Psychosocial impact of Covid-19 outbreak on Italian asthmatic children and their mothers in a post lockdown scenario

Riso, Daniela Di; Spaggiari, Silvia; Cambrisi, Elena; Ferraro, Valentina; Carraro, Silvia; Zanconato, Stefania

doi:10.1038/s41598-021-88152-4

Cited by 22 publications

(33 citation statements)

References 32 publications

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“…As to the children, patients with cancer did not significantly differ from healthy peers in COVID-19-related worries, general psychological functioning, and anxiety symptoms, in line with the literature that reports unchanged psychological functioning for children with chronic diseases such as diabetes and asthma in the first lockdown [13,14]. A study on Dutch children with cancer observed no differences in health-related quality of life and fatigue between the pre-and early-COVID-19 periods; authors referred to children's experience in dealing with medical traumatic events and adequate care and support received to explain these results [38].…”

Section: Discussionsupporting

confidence: 85%

“…No differences in psychological functioning emerged when comparing Italian asthmatic children to their healthy peers during the first lockdown, except for higher worry about COVID-19 contagion. Their mothers reported, instead, greater worry about contagion, resumption of activities, and a worsening in psychological wellbeing [14]. Other studies showed worsened children's psychological wellbeing: pediatric patients with chronic lung diseases and their parents had more pandemic-related concerns and anxiety symptoms [15].…”

Section: Introductionmentioning

confidence: 99%

“…Other studies on healthy samples pointed out that mothers' COVID-related worries can compromise their ability to recognize and respond adequately to children's signals, increasing their anxieties and concerns [17]. Very few studies explored the COVID-19-related worries in chronically ill children's families [14,18]; no studies to our knowledge examined the impact of those parents' concerns on children's psychological functioning.…”

Section: Introductionmentioning

confidence: 99%

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Early Evidence of the Interplay between Separation Anxiety Symptoms and COVID-19-Related Worries in a Group of Children Diagnosed with Cancer and Their Mothers

et al. 2022

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Having cancer in childhood is a risk factor for separation anxiety symptoms, with negative effects on the disease and psychological wellbeing. The Covid-19-pandemic-related concerns could have a negative effect. The present study explores the interplay between separation anxiety symptoms and COVID-19-related worries in pediatric cancer patients and their mothers, compared to a group of healthy children and their mothers, during the pandemic. Thirty-three subjects with cancer, aged 7–15 years, and their mothers were compared to a control sample of 36 healthy children and caregivers. They were administered a pandemic-related psychological experience survey and standardized questionnaires assessing psychological wellbeing, anxiety, and separation anxiety symptoms. Children with cancer reported significantly higher prosocial behaviors, fear of being alone, and fear of abandonment. Their mothers had worse psychological wellbeing, higher COVID-19 concerns, anxiety, and separation anxiety symptoms. The multiple linear regression model showed that an increase in children’s separation anxiety symptoms was associated with younger age, more recent diagnosis, more mother-child time, lower mothers’ worry for children’s contagion, and higher mothers’ and children’s anxiety. COVID-19-related worries of clinical children’s mothers seem to be protective for children’s psychological wellbeing. Early psychosocial support interventions for mothers are essential in health services for cancer.

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Early Evidence of the Interplay between Separation Anxiety Symptoms and COVID-19-Related Worries in a Group of Children Diagnosed with Cancer and Their Mothers

et al. 2022

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“… 136 Psychological fatigue during a pandemic scenario is more prevalent in mothers of asthmatic children. 137 The increase and persistence of obsessive‐compulsive symptoms have shown the importance of close monitoring of the public's mental health. 138 The incidence and severity of physical intimate partner violence have also been increased during the COVID‐19 pandemic, and the victims were not referred to health care services until the late stages.…”

Section: Methodsmentioning

confidence: 99%

The overall impact of COVID‐19 on healthcare during the pandemic: A multidisciplinary point of view

