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Zomerdijk N, Jongenelis MI, Collins B, Short CE, Huntley K, Smith A, Turner J. The lived experiences of hematology healthcare providers during and beyond the COVID-19 crisis: A qualitative study. Psychooncology 2023; 32:1939-1947. [PMID: 37950341 DOI: 10.1002/pon.6250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Revised: 10/16/2023] [Accepted: 11/01/2023] [Indexed: 11/12/2023]
Abstract
OBJECTIVE Amid the COVID-19 pandemic, healthcare providers (HCPs) of hematology patients face unique challenges due to the vulnerability of their patients. This study explores the lived experiences of these providers during and beyond the crisis. METHODS Twenty-one Australian HCPs caring for hematology patients completed semi-structured interviews exploring their experiences and needs during the COVID-19 pandemic, adequacy of support and information provided by healthcare organizations, impact on hematology patients, and the benefits and challenges of telehealth care. Data were analyzed using reflexive thematic analysis. RESULTS Four themes were identified: (1) Managing an initial state of flux (unsettling uncertainty and fear, unique needs of hematology patients, getting on with the job together); (2) Concerns about care provision (questioning care efficacy, burden of compassion); (3) Disconnect between HCP needs and system-level responses (burnout, isolation, and poor work-life balance, broadcast fatigue, protecting mental health), and; (4) Reflecting on the future (ongoing challenges for hematology patients, higher staff turnover and heavier workloads, innovation in the healthcare field). CONCLUSION This study sheds light on the challenges that hematology HCPs face during and beyond the COVID-19 crisis, impacting their wellbeing. Addressing these challenges is paramount for the healthcare system at large. Provider-led peer support programs may be beneficial for addressing moral distress and building resilience. Additionally, specific consideration for the ongoing vulnerability of hematology patients could have positive impacts on providers' professional satisfaction.
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Affiliation(s)
- Nienke Zomerdijk
- School of Public Health, The University of Queensland, Brisbane, Queensland, Australia
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia
| | - Michelle I Jongenelis
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia
- Melbourne Centre for Behaviour Change, University of Melbourne, Melbourne, Victoria, Australia
| | - Ben Collins
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia
| | - Camille E Short
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia
- Melbourne Centre for Behaviour Change, University of Melbourne, Melbourne, Victoria, Australia
- School of Health Sciences, University of Melbourne, Melbourne, Victoria, Australia
| | | | - Andrew Smith
- Leukaemia Foundation, Brisbane, Queensland, Australia
| | - Jane Turner
- Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia
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Xu Y, Harrison TM. Socioemotional and Behavioral Problems of Grandchildren Raised by Grandparents: The Role of Grandparent-Grandchild Relational Closeness and Conflict. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1623. [PMID: 37892286 PMCID: PMC10605244 DOI: 10.3390/children10101623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Revised: 09/26/2023] [Accepted: 09/27/2023] [Indexed: 10/29/2023]
Abstract
This study examined the associations of grandparent-grandchild relational closeness and conflict with grandchildren's socioemotional and behavioral problems, including emotional symptoms, conduct problems, hyperactivity, peer problems, and abnormal prosocial behaviors. We analyzed primary cross-sectional survey data collected from custodial grandparents in the United States using logistic regression models. The results indicated that grandparent-grandchild relational closeness was significantly associated with lower odds of custodial grandchildren having emotional symptoms, conduct problems, peer problems, and abnormal prosocial behaviors, whereas grandparent-grandchild relational conflict was significantly associated with higher odds of emotional symptoms, conduct problems, hyperactivity, peer problems, and abnormal prosocial behaviors. Implications for increasing grandparent-grandchild relational closeness and decreasing relational conflicts among grandparent-headed families are discussed, which might improve grandchildren's socioemotional and behavioral well-being.
