Evaluation of Children's Anxiety During the Pandemic Based on Their Drawings

Year 2022, , 320 - 342, 01.07.2022

Fatma Nur Aras Kemer

https://doi.org/10.17066/tpdrd.1138538

Cited By: 1

Abstract

The coronavirus outbreak which emerged in late 2019 and originated in Wuhan and spread all over the world, was declared by the World Health Organization as a pandemic in 2020. During the pandemic the increasing number of infected and dying individuals, negative reflections in the media and news, unemployment and decreasing income have had negative effects on the mental health of individuals, and this increased their anxiety levels. It is seen that children are as negatively affected by the pandemic as adults. The aim of the study is to reveal the level of anxiety of children during the pandemic, how they experience this anxiety, the main factors that increase their anxiety and their level of knowledge about the coronavirus. For this purpose, a qualitative study was conducted with nine primary school students using the drawing technique and semi-structured online interview method. The pictures drawn by the children were analyzed by using document analysis, and the transcripts of the interviews by descriptive analysis method. As a result of the research, it was revealed that children had limited knowledge about the coronavirus, their fears and anxiety were high, and they also experienced different negative emotions such as anger, sadness, and restriction. The findings were discussed within the scope of the relevant literature, and in this context, suggestions were made for future research and applications.

Keywords

Pandemic, Covid-19, Anxiety in Children, Picture Evaluation

Pandemi Sürecinde Çocukların Kaygı Durumlarının Çizimleri Üzerinden Değerlendirilmesi

Abstract

2019 yılının sonlarında Wuhan'da ortaya çıkan ve tüm dünyaya yayılan koronavirüs salgını, 2020 yılında Dünya Sağlık Örgütü tarafından pandemic olarak ilan edilmiştir. Pandemi sırasında enfekte olan ve ölen birey sayısının artması, medyadaki olumsuz yansımalar ve haberler, işsizlik ve azalan gelir; bireylerin ruh sağlığını olumsuz etkilemekte ve kaygı düzeylerini artırmaktadır. Çocukların da salgından yetişkinler kadar olumsuz etkilendiği görülmektedir. Çalışmanın amacı, çocukların pandemi dönemindeki kaygı düzeylerini, bu kaygıyı nasıl yaşadıklarını, kaygılarını artıran başlıca faktörleri ve koronavirüs hakkındaki bilgi düzeylerini ortaya koymaktır. Bu amaçla dokuz ilkokul öğrencisiyle resim çizme tekniği ve yarı-yapılandırılmış çevrimiçi görüşme yöntemi kullanılarak nitel bir araştırma yapılmıştır. Çocukların çizdikleri resimler doküman incelemesiyle, görüşme dökümleri ise betimsel analiz yöntemiyle analiz edilmiştir. Araştırma sonucunda çocukların koronavirüs hakkında sınırlı düzeyde bilgi sahibi oldukları, korku ve kaygılarının yüksek olduğu, ayrıca öfke, üzüntü, kısıtlanmışlık gibi farklı olumsuz duygular da yaşadıkları ortaya çıkmıştır. Elde edilen bulgular ilgili literatür kapsamında tartışılmış ve bu bağlamda ileride yapılacak araştırma ve uygulamalar için önerilerde bulunulmuştur.

