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澳大利亚 COVID-19 大流行期间 ADHD 儿童和青少年的身体健康、媒体使用与心理健康。

Physical Health, Media Use, and Mental Health in Children and Adolescents With ADHD During the COVID-19 Pandemic in Australia.

机构信息

Deakin University, Geelong, VIC, Australia.

Murdoch Children's Research Institute, Parkville, VIC, Australia.

出版信息

J Atten Disord. 2022 Feb;26(4):549-562. doi: 10.1177/1087054720978549. Epub 2020 Dec 17.

DOI:10.1177/1087054720978549
PMID:33331195
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8785303/
Abstract

OBJECTIVE

To examine the impact of COVID-19 restrictions among children with attention-deficit/hyperactivity disorder (ADHD).

METHODS

Parents of 213 Australian children (5-17 years) with ADHD completed a survey in May 2020 when COVID-19 restrictions were in place (i.e., requiring citizens to stay at home except for essential reasons).

RESULTS

Compared to pre-pandemic, children had less exercise (Odds Ratio (OR) = 0.4; 95% CI 0.3-0.6), less outdoor time (OR = 0.4; 95% 0.3-0.6), and less enjoyment in activities (OR = 6.5; 95% CI 4.0-10.4), while television (OR = 4.0; 95% CI 2.5-6.5), social media (OR = 2.4; 95% CI 1.3-4.5), gaming (OR = 2.0; 95% CI 1.3-3.0), sad/depressed mood (OR = 1.8; 95% CI 1.2-2.8), and loneliness (OR = 3.6; 95% CI 2.3-5.5) were increased. Child stress about COVID-19 restrictions was associated with poorer functioning across most domains. Most parents (64%) reported positive changes for their child including more family time.

CONCLUSIONS

COVID-19 restrictions were associated with both negative and positive impacts among children with ADHD.

摘要

目的

研究 COVID-19 限制措施对注意缺陷多动障碍(ADHD)儿童的影响。

方法

2020 年 5 月 COVID-19 限制措施实施期间(即要求公民除必要原因外留在家中),213 名澳大利亚儿童(5-17 岁)的父母完成了一项调查。

结果

与大流行前相比,儿童的运动量减少(优势比(OR)=0.4;95%置信区间 0.3-0.6),户外活动时间减少(OR=0.4;95%CI 0.3-0.6),活动乐趣减少(OR=6.5;95%CI 4.0-10.4),而看电视(OR=4.0;95%CI 2.5-6.5)、社交媒体(OR=2.4;95%CI 1.3-4.5)、游戏(OR=2.0;95%CI 1.3-3.0)、悲伤/抑郁情绪(OR=1.8;95%CI 1.2-2.8)和孤独感(OR=3.6;95%CI 2.3-5.5)增加。儿童对 COVID-19 限制措施的压力与大多数领域的功能障碍有关。大多数家长(64%)报告称,孩子的家庭时间增加,出现了积极的变化。

结论

COVID-19 限制措施对 ADHD 儿童既有负面影响,也有积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f2b/8785303/e23f292414df/10.1177_1087054720978549-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f2b/8785303/e23f292414df/10.1177_1087054720978549-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f2b/8785303/e23f292414df/10.1177_1087054720978549-fig1.jpg

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