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