Physical and mental health impacts during COVID-19 quarantine in adolescents with preexisting chronic immunocompromised conditions
Objective: To evaluate physical and mental health indicators in adolescents with preexisting chronic immunocompromised conditions during coronavirus disease 2019 (COVID-19) quarantine. Methods: A cross-sectional study included 355 adolescents with chronic conditions and 111 healthy adolescents. An o...
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-07-01
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| Series: | Jornal de Pediatria |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0021755721001364 |
| _version_ | 1811331622401736704 |
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| author | Livia Lindoso Camilla Astley Ligia Bruni Queiroz Bruno Gualano Rosa Maria Rodrigues Pereira Uenis Tannuri Lúcia Maria Mattei de Arruda Campos Benito Lourenço Ricardo Katsuya Toma Karina Medeiros Andréia Watanabe Patricia Moreno Grangeiro Vera da Penha Martellini Ferrari Rego Barros Caio Borba Casella Sylvia Farhat Guilherme Vanoni Polanczyk Clovis Artur Silva |
| author_facet | Livia Lindoso Camilla Astley Ligia Bruni Queiroz Bruno Gualano Rosa Maria Rodrigues Pereira Uenis Tannuri Lúcia Maria Mattei de Arruda Campos Benito Lourenço Ricardo Katsuya Toma Karina Medeiros Andréia Watanabe Patricia Moreno Grangeiro Vera da Penha Martellini Ferrari Rego Barros Caio Borba Casella Sylvia Farhat Guilherme Vanoni Polanczyk Clovis Artur Silva |
| author_sort | Livia Lindoso |
| collection | DOAJ |
| description | Objective: To evaluate physical and mental health indicators in adolescents with preexisting chronic immunocompromised conditions during coronavirus disease 2019 (COVID-19) quarantine. Methods: A cross-sectional study included 355 adolescents with chronic conditions and 111 healthy adolescents. An online self-rated survey was used to investigate socio-demographic features, healthcare routine, and the quarantine impact on physical and mental health. The validated self-reported version of the Strengths and Difficulties Questionnaire (SDQ) was also applied. Results: The median of age [14 (10–18) vs. 15 (10–18) years, p = 0.733] and frequencies of female (61% vs. 60%, p = 0.970) were similar between adolescents with preexisting chronic conditions and healthy adolescents during quarantine of COVID-19 pandemic. The frequencies of abnormal total difficulties score of SDQ were similar in patients and controls (30% vs. 31%, p = 0.775). Logistic regression analysis showed that being female (OR = 1.965; 95% CI = 1.091–3.541, p = 0.024), fear of underlying disease activity/complication (OR = 1.009; 95%CI = 1.001–1.018, p = 0.030) were associated with severe psychosocial dysfunction in adolescents with chronic conditions, whereas school homework (OR = 0.449; 95% CI = 0.206–0.981, p = 0.045) and physical activity (OR = 0.990; 95% CI = 0.981–0.999, p = 0.030) were protective factors. Further analysis of patients with chronic immunocompromised conditions and previous diagnosis of mental disorders (9%) compared with patients without diagnosis showed higher median of total difficulties score (p = 0.001), emotional (p = 0.005), conduct (p = 0.007), peer problems (p = 0.001) and hyperactivity (p = 0.034) in the former group. Conclusion: Adolescents with preexisting chronic immunocompromised conditions during COVID-19 quarantine were not at higher risk of adverse health indicators. Being female, fear of underlying disease activity/complication, and household members working outside of the home were relevant issues for adolescents with preexisting chronic conditions. This study reinforces the need to establish mental health strategies for teens with chronic conditions, particularly during the pandemic. |
| first_indexed | 2024-04-13T16:23:26Z |
| format | Article |
| id | doaj.art-d5e72c37b5b44e2db063f7eb5c63e335 |
| institution | Directory Open Access Journal |
