Emotional and behavioral outcomes among youths with mental disorders during the first Covid lockdown and school closures in England: a large clinical population study using health care record integrated surveys.
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| Title: | Emotional and behavioral outcomes among youths with mental disorders during the first Covid lockdown and school closures in England: a large clinical population study using health care record integrated surveys. |
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| Authors: | Parlatini, V. (AUTHOR), Frangou, L. (AUTHOR), Zhang, S. (AUTHOR), Epstein, S. (AUTHOR), Morris, A. (AUTHOR), Grant, C. (AUTHOR), Zalewski, L. (AUTHOR), Jewell, A. (AUTHOR), Velupillai, S. (AUTHOR), Simonoff, E. (AUTHOR), Downs, J. (AUTHOR) |
| Source: | Social Psychiatry & Psychiatric Epidemiology. Jan2024, Vol. 59 Issue 1, p175-186. 12p. |
| Subjects: | COVID-19 pandemic, Children with autism spectrum disorders, Mental illness, Child mental health services, Behavior disorders in children, Attention-deficit hyperactivity disorder |
| Geographic Terms: | England |
| Abstract: | Purpose: Emotional and behavioral problems in children and young people (CYP) have increased over the pandemic. Those with pre-existing mental disorders are more vulnerable but have been understudied. We investigated emotional and behavioral outcomes in this population; differences across diagnostic groups; and social, educational, and clinical determinants. Methods: We invited 5386 caregivers and CYP (aged 5–17) under child mental health services pre-pandemic to complete an online survey on CYP's emotional/behavioral symptoms and pandemic-related circumstances, and integrated responses with clinicodemographic information extracted from electronic health records. We compared four parent-rated outcomes (total emotional/behavioral scores and emotional/behavioral changes as compared to before the pandemic) across the three most common diagnostic groups in our population (Attention Deficit Hyperactivity Disorder (ADHD), Autism Spectrum Disorder (ASD) and emotional disorders (EmD)). We then estimated the association of clinicodemographic and pandemic-related characteristics with emotional/behavioral outcomes. Results: A total of 1741 parents (32.3%) completed the survey. Parents of CYP with ADHD or ASD reported more behavioral difficulties (t(591) = 5.618 (0.001); t(663) = 6.527 (0.001)); greater emotional deterioration (t(591) = 2.592 (0.009); t(664) = 4.670 (< 0.001); and greater behavioral deterioration (t(594) = 4.529 (< 0.001); t(664) = 5.082 (< 0.001)) as compared to the EmD group. Those with ASD and EmD showed more emotional difficulties than ADHD (t(891) = − 4.431 (< 0.001); t(590) = − 3.254 (0.001)). Across diagnoses, poor parental mental health and challenges with education were most strongly associated with worse outcomes. Conclusions: Within our clinical population, CYP with ADHD/ASD were the most adversely affected during lockdown. Enhancing clinical service provision that tackles parental stress and supports education may help mitigate the impact of future restrictions. [ABSTRACT FROM AUTHOR] |
| Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 174918869 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Emotional and behavioral outcomes among youths with mental disorders during the first Covid lockdown and school closures in England: a large clinical population study using health care record integrated surveys. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Parlatini%2C+V%2E%22">Parlatini, V.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Frangou%2C+L%2E%22">Frangou, L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zhang%2C+S%2E%22">Zhang, S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Epstein%2C+S%2E%22">Epstein, S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Morris%2C+A%2E%22">Morris, A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Grant%2C+C%2E%22">Grant, C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zalewski%2C+L%2E%22">Zalewski, L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jewell%2C+A%2E%22">Jewell, A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Velupillai%2C+S%2E%22">Velupillai, S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Simonoff%2C+E%2E%22">Simonoff, E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Downs%2C+J%2E%22">Downs, J.</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Social+Psychiatry+%26+Psychiatric+Epidemiology%22">Social Psychiatry & Psychiatric Epidemiology</searchLink>. Jan2024, Vol. 59 Issue 1, p175-186. 12p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22COVID-19+pandemic%22">COVID-19 pandemic</searchLink><br /><searchLink fieldCode="DE" term="%22Children+with+autism+spectrum+disorders%22">Children with autism spectrum disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness%22">Mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Child+mental+health+services%22">Child mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+disorders+in+children%22">Behavior disorders in children</searchLink><br /><searchLink fieldCode="DE" term="%22Attention-deficit+hyperactivity+disorder%22">Attention-deficit hyperactivity disorder</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22England%22">England</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Purpose: Emotional and behavioral problems in children and young people (CYP) have increased over the pandemic. Those with pre-existing mental disorders are more vulnerable but have been understudied. We investigated emotional and behavioral outcomes in this population; differences across diagnostic groups; and social, educational, and clinical determinants. Methods: We invited 5386 caregivers and CYP (aged 5–17) under child mental health services pre-pandemic to complete an online survey on CYP's emotional/behavioral symptoms and pandemic-related circumstances, and integrated responses with clinicodemographic information extracted from electronic health records. We compared four parent-rated outcomes (total emotional/behavioral scores and emotional/behavioral changes as compared to before the pandemic) across the three most common diagnostic groups in our population (Attention Deficit Hyperactivity Disorder (ADHD), Autism Spectrum Disorder (ASD) and emotional disorders (EmD)). We then estimated the association of clinicodemographic and pandemic-related characteristics with emotional/behavioral outcomes. Results: A total of 1741 parents (32.3%) completed the survey. Parents of CYP with ADHD or ASD reported more behavioral difficulties (t(591) = 5.618 (0.001); t(663) = 6.527 (0.001)); greater emotional deterioration (t(591) = 2.592 (0.009); t(664) = 4.670 (< 0.001); and greater behavioral deterioration (t(594) = 4.529 (< 0.001); t(664) = 5.082 (< 0.001)) as compared to the EmD group. Those with ASD and EmD showed more emotional difficulties than ADHD (t(891) = − 4.431 (< 0.001); t(590) = − 3.254 (0.001)). Across diagnoses, poor parental mental health and challenges with education were most strongly associated with worse outcomes. Conclusions: Within our clinical population, CYP with ADHD/ASD were the most adversely affected during lockdown. Enhancing clinical service provision that tackles parental stress and supports education may help mitigate the impact of future restrictions. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s00127-023-02517-w Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 12 StartPage: 175 Subjects: – SubjectFull: COVID-19 pandemic Type: general – SubjectFull: Children with autism spectrum disorders Type: general – SubjectFull: Mental illness Type: general – SubjectFull: Child mental health services Type: general – SubjectFull: Behavior disorders in children Type: general – SubjectFull: Attention-deficit hyperactivity disorder Type: general – SubjectFull: England Type: general Titles: – TitleFull: Emotional and behavioral outcomes among youths with mental disorders during the first Covid lockdown and school closures in England: a large clinical population study using health care record integrated surveys. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Parlatini, V. – PersonEntity: Name: NameFull: Frangou, L. – PersonEntity: Name: NameFull: Zhang, S. – PersonEntity: Name: NameFull: Epstein, S. – PersonEntity: Name: NameFull: Morris, A. – PersonEntity: Name: NameFull: Grant, C. – PersonEntity: Name: NameFull: Zalewski, L. – PersonEntity: Name: NameFull: Jewell, A. – PersonEntity: Name: NameFull: Velupillai, S. – PersonEntity: Name: NameFull: Simonoff, E. – PersonEntity: Name: NameFull: Downs, J. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: Jan2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 09337954 Numbering: – Type: volume Value: 59 – Type: issue Value: 1 Titles: – TitleFull: Social Psychiatry & Psychiatric Epidemiology Type: main |
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