Physical Health, Media Use, and Mental Health in Children and Adolescents With ADHD During the COVID-19 Pandemic in Australia

Sciberras, Emma; Patel, Pooja; Stokes, Mark A.; Coghill, David; Middeldorp, Christel M.; Bellgrove, Mark A.; Becker, Stephen P.; Efron, Daryl; Stringaris, Argyris; Faraone, Stephen V.; Bellows, Susannah T.; Quach, Jon; Banaschewski, Tobias; McGillivray, Jane; Hutchinson, Delyse; Silk, Tim; Melvin, Glenn; Wood, Amanda G.; Jackson, Anna; Loram, George; Engel, Lidia; Montgomery, Alicia; Westrupp, Elizabeth

doi:10.1177/1087054720978549

Cited by 109 publications

(203 citation statements)

References 35 publications

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“…Fortunately, infection with SARS-CoV-2 causes less severe disease in children and adolescents compared to adults. Due to the social and economic impact of COVID-19, however, the pandemic has led to numerous indirect effects in children and adolescents, including missed days of school, worse diet-related behaviors, and increasing rates of anxiety and depression [ 2 , 3 , 4 ]. Furthermore, recent research indicates these impacts have disproportionately affected racial/ethnic minorities in the U.S. [ 5 , 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 on Pediatric Primary Care Visits at Four Academic Institutions in the Carolinas

Brown

Montez

Amati

et al. 2021

IJERPH

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We aimed to determine how COVID-19 affected the number and type of pediatric primary care visits in April 2020, compared to April 2019, and which characteristics were associated with obtaining care in 2020. We performed a retrospective chart review of patients receiving care in April 2019 and April 2020 from four large, academic institutions across two states. The subjects were included if they were aged 0–18 years and were seen in a pediatric clinic in April 2019 or April 2020. We extracted the number of visits, visit type, and visit diagnosis; and the patient characteristics, including age, race/ethnicity, and insurance status. Logistic regression analysis identified characteristics associated with obtaining care in April 2020. We included 120,230 visits. Participants were 50% white and half had Medicaid. In 2020 there were significantly fewer visits for both well and acute visits with 42,670 visits in 2020 compared to 77,560 in 2019; 6616 were telehealth visits in 2020. Visits for chronic conditions were significantly decreased in 2020. Attending a visit in 2020 was more likely if the participant was black or Hispanic, younger, attending an acute visit, or had private insurance. During the COVID-19 pandemic, pediatric primary care decreased substantially for both well visits and follow-up of chronic conditions.

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Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 on Pediatric Primary Care Visits at Four Academic Institutions in the Carolinas

Brown

Montez

Amati

et al. 2021

IJERPH

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“…We further found that families reported high rates of stress related to changes in family interactions and worries about infection which were associated with poorer parent and child mental health, in line with previous studies. [5,7,28,29] Previous ndings include studies of families in the UK [7] Canada [29] and the US [30], where lockdown measures were put in place but COVID-19 infection rates were also high.…”

Section: Discussionmentioning

confidence: 99%

“…These gures are relatively low compared with other high-income countries such as the United States (US) and United Kingdom (UK), which had recorded overall rates of 5895 and 3730 cases per 100,000 respectively, with peaks at around 70 to 75 new cases in 24 hours per 100,000. [1] While COVID-19 symptoms are generally less severe in children and young adults, [2][3][4] the signi cant economic and social impacts have negatively affected the mental health of parents and children, both in Australia [5,6] and internationally. [7,8] Emerging global evidence suggests that these impacts disproportionately affect families who were experiencing adversity (e.g.…”

Section: Introductionmentioning

confidence: 99%

“…[26,27] Research examining the impacts of the COVID-19 pandemic and public health restrictions suggests mental health di culties amongst parents and children have increased. [5,28,29] For example, a national survey of Australian households (the National Child Health Poll) in June 2020 found almost half of parents (48%) reported that the pandemic had negatively impacted their mental health, and this was more likely amongst those who had experienced nancial impacts. [6] Similarly, a nationally weighted survey of parents in the United States in June 2020 found that 27% of parents reported their mental health had declined during the rst 3 months of the pandemic.…”

