scholarly journals Impact of the COVID-19 Outbreak on the Behavior of Families in Italy: A Focus on Children and Adolescents

2021 ◽  
Vol 9 ◽  
Author(s):  
Sara Uccella ◽  
Elisa De Grandis ◽  
Fabrizio De Carli ◽  
Maria D'Apruzzo ◽  
Laura Siri ◽  
...  

The COVID-19 pandemic has changed individuals' lifestyles to a great extent, particularly in Italy. Although many concerns about it have been highlighted, its impact on children and adolescents has scarcely been examined. The purpose of this study was to explore behavioral consequences and coping strategies related to the pandemic among families in Italy, by focusing on developmental ages from the caregivers' perspective, 3 weeks into quarantine. An exploratory cross-sectional online survey was conducted over 14 days. Google Forms was employed to conduct the survey. Demographic variables and pre-existing Psychological Weaknesses (PsW) were asked. Adults' sleep difficulties (SleepScore) and coping strategies during quarantine were assessed. Behavioral changes related to quarantine of both subjects completing the form (COVIDStress) and their children (when present) were questioned. Of the 6,871 respondents, we selected 6,800 valid questionnaires; 3,245 declared children aged under 18 years of age (caregivers). PsWs were recognizable in 64.9% among non-caregivers and in 61.5% of caregivers, with a mean PsW score of 1.42 ± 1.26 and 1.30 ± 1.25 over 3 points, respectively. The 95.5% of the non-caregivers and the 96.5% of caregivers presented behavioral changes with a mean COVIDStress of 3.85 ± 1.82 and 4.09 ± 1.79 over 8, respectively (p<0.001). Sleep difficulties were present in the 61.6% of the non-caregivers and in the 64.4% of the caregivers (p < 0.001), who showed higher SleepScores (2.41 ± 1.26 against 2.57 ± 1.38 points over 6, p < 0.001). COVIDStress (and SleepScore) strongly correlated with PsW (p < 0.001). Caregivers observed behavioral changes in their children in the 64.3% of the <6 years old and in 72.5% of 6–18 years old. Caregivers' discomfort related to quarantine (COVIDStress, SleepScore) was strongly associated to behavioral changes in both age groups of <6 and 6–18 (p < 0.001). Presence of caregivers' coping strategies was less associated to behavioral changes in the <6 sample (p = 0.001) but not in the 6–18 (p = 0.06). The COVID-19 pandemic has adversely impacted families in Italy with regard to behavioral changes, especially in high-risk categories with PsWs and caregivers, especially the ones with children aged <6 years. While coping strategies functioned as protective factors, a wide array of stress symptoms had implications for children's and adolescents' behaviors. It is recommended that public children welfare strategies be implemented, especially for higher-psychosocial-risk categories.

2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Arna Bhattacharya ◽  
DR Jigyansa Ipsita Pattnaik ◽  
DR Suhas Chandran

Background: The COVID-19 pandemic has brought about significant changes in the lifestyle of adolescents. Adolescence is a development stage of high vulnerability that can impact well-being later in life. Mental health plays an important role in one’s quality of life. Understanding coping mechanisms helps make a person safe and resilient from psychological distress. The present study aims to evaluate the mental well-being and coping strategies used by adolescents in India during the COVID-19 pandemic. Methods: A cross sectional study was conducted in a school in Bangalore, India via an online survey, circulated via the class teacher. Participants included 222 adolescents with ages ranging from 13 to 19. The DASS-21 and Brief COPE scales were used to assess mental well-being and coping mechanisms respectively. The questionnaire concluded with validated general lifestyle related questions. This included inquiring relationships between students and their families, friends, academic performance, social media consumption etc. The data was collected over a period of one month.  Results: In the DASS-21 scoring, 31.9% (n=69), 24.8% (n=55) and 5.4% (n=12) received scores indicating extremely severe depression, anxiety and stress respectively. Females were statistically found to be more depressed and anxious than males. Behavioural disengagement and self blame were commonly used coping mechanisms by those who were found to be psychologically distressed.  Conclusions: Psychological distress has been observed in adolescents in varying degrees during the COVID-19 pandemic. This should be addressed in order to prevent further distress. Keywords: adolescents, covid-19, mental well being, DASS-21, Brief COPE, depression, anxiety, stress


