COVID-19 Pandemisi ve Koruyucu Tedbirlerin Çocukların Ruh Sağlığı Üzerindeki Etkisi

Yıl 2021, , 569 - 574, 01.12.2021

Ahmet Osman Kılıç , Necati Uzun , Fatih Akın , Abdullah Yazar , Ozge Metin , Ömer Faruk Akça , İsmail Reisli

https://doi.org/10.26453/otjhs.941840

Öz

Amaç: Dünya Sağlık Örgütü, yeni Koronavirüs hastalığını (COVID-19) Mart 2020'de pandemi olarak ilan etti. Bu çalışmanın amacı, COVID-19 pandemisinin çocukların ruh sağlığı üzerindeki etkilerini değerlendirmektir.

Materyal ve Metot: Ebeveynlerin ve çocuklarının koruma kurallarına uyup uymadıklarını belirlemek için katılımcılara bir anket ve Gözden Geçirilmiş Çocukluk Kaygı ve Depresyon Ölçeği - Ebeveyn Formu uygulandı. Ayrıca pandemi ile ilgili haber alma yöntemleri ve korunma yöntemleri de değerlendirildi. Katılımcılar, COVID-19'un şüpheli semptomları olan ve olmayanlar olarak iki gruba ayrıldı.

Bulgular: Kişisel hijyen düzeyleri ile sosyal fobi puanı ve toplam kaygı puanı arasında negatif korelasyon saptandı (p<0.05). Yaygın anksiyete bozukluğu puanları ile koruyucu ekipman kullanım çeşitliliği arasında negatif bir ilişki gözlendi (p<0.05). Panik bozukluk ve obsesif kompulsif bozukluk puanları, katılımcıların izolasyon durumu ile negatif ilişkiliydi (p<0.05).

Sonuç: Kişisel koruyucu ekipman kullanımı, kişisel hijyen kurallarına uyulması ve ebeveynlerin izolasyon önlemlerine uyulması, çocuklarının ruh sağlığına olumlu katkıda bulunur. 

Anahtar Kelimeler

Çocuk, Covid-19, ruh sağlığı, koruyucu tedbirler

The Effect of COVID-19 Pandemic and Associated Protective Procedures on Children's Mental Health

Öz

Objective: World Health Organization declared the novel Coronavirus disease 2019 (COVID-19) as a pandemic in March 2020. The aim of this study is to evaluate the effects of COVID-19 pandemic on children’s mental health.

Materials and Methods: Revised Childhood Anxiety and Depression Scale - The Parent Form was applied to the participants to determine the compliance of parents and children with protection rules. In addition, the methods of getting news and protection methods about the pandemic were evaluated. Participants were divided into two groups as those with and without suspicious symptoms of COVID-19.

Results: Personal hygiene levels were found to be negatively correlated with social phobia score and total anxiety score (p<0.05). A negative correlation was observed between generalized anxiety disorder scores and the variety of use of protective equipments (p<0.05). Panic disorder and obsessive compulsive disorder scores were negatively associated with the isolation status of participants (p<0.05).

Conclusion: The use of personal protective equipment, following the personal hygiene rules and compliance to the isolation measures of the parents have a positive effect on their children's mental health.   

Anahtar Kelimeler

children, covid-19, mental health, protective procedures

Kaynakça

• REFERENCES 1. World Health Organization Coronavirus disease 2019 (COVID-19) Situation Report. Published 2020. https://www.who.int/emergencies/diseases/novel-coronavirus-2019.
• 2. Fauci AS, Lane HC, Redfield RR. Covid-19 - Navigating the uncharted. N Engl J Med. 2020;382(13):1268-1269. doi:10.1056/NEJMe2002387
• 3. Kelly BD. Coronavirus disease: Challenges for psychiatry. Br J Psychiatry. 2020;217(1):352-353. doi:10.1192/bjp.2020.86
• 4. Wang G, Zhang Y, Zhao J, Zhang J, Jiang F. Mitigate the effects of home confinement on children during the COVID-19 outbreak. Lancet. 2020;395(10228):945-947. doi:10.1016/S0140-6736(20)30547-X
• 5. Cullen W, Gulati G, Kelly BD. Mental health in the COVID-19 pandemic. QJM. 2020;113(5):311-312. doi:10.1093/qjmed/hcaa110
• 6. Roy D, Tripathy S, Kumar S, Sharma N, Verma SK, Kaushal V. Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronaviru. Asian J Psychiatr. 2020;51(1):2020. doi:10.1016/j.ajp.2020.102083
• 7. Anderson RM, Heesterbeek H, Klinkenberg D, Hollingsworth TD. How will country-based mitigation measures influence the course of the COVID-19 epidemic? Lancet. 2020;395(10228):931-934. doi:10.1016/S0140-6736(20)30567-5
• 8. Castagnoli R, Votto M, Licari A, et al. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection in Children and Adolescents: A Systematic Review. JAMA Pediatr. 2020;2. doi:10.1001/jamapediatrics.2020.1467
• 9. Danese A, Smith P, Chitsabesan P, Dubicka B. Child and adolescent mental health amidst emergencies and disasters. Br J Psychiatry. 2020;216(3):159-162. doi:10.1192/bjp.2019.244
• 10. Jiang X, Deng L, Zhu Y, et al. Psychological crisis intervention during the outbreak period of new coronavirus pneumonia from experience in Shanghai. Psychiatry Res. 2020;286(February):112903. doi:10.1016/j.psychres.2020.112903
• 11. Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-920. doi:10.1016/S0140-6736(20)30460-8
• 12. Jia Jia Liu, Yanping Bao, Xiaolin Huang, Jie Shi LL. Mental health considerations for children quarantined because of COVID-19. Lancet Child Adolescant Heal. 2020;4(5):347-349. doi:10.1007/s00134-020-05991-x.Bizzarro
• 13. Zhang WR, Wang K, Yin L, et al. Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China. Psychother Psychosom. 2020;89(4):242-250. doi:10.1159/000507639
• 14. Chorpita BF, Yim L, Moffitt C, Umemoto LA, Francis SE. Assessment of symptoms of DSM-IV anxiety and depression in children: A revised child anxiety and depression scale. Behav Res Ther. 2000;38(8):835-855. doi:10.1016/S0005-7967(99)00130-8
• 15. Gormez V, Kilincaslan A, Ebesutani C, et al. Psychometric Properties of the Parent Version of the Revised Child Anxiety and Depression Scale in a Clinical Sample of Turkish Children and Adolescents. Child Psychiatry Hum Dev. 2017;48(6):922-933. doi:10.1007/s10578-017-0716-1
• 16. Xiang YT, Yang Y, Li W, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry. 2020;7(3):228-229. doi:10.1016/S2215-0366(20)30046-8
• 17. Banerjee D. The COVID-19 outbreak: Crucial role the psychiatrists can play. Asian J Psychiatr. 2020;50:102014. doi:10.1016/j.ajp.2020.102014
• 18. Carvalho L de F, Pianowski G, Gonçalves AP. Personality differences and COVID-19: are extroversion and conscientiousness personality traits associated with engagement with containment measures? Trends psychiatry Psychother. 2020;00(0):1-6. doi:10.1590/2237-6089-2020-0029
• 19. Gao J, Zheng P, Jia Y, et al. Mental health problems and social media exposure during COVID-19 outbreak. PLoS One. 2020;15(4):1-10. doi:10.1371/journal.pone.0231924
• 20. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS HR. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int J Environ Res Public Health. 2020;17(5):1729.