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Psychosocial health of school-aged children during the initial COVID-19 safer-at-home school mandates in Florida: a cross-sectional study.
McKune, Sarah L; Acosta, Daniel; Diaz, Nick; Brittain, Kaitlin; Beaulieu, Diana Joyce-; Maurelli, Anthony T; Nelson, Eric J.
  • McKune SL; Departments of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville, FL, USA. smckune@ufl.edu.
  • Acosta D; Departments of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville, FL, USA.
  • Diaz N; Departments of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville, FL, USA.
  • Brittain K; Departments of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville, FL, USA.
  • Beaulieu DJ; Department of Special Education, School Psychology, & Early Childhood Studies, College of Education, University of Florida, Gainesville, FL, USA.
  • Maurelli AT; Departments of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville, FL, USA.
  • Nelson EJ; Emerging Pathogens Institute, University of Florida, Gainesville, FL, USA.
BMC Public Health ; 21(1): 603, 2021 03 29.
Article in English | MEDLINE | ID: covidwho-1158200
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ABSTRACT

BACKGROUND:

Given the emerging literature regarding the impacts of lockdown measures on mental health, this study aims to describe the psychosocial health of school-aged children and adolescents during the COVID-19 Safer-at-Home School mandates.

METHODS:

A cross-sectional study was conducted in April 2020 (n = 280) among K-12 students at a research school in North Central Florida. Bivariate analysis and logistic and multinomial logistic regression models were used to examine socio-demographic and knowledge, attitude, and practice (KAP) predictors of indicators of anxiety-related, depressive, and obsessive-compulsive disorder(OCD)-related symptoms. Outcomes (anxiety, OCD, and depressive related symptoms) were measured by indices generated based on reported symptoms associated with each psychosocial outcome.

RESULTS:

Loss of household income was associated with increased risk for all three index-based

outcomes:

depressive symptoms [aOR = 3.130, 95% CI = (1.41-6.97)], anxiety-related symptoms [aOR = 2.531, 95%CI = (1.154-5.551)], and OCD-related symptoms [aOR = 2.90, 95%CI = (1.32-6.36)]. Being female was associated with being at higher risk for depressive symptoms [aOR = 1.72, 95% CI = (1.02-2.93)], anxiety-related symptoms [aOR = 1.75, 95% CI = (1.04-2.97)], and OCD-related symptoms [aOR = 1.764, 95%CI = (1.027-3.028)]. Parental practices protective against COVID-19 were associated with children being at higher risk of depressive symptoms [aOR = 1.55, 95% CI = (1.04-2.31)]. Lower school level was associated with children being at higher risk of anxiety-related and OCD-related symptoms.

CONCLUSIONS:

As the COVID-19 pandemic continues, schools should prioritize mental health interventions that target younger, female students, and children of families with income loss. Limiting the spread of COVID-19 through school closure may exacerbate negative psychosocial health outcomes in children, thus school administrators should move quickly to target those at greatest risk.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Mental Health / Depression / Pandemics / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Child / Female / Humans / Male Country/Region as subject: North America Language: English Journal: BMC Public Health Journal subject: Public Health Year: 2021 Document Type: Article Affiliation country: S12889-021-10540-2

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Mental Health / Depression / Pandemics / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Child / Female / Humans / Male Country/Region as subject: North America Language: English Journal: BMC Public Health Journal subject: Public Health Year: 2021 Document Type: Article Affiliation country: S12889-021-10540-2