Author(s):  
M. M. Rajeev ◽  
U. Harikrishnan

Background: COVID-19 is a biological disaster and its impact on the psychological wellbeing among individuals in the society. It affected all age group in the society and the youth are more vulnerable in the pandemic. The aim of the study was to understand the stress, anxiety, depression level and coping strategies among youth during the early stage of lockdown period in India.Methods: A cross-sectional descriptive study and 302 youth across India were respond ended through snowball sampling method. An online survey through google form and the tools were socio-demographic details, DASS-21 and coping strategies questionnaire. The self-reported English version online questionnaire were analysed through SPSS.Results: The study found that 36.8% of youth had stress, 32% of them had anxiety whereas 48.7% had depressive symptoms and 30.4% send their time in social networking sites during the early stage of lockdown in India. There were significant comparison between depression and recreational activities (x2=6.92; p=0.03) and highly significant comparison between depression and spending times in hobbies (x2=8.32; p=0.01).Conclusions: The youth need psychosocial care and support during this pandemic and the youth need to take up physical-mental-spiritual self-care activities.


2020 ◽  
Author(s):  
Hend Ibrahim Shousha ◽  
Nagwan Madbouly ◽  
Shaimaa Afify ◽  
Noha Asem ◽  
Rabab Maher ◽  
...  

AbstractCOVID-19 patients, especially those with chronic medical illnesses (CMI), may use different coping strategies, to reduce their psychological distress while facing the COVID-19 infection. The aim was to compare anxiety, depression and coping styles between patients infected with COVID-19 disease with and without CMI during the peak of COVID-19 disease in Egypt. This is a cross sectional study, that included an online survey consisting of Arabic versions of General Health Questionnaire-12, Taylor Manifest Anxiety Scale (TMAS), Beck Depression Inventory (BDI) and Brief-COPE scale. Questionnaires were distributed to adult patients with a confirmed diagnosis of SARS-CoV-2 virus infection during their quarantine in Egypt. One hundred ninety-nine patients responded to the survey, where 46.73% of them had CMI. Religion, emotional support, use of informational support and acceptance were the most used coping strategies by participants. Avoidant coping strategies were frequently used by divorced patients, home quarantined individuals, patients who developed COVID-19 related anxiety/depression and patients who didn’t receive hydroxyl-chloroquine. Approach strategies were frequently used by patients with mild COVID-19. Understanding the used coping strategies has implications for how individuals might be helped to manage their illness during the current presentation and intervene with development of serious long-term mental health conditions.


2018 ◽  
Vol 3 (3) ◽  
pp. 467
Author(s):  
Diah Merdekawati ◽  
Dasuki Dasuki

<p><em>Pre-school age is particularly vulnerable to the effects of stress and fear during hospitalization. Children under the age of 6 are less able to think about an event as a whole, have not been able to determine behavior that can overcome the fear based on experience ever experienced and coping strategies ever done. The aims of this research to know correlation family support with child anxious response during infusion. This study was a quantitative with correlation study using cross sectional method. There were 51 respondents participated in this research. Data were collected through observation with purposive sampling technique. Then, data were analysed through univariate and bivariate. The result of univariate statistic test revealed that as much as 64.7% had good family support and 56.9% experienced an anxious response during infusion. The result of  bivariate statistic test showed that there was a positive correlation with moderate strength between family support and child's anxious response during infusion. This riset showed that families should provide support when children experience fear, anxiety and pain during infusion.</em></p><p><em><br /></em></p><p>Usia pra sekolah sangat rentan terhadap efek stress dan ketakutan selama rawat inap. Anak- anak dibawah usia 6 tahun kurang mampu berpikir tentang suatu peristiwa secara keseluruhan, belum bisa menentukan perilaku yang dapat mengatasi ketakutan berdasarkan pengalaman yang pernah dialami dan strategi koping yang pernah dilakukan. Tujuan penelitian ini adalah untuk mengetahui korelasi dukungan keluarga dengan respon cemas anak saat pemasangan infus. Penelitian ini merupakan penelitian kuantitatif studi korelatif dengan metode <em>cross secsional</em>. Sebanyak 51 responden terlibat dalam penelitian ini. Pengumpulan data melalui observasi. Pengambilan sampel dilakukan secara <em>purposive sampling. </em>Analisis data dilakukan secara <em>univariat </em>dan<em> bivariat. </em>Dari hasil uji statistik univariat diketahui sebanyak 64,7% memiliki dukungan keluarga baik dan 56,9% mengalami respon cemas saat pemasangan infus. Hasil uji statistik bivariat menunjukkan ada korelasi positif dengan kekuatan sedang antara dukungan keluarga dengan respon cemas anak saat pemasangan infus. Penelitian ini menunjukkan bahwa keluarga sebaiknya memberikan dukungannya pada saat anak mengalami ketakutan, kecemasan dan rasa nyeri pada saat pemasangan infus.</p><p><em><br /></em></p>


