Physical and mental health impacts during COVID-19 quarantine in adolescents with preexisting chronic immunocompromised conditions
AUTOR(ES)
Lindoso, Livia; Astley, Camilla; Queiroz, Ligia Bruni; Gualano, Bruno; Pereira, Rosa Maria Rodrigues; Tannuri, Uenis; Campos, Lúcia Maria Mattei de Arruda; Lourenço, Benito; Toma, Ricardo Katsuya; Medeiros, Karina; Watanabe, Andréia; Grangeiro, Patricia Moreno; Barros, Vera da Penha Martellini Ferrari Rego; Casella, Caio Borba; Farhat, Sylvia; Polanczyk, Guilherme Vanoni; Silva, Clovis Artur
FONTE
Jornal de Pediatria
DATA DE PUBLICAÇÃO
2022
RESUMO
Abstract 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.
Documentos Relacionados
- Addressing mental health issues in immunocompromised adolescents with chronic diseases during the COVID-19 pandemic
- COVID-19 and children’s mental health
- COVID-19 in health care workers in a university hospital during the quarantine in São Paulo city
- Influence of COVID-19 quarantine on the health of adults with mild cognitive impairment
- Centers of physical activities and health promotion during the COVID-19 pandemic