Section: Introductionmentioning

confidence: 99%

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Clinical, Financial and Social Impacts of COVID-19 and Their Associations with Mental Health for Mothers and Children Experiencing Adversity in Australia

Bryson

Mensah

Price

et al. 2021

Preprint

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Background Australia has maintained low rates of SARS-COV-2 (COVID-19) infection, due to geographic location and strict public health restrictions. However, the financial and social impacts of these restrictions can negatively affect parents’ and children’s mental health. Families who were already experiencing adversity before the COVID-19 pandemic are likely to be disproportionately affected. In an existing cohort of mothers recruited for their experience of adversity, this study examined: 1) families’ experiences of the COVID-19 pandemic and public health restrictions in terms of clinical exposure, changes to financial circumstances, financial hardship, family stress, and family resilience (termed ‘COVID-19 impacts’); and 2) associations between these COVID-19 impacts and maternal and child mental health. Methods Participants were mothers recruited during pregnancy (2013-14) across two Australian states (Victoria and Tasmania) for the ‘right@home’ trial. A COVID-19 survey was opportunistically conducted from May-December 2020, when children were 5.9–7.2 years old. Mothers reported COVID-19 impacts (drawn from the Coronavirus Health and Impact Survey (CRISIS), Australian Temperament Project, and Household, Income and Labour Dynamics in Australia Survey); their own mental health (Depression, Anxiety, Stress Scales short-form) and their child’s mental health (CRISIS subscale). Associations between COVID-19 impacts and mental health were examined using regression models controlling for pre-COVID-19 characteristics. Results 319/406 (79%) mothers completed the COVID-19 survey. Only one reported having had COVID-19. In contrast, self-quarantine (20%), financial changes (job/income loss (27%)) and family stress (e.g., difficulty managing children’s at-home learning (40%)) were high. Many mothers also reported family resilience (e.g., family found good ways of coping (49%)). COVID-19 impacts associated with poorer mental health (all standardised coefficients) included self-quarantine (mother: β = 0.48, child: β = 0.47), financial hardship or change (mother: β = 0.27, child: β = 0.37) and family stress (mother: β = 0.49, child: β = 0.73). Family resilience was associated with better mental health (mother: β=-0.39, child: β=-0.47). Conclusions The financial and social impacts of Australia’s public health restrictions have substantially affected families experiencing adversity, and their mental health. Unless these impacts are addressed, the inequities arising from adversity are likely to be exacerbated. To recover from COVID-19, policy investment should include income support and universal access to family health services.

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“…Prevalence of depression and anxiety symptoms among adolescents during the pandemic was as high as 40%. In addition, fatigue, loneliness, negative thoughts, lack of enjoyment of activities, boredom and fidgety behaviour have also been reported 16 . An alarming 2-3-fold increase in prevalence of psychiatric disorders in children and adolescents have been documented during the pandemic.…”

Section: Covid-19 and Emotional And Behavioural Problems In Childrenmentioning

confidence: 99%

Addressing the psychosocial impact of COVID-19 on children and adolescents: The need for collaboration

Rohanachandra

2021

Sri Lanka J Child Health

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Physical Health, Media Use, and Mental Health in Children and Adolescents With ADHD During the COVID-19 Pandemic in Australia

Cited by 109 publications

References 35 publications

Impact of COVID-19 on Pediatric Primary Care Visits at Four Academic Institutions in the Carolinas

Impact of COVID-19 on Pediatric Primary Care Visits at Four Academic Institutions in the Carolinas

Clinical, Financial and Social Impacts of COVID-19 and Their Associations with Mental Health for Mothers and Children Experiencing Adversity in Australia

Addressing the psychosocial impact of COVID-19 on children and adolescents: The need for collaboration

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