pereira C. Impacto da Pandemia COVID-19 na Saúde Mental de Crianças e Adolescentes com perturbação de Hiperatividade e Défice de Atenção: Um Estudo Transversal. Rev Port Psiquiatr Saúde Mental. 2022;8:37-48. doi: 10.51338/rppsm.313.
Moreira AF, Costa J, Flores T, Castro C. Doença Mental em Sobreviventes da COVID-19. Rev Port Psiquiatr Saúde Mental. 2022; 8:12-20. doi: 10.51338/ rppsm.257.
Marcelli D. Infância e Psicopatologia. Lisboa: Climepsi Editores; 2005
Ezpeleta L, Navarro J, de la Osa N, Trepat E, Penelo E. Life Conditions during COVID-19 Lockdown and Mental Health in Spanish adolescents. Int J Environ Res Public Health. 2020;17:7327. doi: 10.3390/ ijerph17197327.
Delorme C, Houot M, Rosso, C, Carvalho S, Nedelec T, Maatoug R, et al. The wide spectrum of COVID-19 neuropsychiatric complications within a multidisciplinary centre. Brain Commun. 2021; 3:fcab135 . doi: 10.1093/brainomms/fcab135.eCollection2021.
Stephenson T, Shafran R, De Stavola B, Rojas N, Aiano F, Amin-Chowdhury Z, et al. Long COVID and the mental and physical health of children and young people: national matched cohort study protocol (the CLoCK study). BMJ Open. 2021;11:e052838. doi: 10.1136/bmjopen-2021-052838.