Physical Health, Media Use, and Mental Health in Children and Adolescents With ADHD During the COVID-19 Pandemic in Australia,Journal of Attention Disorders

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Physical Health, Media Use, and Mental Health in Children and Adolescents With ADHD During the COVID-19 Pandemic in Australia
Journal of Attention Disorders ( IF 2.7 ) Pub Date : 2020-12-17 , DOI: 10.1177/1087054720978549
Emma Sciberras _{1,

2,

3} , Pooja Patel _{1,

2} , Mark A Stokes ₁ , David Coghill _{2,

3,

4} , Christel M Middeldorp _{5,

6} , Mark A Bellgrove ₇ , Stephen P Becker _{8,

9} , Daryl Efron _{2,

3,

4} , Argyris Stringaris ₁₀ , Stephen V Faraone ₁₁ , Susannah T Bellows ₁ , Jon Quach _{2,

3} , Tobias Banaschewski ₁₂ , Jane McGillivray ₁ , Delyse Hutchinson _{1,

2,

3,

13} , Tim J Silk _{1,

2,

3} , Glenn Melvin ₁ , Amanda G Wood _{1,

2,

14} , Anna Jackson _{1,

2} , George Loram ₁ , Lidia Engel ₁ , Alicia Montgomery ₁₄ , Elizabeth Westrupp _{1,

3,

15}

Affiliation

Deakin University, Geelong, VIC, Australia.
Murdoch Children's Research Institute, Parkville, VIC, Australia.
University of Melbourne, Parkville, VIC, Australia.
The Royal Children's Hospital, Parkville, VIC, Australia.
Child Health Research Centre, University of Queensland, Brisbane, QLD, Australia.
Child and Youth Mental Health Service, Children's Health Queensland Hospital and Health Service, Brisbane, QLD, Australia.
Turner Institute for Brain and Mental Health, Monash University, Clayton, VIC, Australia.
Cincinnati Children's Hospital Medical Center, OH, USA.
University of Cincinnati College of Medicine, OH, USA.
National Institute of Mental Health, Rockville, MD, USA.
State University of New York Upstate Medical University, Syracuse, USA.
Central Institute of Mental Health, Heidelberg University, Germany.
University of New South Wales, Kensington, NSW, Australia.
School of Life Sciences, Aston University, Birmingham, UK.
Judith Lumley Centre, La Trobe University, Bundoora, VIC, Australia.

Objective:

To examine the impact of COVID-19 restrictions among children with attention-deficit/hyperactivity disorder (ADHD).

Methods:

Parents of 213 Australian children (5–17 years) with ADHD completed a survey in May 2020 when COVID-19 restrictions were in place (i.e., requiring citizens to stay at home except for essential reasons).

Results:

Compared to pre-pandemic, children had less exercise (Odds Ratio (OR) = 0.4; 95% CI 0.3–0.6), less outdoor time (OR = 0.4; 95% 0.3–0.6), and less enjoyment in activities (OR = 6.5; 95% CI 4.0–10.4), while television (OR = 4.0; 95% CI 2.5–6.5), social media (OR = 2.4; 95% CI 1.3–4.5), gaming (OR = 2.0; 95% CI 1.3–3.0), sad/depressed mood (OR = 1.8; 95% CI 1.2–2.8), and loneliness (OR = 3.6; 95% CI 2.3–5.5) were increased. Child stress about COVID-19 restrictions was associated with poorer functioning across most domains. Most parents (64%) reported positive changes for their child including more family time.

Conclusions:

COVID-19 restrictions were associated with both negative and positive impacts among children with ADHD.

中文翻译：

澳大利亚 COVID-19 大流行期间患有 ADHD 的儿童和青少年的身体健康、媒体使用和心理健康

客观的：

研究 COVID-19 限制对注意力缺陷/多动障碍 (ADHD) 儿童的影响。

方法：

213 名患有多动症的澳大利亚儿童（5-17 岁）的父母在 2020 年 5 月完成了一项调查，当时实施了 COVID-19 限制措施（即要求公民除非出于必要原因留在家中）。

结果：

与大流行前相比，儿童运动较少（优势比 (OR) = 0.4；95% CI 0.3-0.6），户外时间较少（OR = 0.4；95% 0.3-0.6），活动享受较少（OR = 6.5；95% CI 4.0–10.4），而电视（OR = 4.0；95% CI 2.5–6.5）、社交媒体（OR = 2.4；95% CI 1.3–4.5）、游戏（OR = 2.0；95% CI 1.3 –3.0）、悲伤/抑郁情绪（OR = 1.8；95% CI 1.2–2.8）和孤独感（OR = 3.6；95% CI 2.3–5.5）增加。儿童对 COVID-19 限制的压力与大多数领域的功能较差有关。大多数父母（64%）报告说他们的孩子发生了积极的变化，包括更多的家庭时间。