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2020 ; 46
(3S
): S85-S92
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Comment les enfants et adolescents avec le trouble déficit
d?attention/hyperactivité (TDAH) vivent-ils le confinement durant la pandémie
COVID-19 ?
#MMPMID32522407
Bobo E
; Lin L
; Acquaviva E
; Caci H
; Franc N
; Gamon L
; Picot MC
; Pupier F
; Speranza M
; Falissard B
; Purper-Ouakil D
Encephale
2020[Jun]; 46
(3S
): S85-S92
PMID32522407
show ga
OBJECTIVES: During the COVID-19 pandemic, the French government has decided a
general lockdown. This unprecedented situation has raised concerns about
children's and adolescent's mental health. Children and adolescents diagnosed
with attention deficit hyperactivity disorder (ADHD) may find this context of
restrained activity particularly tricky. The objectives of our study are to
gather information about the well-being and global life conditions of children
and adolescents with ADHD during the COVID-19 outbreak in France. METHODS: We
designed a survey including both open-ended questions and questionnaire items for
parents of children and adolescents with ADHD. Parents responded to the following
open-ended questions: 1) "How is your child doing since the lockdown?" 2) "How is
life at home since the lockdown?" 3) "If you had a remote service provision with
a mental health professional (e.g. by telephone or video technology), please
share your thoughts and any suggestions with us" 4) "Please share any other items
that you think are important about ADHD symptoms of your child and the lockdown
situation". This survey was posted on social media on the 6th of April and
disseminated by French ADHD-parent and patient organizations. The present article
reports the descriptive, qualitative and textometrical analyses of the survey.
RESULTS: Between day 20 and 30 of lockdown, 538 parents responded to the survey,
and we included 533 responses in the final analysis. The vast majority of
responders were women 95 % (95 % CI 93,50; 97,18) with children whose mean age
was 10,5 (95 % CI 7.58; 13.44). Since the lockdown, 34.71 % (95 % CI 30.70;
38.94) of children experienced a worsening in well-being, 34.33 % (95 % CI 30.34;
38.56) showed no significant changes and 30.96 % (95 % CI 27.09; 35.10) were
doing better according to their parents. The thematic analysis showed that an
improvement of their children's anxiety was one of the main topics addressed by
parents. This improvement related to less school-related strain and flexible
schedules that respected their children's rhythm. Improved self-esteem was
another topic that parents linked with a lesser exposure of their children to
negative feed-back. Parents repeatedly reported both inattention and
hyperactivity/impulsivity. However, optimal lockdown life conditions seemed to
compensate for the impact of ADHD symptoms (e.g. sufficient space at home,
presence of a garden). Some parents reported worsening of general well-being in
their children, and this manifested as oppositional/defiant attitudes and
emotional outbursts. Parents also cited sleep problems and anxiety in this
context. As regards everyday life during lock-down, at-home schooling was another
major topic-parents described that their children struggled to complete
school-related tasks and that teachers seemed to have forgotten about academic
accommodations. The lockdown situation seems to have raised parents' awareness of
the role of inattention and ADHD symptoms in their children's learning
difficulties. Due to potential selection biases, the results of our survey may
not be generalizable to all children and adolescents with ADHD. The main
strengths of this rapid survey-based study lies in the reactivity of the
participants and the quality and diversity of their responses to the open-ended
questions. CONCLUSIONS: According to their parents, most children and adolescents
with ADHD experience stability or improvement of their well-being. An improvement
in school-related anxiety and the flexible adjustment to the children's' rhythms
as well as parents' increased awareness of the difficulties their children
experience are among the key topics in parents' descriptions.
|*Adaptation, Psychological
[MESH]
|*Betacoronavirus
[MESH]
|*Coronavirus Infections
[MESH]
|*Pandemics
[MESH]
|*Pneumonia, Viral
[MESH]
|*Psychology, Adolescent
[MESH]
|*Psychology, Child
[MESH]
|Adolescent
[MESH]
|Attention Deficit Disorder with Hyperactivity/*psychology
[MESH]
|Attitude
[MESH]
|Boredom
[MESH]
|COVID-19
[MESH]
|Child
[MESH]
|Education
[MESH]
|Family Relations
[MESH]
|Female
[MESH]
|France
[MESH]
|Housing
[MESH]
|Humans
[MESH]
|Leisure Activities
[MESH]
|Male
[MESH]
|Parent-Child Relations
[MESH]
|Parents/psychology
[MESH]
|SARS-CoV-2
[MESH]
|Self Concept
[MESH]
|Sleep Wake Disorders/epidemiology/etiology
[MESH]