Zu Dao-Ming, Xu Jun, Zhang Lei, Zhang Ling-Jun, Zhang Xiao-Feng, Chabowski Mariusz, Zhu Yi-Cheng, Zhao Jiang-Xia
Department of Pediatrics, Pudong New Area People's Hospital, Shanghai, China.
Department of Communications, Pudong New Area People's Hospital, Shanghai, China.
Transl Pediatr. 2022 Nov;11(11):1864-1871. doi: 10.21037/tp-22-539.
There has been an increase in research on the potential adverse effects on children's mental health, especially depression and anxiety, during the coronavirus disease 2019 (COVID-19) pandemic over the past few months. Therefore, the aim of the present study was to investigate depression and anxiety symptoms among children in shelter hospitals during the 2022 Shanghai lockdown.
A total of 98 infected children aged 7-12 years were enrolled in this study between April 19 and June 4, 2022. The Children's Depression Inventory (CDI), Anxiety Scale for Children-Autism Spectrum Disorder (ASC-ASD), and Anxiety Scale or Children-Autism Spectrum Disorder Parent Form (ASC-ADS-P) were used to assess children's depression and anxiety symptoms. Children's guardians completed the survey by verbally asking their child/children the questions. The guardians additionally completed the ASC-ASD-P.
The prevalence of depression and anxiety was 12.2% and 13.3%, respectively. A total of 66 respondents reported no physical symptoms. Linear regression showed that myalgia [7.198, 95% confidence interval (CI): 3.163-11.232], headache (7.189, 95% CI: 3.842-10.535) coryza (5.362, 95% CI: 2.654-8.070), and number of quarantine days (4.378, 95% CI: 3.409-5.348) were significantly correlated with higher levels of depression, whereas chills (14.337, 95% CI: 9.799-18.875), coryza (9.309, 95% CI: 6.467-12.152), headache (7.193, 95% CI: 3.182-11.204), myalgia (5.571, 95% CI: 0.684-10.459), number of quarantine days (3.190, 95% CI: 1.796-4.584), and gender (male) (-4.137, 95% CI: -6.609 to 1.665) were associated with anxiety scores. Persistent fever was correlated with depression (P=0.007), whereas physical discomfort, such as persistent fever, cough, sore throat, headache, myalgia, and coryza were correlated with anxiety (all P<0.05).
The findings of the present study indicated a moderate prevalence of depression and anxiety among infected children in a shelter hospital during the 2022 Shanghai lockdown. Therefore, the findings of this study could provide scientific basis for the development of targeted psychological intervention. It could be helpful for policy-makers to focus on psychological health among infected children and help to optimize future interventions.
在过去几个月的2019冠状病毒病（COVID-19）大流行期间，关于对儿童心理健康，尤其是抑郁和焦虑的潜在不利影响的研究有所增加。因此，本研究的目的是调查2022年上海封控期间方舱医院儿童的抑郁和焦虑症状。
2022年4月19日至6月4日，本研究共纳入98名7至12岁的感染儿童。使用儿童抑郁量表（CDI）、儿童自闭症谱系障碍焦虑量表（ASC-ASD）和儿童自闭症谱系障碍家长版焦虑量表（ASC-ADS-P）来评估儿童的抑郁和焦虑症状。儿童监护人通过口头询问孩子问题来完成调查。监护人还需完成ASC-ASD-P。
抑郁和焦虑的患病率分别为12.2%和13.3%。共有66名受访者表示没有身体症状。线性回归显示，肌痛[7.198，95%置信区间（CI）：3.163 - 11.232]、头痛（7.189，95%CI：3.842 - 10.535）、鼻炎（5.362，95%CI：2.654 - 8.070）和隔离天数（4.378，95%CI：3.409 - 5.348）与较高的抑郁水平显著相关，而寒战（14.337，95%CI：9.799 - 18.875）、鼻炎（9.309，95%CI：6.467 - 12.152）、头痛（7.193，95%CI：3.182 - 11.204）、肌痛（5.571，95%CI：0.684 - 10.459）、隔离天数（3.190，95%CI：1.796 - 4.584）和性别（男性）（-4.137，95%CI：-6.609至1.665）与焦虑得分相关。持续发热与抑郁相关（P = 0.007），而身体不适，如持续发热、咳嗽、喉咙痛、头痛、肌痛和鼻炎与焦虑相关（所有P < 0.05）。
本研究结果表明，2022年上海封控期间方舱医院感染儿童中抑郁和焦虑的患病率处于中等水平。因此，本研究结果可为制定针对性的心理干预措施提供科学依据。这有助于政策制定者关注感染儿童的心理健康，并有助于优化未来的干预措施。