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Affiliation(s)
- Yanfeng Xu
- College of Social Work, University of South Carolina, Columbia, SC 29208, USA
| | - Theresa M Harrison
- Carolina Family Engagement Center, College of Education, University of South Carolina, Columbia, SC 29208, USA
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Li B, Ng K, Tong X, Zhou X, Ye J, Yu JJ. Physical activity and mental health in children and youth during COVID-19: a systematic review and meta-analysis. Child Adolesc Psychiatry Ment Health 2023; 17:92. [PMID: 37468975 DOI: 10.1186/s13034-023-00629-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2023] [Accepted: 06/12/2023] [Indexed: 07/21/2023] Open
Abstract
BACKGROUND The coronavirus disease (COVID-19) and universal mitigation strategies have fundamentally affected peoples' lives worldwide, particularly during the first two years of the pandemic. Reductions in physical activity (PA) and increased mental health (MH) problems among children and youth have been observed. This systematic review and meta-analysis investigated the relationship between physical activity (PA) and mental health (MH) among children and youth during the COVID-19 pandemic. METHODS Four electronic databases (EMBASE, PsycINFO, PubMed, and Web of Science) were systematically searched to identify studies that (1) examined the relationship between PA and MH among children and youth (aged 2-24 years old) and (2) were published in peer-reviewed journals in English between January 2020 and December 2021. Relationships between PA and two MH aspects (i.e., negative and positive psychological responses) among children and youth at different age ranges and those with disabilities or chronic conditions (DCC) were synthesized. Meta-analyses were also performed for eligible studies to determine the pooled effect size. RESULTS A total of 58 studies were eventually included for variable categorization, with 32 eligible for meta-analyses. Our synthesis results showed that greater PA participation was strongly related to lower negative psychological responses (i.e., anxiety, depression, stress, insomnia, fatigue, and mental health problems) and higher positive psychological responses (i.e., general well-being and vigor) in children and youth during COVID-19. The pattern and strength of relations between PA and MH outcomes varied across age ranges and health conditions, with preschoolers and those with DCC receiving less attention in the existing research. Meta-analysis results showed that the magnitude of associations of PA with negative (Fisher's z = - 0.198, p < 0.001) and positive (Fisher's z = 0.170, p < 0.001) psychological responses among children and youth was weak. These results were linked to age of participants, study quality, and reporting of PA-related information. CONCLUSIONS PA participation and MH among children and youth deteriorated during the COVID-19 pandemic and were closely associated with each other. For the post-COVID-19 era, additional research on age- and health condition-specific relationships between PA and MH outcomes from a comprehensive perspective is warranted. (Word count: 344 words).
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Affiliation(s)
- Bowen Li
- Department of Sport and Exercise Science, College of Education, Zhejiang University, Hangzhou, China
| | - Kwok Ng
- Physical Activity for Health Research Cluster, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland
- Faculty of Education, University of Turku, Rauma, Finland
- School of Educational Sciences and Psychology, University of Eastern Finland, Joensuu, Finland
| | - Xiuhong Tong
- Department of Psychology, The Education University of Hong Kong, Hong Kong, China
| | - Xiao Zhou
- Department of Psychology and Behavioral Sciences, Zhejiang University, Hangzhou, China
| | - Jiangchuan Ye
- Department of Sport and Exercise Science, College of Education, Zhejiang University, Hangzhou, China
| | - Jane Jie Yu
- Department of Sport and Exercise Science, College of Education, Zhejiang University, Hangzhou, China.