Author(s):  
Adrianos Golemis ◽  
Panteleimon Voitsidis ◽  
Eleni Parlapani ◽  
Vasiliki A Nikopoulou ◽  
Virginia Tsipropoulou ◽  
...  

Summary COVID-19 and the related quarantine disrupted young adults’ academic and professional life, daily routine and socio-emotional well-being. This cross-sectional study focused on the emotional and behavioural responses of a young adult population during the COVID-19-related quarantine in April 2020, in Greece. The study was conducted through an online survey. A total of 1559 young adults, aged 18−30 years, completed Steele’s Social Responsibility Motivation Scale and the De Jong Gierveld Loneliness Scale, and answered questions about compliance with instructions, quarantine-related behaviours and coping strategies. According to the results, participants displayed a relatively high sense of social responsibility (M = 16.09, SD = 2.13) and a trend towards moderate feeling of loneliness (M = 2.65, SD = 1.62); young women reported significantly higher levels of loneliness than men. The majority complied with instructions often (46.4%) or always (44.8%). Significantly more women created a new social media account and used the social media longer than 5 h/day, compared with men. Resorting to religion, practicing sports and sharing thoughts and feelings about COVID-19 with others predicted higher levels of social responsibility; humour, practicing sports and sharing thoughts and feelings about COVID-19 with others predicted lower levels of loneliness. Conclusively, COVID-19 is expected to have a significant psychological impact on young adults. Currently, Greece is going through the second quarantine period. This study raises awareness about loneliness in young adults during the COVID-19-related quarantine and highlights the importance of developing online programmes, attractive to younger people, to nurture adaptive coping strategies against loneliness.


Religions ◽  
2021 ◽  
Vol 12 (5) ◽  
pp. 357
Author(s):  
Rafael López Cordero ◽  
Francisca Ruiz Garzón ◽  
Lourdes Medina Martínez ◽  
María del Carmen Olmos-Gómez

The current trend of secularization seems to be leading to a gradual withdrawal of religion from public spaces. However, in an increasingly internationalized world, it is becoming more and more important to study the roles of religion and religiosity and their potential in relation to dialogue and social conflicts and tensions. Education is a vital field within which to address this religious issue and create an educational dialogue in order to promote coexistence. By following a quantitative, descriptive, cross-sectional study, based on a quasi-experimental methodology with a social–analytical character, our aim is to assess the existing connections between religion, interrelation and opinion in Spanish children and adolescents. Special attention is paid to the interaction between age and beliefs. We carried out our study with the use of a questionnaire distributed to eleven secondary schools, with students aged between 11 and 16 years old, in three regions of southern Spain (Andalusia, Ceuta, and Melilla) characterized by high religious diversity and multiculturalism. The multivariate analysis carried out in this study identifies the effects of variance on the influence of age and religion, highlighting the interaction between the two. It is observed that the youngest students are those who express their opinions about religion the least, while those belonging to younger age groups and majority religions are those who express a greater religious coexistence, with Muslims externalizing their religious condition the most.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Jerrald Lau ◽  
David Hsien-Yung Tan ◽  
Gretel Jianlin Wong ◽  
Yii-Jen Lew ◽  
Ying-Xian Chua ◽  
...  