Keywords

Pandemi, Covid-19, Çocuklarda Kaygı, Resim Değerledirme

References

• Abdi, S., Jalili, B., Tavakoli, H., Naderpour, M. (2015). Emotional changes in children undergoing cochlear ımplantation through evaluation of their drawings. Iranian Journal of Medical Sciences, 29(2), 62-66. https://www.sid.ir/en/Journal/ViewPaper.aspx?ID=13118
• Akoğlu, G., & Karaaslan, B. T. (2020). Covıd-19 ve izolasyon sürecinin çocuklar üzerindeki olası psikososyal etkileri [Possible psychosocial effects of the Covid-19 and isolation process on children]. İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 5(2), 99-103. https://dergipark.org.tr/en/download/article-file/1196425
• American Academy of Pediatrics (2015). Ensuring the health of children in disasters. Pediatrics, 136(5), e1407-e1417. https://doi.org/10.1542/peds.2015-3112
• Berksun, E. O. (2003). Anksiyete ve anksiyete bozuklukları [Anxiety and anxiety disorders]. Turgut Publishing.
• Boelen, P. A., & Spuij, M. (2013). Symptoms of post-traumatic stress disorder in bereaved children and adolescents: Factor structure and correlates. Journal of Abnormal Child Psychology, 41(7), 1097-1108. https://doi.org/10.1007/s10802-013-9748-6
• Bozkurt, Y., Zeybek, Z., & Aşkın, R. (2020). Covid-19 pandemisi: Psikolojik etkileri ve terapötik müdahaleler [Covid-19 pandemic: Psychological effects and therapeutic interventions]. İstanbul Ticaret Üniversitesi Sosyal Bilimler Dergisi, 19(37), 304-318. https://dergipark.org.tr/en/download/article-file/1166182
• Cao, W., Fang, Z., Hou, G., Han, M., Xu, X., Dong, J., & Zheng, J. (2020). The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research, 287, 112934. http://doi:10.1016/j.psychres.2020.112934
• Carleton, R. N. (2016). Fear of the unknown: One fear to rule them all? Journal of Anxiety Disorders, 41, 5-21. http://doi: 10.1016/j.janxdis.2016.03.011
• Choi, E. P. H., Hui, B. P. H., & Wan, E. Y. F. (2020). Depression and anxiety in Hong Kong during COVID-19. International Journal of Environmental Research and Public Health, 17(10), 3740. http://doi: 10.3390/ijerph17103740
• Chorney, D. B., Detweiler, M. F., Morris, T. L., & Kuhn, B. R. (2008). The interplay of sleep disturbance, anxiety, and depression in children. Journal of Pediatric Psychology, 33(4), 339-348. https://doi.org/10.1093/jpepsy/jsm105
• Chrisman, A. K., & Dougherty, J. G. (2014). Mass trauma: Disasters, terrorism, and war. Child and Adolescent Psychiatric Clinics, 23(2), 257-279. https://doi.org/10.1016/j.chc.2013.12.004
• Clatworthy, S., Simon, K., & Tiedeman, M. (1999). Child drawing: Hospital manual. Journal of Pediatric Nursing 14(1), 10–18. https://doi.org/10.1016/S0882-5963(99)80055-4
• Cole, A. H. Jr. (2009). Anxiety. In D. A. Leeming, K. W. Madden, & S. Marlan (Eds.), Encyclopedia of psychology and religion (pp. 59-62). Springer.
• Cüceloğlu, D. (2000). İnsan ve davranışı: Psikolojinin temel kavramları (Yedinci basım) [Human and his/her behavior: Basic concepts of psychology (Seventh edition)]. Remzi Publishing.
• Çakmak, V. (2018). İletişim kaygısı ve sosyal medya [Communication anxiety and social media]. Eğitim Publishing.
• Çaykuş, E. T. & Mutlu Çaykuş, T. (2020). Covıd-19 Pandemi sürecinde çocukların psikolojik dayanıklılığını güçlendirme yolları: Ailelere, öğretmenlere ve ruh sağlığı uzmanlarına öneriler [Ways to promote children’ resiliency to the Covid-19 pandemic suggestions for families, teachers and mental health specialists]. Avrasya Sosyal ve Ekonomi Araştırmaları Dergisi (ASEAD), 7(5), 95-113. https://dergipark.org.tr/en/download/article-file/1128102
• Çivilidağ, A., Yanar, A., Kızılırmak, B., & Denizli, T. (2018). Mesleki benlik saygısı, sürekli kaygı ve yaşam doyumu düzeylerinin incelenmesi [An analysis levels of professional self esteem, trait anxiety and life satisfaction]. Yaşam Becerileri Psikoloji Dergisi, 2(3), 45-60. https://doi.org/10.31461/ybpd.417509
• Demirbaş, N. K., & Koçak, S. S. (2020). 2-6 yaş arasında çocuğu olan ebeveynlerin bakış açısıyla Covid-19 salgın sürecinin değerlendirilmesi [Evaluation of the Covid-19 pandemic period from the perspective of parents with children between the ages of 2-6]. Avrasya Sosyal ve Ekonomi Araştırmaları Dergisi, 7(6), 328-349.