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4
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Campos RT, Lindoso L, Sousa RAD, Helito AC, Ihara BP, Strabelli CAA, Paradelas LMV, Carneiro BOL, Cardoso MPR, Souza JPVD, Freire MRDM, Astley C, Laurentino MF, Buscatti IM, Kozu K, Aikawa NE, Sallum AME, Ferreira JCO, Simon JR, Viana VSL, Queiroz LB, Gualano B, Roschel H, Pereira RMR, Toma RK, Watanabe A, Grangeiro PM, Casella CB, Farhat SC, Polanczyk GV, Campos LMA, Silva CA. Emotional, hyperactivity and inattention problems in adolescents with immunocompromising chronic diseases during the COVID-19 pandemic. Clinics (Sao Paulo) 2023; 78:100167. [PMID: 36738645 PMCID: PMC9870760 DOI: 10.1016/j.clinsp.2023.100167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Revised: 12/19/2022] [Accepted: 12/29/2022] [Indexed: 01/25/2023] Open
Abstract
OBJECTIVE To assess factors associated with emotional changes and Hyperactivity/Inattention (HI) motivated by COVID-19 quarantine in adolescents with immunocompromising diseases. METHODS A cross-sectional study included 343 adolescents with immunocompromising diseases and 108 healthy adolescents. Online questionnaires were answered including socio-demographic data and self-rated healthcare routine during COVID-19 quarantine and validated surveys: Strengths and Difficulties Questionnaire (SDQ), Pittsburgh Sleep Quality Index (PSQI), Pediatric Quality of Life Inventory 4.0 (PedsQL4.0). RESULTS The frequencies of abnormal emotional SDQ scores from adolescents with chronic diseases were similar to those of healthy subjects (110/343 [32%] vs. 38/108 [35%], p = 0.548), as well as abnormal hyperactivity/inattention SDQ scores (79/343 [23%] vs. 29/108 [27%], p = 0.417). Logistic regression analysis of independent variables associated with abnormal emotional scores from adolescents with chronic diseases showed: female sex (Odds Ratio [OR = 3.76]; 95% Confidence Interval (95% CI) 2.00‒7.05; p < 0.001), poor sleep quality (OR = 2.05; 95% CI 1.08‒3.88; p = 0.028) and intrafamilial violence during pandemic (OR = 2.17; 95% CI 1.12‒4.19; p = 0.021) as independently associated with abnormal emotional scores, whereas total PedsQL score was inversely associated with abnormal emotional scores (OR = 0.95; 95% CI 0.93‒0.96; p < 0.0001). Logistic regression analysis associated with abnormal HI scores from patients evidenced that total PedsQL score (OR = 0.97; 95% CI 0.95‒0.99; p = 0.010], changes in medical appointments during the pandemic (OR = 0.39; 95% CI 0.19-0.79; p = 0.021), and reliable COVID-19 information (OR = 0.35; 95% CI 0.16‒0.77; p = 0.026) remained inversely associated with abnormal HI scores. CONCLUSION The present study showed emotional and HI disturbances in adolescents with chronic immunosuppressive diseases during the COVID-19 pandemic. It reinforces the need to promptly implement a longitudinal program to protect the mental health of adolescents with and without chronic illnesses during future pandemics.
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Affiliation(s)
- Reinan T Campos
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Livia Lindoso
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Renan A de Sousa
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Alberto C Helito
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Bianca P Ihara
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Claudia A A Strabelli
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Levi M V Paradelas
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Beatriz O L Carneiro
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Maria Paula R Cardoso
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Jean Paulo V de Souza
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Marianna R de M Freire
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Camilla Astley
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Moisés F Laurentino
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Izabel M Buscatti
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Katia Kozu
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Nadia E Aikawa
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Adriana M E Sallum
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Juliana C O Ferreira
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Juliana R Simon
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Vivianne S L Viana
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Ligia B Queiroz
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Bruno Gualano
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Hamilton Roschel
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Rosa Maria R Pereira
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Ricardo K Toma
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Andréia Watanabe
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Patricia M Grangeiro
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Caio B Casella
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Sylvia C Farhat
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Guilherme V Polanczyk
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Lucia Maria A Campos
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil
| | - Clovis A Silva
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil.
