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Journal of the American Academy of Child and Adolescent Psychiatry ; 60(10):S230, 2021.
Article in English | EMBASE | ID: covidwho-1466512


Objectives: The global crisis of COVID-19 demanded that schools adapt to online education at an unprecedented pace. Remote learning has followed social distancing protocols and helped in continuation of education. However, in children with mental health disorders (C-MHD), the outcomes of online learning are not similar to normal individuals. The primary objective of this study is to determine the prevalence of psychological distress of transitioning to remote learning in C-MHD. The secondary objective is to provide directions to increase student satisfaction for online education. Methods: An IRB-approved cross-sectional analysis was done on children aged 5 to 17 years (N = 172), including 87 boys (50.6%) and 85 girls (49.4%), from January to May 2021, at South Bronx Community Hospital, NY. A total of 111 children were Hispanic (65%) and 53 were African American (31%). Structured questionnaires were used by residents/fellows to determine effects of remote learning on children. A χ2 test was used to analyze the data, and p values were calculated across the variables of remote learning and psychiatric diagnosis of MDD, ADHD, and generalized anxiety disorder (GAD). Results: Our analysis showed that 105 (61%) of C-MHD students struggled to learn remotely compared to in-person learning (more children with MDD [20.35%, p < 0.05] as compared to GAD and ADHD). Due to long screen hours, more felt distracted (37%) than tired (14.5%). More felt sad (17%) than happy (0.06%), and 21.5% felt anxious. More children with GAD (42% vs 27%) as compared to MDD (35% vs 24%), rated e-learning as good. More children with ADHD (35% vs 30.6%) did not like e-learning. More children with MDD (26%, p < 0.05) reported feeling safe from COVID-19 in e-learning than did children with GAD (23%) and ADHD (17%). Conclusions: During the pandemic, C-MHD patients presenting to the emergency department with anxiety, aggression, and irritability have increased dramatically, where one of the main precipitating stressors was the inability to transition to remote learning. Online education during the pandemic has caused severe psychological and behavioral impacts on children. Student satisfaction will increase if streamlined digital processes and personalized support systems are fully integrated. SC, SAC, COMP

European Psychiatry ; 64:S95-S96, 2021.
Article in English | Web of Science | ID: covidwho-1435342
European Psychiatry ; 64(S1):S276, 2021.
Article in English | ProQuest Central | ID: covidwho-1357191


IntroductionDue to the COVID-19 pandemic, there is a steep rise in the acceptance of telemedicine and digital health, including increased interest in pursuing mental health treatment through telepsychiatry. Digital health helps following social distancing measures and increases the health outcomes.ObjectivesTo see the role of digital health in improving physical and mental well-being during COVID-19 PandemicMethodsThis study is a part of a large global project where 240 people inquired advice on phone app during COVID-19-Pandemic. Later on, a short study was conducted on the same population through survey to evaluate the effectiveness of digital health/tele-mental health. We also searched PubMed, Google Scholar, PsychInfo, and Medline for words “Digital Health, Tele-mental health, COVID-19-Pandemic”. Reviewed 40 articles and included 3 in this review1,4,5.ResultsWe received a total of 98 responses. 65.6% people reported that online health resources are helpful in relieving pandemic-induced anxiety/stress, 66.2% reported to continue online health services after pandemic, 37.7% noted that digital health saves times in waiting areas, 46% reported lack of physical interaction with doctor as a disadvantage of digital health, and 40.3% reported comfort in using tele-mental health. Our literature review has shown barriers like privacy concerns and technological issues1. Provision of tele-psychiatry is safe and effective in continuity of mental health care.4,5ConclusionsThere has been an increased inclination towards digital health during any disaster. During COVID-19-Pandemic, digital health has increased access to mental health care and reduced risk of infection. The drawbacks include poor patient-doctor relationship, reimbursement concerns, and lack of confidentiality.