Shah Ruchita, Raju V Venkatesh, Sharma Akhilesh, Grover Sandeep
Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
J Neurosci Rural Pract. 2021 Jan;12(1):71-79. doi: 10.1055/s-0040-1718645. Epub 2020 Nov 12.
Little is known about the impact of the coronavirus disease 2019 pandemic on children with attention-deficit hyperkinetic disorder (ADHD). This study aimed to assess the impact of lockdown on children with the ADHD, and their families. Additionally, feasibility of carrying out "text message-based" intervention was evaluated. An online survey was performed to evaluate the impact of lockdown on children with ADHD and their family members. Additionally, a "text message"-based intervention was performed over 2 weeks. Along with the text-based intervention, we also provided reading materials and an option of telephonic consultation. Of the 80 parents who initially consented to participate, 48 filled the baseline survey, and 41 agreed to receive intervention. Out of 41, 29 filled satisfaction survey. During the lockdown period, there was worsening of symptoms of ADHD in the form of increase (slight or marked) in the activity level (50.1%), irritability (45.8%), and disturbing or disruptive behavior (47.7%) in children. In terms of behavior of family members, there was marked/slight increase in irritability (37.5%), and shouting at the child (43.8%), verbal abuse (25%), and punishing the child (27.1%). Additionally, there was an increase in the praising (67.6%) and spending time with the child (72.9%). Text-based messages on a scale of 0 to 10 were rated as 5.79 for the content, 5.76 for the usefulness, and 6 for satisfaction. Lockdown resulted in worsening of symptoms among children of ADHD and it had impact on the interaction pattern of the children and parents. A "text message"-based intervention is a feasible and possibly acceptable option to deal with the behavioral problem of the children and adolescents with ADHD.
关于2019冠状病毒病大流行对注意力缺陷多动障碍（ADHD）儿童的影响，目前所知甚少。本研究旨在评估封锁措施对ADHD儿童及其家庭的影响。此外，还评估了开展“基于短信”干预措施的可行性。
开展了一项在线调查，以评估封锁措施对ADHD儿童及其家庭成员的影响。此外，还进行了为期两周的“基于短信”干预。在进行基于短信的干预的同时，我们还提供了阅读材料和电话咨询服务。
在最初同意参与的80位家长中，48位填写了基线调查问卷，41位同意接受干预。在这41位家长中，29位填写了满意度调查问卷。在封锁期间，ADHD儿童的症状出现恶化，表现为活动水平（50.1%）、易怒情绪（45.8%）以及干扰或破坏性行为（47.7%）有不同程度（轻微或明显）的增加。就家庭成员的行为而言，易怒情绪有明显/轻微增加（37.5%），对孩子大喊大叫（43.8%）、言语虐待（25%）以及惩罚孩子（27.1%）的情况也有所增加。此外，表扬孩子（67.6%）和陪伴孩子的时间（72.9%）也有所增加。基于短信的信息在0至10分的评分中，内容评分为5.79分，有用性评分为5.76分，满意度评分为6分。
封锁导致ADHD儿童的症状恶化，并且对儿童与家长的互动模式产生了影响。基于短信的干预措施是应对ADHD儿童和青少年行为问题的一种可行且可能被接受的选择。
