Psychosocial impact of the COVID-19 pandemic on doctors’ children: are we heading towards a mental health pandemic?
Abstract
Background The coronavirus pandemic (COVID-19) may affect the behavior of children.
Non infected children of doctors seem to be susceptible to psychosocial health disorders.
Objective To assess the psychosocial impact of the COVID-19 pandemic on children of doctors.
Methods This questionnaire-based survey filled up by doctors was done with the Pediatric Symptom Check List-17 (PSC-17) to assess the psychosocial impact of the COVID-19 pandemic on doctors’ children aged 10-15 years with no clinical evidence of being infected with coronavirus and possible contributing factors to mental distress/psychosocial health disorders. A PSC -17 Score of >=15 was considered as a significant indicator of suspected psychosocial impact.
Results Children’s mean age was 12.5 (SD 1.9) years, and 53.8% of them were male. Of 357 questionnaire responses, 36.1% had a significant PSC-17 score (>15) and a small, but significant inverse correlation was observed with age (r=-0.147; P=0.005). More screen time than usual was perceived by doctors to be the most common potential contributing factor (63%) to their children’s psychosocial impact.
Conclusion The COVID-19 pandemic is likely to leave lasting effects on children’s mental health. Parents should closely monitor children for any changes in psychosocial behavior, so that timely intervention can be considered. Psychosocial screening of children is needed and should be conducted at schools.
References
2. Singh S, Roy D, Sinha K, Parveen S, Sharma G, Joshi G. Impact of COVID-19 and lockdown on mental health of children and adolescents: A narrative review with recommendations. Psychiatry Res. 2020;293:113429.
3. WHO. (2020b). WHO | COVID-19: resources for adolescents and youth. WHO; World Health Organ. (cited 2020 December 17). Available from: http://www.who.int/maternal_child_adolescent/links/covid-19-mncah-resources-adolescents-and-youth/en/.
4. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020;382: 727-33. DOI: 10.1056/NEJMoa2001017.
5. WHO Timeline - COVID-19: World Health Organization. [cited 2020 July 5]. Available from: https://www.who.int/news-room/detail/27-04-2020-who-timeline---covid-19.
6. Zhou P, Yang XL, Wang XG, Hu B, Zhang L, Zhang W, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020; 579 :270-3. DOI: 10.1038/s41586-020-2012-7.
7. World Health Organization. Director-General's remarks at the media briefing on 2019-nCoV on 11 February 2020. [cited 2020 July 5]. Available from: https://www.who.int/dg/speeches/detail/who-director-general-s-remarks-at-the-media-briefing-on-2019-ncov-on-11-february-2020
8. Mahajan C, Kapoor I, Prabhakar H. Psychological effects of COVID-19 on children of health care workers. Anesth Analg. 2020;131:e169-70. DOI: 10.1213/ANE.0000000000005034.
9. Gardner W, Murphy M, Childs G, Kelleher K, Pagano M, Jellinek MS, et al. The PSC-17: a brief pediatric symptom checklist including psychosocial problem subscales: a report from PROS and ASPN. Ambulatory Child Health. 1999;5:225–36.
10. Murphy JM, Bergmann P, Chiang C, Sturner R, Howard B, Abel MR, et al. The PSC-17: Subscale Scores, Reliability, and Factor Structure in a New National Sample. Pediatrics Sep 2016, 138 (3) e20160038; DOI: 10.1542/peds.2016-0038.
11. Xie X, Xue Q, Zhou Y, Zhu K, Liu Q, Zhang J, et al. Mental health status among children in home confinement during the coronavirus disease 2019 outbreak in Hubei Province, China. JAMA Pediatr. 2020;174:898-900. DOI: 10.1001/jamapediatrics.2020.1619.
12. American Psychiatric Association, DSM-5 Task Force. (2013). Diagnostic and statistical manual of mental disorders: DSM-5â„¢. 5th ed. DSM Library. DOI: 10.1176/appi.books.9780890425596.
13. Jiao WY, Wang LN, Liu J, Fang SF, Jiao FY, Pettoello-Mantovani M, et al. Behavioral and emotional disorders in children during the COVID-19 epidemic. J Pediatr. 2020;221:264-6. DOI: 10.1016/j.jpeds.2020.03.013.
14. Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020;287:112934. DOI: 10.1016/j.psychres.2020.112934.
15. Weale S. Fifth of primary children afraid to leave house over COVID-19, survey finds. 2020. [cited 2020 December 15]. Available from https://www.theguardian.com/world/2020/apr/10/fifth-of-primary-children-afraid-to-leave-house-because-of-covid-19-survey-finds.
16. Kessler RC, Angermeyer M, Anthony JC, De Graaf R, Demyttenaere K, Gasquet I, et al. Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s World Mental Health Survey Initiative. World Psychiatry. 2007;6:168–76.
17. Murphy JM, Bergmann P, Chiang C, Sturner R, Howard B, Abel MR, et al. The PSC-17: subscale scores, reliability, and factor structure in a new national sample. Pediatrics. 2016;138(3):e20160038. DOI:10.1542/peds.2016-0038.
18. Lerner RM, Steinberg L, eds. Handbook of Adolescent Psychology, Individual Bases of Adolescent Development. Volume 1. 3rd edition. Hoboken: John Wiley & Sons; 2009.
19. Perlman D, Peplau AL. Toward a social psychology of loneliness. In: Duck S, Gilmour R, eds. Personal relationships in disorder. London: Academic Press, 1981. p. 31-56.
20. Loades ME, Chatburn E, Higson-Sweeney N, Reynolds S, Shafran R, Brigden A, et al. Rapid systematic review: the impact of social isolation and loneliness on the mental health of children and adolescents in the context of COVID-19. J Am Acad Child Adolesc Psychiatry. 2020;59:1218-39. DOI: 10.1016/j.jaac.2020.05.009.
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Accepted 2021-02-01
Published 2021-02-01