| issn | 0021-7557 |
| language | English |
| last_indexed | 2024-04-13T16:23:26Z |
| publishDate | 2022-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Jornal de Pediatria |
| spelling | doaj.art-d5e72c37b5b44e2db063f7eb5c63e3352022-12-22T02:39:50ZengElsevierJornal de Pediatria0021-75572022-07-01984350361Physical and mental health impacts during COVID-19 quarantine in adolescents with preexisting chronic immunocompromised conditionsLivia Lindoso0Camilla Astley1Ligia Bruni Queiroz2Bruno Gualano3Rosa Maria Rodrigues Pereira4Uenis Tannuri5Lúcia Maria Mattei de Arruda Campos6Benito Lourenço7Ricardo Katsuya Toma8Karina Medeiros9Andréia Watanabe10Patricia Moreno Grangeiro11Vera da Penha Martellini Ferrari Rego Barros12Caio Borba Casella13Sylvia Farhat14Guilherme Vanoni Polanczyk15Clovis Artur Silva16Universidade de São Paulo (HCFMUSP), Faculdade de Medicina, Hospital das Clínicas, Instituto da Criança e do Adolescente, São Paulo, SP, BrazilUniversidade de São Paulo (HCFMUSP), Faculdade de Medicina, Hospital das Clínicas, Divisão de Reumatologia, São Paulo, SP, Brazil; Universidade de São Paulo (FMUSP), Faculdade de Medicina, Escola de Educação Física e Esporte, Grupo de Pesquisa em Fisiologia Aplicada e Nutrição, São Paulo, SP, BrazilUniversidade de São Paulo (HCFMUSP), Faculdade de Medicina, Hospital das Clínicas, Instituto da Criança e do Adolescente, São Paulo, SP, BrazilUniversidade de São Paulo (HCFMUSP), Faculdade de Medicina, Hospital das Clínicas, Divisão de Reumatologia, São Paulo, SP, Brazil; Universidade de São Paulo (FMUSP), Faculdade de Medicina, Escola de Educação Física e Esporte, Grupo de Pesquisa em Fisiologia Aplicada e Nutrição, São Paulo, SP, Brazil; Universidade de São Paulo, Centro de Pesquisa Alimentar, São Paulo, SP, BrazilUniversidade de São Paulo (HCFMUSP), Faculdade de Medicina, Hospital das Clínicas, Divisão de Reumatologia, São Paulo, SP, BrazilUniversidade de São Paulo (HCFMUSP), Faculdade de Medicina, Hospital das Clínicas, Instituto da Criança e do Adolescente, São Paulo, SP, BrazilUniversidade de São Paulo (HCFMUSP), Faculdade de Medicina, Hospital das Clínicas, Instituto da Criança e do Adolescente, São Paulo, SP, Brazil; Universidade de São Paulo (HCFMUSP), Faculdade de Medicina, Hospital das Clínicas, Divisão de Reumatologia, São Paulo, SP, BrazilUniversidade de São Paulo (HCFMUSP), Faculdade de Medicina, Hospital das Clínicas, Instituto da Criança e do Adolescente, São Paulo, SP, BrazilUniversidade de São Paulo (HCFMUSP), Faculdade de Medicina, Hospital das Clínicas, Instituto da Criança e do Adolescente, São Paulo, SP, BrazilUniversidade de São Paulo (HCFMUSP), Faculdade de Medicina, Hospital das Clínicas, Instituto da Criança e do Adolescente, São Paulo, SP, BrazilUniversidade de São Paulo (HCFMUSP), Faculdade de Medicina, Hospital das Clínicas, Instituto da Criança e do Adolescente, São Paulo, SP, BrazilUniversidade de São Paulo (HCFMUSP), Faculdade Medicina, Hospital das Clínicas, Instituto de Ortopedia e Traumatologia, São Paulo, SP, BrazilUniversidade de São Paulo (HCFMUSP), Faculdade de Medicina, Hospital das Clínicas, Instituto da Criança e do Adolescente, São Paulo, SP, BrazilUniversidade de São Paulo (FMUSP), Faculdade de Medicina, Departamento de Psiquiatria, São Paulo, SP, BrazilUniversidade de São Paulo (HCFMUSP), Faculdade de Medicina, Hospital das Clínicas, Instituto da Criança e do Adolescente, São Paulo, SP, BrazilUniversidade de São Paulo (FMUSP), Faculdade de Medicina, Departamento de Psiquiatria, São Paulo, SP, BrazilUniversidade de São Paulo (HCFMUSP), Faculdade de Medicina, Hospital das Clínicas, Instituto da Criança e do Adolescente, São Paulo, SP, Brazil; Universidade de São Paulo (HCFMUSP), Faculdade de Medicina, Hospital das Clínicas, Divisão de Reumatologia, São Paulo, SP, Brazil; Corresponding author.Objective: To evaluate physical and mental health indicators in adolescents with preexisting chronic