Effects of the COVID-19 pandemic on emotional and behavioral problems and sleep problems in adolescents

Background The asynchrony rapid phase of cognitive, physical and emotional development occurring in adolescence may result in various issues such as risk-taking behavior, psychosocial and emotional problems. School closure during the COVID-19 pandemic has caused a tremendous change in adolescent lif...

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Main Authors: Bernie Endyarni Medise, Maulana Okta Reza, Yoga Devaera, Amanda Soebadi, Novie Amelia Chozie, Antonius H Pudjiadi
Format: Article
Language:English
Published: Indonesian Pediatric Society Publishing House 2023-10-01
Series:Paediatrica Indonesiana
Subjects:
Online Access:https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/3608
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author Bernie Endyarni Medise
Maulana Okta Reza
Yoga Devaera
Amanda Soebadi
Novie Amelia Chozie
Antonius H Pudjiadi
author_facet Bernie Endyarni Medise
Maulana Okta Reza
Yoga Devaera
Amanda Soebadi
Novie Amelia Chozie
Antonius H Pudjiadi
author_sort Bernie Endyarni Medise
collection DOAJ
description Background The asynchrony rapid phase of cognitive, physical and emotional development occurring in adolescence may result in various issues such as risk-taking behavior, psychosocial and emotional problems. School closure during the COVID-19 pandemic has caused a tremendous change in adolescent lifestyle and habits, including sleep patterns. causing added challenges to adolescents’ emotional and behavioral problems. Objective To identify the association between sleep disorders with emotional and behavioral problems during the COVID-19 pandemic in urban and rural adolescents. Methods We conducted a cross-sectional study among adolescents aged 12-18 years from November to December 2021 in two provinces, DKI Jakarta and Riau Islands.  We recruited students consecutively from randomly selected junior and senior high schools. We used the Strengths and Difficulties Questionnaire (SDQ) and the Pittsburgh Sleep Quality Index (PSQI) to screen for emotional and behavioral problems and for sleep disorders, respectively. The questionnaires were sent electronically to each subject after obtaining parental consent. Results There were 400 subjects included in our study, of which 64% were female. The prevalences of COVID-19 amongst subjects in urban and rural areas were COVID-19 12.5% and 5.5%, respectively. Emotional and behavioral disorders as well as sleep disorders were more common in rural than urban areas (13 vs. 11.5% and 50.5% vs. 38%; P=0.012, respectively).  Sleep disorders were associated with the SDQ subscales of emotional symptoms [PR 4.88 (95%CI 2.97 to 8.03); P<0.01), conduct problems [PR 3.71 (95%CI 1.53 to 9.04); P=0.02), hyperactivity/inattention [PR 6.05 (95%CI 2.58 to 16.17); P<0.01], and peer relationship problems [PR 3.28 (95%CI 1.33 to 8.09); P<0.01). Conclusion Sleep disorders among adolescents during COVID-19 pandemic were associated with emotional and behavioral problems. Adolescents who live in rural areas were more likely to have sleep disorders, emotional and behavioral problems.
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spelling doaj.art-47441027853d41c49dfab104a0eac7a82023-12-05T02:44:40ZengIndonesian Pediatric Society Publishing HousePaediatrica Indonesiana0030-93112338-476X2023-10-01635383810.14238/pi63.5.2023.383-83608Effects of the COVID-19 pandemic on emotional and behavioral problems and sleep problems in adolescentsBernie Endyarni Medise0Maulana Okta RezaYoga DevaeraAmanda SoebadiNovie Amelia ChozieAntonius H PudjiadiDepartment of Child Health, University of Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, JakartaBackground The asynchrony rapid phase of cognitive, physical and emotional development occurring in adolescence may result in various issues such as risk-taking behavior, psychosocial and emotional problems. School closure during the COVID-19 pandemic has caused a tremendous change in adolescent lifestyle and habits, including sleep patterns. causing added challenges to adolescents’ emotional and behavioral problems. Objective To identify the association between sleep disorders with emotional and behavioral problems during the COVID-19 pandemic in urban and rural adolescents. Methods We conducted a cross-sectional study among adolescents aged 12-18 years from November to December 2021 in two provinces, DKI Jakarta and Riau Islands.  We recruited students consecutively from randomly selected junior and senior high schools. We used the Strengths and Difficulties Questionnaire (SDQ) and the Pittsburgh Sleep Quality Index (PSQI) to screen for emotional and behavioral problems and for sleep disorders, respectively. The questionnaires were sent electronically to each subject after obtaining parental consent. Results There were 400 subjects included in our study, of which 64% were female. The prevalences of COVID-19 amongst subjects in urban and rural areas were COVID-19 12.5% and 5.5%, respectively. Emotional and behavioral disorders as well as sleep disorders were more common in rural than urban areas (13 vs. 11.5% and 50.5% vs. 38%; P=0.012, respectively).  Sleep disorders were associated with the SDQ subscales of emotional symptoms [PR 4.88 (95%CI 2.97 to 8.03); P<0.01), conduct problems [PR 3.71 (95%CI 1.53 to 9.04); P=0.02), hyperactivity/inattention [PR 6.05 (95%CI 2.58 to 16.17); P<0.01], and peer relationship problems [PR 3.28 (95%CI 1.33 to 8.09); P<0.01). Conclusion Sleep disorders among adolescents during COVID-19 pandemic were associated with emotional and behavioral problems. Adolescents who live in rural areas were more likely to have sleep disorders, emotional and behavioral problems.https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/3608adolescents; emotional and behavioral problems; covid-19 pandemic; sleep disorders
spellingShingle Bernie Endyarni Medise
Maulana Okta Reza
Yoga Devaera
Amanda Soebadi
Novie Amelia Chozie
Antonius H Pudjiadi
Effects of the COVID-19 pandemic on emotional and behavioral problems and sleep problems in adolescents
Paediatrica Indonesiana
adolescents; emotional and behavioral problems; covid-19 pandemic; sleep disorders
title Effects of the COVID-19 pandemic on emotional and behavioral problems and sleep problems in adolescents
title_full Effects of the COVID-19 pandemic on emotional and behavioral problems and sleep problems in adolescents
title_fullStr Effects of the COVID-19 pandemic on emotional and behavioral problems and sleep problems in adolescents
title_full_unstemmed Effects of the COVID-19 pandemic on emotional and behavioral problems and sleep problems in adolescents
title_short Effects of the COVID-19 pandemic on emotional and behavioral problems and sleep problems in adolescents
title_sort effects of the covid 19 pandemic on emotional and behavioral problems and sleep problems in adolescents
topic adolescents; emotional and behavioral problems; covid-19 pandemic; sleep disorders
url https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/3608
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