Department of Child and Adolescent Psychiatry and Psychology, Hospital Clínic, C/VIllaroel 170, 08036 Barcelona, Spain; University of Barcelona, Barcelona, Spain.
Department of Child and Adolescent Psychiatry and Psychology, Hospital Clínic, C/VIllaroel 170, 08036 Barcelona, Spain; University of Barcelona, Barcelona, Spain.
Span J Psychiatry Ment Health. 2023 Jan-Mar;16(1):32-41. doi: 10.1016/j.rpsm.2021.04.002. Epub 2021 Apr 24.
During the COVID-19 pandemic, authorities confined adults, adolescents and children to their homes. Recent articles warn of possible long-term consequences on mental health, especially for those who suffer from underlying psychiatric conditions and for vulnerable sections of the population. The present study explores the psychological impact of the COVID-19 quarantine on outpatients at the Centre of Child and Adolescent Mental Health (CAMHS), which is based in Barcelona.
A total of 441 caregivers answered an online ad-hoc survey on their sociodemographic and economic situation, perceived stress, and clinical changes and coping strategies observed in their children during lockdown. The Chi-square test was used to compare the response percentages for each behaviour or symptom between age, gender and diagnostic groups. Variance and post-hoc test were also analyzed, as was the Pearson correlation.
The use of electronic devices has significantly increased. There has also been an increase in symptoms such as attentional problems, fatigue and irritability, among others. Differences were found between age and gender groups. The diagnostic groups most affected by confinement were Autism Spectrum Disorders and Conduct Disorders. The survey also discovered a relationship between the loss of family income, parental stress and increased symptoms in children.
Confinement has increased externalizing symptoms and behaviours as well as COVID-19 related concerns, somatic problems and anxieties. It is important to observe the fluctuation of symptoms and how young people adapt to the pandemic in order to reach a better understanding of the situation and devise new strategies to reduce the psychological impact of the pandemic.
在 COVID-19 大流行期间，当局将成年人、青少年和儿童限制在家中。最近的文章警告称，这可能对心理健康产生长期影响，尤其是对于那些患有潜在精神疾病和弱势群体的人。本研究探讨了 COVID-19 隔离对巴塞罗那儿童和青少年心理健康中心（CAMHS）门诊患者的心理影响。
共有 441 名照顾者回答了一份关于其社会人口经济学状况、感知压力以及在封锁期间观察到的儿童临床变化和应对策略的在线临时调查。使用卡方检验比较每个行为或症状的年龄、性别和诊断组之间的反应百分比。还分析了方差和事后检验，以及皮尔逊相关。
电子设备的使用显著增加。注意力问题、疲劳和易怒等症状也有所增加。在年龄和性别组之间发现了差异。受隔离影响最大的诊断组是自闭症谱系障碍和品行障碍。调查还发现，家庭收入损失、父母压力与儿童症状增加之间存在关系。
禁闭增加了外化症状和行为，以及与 COVID-19 相关的担忧、躯体问题和焦虑。观察症状的波动以及年轻人如何适应大流行以更好地了解情况并制定新策略以减轻大流行的心理影响非常重要。
