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.
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.
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。
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