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COVID-19 Pandemic: 1-Year Follow-Up in Children and Adolescents with Neuropsychiatric Disorders

Author

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  • Grazia Maria Giovanna Pastorino

    (Dipartimento di Medicina, Chirurgia e Odontoiatria “Scuola Medica Salernitana”, Via S. Allende, 84081 Baronissi, Italy
    These authors contributed equally to this work.)

  • Marianna Marino

    (Dipartimento di Medicina, Chirurgia e Odontoiatria “Scuola Medica Salernitana”, Via S. Allende, 84081 Baronissi, Italy
    These authors contributed equally to this work.)

  • Salvatore Aiello

    (Dipartimento di Medicina, Chirurgia e Odontoiatria “Scuola Medica Salernitana”, Via S. Allende, 84081 Baronissi, Italy
    These authors contributed equally to this work.)

  • Raffaella D’Auria

    (Dipartimento di Medicina, Chirurgia e Odontoiatria “Scuola Medica Salernitana”, Via S. Allende, 84081 Baronissi, Italy)

  • Rosaria Meccariello

    (Dipartimento di Scienze Motorie e del Benessere, Università di Napoli Parthenope, Via Medina 40, 80133 Napoli, Italy)

  • Antonietta Santoro

    (Dipartimento di Medicina, Chirurgia e Odontoiatria “Scuola Medica Salernitana”, Via S. Allende, 84081 Baronissi, Italy
    Equally senior authors.)

  • Andrea Viggiano

    (Dipartimento di Medicina, Chirurgia e Odontoiatria “Scuola Medica Salernitana”, Via S. Allende, 84081 Baronissi, Italy
    Equally senior authors.)

  • Francesca Felicia Operto

    (Dipartimento di Medicina, Chirurgia e Odontoiatria “Scuola Medica Salernitana”, Via S. Allende, 84081 Baronissi, Italy
    Equally senior authors.)

Abstract

Introduction: Few studies have focused on the long-term effects of the COVID-19 pandemic on mental health. The objective of our work was to evaluate the changes in emotional and behavioral symptoms in patients with neuropsychiatric disorders and the impact on parenting stress 1 year after the first national lockdown. Methods: We enrolled 369 patients aged 1.5–18 years of age referred to the Child and Adolescent Neuropsychiatry Unit of the University Hospital of Salerno (Italy) by their parents. We asked their parents to complete two standardized questionnaires for the assessment of emotional/behavioral symptoms (Child Behavior CheckList, CBCL) and parental stress (Parenting Stress Index, PSI) prior to the pandemic (Time 0), during the first national lockdown (Time 1) and after 1 year (Time 2), and we monitored the changes in symptoms over time. Results: After 1 year from the start of the first national lockdown, we found a significant increase of internalizing problems, anxiety, depression, somatization, and social and oppositional-defiant problems in older children (6–18 years), and a significant increase of somatization, anxiety problems, and sleep problems in younger children (1.5–5 years). We also observed a significant relationship between emotional/behavioral symptoms and parental stress. Conclusion: Our study showed that parental stress levels increased compared to the pre-pandemic months and continues to persist over time, while internalizing symptoms of children and adolescents showed a significant worsening during 1 year follow-up from the first COVID-19 lockdown.

Suggested Citation

  • Grazia Maria Giovanna Pastorino & Marianna Marino & Salvatore Aiello & Raffaella D’Auria & Rosaria Meccariello & Antonietta Santoro & Andrea Viggiano & Francesca Felicia Operto, 2023. "COVID-19 Pandemic: 1-Year Follow-Up in Children and Adolescents with Neuropsychiatric Disorders," IJERPH, MDPI, vol. 20(5), pages 1-15, February.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:3924-:d:1077155
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    References listed on IDEAS

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    1. Maria Cusinato & Sara Iannattone & Andrea Spoto & Mikael Poli & Carlo Moretti & Michela Gatta & Marina Miscioscia, 2020. "Stress, Resilience, and Well-Being in Italian Children and Their Parents during the COVID-19 Pandemic," IJERPH, MDPI, vol. 17(22), pages 1-17, November.
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    3. Alessia Raffagnato & Sara Iannattone & Benedetta Tascini & Martina Venchiarutti & Alessia Broggio & Silvia Zanato & Annalisa Traverso & Cataldo Mascoli & Alexa Manganiello & Marina Miscioscia & Michel, 2021. "The COVID-19 Pandemic: A Longitudinal Study on the Emotional-Behavioral Sequelae for Children and Adolescents with Neuropsychiatric Disorders and Their Families," IJERPH, MDPI, vol. 18(18), pages 1-19, September.
    Full references (including those not matched with items on IDEAS)

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