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COVID-19 患儿的精神症状、母亲的心理弹性及相关因素:大流行时期住院患者的经历。

Psychiatric symptoms in children with COVID-19, mothers` psychological resilience and related factors: pandemic hospital inpatient experiences.

机构信息

Departments of Child and Adolescent Psychiatry, Ankara City Hospital, University of Health Sciences, Ankara, Turkey.

Departments of Child Infectious Diseases, Ankara City Hospital, University of Health Sciences, Ankara, Turkey.

出版信息

Turk J Pediatr. 2022;64(3):510-518. doi: 10.24953/turkjped.2021.1275.

Abstract

BACKGROUND

Information on psychological problems and affecting factors in children hospitalized with the suspicion or diagnosis of COVID-19 is limited. We aimed to screen the psychiatric symptoms of children hospitalized with COVID-19 in Ankara City Childrens Hospital and evaluate the caregivers depression, anxiety, stress, and resilience levels during hospitalization.

METHODS

Among the children and adolescents hospitalized in Ankara City Children`s Hospital between 1 May 2020 and 31 May 2020 due to the diagnosis of COVID-19, those who agreed to participate in the study were included. The Strengths and Difficulties Questionnaire (SDQ), the Depression Anxiety Stress Scale-21 (DASS- 21) scale, and the Brief Resilience Scale (BRS) were used to determine the symptoms.

RESULTS

The mean age of study group (n = 49) was 8.7 ± 5.0 years, 59.2% (n = 29) were girls. The mean childrens SDQ-externalizing problems scores were higher in the COVID-19 positive mothers group than the COVID-19 negative mothers group. The SDQ-total score was positively and strongly correlated with the DASS total score, DASS-depression score, and DASS-anxiety score. BRS scale scores were negatively correlated with the SDQtotal, externalizing, and DASS-21scale scores.

CONCLUSIONS

COVID-19 positivity in mothers could be associated with externalizing problems in children. The high resilience of caregivers of inpatients seems to be related to less psychopathology in children. During hospitalization, caregivers` psychological evaluation and psychosocial support may be important for preventive child mental health.

摘要

背景

关于因疑似或确诊 COVID-19 住院的儿童的心理问题和影响因素的信息有限。我们旨在筛查安卡拉市儿童医院 COVID-19 住院儿童的精神症状,并评估住院期间照顾者的抑郁、焦虑、压力和适应力水平。

方法

在 2020 年 5 月 1 日至 5 月 31 日期间,由于 COVID-19 诊断而在安卡拉市儿童医院住院的儿童和青少年中,选择同意参加研究的患者。使用长处和困难问卷 (SDQ)、抑郁焦虑压力量表 21 版 (DASS-21) 和简明韧性量表 (BRS) 来确定症状。

结果

研究组(n=49)的平均年龄为 8.7±5.0 岁,59.2%(n=29)为女孩。COVID-19 阳性母亲组儿童 SDQ 外化问题评分高于 COVID-19 阴性母亲组。SDQ 总分与 DASS 总分、DASS 抑郁评分和 DASS 焦虑评分呈正相关且高度相关。BRS 量表评分与 SDQ 总分、外化问题和 DASS-21 量表评分呈负相关。

结论

母亲 COVID-19 阳性可能与儿童外化问题有关。住院患者照顾者的高适应力似乎与儿童较少的精神病理学有关。住院期间,照顾者的心理评估和心理社会支持可能对预防儿童心理健康很重要。

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