Yanaz Muruvvet, Yilmaz Yegit Cansu, Ergenekon Almala Pinar, Toksoy Aksoy Ayse, Bilicen Gulcin, Gokdemir Yasemin, Erdem Eralp Ela, Rodopman Arman Ayse, Karakoc Fazilet, Karadag Bulent
Division of Pediatric Pulmonology; Marmara University, School of Medicine, Istanbul, Turkey.
Department of Child and Adolescent Psychiatry, Marmara University, School of Medicine, Istanbul, Turkey.
Pediatr Int. 2022 Jan;64(1):e15009. doi: 10.1111/ped.15009.
Cystic fibrosis (CF) is a chronic disease causing recurrent respiratory tract infections. Viral respiratory tract infections are more severe in CF. The first case of coronavirus disease 2019 (COVID-19) was seen in Turkey on March 11, 2020, and nationwide school closure and lockdown were implemented. School closure and home confinement might have adverse effects on children's physical and mental health. In this study, we aimed to compare the effect of the COVID-19 pandemic on psychological reactions of CF patients and healthy controls.
This is a controlled cross-sectional study including 7-18-year-old children with CF. The survey included questions regarding family environment and peer relations, self-care, and psychological reactions to the COVID-19 pandemic. The questionnaire was administered to children via telephone calls under parental supervision.
We evaluated 132 CF patients and 135 of their healthy peers. Mean age was 11.5 ± 2.9 years in the CF group and 11.8 ± 3.2 years in the control group (P = 0.98). There were 55 girls (41.7%) in the CF group and 81 girls (60%) in the control group (P = 0.027). The socioeconomic status of their families was similar. The CF patients were found to be less anxious for family members at risk of COVID-19, less upset about school closure, and less anxious about the COVID-19 pandemic (P < 0.001, 0.02, 0.01, respectively).
Cystic fibrosis patients seem to show more resilience in coping with the pandemic. Appropriate psychological support should be provided to them and resilience strategies in coping with the pandemic should be nurtured.
囊性纤维化（CF）是一种导致反复呼吸道感染的慢性疾病。病毒性呼吸道感染在CF患者中更为严重。2020年3月11日，土耳其出现了首例2019冠状病毒病（COVID-19）病例，并实施了全国范围的学校关闭和封锁措施。学校关闭和居家隔离可能会对儿童的身心健康产生不利影响。在本研究中，我们旨在比较COVID-19大流行对CF患者和健康对照者心理反应的影响。
这是一项对照横断面研究，纳入了7至18岁的CF儿童。该调查包括有关家庭环境和同伴关系、自我护理以及对COVID-19大流行的心理反应的问题。问卷在家长监督下通过电话对儿童进行发放。
我们评估了132例CF患者及其135名健康同龄人。CF组的平均年龄为11.5±2.9岁，对照组为11.8±3.2岁（P = 0.98）。CF组有55名女孩（41.7%），对照组有81名女孩（60%）（P = 0.027）。他们家庭的社会经济状况相似。发现CF患者对有感染COVID-19风险的家庭成员的焦虑程度较低，对学校关闭的烦恼较少，对COVID-19大流行的焦虑程度也较低（分别为P < 0.001、0.02、0.01）。
囊性纤维化患者在应对大流行时似乎表现出更强的适应能力。应向他们提供适当的心理支持，并培养应对大流行的适应策略。