• Dereli, E., Angın, E., & Karakuş, Ö. (2012). Factors that affect the problem solving skills of preschool teacher candidates: academic achievement and types of anxiety. Journal of Human Sciences, 9(2), 731-742. https://www.j-humansciences.com/ojs/index.php/IJHS/article/view/1755/948
• Duan, L., Shao, X., Wang, Y., Huang, Y., Miao, J., Yang, X., & Zhu, G. (2020). An investigation of mental health status of children and adolescents in china during the outbreak of COVID-19. Journal of Affective Disorders, 275, 112-118. https://doi.org/10.1016/j.jad.2020.06.029
• Einarsdottir, J., Dockett, S., & Perry, B. (2009). Making meaning: Children’s perspectives expressed through drawings. Early Child Development and Care, 179(2), 217-232. http://doi: 10.1080/03004430802666999
• Elliot, A. J., Maier, M. A., Binser, M. J., Friedman, R., & Pekrun, R. (2009). The effect of red on avoidance behavior in achievement contexts. Personality and Social Psychology Bulletin, 35, 365–375. https://doi.org/10.1177/0146167208328330
• France, R., & Robson, M. (1997). Cognitive behavioural therapy in primary care. Jessica Kingsley Publishers.
• Fitzpatrick, K. M., Harris, C., & Drawve, G. (2020). Fear of COVID-19 and the mental health consequences in America. Psychological Trauma: Theory, Research, Practice, and Policy, 12(1), 17-21. http://dx.doi.org/10.1037/tra0000924
• Gerhold, L. (2020). COVID-19: Risk perception and coping strategies. Results from a survey in Germany. Manuscript submitted for publication. PsyArXiv Preprints., 1-11. https://psyarxiv.com/xmpk4
• Greco, L. A., & Morris, T. L. (2004). Assessment. In T. L. Morris, & J. S. March (Eds.), Anxiety disorders in children and adolescents (2nd ed., pp. 98–121). Guilford Press.
• Gyasi, R. M. (2020). Fighting COVID-19: Fear and internal conflict among older adults in Ghana. Journal of Gerontological Social Work, 63(6-7), 688-690. https://doi.org/10.1080/01634372.2020.1766630
• Halmatov, S. (2016). Çocuk resimleri analizi ve psikolojik resim testleri (Üçüncü basım) [Child pictures analysis and psychological picture tests (Third edition)]. Pegem Publishing.
• Hamzadayı, E., Bayat, N., & Gölpınar, Ş. (2018). Konuşma kaygı düzeyi ile konuşma başarımı arasındaki ilişki [The relationship between the level of speaking anxiety and speaking performance]. Dil Eğitimi ve Araştırmaları Dergisi, 4(2), 75-85. https://doi.org/10.17679/inuefd.1006027
• Handler, L., & Reyher, J. (1965). Figure drawing anxiety ındexes: a review of the literature. Journal of Projective Techniques and Personality Assessment, 29(3), 305–313. https://doi.org/10.1080/0091651X.1965.10120213
• Jalongo, M. R., & Hirsh, R. A. (2010). Understanding reading anxiety: new insights from neuroscience. Early Childhood Education Journal, 37(6), 431-435. http://Doi:10.1007/s10643-010-0381-5
• Jiloha, R. C. (2020). COVID-19 and mental health. Epidemiology International (E-ISSN: 2455-7048), 5(1), 7-9. https://orcid.org/0000-0001-5518-6090
• Karaca, F. (2000). Ölüm psikolojisi [The psychology of death]. Beyan Publishing.
• Karataş, Z. (2020). COVID-19 Pandemisinin toplumsal etkileri, değişim ve güçlenme [Social impacts of Covid-19 pandemic, change and empowerment]. Türkiye Sosyal Hizmet Araştırmaları Dergisi, 4(1), 3-15. https://dergipark.org.tr/en/download/article-file/1129684
• Koppitz, E. (1968). Psychological evaluation of children’s human figure drawings. Grune & Stratton.
• Köse, S., Yılmaz, Ş. K., & Göktaş, S. (2018). Lise son sınıf öğrencilerinin sınav kaygı düzeyleri ile uyku kalitesi arasındaki ilişki [The relationship between high school senior students’ test axiety levels and sleep quality]. Psikiyatri Hemşireliği Dergisi, 9(2), 105-111. http://doi: 10.14744/phd.2018.05025
• Köylü, M. (2004). Ölüm olayının çocuklar üzerine etkisi ve “ölüm eğitimi” [The effects of death event on children and “death education”]. Ondokuz Mayıs Üniversitesi İlahiyat Fakültesi Dergisi, 17(17), 95-120. https://dergipark.org.tr/tr/download/article-file/188566
