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COVID-19 Pandemic School Disruptions and Acute Mental Health in Children and Adolescents.
Davico, Chiara; Marcotulli, Daniele; Abbracciavento, Giuseppe; Anfosso, Thomas; Apicella, Massimo; Averna, Roberto; Bazzoni, Marzia; Calderoni, Dario; Cammisa, Luca; Carta, Alessandra; Carucci, Sara; Cozzi, Giorgio; Di Santo, Federica; Fazzi, Elisa; Lux, Caterina; Narducci, Chiara; Nobili, Lino; Onida, Ilaria; Pisano, Tiziana; Raucci, Umberto; Sforzi, Idanna; Siri, Laura; Sotgiu, Stefano; Tavano, Simone; Terrinoni, Arianna; Uccella, Sara; Vicari, Stefano; Zanus, Caterina; Vitiello, Benedetto.
Afiliación
  • Davico C; Department of Public Health and Pediatric Sciences, University of Turin/Regina Margherita Children's Hospital, Turin, Italy.
  • Marcotulli D; Department of Public Health and Pediatric Sciences, University of Turin/Regina Margherita Children's Hospital, Turin, Italy.
  • Abbracciavento G; University of Trieste, B. Garofalo Hospital, Trieste, Italy.
  • Anfosso T; Department of Clinical and Experimental Science, University of Brescia, Brescia, Italy.
  • Apicella M; Division of Child and Adolescent Psychiatry, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.
  • Averna R; Division of Child and Adolescent Psychiatry, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.
  • Bazzoni M; Department of Biomedical Sciences, Section of Neuroscience & Clinical Pharmacology, University of Cagliari, Cagliari, Italy.
  • Calderoni D; Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
  • Cammisa L; Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
  • Carta A; University Hospital of Sassari, Division of Child Neuropsychiatry, Sassari, Italy.
  • Carucci S; Department of Biomedical Sciences, Section of Neuroscience & Clinical Pharmacology, University of Cagliari, Cagliari, Italy.
  • Cozzi G; Child & Adolescent Neuropsychiatry Unit, "A. Cao" Paediatric Hospital, ASL Cagliari, Italy.
  • Di Santo F; University of Trieste, B. Garofalo Hospital, Trieste, Italy.
  • Fazzi E; Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
  • Lux C; Department of Clinical and Experimental Science, University of Brescia, Brescia, Italy.
  • Narducci C; Department of Public Health and Pediatric Sciences, University of Turin/Regina Margherita Children's Hospital, Turin, Italy.
  • Nobili L; Department of Biomedical Sciences, Section of Neuroscience & Clinical Pharmacology, University of Cagliari, Cagliari, Italy.
  • Onida I; Child & Adolescent Neuropsychiatry Unit, "A. Cao" Paediatric Hospital, ASL Cagliari, Italy.
  • Pisano T; IRCCS Istituto G. Gaslini, University of Genoa, Genoa, Italy.
  • Raucci U; IRCCS Istituto G. Gaslini, Genoa, Italy.
  • Sforzi I; University Hospital of Sassari, Division of Child Neuropsychiatry, Sassari, Italy.
  • Siri L; Neuroscience Department, Meyer Children's Hospital IRCCS, Florence, Italy.
  • Sotgiu S; Division of Child and Adolescent Psychiatry, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.
  • Tavano S; Emergency Department and Trauma Center Meyer Children's Hospital IRCCS, Florence, Italy.
  • Terrinoni A; IRCCS Istituto G. Gaslini, Genoa, Italy.
  • Uccella S; University Hospital of Sassari, Division of Child Neuropsychiatry, Sassari, Italy.
  • Vicari S; Neuroscience Department, Meyer Children's Hospital IRCCS, Florence, Italy.
  • Zanus C; Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
  • Vitiello B; IRCCS Istituto G. Gaslini, University of Genoa, Genoa, Italy.
JAMA Netw Open ; 7(8): e2425829, 2024 Aug 01.
Article en En | MEDLINE | ID: mdl-39102265
ABSTRACT
Importance There are suggestions that school pressure may be stressful and a factor in child and adolescent mental health disturbances, but data about this association are scarce and inconclusive.

Objective:

To assess whether varying degrees of school interruption were associated with changes in emergency department (ED) psychiatric visits of children and adolescents before and after the COVID-19 outbreak. Design, Setting, and

Participants:

A cross-sectional observational study was conducted at 9 urban university hospitals in Italy. All ED visits from January 1, 2018, to December 31, 2021, for psychiatric reasons of patients younger than 18 years were examined for demographic characteristics and type of psychopathologic factors. Data analysis was conducted from July 1 to August 31, 2023. Exposure The disruption in the usual succession of school and holiday periods brought on by the COVID-19 pandemic at different times and with various degrees of intensity. Main Outcomes and

Measures:

Total number of pediatric ED visits, psychiatric ED visits, and psychiatric ED visits categorized by specific reasons (eg, psychomotor agitation, suicide ideation [SI] or suicide attempt [SA], and eating disorders) on a weekly basis.

Results:

A total of 13 014 psychiatric ED visits (1.3% of all pediatric ED visits) were recorded (63.2% females; mean [SD] age, 13.8 [3.8] years). The number of ED psychiatric visits increased over time (incidence rate ratio [IRR], 1.19; 95% CI, 1.16-1.22 for each year). Significant increases in ED visits were observed for eating disorders (294.8%), SI (297.8%), and SA (249.1%). School opening, but not social lockdown restriction, was associated with an increase in the number of ED psychiatric visits (IRR, 1.29; 95% CI, 1.23-1.34), which was evident for females and for SI with SA. Socioeconomic status was associated with an increase in psychiatric visits for males (IRR, 1.12; 95% CI, 1.04-1.20) but not females (IRR, 1.04; 95% CI, 0.98-1.10). Conclusions and Relevance In this study, school opening was associated with an increased incidence of acute psychiatric emergencies among children and adolescents, suggesting that school can be a substantial source of stress with acute mental health implications.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Instituciones Académicas / Servicio de Urgencia en Hospital / COVID-19 Límite: Adolescent / Child / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: JAMA Netw Open Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Instituciones Académicas / Servicio de Urgencia en Hospital / COVID-19 Límite: Adolescent / Child / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: JAMA Netw Open Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos