Silent Effects of the COVID-19 Pandemic: Parental Attachment in Pediatric Patients.

AIM: The COVID-19 pandemic led to isolation measures intended to curb the spread of infection, which are believed to have negatively affected children's psychological well-being. This study examines the impact of the pandemic on parental attachment with children. METHOD: A cross-sectional study was conducted with children visiting a general pediatrics clinic between April 1 and 20, 2023. Their COVID-19 infection history was recorded, and the Kern's Attachment Questionnaire was used to assess parental attachment in children who had contracted COVID-19 and those who had not. RESULTS: The study involved 716 patients aged 9-12, divided into two groups: those who had contracted COVID-19 (n=253) and those who had not (n=463). Kern's Attachment Questionnaire scores for mothers were 46.3 for children with COVID-19 and 49.4 for those without. For fathers, the scores were 43.9 and 48, respectively. Children who had contracted COVID-19 showed significantly lower attachment scores to both mothers and fathers compared to the control group (p=0.04, p=0.00). CONCLUSION: The pandemic's long-term biopsychosocial effects are evident, with increased stress and negative experiences posing risks to child development, particularly in terms of parental attachment. While early attachment begins in infancy, it continues to evolve. This study underscores the need for behavioral and psychological follow-up for adolescents in the post-pandemic period.

A Rare Cause of Urinary Incontinence in a Child: A Case of Tarlov Cyst and a Review of Literature.

Tarlov cysts are formed by ectasia of the perineural spaces around the spinal nerve roots in or distal to the dorsal root ganglion. The cerebrospinal fluid constitutes the cerebrospinal fluid content. Pathogenesis and clinical findings remain unclear. The majority of the defects are asymptomatic. However, in the case of nerve root or spinal cord compression, symptoms such as low back pain, radiculopathy, and bowel and bladder dysfunction occur. Tarlov cyst is rare, and there is limited data on its clinical findings and incidence. This study presents a 10-year-old child patient with urinary incontinence and a Tarlov cyst. This is an interesting case due to the limited data about Tarlov cysts in pediatric patients.