• Kurtyılmaz, Y., Can, G., & Ceyhan, A. A. (2017). Üniversite öğrencilerinin ilişkisel saldırganlık ile benlik saygısı, sosyal bağlılık ve sosyal kaygı düzeyleri arasındaki ilişkiler [Relationships among relational aggression and self esteem, social connectedness and social anxiety levels of university students]. Türk Psikolojik Danışma ve Rehberlik Dergisi, 7(47), 33-52. https://dergipark.org.tr/tr/download/article-file/631356
• LaRoque, S. D., & Obrzut, J. E. (2006). Pencil pressure and anxiety in drawings: A techno-projective approach. Journal of Psychoeducational Assessment, 24(4), 381-393. http://doi: 10.1177/0734282906288520
• Lazarus, R. S. (1991). Progress on a cognitive-motivational-relational theory of emotion. American Psychologist, 46, 819–834. http://doi:10.1037/0003-066X.46.8.819
• Mahmoud, J. S. R., Staten, R. T., Hall, L. A., & Lennie, T. A. (2012). The relationship among young adult college students‟ depression, anxiety, stress, demographics, life satisfaction, and coping styles. Issues in Mental Health Nursing, 33(3), 149-156. https://doi.org/10.3109/01612840.2011.632708
• Mazza, C., Ricci, E., Biondi, S., Colasanti, M., Ferracuti, S., Napoli, C., & Roma, P. (2020). A nationwide survey of psychological distress among italian people during the COVID-19 pandemic: Immediate psychological responses and associated factors. International Journal of Environmental Research and Public Health, 17(9), 3165. https://doi.org/10.3390/ijerph17093165
• Merriam, S. B. (2013). A guide to qualitative research design and practice (S. Turan, Trans.). Nobel Publishing.
• Morgan, C. T. (2010). Introduction to psychology. (R. Karakaş, Trans.). Eğitim Publishing.
• Muroff, J., & Ross, A. (2011). Social disability and impairment in childhood anxiety. In D. McKay & E. A. Storch (Eds.), Handbook of child and adolescent anxiety disorders (pp. 457–478). Springer Science Business Media.
• Orgilés, M., Morales, A., Delveccio, E., Mazzeschi, C., & Espada, J. P. (2020). Immediate psychological effects of COVID-19 quarantine in youth from Italy and Spain. Frontiers in Psychology, 11, 579038. https://doi.org/10.3389/fpsyg.2020.579038
• Orru, G., Ciacchini, R., Gemignani, A., & Conversano, C. (2020). Psychological intervention measures during the COVID-19 pandemic. Clinical Neuropsychiatry, 17(2), 76-79. https://doi.org/10.36131/
• Pakpour, A. H., & Griffiths, M. D. (2020). The fear of COVID-19 and its role in preventive behaviors. Journal of Concurrent Disorders. Vol. (TBD) No. (TBD). http://irep.ntu.ac.uk/id/eprint/39561/1/1313636_Griffiths.pdf
• Patton, M. Q. (2018). Qualitative research and evaluation method (4th ed.). Sage Publishing.
• Phelps, C., & Sperry, L. L. (2020). Children and the COVID-19 pandemic. Psychological Trauma: Theory, Research, Practice, and Policy, 12(S1), S73-S75. https://doi.org/10.1037/tra0000861
• Pinar Senkalfa, B., Sismanlar Eyuboglu, T., Aslan, A. T., Ramaslı Gursoy, T., Soysal, A. S., Yapar, D., & Ilhan, M. N. (2020). Effect of the COVID-19 pandemic on anxiety among children with cystic fibrosis and their mothers. Pediatric Pulmonology, 55(8), 2128-2134. https://doi.org/10.1002/ppul.24900
• Reynolds, C.R., & Ramphous, R.W. (2003) Handbook of psychological and educational assessment of children: Personality, behaviour and context. Guilford Press.
• Sahoo, S., Rani, S., Shah, R., Singh, A. P., Mehra, A., & Grover, S. (2020). COVID-19 pandemic-related anxiety in teenagers. Indian Journal of Psychiatry, 62(3), 328-330. http://doi: 10.4103/psychiatry.IndianJPsychiatry_327_20
• Shevlin, M., Nolan, E., Owczarek, M., McBride, O., Murphy, J., Gibson Miller, J., Hartman, T. K., Levita, L., Mason, L., Martinez, A. P., McKay, R., Stocks, T., Bennett, K. M., Hyland, P., & Bentall, R. P. (2020). COVID-19-related anxiety predicts somatic symptoms in the UK population. British Journal of Health Psychology, 25(4), 875-882. https://doi.org/10.1111/bjhp.12430
• Spielberg, J. M., Heller, W., Silton, R., Stewart, J. L., & Miller, G. A. (2011). Approach and avoidance profiles distinguish dimensions of anxiety and depression. Cognitive Therapy and Research, 35, 359–371. doi:10.1007/s10608-011-9364-0