immunocompromised conditions during coronavirus disease 2019 (COVID-19) quarantine. Methods: A cross-sectional study included 355 adolescents with chronic conditions and 111 healthy adolescents. An online self-rated survey was used to investigate socio-demographic features, healthcare routine, and the quarantine impact on physical and mental health. The validated self-reported version of the Strengths and Difficulties Questionnaire (SDQ) was also applied. Results: The median of age [14 (10–18) vs. 15 (10–18) years, p = 0.733] and frequencies of female (61% vs. 60%, p = 0.970) were similar between adolescents with preexisting chronic conditions and healthy adolescents during quarantine of COVID-19 pandemic. The frequencies of abnormal total difficulties score of SDQ were similar in patients and controls (30% vs. 31%, p = 0.775). Logistic regression analysis showed that being female (OR = 1.965; 95% CI = 1.091–3.541, p = 0.024), fear of underlying disease activity/complication (OR = 1.009; 95%CI = 1.001–1.018, p = 0.030) were associated with severe psychosocial dysfunction in adolescents with chronic conditions, whereas school homework (OR = 0.449; 95% CI = 0.206–0.981, p = 0.045) and physical activity (OR = 0.990; 95% CI = 0.981–0.999, p = 0.030) were protective factors. Further analysis of patients with chronic immunocompromised conditions and previous diagnosis of mental disorders (9%) compared with patients without diagnosis showed higher median of total difficulties score (p = 0.001), emotional (p = 0.005), conduct (p = 0.007), peer problems (p = 0.001) and hyperactivity (p = 0.034) in the former group. Conclusion: Adolescents with preexisting chronic immunocompromised conditions during COVID-19 quarantine were not at higher risk of adverse health indicators. Being female, fear of underlying disease activity/complication, and household members working outside of the home were relevant issues for adolescents with preexisting chronic conditions. This study reinforces the need to establish mental health strategies for teens with chronic conditions, particularly during the pandemic.http://www.sciencedirect.com/science/article/pii/S0021755721001364COVID-19 pandemicMental healthAdolescentsChronic diseases |
| spellingShingle | Livia Lindoso Camilla Astley Ligia Bruni Queiroz Bruno Gualano Rosa Maria Rodrigues Pereira Uenis Tannuri Lúcia Maria Mattei de Arruda Campos Benito Lourenço Ricardo Katsuya Toma Karina Medeiros Andréia Watanabe Patricia Moreno Grangeiro Vera da Penha Martellini Ferrari Rego Barros Caio Borba Casella Sylvia Farhat Guilherme Vanoni Polanczyk Clovis Artur Silva Physical and mental health impacts during COVID-19 quarantine in adolescents with preexisting chronic immunocompromised conditions Jornal de Pediatria COVID-19 pandemic Mental health Adolescents Chronic diseases |
| title | Physical and mental health impacts during COVID-19 quarantine in adolescents with preexisting chronic immunocompromised conditions |
| title_full | Physical and mental health impacts during COVID-19 quarantine in adolescents with preexisting chronic immunocompromised conditions |
| title_fullStr | Physical and mental health impacts during COVID-19 quarantine in adolescents with preexisting chronic immunocompromised conditions |
| title_full_unstemmed | Physical and mental health impacts during COVID-19 quarantine in adolescents with preexisting chronic immunocompromised conditions |
| title_short | Physical and mental health impacts during COVID-19 quarantine in adolescents with preexisting chronic immunocompromised conditions |
| title_sort | physical and mental health impacts during covid 19 quarantine in adolescents with preexisting chronic immunocompromised conditions |
| topic | COVID-19 pandemic Mental health Adolescents Chronic diseases |
| url | http://www.sciencedirect.com/science/article/pii/S0021755721001364 |
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