Anxiety and depression in parents of children with autism spectrum disorder during the first COVID-19 lockdown: Report from the ELENA cohort

Autor: Amaria Baghdadli, Julie Loubersac, Christelle Vernhet, Kerim Munir, Ela Miniarikova, Marianne Peries, Marie-Christine Picot
Přispěvatelé: Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay, Boston Children's Hospital, Harvard Medical School [Boston] (HMS), Université de Montpellier (UM), Grant sponsor 1: French Health Ministry (DGOS) PHRCN 2013, Grantnumber 1: 13-0232, and Grant sponsor 2: Caisse Nationale de Solidarit épour l’Autonomie (CNSA), Grant number 2: 030319.
Rok vydání: 2021
Předmět:
Zdroj: Journal of Psychiatric Research
Journal of Psychiatric Research, Elsevier, 2022, 149, pp.344-351. ⟨10.1016/j.jpsychires.2021.11.022⟩
ISSN: 1879-1379
0022-3956
DOI: 10.1016/j.jpsychires.2021.11.022⟩
Popis: Background The Covid-19 pandemic had a strong impact on mental health in the general population. This study conducted during the first lockdown in France considered parents of children with Autism Spectrum Disorder (ASD) prospectively followed in the ELENA Cohort. Objectives We aimed to (1) compare the Anxiety and Depression (AaD) levels during the lockdown between mothers and fathers, (2) compare the parent's AaD between the lockdown and the last ELENA follow-up visit, and (3) identify risk factors for parental AaD during lockdown among socio-demographic and children's clinical characteristics. Methods The Hospital Anxiety and Depression Scale (HADS) was used to assess AaD in 134 parent's pairs. Parents also completed the Questionnaire about their living conditions during COVID-19, their child's interventions and perceived changes about their child's behaviors and sleep. Child's ASD severity, intellectual and socio-adaptive skills and parent's socio-demographic characteristics were collected from ELENA follow-up. Results The parents' AaD levels were lower during the lockdown compared to the last ELENA visit that coincided in 96% with the child's ASD diagnosis. The AaD levels were more pronounced in mothers and significantly associated with the child's challenging behaviors, parents' teleworking and perceived knowledge about COVID-19. The perception of an insufficient knowledge was the only risk factor for mothers' AaD. Conclusion Our findings highlighted the pertinence for an assessment of the mental health of main caregivers of children with ASD, consideration of their gender characteristics, and the importance of providing relevant information during pandemic. Future studies examining the pandemic long-term effects are needed. Trial registration number NCT02625116.
Databáze: OpenAIRE