• Spielberger, C. D., & Vagg, P. R. (1995). Test anxiety: A transactional process model. In C. D. Spielberger & P. R. Vagg (Ed.), Series in clinical and community psychology. Test anxiety: Theory, assessment, and treatment (pp. 3-14). Taylor & Francis.
• Stein, M. B. (2020). COVID-19 and anxiety and depression in 2020. Depression and Anxiety, 37(4), 302. doi: 10.1002/da.23014
• Tanhan F. (2007). Ölüm kaygısıyla baş etme eğitiminin ölüm kaygısı ve psikolojik iyi olma düzeyine etkisi [The effects of coping with death anxiety education programme on death anxieties and psychological well-beings] [Unpublished doctoral dissertation]. Ankara Üniversitesi.
• Taylor, M. R., Agho, K. E., Stevens, G. J., & Raphael, B. (2008). Factors influencing psychological distress during a disease epidemic: Data from Australia's first outbreak of equine influenza. BMC Public Health, 8(1), 347. https://bmcpublichealth.biomedcentral.com/track/pdf/10.1186/1471-2458-8-347
• The Psychiatric Association of Turkey (2020). Covıd-19 ve çocuklar [Covıd-19 and children]. https://www.psikiyatri.org.tr/uploadFiles/2420201236-cocuklarCOVID.pdf
• Usta, S. Y., & Gökcan, H. N. (2020). Çocukların ve annelerinin gözünden Covid-19 [Covid-19 through the eye of children and mothers]. International Journal of Social Sciences and Education Research, 6(2), 187-206. https://doi.org/10.24289/ijsser.744642
• Venger, A. (2007). Психологические рисуночные тесты: иллюстрированное руководство [Psychological Drawing Tests: An Illustrated Guide]. Vlados-Press.
• Wang, C., & Zhao, H. (2020). The impact of COVID-19 on anxiety in Chinese university students. Frontiers in Psychology, 11, 1168. https://doi.org/10.3389/fpsyg.2020.01168
• Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health, 17(5), 1729. doi: 10.3390/ijerph17051729
• Wang, G., Zhang, Y., Zhao, J., Zhang, J., & Jiang, F. (2020). Mitigate the effects of home confinement on children during the COVID-19 outbreak. The Lancet, 395(10228), 945-947. https://doi.org/10.1016/S0140-6736(20)30547-X
• Wang, R., Hozumi, Y., Yin, C., & Wei, G. W. (2020). Mutations on COVID-19 diagnostic targets. Genomics, 112(6), 5204-5213. https://doi.org/10.1016/j.ygeno.2020.09.028
• Wheaton, M. G., Berman, N. C., Franklin, J. C., & Abramowitz, J. S. (2010). Health anxiety: Latent structure and associations with anxiety-related psychological processes. Journal of Psychopathology and Behavioral Assessment, 32, 565–574. doi: 10.1007/s10862-010-9179-4
• World Health Organization (2021,February 22). WHO Coronavirus Disease (COVID-19) Dashboard. https://covid19.who.int/.
• Xie, X., Xue, Q., Zhou, Y., Zhu, K., Liu, Q., Zhang, J., & Song, R. (2020). Mental health status among children in home confinement during the coronavirus disease 2019 outbreak in Hubei Province, China. JAMA Pediatrics, 174(9), 898-900 doi:10.1001/jamapediatrics.2020.1619
• Yavuzer. (2017). Resimleriyle çocuk (21. Basım) [The child with her/his pictures (21st ed.)]. Remzi Kitabevi.
• Yıldırım, A., & Şimsek, H. (2018). Sosyal bilimlerde nitel araştırma yöntemleri (11. Baskı) [Qualitative research methods in social sciences (11th ed.)]. Seçkin.
• Yin, R. K. (2014). Case study research: Design and methods (applied social research methods-5th ed.). Thousand Oaks, CA: Sage publications.
• Yoshikawa, H., Wuermli, A. J., Britto, P. R., Dreyer, B., Leckman, J. F., Lye, S. J., Ponguta, L. A., Richter, L. M., & Stein, A. (2020). Effects of the global coronavirus disease-2019 pandemic on early childhood development: Short- and long-term risks and mitigating program and policy actions. The Journal of Pediatrics, 223, 188-193. https://doi.org/10.1016/j.jpeds.2020.05.020
• Yüksel, M. Y., Kurt, B., Gülsu, N., Akdağ, C., Aydın, F., & Erdoğan, F. (2016). Okula uyum sağlamakta güçlük çeken çocukların çizdikleri okul resimleri üzerine nitel bir araştırma [A Qualitative Study on the School Pictures Drawn by Children Having Difficulty in Adapting to School]. Mersin University Journal of the Faculty of Education, 12(2), 642-658. https://doi.org/10.17860/efd.03342