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Mudenda S, Chomba M, Mukosha M, Daka V, Chileshe M, Okoro RN, Fadare J, Al-Fayyadh S, Munsaka S, Kampamba M, Chali J, Mfune RL, Hikaambo CN. Psychological impact of coronavirus disease (COVID-19) on health professions students at the University of Zambia: a cross-sectional study. Pan Afr Med J 2022; 42:237. [PMID: 36845241 PMCID: PMC9949304 DOI: 10.11604/pamj.2022.42.237.34041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Accepted: 07/23/2022] [Indexed: 02/28/2023] Open
Abstract
Introduction the coronavirus disease 2019 (COVID-19) has negatively impacted the mental health of students across the globe. In Zambia, little is known about the psychological impacts of COVID-19 on healthcare students. This study assessed the psychological impact of COVID-19 on health professions students at the University of Zambia. Methods this cross-sectional study was conducted from August 2021 to October 2021. Anxiety and depression were measured using the Hospital Anxiety and Depression Scale (HADS). The multivariable logistic regression model was used to identify the factors associated with anxiety and depression among the participants. Data were analysed using Stata 16.1. Results of the 452 students, 57.5% were female, with the majority aged between 19 and 24 years. Overall, 65% (95% CI: 60.5-69.4) experienced anxiety, while 86% (95% CI: 82.7-89.3) experienced depression. Participants whose income was affected were more likely to experience anxiety (aOR; 2.09, 95% CI: 1.29-3.37) and depression (aOR; 2.87, 95% CI: 1.53-5.38). Anxiety was associated with difficulty in observing the COVID-19 preventive measures (aOR; 1.84, 95% CI: 1.21-2.81). Being depressed was associated with having a chronic condition (aOR; 3.98, 95% CI: 1.67-9.50) or a relative or friend who died from COVID-19 (aOR: 1.98, 95% CI: 1.06-3.70). Conclusion many students experienced anxiety and depression during the COVID-19 third wave of infections. This calls for mitigation measures because continued anxiety and depression can affect the academic performance of students. Fortunately, most of the associated factors are modifiable and can easily be targeted when formulating interventions to reduce anxiety and depression among students.
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Affiliation(s)
- Steward Mudenda
- Department of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia
| | - Mukuka Chomba
- Department of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia
| | - Moses Mukosha
- Department of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia
| | - Victor Daka
- Michael Chilufya Sata School of Medicine, Copperbelt University, Ndola, Zambia
| | - Misheck Chileshe
- Mary Begg Health Services, 56 Chintu Avenue, Northrise, Ndola, Zambia
| | - Roland Nnaemeka Okoro
- Department of Clinical Pharmacy and Pharmacy Administration, Faculty of Pharmacy, University of Maiduguri, Maiduguri, Nigeria
| | - Joseph Fadare
- Department of Pharmacology and Therapeutics, Ekiti State University, Ado-Ekiti, Nigeria
- Department of Medicine, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria
| | - Sadeq Al-Fayyadh
- Department of Adult Health Nursing, College of Nursing, University of Baghdad, Baghdad, Iraq
| | - Sody Munsaka
- Department of Biomedical Sciences, School of Health Sciences, University of Zambia, Lusaka, Zambia
| | - Martin Kampamba
- Department of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia
| | - Josephine Chali
- Faculty of Paediatrics and Child Health, Lusaka College of Nursing, Lusaka, Zambia
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Avčin T, Avguštin Avčin B. Addressing mental health issues in immunocompromised adolescents with chronic diseases during the COVID-19 pandemic. J Pediatr (Rio J) 2022; 98:323-325. [PMID: 35366415 PMCID: PMC8958092 DOI: 10.1016/j.jped.2022.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Affiliation(s)
- Tadej Avčin
- University Medical Center Ljubljana, Children's Hospital, Department of Allergology, Rheumatology and Clinical Immunology, Ljubljana, Slovenia; University of Ljubljana, Faculty of Medicine, Department of Pediatrics, Ljubljana, Slovenia.
