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COVID-19 大流行对慢性肺病患儿及其父母应对方式的精神和一般健康影响。

Psychiatric and general health effects of COVID-19 pandemic on children with chronic lung disease and parents' coping styles.

机构信息

Department of Pediatric Pulmonology, School of Medicine, Ihsan Dogramaci Children's Hospital, Hacettepe University, Ankara, Turkey.

Department of Child and Adolescent Psychiatry, Ankara Yildirim Beyazit University, Ankara, Turkey.

出版信息

Pediatr Pulmonol. 2020 Dec;55(12):3579-3586. doi: 10.1002/ppul.25082. Epub 2020 Sep 28.

Abstract

BACKGROUND

We aim to assess the anxiety and depressive symptoms related to the COVID-19 pandemic in children with chronic lung disease and their parents and also to evaluate parents' coping strategies.

METHODS

Parents of children aged 4-18 years, with chronic lung disease (study group n = 113) and healthy control (n = 108) were enrolled in the study. General Health Questionnaire-12, specific COVID-19 related anxiety questions, The Coping Orientation to Problems Experienced inventory, coronavirus-related psychiatric symptom scale in children-parental form were used to analyze the psychiatric effects of COVID-19. Parents were also asked about how online education affected their family life and children. All data were compared between children/parents in the study and control groups. Risk factors related with anxiety scores of children were also analyzed.

RESULTS

Talking about the pandemic, concern about coronavirus transmission, taking precaution to prevent coronavirus transmission, making pressure to protect from COVID-19 were significantly higher in parents within the study group (p < .05). Parents in the study group used more problem-focused coping than parents in the control group (p = .003). Anxiety symptoms score was higher in children of the study group (p = .007). Parents in the study group found online education more useful than parents in the control group.

CONCLUSION

Children with chronic lung diseases and their parents have more anxiety due to COVID-19 pandemic and these parents use more mature coping strategies to manage the stress of the pandemic. Longitudinal and larger studies should be done in all aspects of online education in children with chronic lung diseases.

摘要

背景

本研究旨在评估慢性肺部疾病患儿及其父母与 COVID-19 大流行相关的焦虑和抑郁症状,并评估父母的应对策略。

方法

本研究纳入了年龄在 4-18 岁、患有慢性肺部疾病的儿童(研究组,n=113)及其健康对照儿童的父母(n=108)。采用一般健康问卷 12 项、特定的 COVID-19 相关焦虑问题、经历问题应对取向量表、儿童冠状病毒相关精神症状量表父母版评估 COVID-19 对精神健康的影响。还询问了父母在线教育对家庭生活和孩子的影响。将研究组和对照组儿童/父母的所有数据进行比较。还分析了与儿童焦虑评分相关的危险因素。

结果

在研究组的父母中,谈论大流行、对冠状病毒传播的担忧、采取预防措施预防冠状病毒传播、对预防 COVID-19 的压力更大(p<.05)。研究组的父母比对照组的父母更多地采用问题焦点应对方式(p=0.003)。研究组儿童的焦虑症状评分更高(p=0.007)。研究组的父母发现在线教育比对照组的父母更有用。

结论

患有慢性肺部疾病的儿童及其父母因 COVID-19 大流行而出现更多焦虑,这些父母采用更成熟的应对策略来应对大流行带来的压力。应在慢性肺部疾病儿童的在线教育的各个方面开展纵向和更大规模的研究。

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