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J Clin Med ; 11(5)2022 Feb 24.
Article in English | MEDLINE | ID: covidwho-1715436


Non-suicidal self-injury (NSSI) is described as behaviors that directly and intentionally inflict damage to body tissue without suicidal intent and for reasons not linked to cultural expectations or norms. Literature has confirmed several "specific risk factors" related to NSSI behaviors; emotional reactivity, internalizing problems, alexithymia traits, and maladaptive family functioning can predispose an individual to intrapersonal and interpersonal vulnerabilities related to difficulties in regulating one's own cognitive-emotional experience. The present study aims to analyze and define the psychopathological and family interactive-relational characteristics of adolescents with NSSI through a case-control study. Thirty-one patients with NSSI and thirty-one patients without NSSI paired for sex, age, and psychiatric diagnosis (ICD-10) were recruited in Padua among two Child Neuropsychiatry Units before the COVID-19 pandemic. Results show a higher prevalence of internalizing problems, alexithymia trait related to "difficulty identifying feelings", and lower quality of family functioning related to inclusion of partners, child involvement, and child self-regulation. These results carry significant implications for the clinical management and therapeutic care of non-suicidal self-injury patients and further confirm the need for an in-depth investigation of internalizing problems, alexithymia, and quality of family interactions.

Cogent Medicine ; 8, 2021.
Article in English | EMBASE | ID: covidwho-1617073


Background: The COVID-19 pandemic has inevitably affected children and their families. This study examines the impact of the COVID-19 measures in children with chronic somatic conditions (CSC) and their parents and compares them with a Dutch general population sample. Methods: We included a sample of children with CSC (0-18 years, n=326) and compared them with children (8-18 years, n=1,287) from the Dutch general population. Perceived stress, coping, social interaction with friends and family, physical activity, eating behavior, family support, and financial situation were assessed with the digitally administered COVID-19 child check questionnaire between November 2020 and May 2021. Results: During the COVID-19 pandemic, children with CSC engaged less in physical activity and social interaction with friends compared with children from the general population. Children with CSC and their parents experienced less stress than children and parents from the general population. Moreover, parents of children with CSC aged 0-7 years and children aged 8-18 years from the general population experienced less support and more financial deterioration than parents of children with CSC aged 8-18 years. In the parents from the general population only, this deteriorated financial situation was associated with more stress, worse family interaction and parenting perception, and less received support. Conclusions: The impact of COVID-19 measures in children with CSC and their parents differed from those in the general population. Addressing the collateral damage of COVID-19 measures in children and their families can give direction to policy and potentially prevent (long-term) negative consequences.