Abstract Background Primary care physicians (PCPs) are first points-of-contact between suspected cases and the healthcare system in the current COVID-19 pandemic. This study examines PCPs’ concerns, impact on personal lives and work, and level of pandemic preparedness in the context of COVID-19 in Singapore. We also examine factors and coping strategies that PCPs have used to manage stress during the outbreak. Methods Two hundred and sixteen PCPs actively practicing in either a public or private clinic were cluster sampled via email invitation from three primary care organizations in Singapore from 6th to 29th March 2020. Participants completed a cross-sectional online questionnaire consisting of items on work- and non-work-related concerns, impact on personal and work life, perceived pandemic preparedness, stress-reduction factors, and personal coping strategies related to COVID-19. Results A total of 158 questionnaires were usable for analyses. PCPs perceived themselves to be at high risk of COVID-19 infection (89.9%), and a source of risk (74.7%) and concern (71.5%) to loved ones. PCPs reported acceptance of these risks (91.1%) and the need to care for COVID-19 patients (85.4%). Overall perceived pandemic preparedness was extremely high (75.9 to 89.9%). PCPs prioritized availability of personal protective equipment, strict infection prevention guidelines, accessible information about COVID-19, and well-being of their colleagues and family as the most effective stress management factors. Conclusions PCPs continue to serve willingly on the frontlines of this pandemic despite the high perception of risk to themselves and loved ones. Healthcare organizations should continue to support PCPs by managing both their psychosocial (e.g. stress management) and professional (e.g. pandemic preparedness) needs.


Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Sonika Sethi ◽  
Aditi Kumar ◽  
Anandadeep Mandal ◽  
Mohammed Shaikh ◽  
Claire A. Hall ◽  
...  

Abstract Background Developing a safe and effective vaccine will be the principal way of controlling the COVID-19 pandemic. However, current COVID-19 vaccination trials are not adequately representing a diverse participant population in terms of age, ethnicity and comorbidities. Achieving the representative recruitment targets that are adequately powered to the study remains one of the greatest challenges in clinical trial management. To ensure accuracy and generalisability of the safety and efficacy conclusions generated by clinical trials, it is crucial to recruit patient cohorts as representative as possible of the future target population. Missing these targets can lead to reduced validity of the study results and can often slow down drug development leading to costly delays. Objective This study explores the key factors related to perceptions and participation in vaccination trials. Methods This study involved an anonymous cross-sectional online survey circulated across the UK. Statistical analysis was done in six phases. Multi-nominal logistic models examined demographic and geographic factors that may impact vaccine uptake. Results The survey had 4884 participants of which 9.44% were Black Asian Minority Ethnic (BAME). Overall, 2020 (41.4%) respondents were interested in participating in vaccine trials; 27.6% of the respondents were not interested and 31.1% were unsure. The most interested groups were male (OR = 1.29), graduates (OR = 1.28), the 40–49 and 50–59 age groups (OR = 1.88 and OR = 1.46 respectively) and those with no health issues (OR = 1.06). The least interested groups were BAME (OR = 0.43), those from villages and small towns (OR = 0.66 and 0.54 respectively) and those aged 70 and above (OR = 1.11). Conclusions In order to have a vaccination that is generalisable to the entire population, greater work needs to be done in engaging a diverse cohort of participants. Public health campaigns need to be targeted in improving trial recruitment rates for the elderly, BAME community and the less educated rural population.


2021 ◽  
Vol 7 (3) ◽  
pp. 205630512110338
Author(s):  
Tore Bonsaksen ◽  
Mary Ruffolo ◽  
Janni Leung ◽  
Daicia Price ◽  
Hilde Thygesen ◽  
...  

Social distancing rules during the COVID-19 pandemic changed social interaction for many and increased the risk of loneliness in the general population. Social media use has been ambiguously related to loneliness, and associations may differ by age. The study aimed to examine loneliness and its association with social media use within different age groups during the COVID-19 pandemic. A cross-sectional online survey was conducted in Norway, the United Kingdom, the United States, and Australia during April/May 2020, and 3,810 participants aged 18 years or above were recruited. Multiple regression analyses were conducted to examine associations between social media use and social and emotional loneliness within separate age groups. Emotional loneliness was higher among young adults and among those who used social media several times daily. Adjusting by sociodemographic variables, using more types of social media was associated with lower social loneliness among the oldest participants, and with higher emotional loneliness among the youngest participants. Among middle-aged participants, using social media more frequently was associated with lower social loneliness. We found that the associations between social media use and loneliness varied by age. Older people’s engagement on social media may be a resource to reduce loneliness during the COVID-19 pandemic. We observed higher levels of loneliness among high-frequent social media users of younger age.


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