Physical and mental health impacts during COVID-19 quarantine in adolescents with preexisting chronic immunocompromised conditions

Autor(es):Mostrar menos -

Livia Lindoso ^[1] ; Camilla Astley ; Ligia Bruni Queiroz ^[3] ; Bruno Gualano ; Rosa Maria Rodrigues Pereira ^[5] ; Uenis Tannuri ^[6] ; Lúcia Maria Mattei de Arruda Campos ; Benito Lourenço ^[8] ; Ricardo Katsuya Toma ^[9] ; Karina Medeiros ^[10] ; Andréia Watanabe ^[11] ; Patricia Moreno Grangeiro ^[12] ; Vera da Penha Martellini Ferrari Rego Barros ^[13] ; Caio Borba Casella ^[14] ; Sylvia Farhat ^[15] ; Guilherme Vanoni Polanczyk ^[16] ; Clovis Artur Silva

Afiliação do(s) autor(es):Mostrar menos -

^[1] Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas - Brasil

^[3] Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas - Brasil

^[5] Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas - Brasil

^[6] Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas - Brasil

^[8] Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas - Brasil

^[9] Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas - Brasil

^[10] Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas - Brasil

^[11] Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas - Brasil

^[12] Universidade de São Paulo (HCFMUSP). Faculdade Medicina. Hospital das Clínicas - Brasil

^[13] Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas - Brasil

^[14] Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas - Brasil

^[15] Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas - Brasil

^[16] Universidade de São Paulo. Faculdade de Medicina. Departamento de Psiquiatria - Brasil

• Tipo de documento: Artigo Científico
• Fonte: Jornal de Pediatria; v. 98, n. 4, p. 350-361, 2022-07-25.

Resumo

Abstract Objective: To evaluate physical and mental health indicators in adolescents with preexisting chronic immunocompromised conditions during coronavirus disease 2019 (COVID-19) quarantine. Methods: A cross-sectional study included 355 adolescents with chronic conditions and 111 healthy adolescents. An online self-rated survey was used to investigate socio-demographic features, healthcare routine, and the quarantine impact on physical and mental health. The validated self-reported version of the Strengths and Difficulties Questionnaire (SDQ) was also applied. Results: The median of age [14 (10–18) vs. 15 (10–18) years, p = 0.733] and frequencies of female (61% vs. 60%, p = 0.970) were similar between adolescents with preexisting chronic conditions and healthy adolescents during quarantine of COVID-19 pandemic. The frequencies of abnormal total difficulties score of SDQ were similar in patients and controls (30% vs. 31%, p = 0.775). Logistic regression analysis showed that being female (OR = 1.965; 95% CI = 1.091–3.541, p = 0.024), fear of underlying disease activity/complication (OR = 1.009; 95%CI = 1.001–1.018, p = 0.030) were associated with severe psychosocial dysfunction in adolescents with chronic conditions, whereas school homework (OR = 0.449; 95% CI = 0.206–0.981, p = 0.045) and physical activity (OR = 0.990; 95% CI = 0.981–0.999, p = 0.030) were protective factors. Further analysis of patients with chronic immunocompromised conditions and previous diagnosis of mental disorders (9%) compared with patients without diagnosis showed higher median of total difficulties score (p = 0.001), emotional (p = 0.005), conduct (p = 0.007), peer problems (p = 0.001) and hyperactivity (p = 0.034) in the former group. Conclusion: Adolescents with preexisting chronic immunocompromised conditions during COVID-19 quarantine were not at higher risk of adverse health indicators. Being female, fear of underlying disease activity/complication, and household members working outside of the home were relevant issues for adolescents with preexisting chronic conditions. This study reinforces the need to establish mental health strategies for teens with chronic conditions, particularly during the pandemic. (AU)

• Processo FAPESP: 15/03756-4 - Avaliação da relevância dos níveis sanguíneos de drogas utilizadas em doenças autoimunes reumatológicas no acompanhamento da segurança, eficácia e aderência à terapêutica
• Beneficiário: Eloisa Silva Dutra de Oliveira Bonfá
• Modalidade de apoio: Auxílio à Pesquisa - Temático