| | - Bojana Avguštin Avčin
- University Psychiatric Hospital Ljubljana, Center for Mental Health, Ljubljana, Slovenia
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7
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Ihara BP, Lindoso LM, Setoue DND, Tanigava NY, Helito AC, Simon JR, Viana VSL, Strabelli CAA, Pedroso CAA, Sieczkowska SM, Pereira RMR, Aikawa NE, Kozu KT, Elias AM, Buscatti IM, Gualano B, Queiroz LB, Casella CB, Polanczyk GV, Silva CAA, Campos LMMA. COVID-19 quarantine in adolescents with autoimmune rheumatic diseases: mental health issues and life conditions. Clin Rheumatol 2022; 41:3189-3198. [PMID: 35701628 PMCID: PMC9197675 DOI: 10.1007/s10067-022-06234-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Revised: 05/18/2022] [Accepted: 06/01/2022] [Indexed: 12/24/2022]
Abstract
Objectives To assess mental health and life conditions in adolescents with autoimmune rheumatic diseases (ARDs) and healthy controls quarantined during COVID-19 pandemic. Method A cross-sectional study included 155 ARD adolescents and 105 healthy controls. Online survey included self-reported strengths and difficulties questionnaire (SDQ), and a semi-structured questionnaire with demographic data, daily home and school routine, physical activities, and COVID-19 information during the pandemic. Results Among patients, 56% had juvenile idiopathic arthritis (JIA), 29% juvenile systemic lupus erythematosus (JSLE), and 15% juvenile dermatomyositis (JDM). No differences were found regarding sex, ethnicity, and current age between ARD patients and controls (p > 0.05). Abnormal emotional SDQ (38% vs. 35%, p = 0.653) were similar in both groups. Logistic regression analyses in ARD patients demonstrated that female (OR = 2.4; 95%CI 1.0–6.0; p = 0.044) was associated with severe emotional SDQ dysfunction, whereas sleep problems were considered as a risk factor for both worse total SDQ (OR = 2.6; 95%CI 1.2–5.5; p = 0.009) and emotional SDQ scores (OR = 4.6; 95%CI 2.2–9.7; p < 0.001). Comparisons between ARD patients with and without current prednisone use showed higher median scores of peer problems in the first group [3 (0–10) vs. 2 (0–7), p = 0.049], whereas similar median and frequencies between JIA, JSLE, and JDM (p > 0.05). Conclusions Approximately one third of JIA, JSLE, and JDM patients presented abnormal total and emotional scores of SDQ during COVID-19 quarantine. Sleep problems were the main factor associated with emotional difficulties in these ARD adolescents. The knowledge of mental health issues rates in adolescents with ARD supports the development of prevention strategies, like sleep hygiene counseling, as well as the references of the affected patients to specialized mental health services, as necessary. Key Points • One third of ARD patients presented mental health issues during COVID-19 quarantine • Sleep problems were associated with emotional difficulties. • It is necessary to warn pediatric rheumatologists about the importance of sleep hygiene counseling. |
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Affiliation(s)
- Bianca P. Ihara
- Instituto da Criança E Do Adolescente, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
| | - Lívia M. Lindoso
- Instituto da Criança E Do Adolescente, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
| | - Debora N. D. Setoue
- Instituto da Criança E Do Adolescente, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
| | - Nicolas Y. Tanigava
- Rheumatology Division, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
| | - Alberto C. Helito
- Instituto da Criança E Do Adolescente, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
| | - Juliana R. Simon
- Instituto da Criança E Do Adolescente, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
| | - Vivianne S. L. Viana
- Instituto da Criança E Do Adolescente, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
| | - Claudia A. A. Strabelli
- Instituto da Criança E Do Adolescente, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
| | - Camilla A. A. Pedroso
- Rheumatology Division, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
- Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil
| | - Sofia M. Sieczkowska
- Rheumatology Division, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
- Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil
| | - Rosa M. R. Pereira
- Rheumatology Division, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
| | - Nádia E. Aikawa
- Instituto da Criança E Do Adolescente, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
- Rheumatology Division, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
| | - Katia T. Kozu
- Instituto da Criança E Do Adolescente, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
| | - Adriana M. Elias
- Instituto da Criança E Do Adolescente, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
| | - Izabel M. Buscatti
- Instituto da Criança E Do Adolescente, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
| | - Bruno Gualano
- Rheumatology Division, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
- Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil
| | - Ligia B. Queiroz
- Instituto da Criança E Do Adolescente, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
| | - Caio B. Casella
- Instituto da Criança E Do Adolescente, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
- Department of Psychiatry, Faculdade de Medicina, University of São Paulo, São Paulo, Brazil
| | - Guilherme V. Polanczyk
- Department of Psychiatry, Faculdade de Medicina, University of São Paulo, São Paulo, Brazil
| | - Clovis A. A. Silva
- Instituto da Criança E Do Adolescente, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
- Rheumatology Division, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
| | - Lucia M. M. A. Campos
- Instituto da Criança E Do Adolescente, Hospital das Clínicas HCFMUSP, University of São Paulo Medical School, São Paulo, Brazil
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