Bourion-Bédès Stéphanie, Rousseau Hélène, Batt Martine, Tarquinio Pascale, Lebreuilly Romain, Sorsana Christine, Legrand Karine, Tarquinio Cyril, Baumann Cédric
Université de Lorraine, APEMAC, équipe MICS, F-54 000 Nancy, France.
Centre Hospitalier de Versailles, Service Universitaire de Psychiatrie de l'Enfant et de l'Adolescent, 78157 Versailles-Le Chesnay, France.
Child Youth Serv Rev. 2023 Apr;147:106842. doi: 10.1016/j.childyouth.2023.106842. Epub 2023 Jan 26.
Nearly 1.6 billion of children and young people in more than 190 countries have been affected by school closures under the first lockdown due to the coronavirus disease. This study aimed to investigate child-reported and parent-rated health-related quality of life among 8- to 18-year-olds and the agreement between the children's assessments and those of their parents during lockdown. A cross-sectional study was conducted among French children living in the Grand Est area. An online survey was used to collect data on the children's sociodemographics, living environments, education and HRQoL. The latter was assessed with KIDSCREEN-27, which consists of five domains. Sex and age differences in parent ratings and child-reported data were analyzed using Mann-Whitney tests. Child-parent agreement was analyzed using the intraclass correlation coefficient (ICC). In total, 471 child-parent pairs from 341 households were included. Compared to European norms, children scored lower on all dimensions during the first lockdown: physical well-being (45.9/49.94 EU), psychological well-being (48.8/49.77 EU), parent relations and autonomy (47.7/49.99 EU), social support and peers (36.4/49.94 EU) and school (48.2/50 EU). Significant child-reported sex and age differences were identified for both psychological and physical well-being dimensions. Moderate to good agreement existed between children's and parents' ratings on all KIDSCREEN dimensions (ICC ranged from 0.60 to 0.76). The study suggests the need to focus on children's social support and peers during epidemics and to consider the children's self-reported HRQoL. Additional research should be conducted to identify ways of minimizing the gap between mental health needs and the services available and to help more children maintain their physical and mental health during the current crisis.
在超过190个国家，近16亿儿童和青少年受到了因新冠疫情首次封锁导致学校关闭的影响。本研究旨在调查8至18岁儿童自我报告以及家长评定的健康相关生活质量，以及封锁期间儿童与家长评估之间的一致性。对居住在大东部地区的法国儿童进行了一项横断面研究。通过在线调查收集儿童的社会人口统计学、生活环境、教育和健康相关生活质量数据。后者使用KIDSCREEN - 27进行评估，该量表由五个领域组成。使用曼 - 惠特尼检验分析家长评定和儿童报告数据中的性别和年龄差异。使用组内相关系数（ICC）分析儿童与家长的一致性。总共纳入了来自341户家庭的471对儿童与家长。与欧洲标准相比，在首次封锁期间，儿童在所有维度上的得分都较低：身体健康（45.9/49.94欧盟）、心理健康（48.8/49.77欧盟）、亲子关系与自主性（47.7/49.99欧盟）、社会支持与同伴（36.4/49.94欧盟）以及学校（48.2/50欧盟）。在心理健康和身体健康维度上均发现了显著的儿童报告的性别和年龄差异。儿童与家长在所有KIDSCREEN维度上的评定存在中度到高度的一致性（ICC范围为0.60至0.76）。该研究表明，在疫情期间需要关注儿童的社会支持和同伴关系，并考虑儿童自我报告的健康相关生活质量。应开展更多研究，以确定缩小心理健康需求与现有服务之间差距的方法，并帮助更多儿童在当前危机期间保持身心健康。