Sabetkish

Rahmani

2021

Health Science Reports

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Background and Aims The Coronavirus disease 2019 (COVID‐19) pandemic globally changed the priorities of medical and surgical procedures. It has caused many healthcare systems to stop performing their routine screenings. Altering medical clinics to COVID‐19 referral centers, lockdowns, and the public fear to refer to medical centers caused a significant reduction in the referral rate; especially in the elderly. This short review article highlights the transform in clinical practice during the post‐COVID era and the need for future medical revolutions. Methods A comprehensive literature search was separately performed by both authors. The articles published between 2019 and August 2021 were included in this study and selected according to a quality appraisal method. Results We have summarized the possible corresponding changes in the diagnosis and treatment of all fields of medical care including internal medicine, surgical, and minor subcategories after the COVID‐19 pandemic. We have also discussed the potential impacts of the pandemic on all these different categories and subcategories of medicine, including the outpatient setting and clinical work. We do believe that the lack of routine check‐ups has led to an increase in the stage of disease in patients with a previously diagnosed problem. On the other hand, the dramatic change in the lifestyle of the population including restricted mobility and increased consumption of unhealthy food has caused metabolic syndrome and other new diseases that have not been diagnosed and properly managed. Conclusion Our findings revealed the urgent need for public health awareness. It indicated the need to carry out both psychological and screening approaches in the post‐COVID era to not miss patients with a chronic disease and new cases who were undiagnosed during the COVID pandemic.

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“…However, the American Academy of Allergy, Asthma, and Immunology stated that asthma may be a risk factor for hospitalization due to COVID‐19, especially in individuals aged 18–49 6 . Following this information in the literature, a study conducted in Italy showed that mothers of asthmatic children were more prone to anxiety and fear due to COVID‐19 than the healthy population 7 . Parents of children with asthma have increased anxiety levels, and changes have been observed in their attitudes and thoughts towards asthma compared to the pre‐pandemic period 8 …”

Section: Introductionmentioning

confidence: 96%

Attitudes towards influenza and pneumococcal vaccines in parents of asthmatic children during the COVID‐19 pandemic

Özer

Başkaya

Bostancı

2022

Pediatric Pulmonology

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Objective: This study aimed to determine the differences in attitudes and views towards influenza and pneumococcal vaccines in parents of children with asthma during the COVID-19 pandemic.Materials and Methods: Asthmatic children in the 6-18 age group who were admitted to the pediatric allergy clinic of our hospital between October 1, 2020 and February 31, 2021 were included in the study. The parents were given a questionnaire asking about their demographics and medical history. Their attitudes and thoughts towards these two vaccines, both before and during the pandemic, and their COVID-19 stories were questioned.Results: A total of 78 patients diagnosed with asthma were included in this study.While the rate of influenza vaccination before the pandemic was 29.5%, the rate of those who received or wanted to receive influenza vaccine during the pandemic was 71.8% (p = 0.001). It was observed that the rate of influenza vaccination during the pandemic increased with the regular use of asthma medication, the presence of atopy, and a history of COVID-19 infection in the family/close environment. In total, 69.2% of the parents stated that their child's pneumococcal vaccination was incomplete or they were unaware of their child's vaccination status. Conclusion:This study demonstrated that there was an increase in the rate and willingness of parents of asthmatic children to have their children vaccinated against influenza during the COVID-19 pandemic. As for the pneumococcal vaccine, the majority of the parents did not have enough information or they were unaware of the vaccination status of their children. K E Y W O R D S allergy, asthma and early wheeze, COVID-19, influenza vaccine, pneumococcal vaccine 1 | INTRODUCTION After the World Health Organization (WHO) reported cases of pneumonia of unknown etiology in Wuhan, China, on December 31, 2019, it was understood that the causative agent of the disease was a new type of virus from the Coronavirus family detected for the first time in humans on January 7, 2020 and was named severe acute respiratory syndrome 2 on January 19, 2020. The disease was abbreviated as COVID-19 and was declared a global pandemic by the WHO in March 2020. 1 Studies have shown that mortality and morbidity in COVID-19are associated with certain chronic diseases. 2 Diseases such as cardiovascular diseases, obesity, diabetes, chronic lung diseases, hypertension and cancer in adults, and diabetes, adrenal insufficiency, chronic lung diseases, cancer, immunodeficiencies, and chronic kidney failure in children increase the mortality and morbidity related to COVID-19. 3,4 Regarding asthma, the most common chronic disease of childhood,

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Psychosocial impact of Covid-19 outbreak on Italian asthmatic children and their mothers in a post lockdown scenario

Cited by 22 publications

References 32 publications

Early Evidence of the Interplay between Separation Anxiety Symptoms and COVID-19-Related Worries in a Group of Children Diagnosed with Cancer and Their Mothers

Early Evidence of the Interplay between Separation Anxiety Symptoms and COVID-19-Related Worries in a Group of Children Diagnosed with Cancer and Their Mothers

The overall impact of COVID‐19 on healthcare during the pandemic: A multidisciplinary point of view

Attitudes towards influenza and pneumococcal vaccines in parents of asthmatic children during the COVID‐19 pandemic

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