Stress symptoms and Coronavirus disease 2019 (COVID-19): a comparative study between Attention Deficit Hyperactivity Disorder and typically developing children and adolescents.
Stress symptoms and Coronavirus disease 2019 (COVID-19): a comparative study between Attention Deficit Hyperactivity Disorder and typically developing children and adolescents.
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DOI：
10.23736/s2724-5276.21.06477-6
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发表时间：
2021-10-14
影响因子：
2.6
通讯作者：
Melegari, Maria G
中科院分区：
文献类型：
--
作者：
Giallonardo, Martina;Uccella, Sara;Melegari, Maria G
背景：2019冠状病毒病（COVID-19）相关的限制严重影响了人们的福祉。许多研究集中在一般人群中，尽管有理由预期神经发育障碍患者的风险可能更高。注意力缺陷多动障碍（ADHD）儿童/青少年可能更容易受到伤害，因为他们不能容忍限制刺激体验的强制限制，不能遵守指示的义务和接受强加的规则。我们的目的是比较6-18岁ADHD和典型发育受试者之间首次COVD-19相关禁闭的压力相关行为变化。两个家长代理的在线调查已被采用，通过社交媒体共享。与疫情相关的急性压力症状和有关家庭成员/家庭COVID-19阳性的问题已列入8个是/否项目。结果：最终样本包括1078名发育正常儿童和979名ADHD儿童。夸大的惊吓反应、醒来困难、愤怒情绪以及与COVID-19相关的恐惧在ADHD受试者中比典型发育受试者更普遍。典型发育受试者对COVID-19相关信息的研究和对死亡的担忧表现出更高的患病率。结论：总之，COVID-19的经历在很大程度上显著影响了ADHD儿童和青少年，与典型发育受试者相似。ADHD表现出更多的焦虑恐惧反应，而典型的发展中国家的主题表现出更多的抑郁态度。注意缺陷多动障碍和T型典型发展中的受试者之间的压力症状特征的差异保证了制定不同的治疗性访谈策略。
BACKGROUND: Coronavirus disease 2019 (COVID-19) related confinement severely impacted people wellbeing. Many studies focused on general population, although it is reasonable to expect that patients with neurodevelopmental disorders might have been at higher risk. Children/adolescents with Attention Deficit/Hyperactivity Disorder (ADHD) might be potentially more vulnerable, due to their intolerance to forced restrictions that limit stimulating experiences, to obligation to follow instructions and to acceptation of imposed rules We aimed to compare stress-related behavioral changes of the first COVD-19 related confinement among 6-18 years old ADHD and typically developing subjects.METHODS: Two parent-proxy online surveys have been employed, shared via social media. Symptoms of acute stress related to the pandemic and a question about family members/households' COVID-19 positivity have been listed in 8 yes/no items. Chi-squared tests were applied.RESULTS: Final sample consisted of 1078 typically developing subjects and 979 ADHD. Exaggerated startle response, difficulties in waking-up, angry mood as well as COVID-19 related fears were more prevalent among ADHD vs. typically developing subjects. typically developing subjects showed higher prevalence of research for information about COVID-19 and worries about death.CONCLUSIONS: In conclusion, the COVID-19 experience significantly impacted children and adolescents with ADHD to a great extent, similarly to typically developing subjects. ADHD showed more anxious-phobic responses, while typically developing subjects demonstrate more depressive attitudes. Differences in stress symptoms profiles between ADHD and T typically developing subjects warrant to develop distinct strategies of therapeutic interviews.