Gkentzi Despoina, Mhliordos Konstantinos, Karatza Ageliki, Sinopidis Xenophon, Dimopoulou Dimitra, Eleftheriou Eirini, Tsolia Maria, Mavridi Artemis, Miliara Eugenia, Papaevangelou Vassiliki, Vergadi Eleni, Galanakis Emmanouil, Dimitriou Gabriel, Fouzas Sotirios
Department of Pediatrics, Medical School, University of Patras, 26504 Rio Patras, Greece.
Department of Pediatrics, Second Department of Paediatrics, School of Medicine, P. and A. Kyriakou Children's Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Children (Basel). 2022 Dec 9;9(12):1933. doi: 10.3390/children9121933.
The aim of the present study was to assess the psychological impact of hospitalization during the COVID-19 pandemic on parents and their offspring. We performed a nationwide cross-sectional study in Greece based on an Internet questionnaire survey. A convenience sample of parents whose offspring had been hospitalized due to COVID-19 (including multisystem inflammatory syndrome in children, MIS-C), diagnosed with COVID-19 but not hospitalized, and hospitalized for another reason during the pandemic were enrolled. Parental stress was assessed using the Perceived Stress Scale (PSS) and the Revised Impact of Event Scale (IES-R) tools, and childhood mental wellbeing with the Children’s Revised Impact of Event 13 (CRIES-13) scale. Out of 214 received responses, stress levels were significantly higher in parents whose children had been admitted for COVID-19 or MIS-C versus those not admitted or admitted for other reasons (p < 0.001, for PSS/IES-R). Parental and childhood stress levels were correlated. In the multivariable linear regression analysis, children’s hospitalization because of COVID-19 or MIS-C, younger parental age, the existence of comorbidities, and another family member’s hospitalization because of COVID-19 were independent factors for higher stress. In light of the above, stricter hospital admission criteria for COVID-19 could be implemented, and psychological support for eventually admitted families may be beneficial.
本研究的目的是评估新冠疫情期间住院治疗对父母及其子女的心理影响。我们在希腊开展了一项基于网络问卷调查的全国性横断面研究。研究纳入了一个便利样本，其中包括子女因新冠病毒感染（包括儿童多系统炎症综合征，MIS-C）而住院、被诊断为新冠病毒感染但未住院以及在疫情期间因其他原因住院的父母。使用感知压力量表（PSS）和事件影响量表修订版（IES-R）工具评估父母的压力，并用儿童事件影响量表修订版13（CRIES-13）量表评估儿童的心理健康状况。在收到的214份回复中，与子女未因新冠病毒感染或MIS-C住院或因其他原因住院的父母相比，子女因新冠病毒感染或MIS-C住院的父母的压力水平显著更高（PSS/IES-R，p < 0.001）。父母压力水平与儿童压力水平相关。在多变量线性回归分析中，子女因新冠病毒感染或MIS-C住院、父母年龄较小、存在合并症以及另一名家庭成员因新冠病毒感染住院是压力较高的独立因素。鉴于上述情况，可以实施更严格的新冠病毒感染住院标准，为最终入院的家庭提供心理支持可能有益。
