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The psychological effects of COVID-19-related containment in children: The E-COCCON French study - 29/03/22

Doi : 10.1016/j.arcped.2022.01.011 
I. Claudet a, b, , C. Marchand-Tonel c, M. Kelly-Irving b, C. Zaouche Gaudron d, J.-P. Raynaud b, e, C. Delpierre b, C. Bréhin a, f
a Pediatric Emergency Department, Children's Hospital, CHU Toulouse, France 
b UMR 1295, Inserm, Paul Sabatier University, UPS, Toulouse III, France 
c Director of the Health Division, IFRASS, Toulouse, France 
d UMR 5193, Laboratoire Interdisciplinaire Solidarités, Sociétés, Territoires (LISST), Jean-Jaurès University, UT2J, Toulouse II, France 
e Child and Adolescent Psychiatry Department (SUPEA), CHU Toulouse, France 
f UMR 1416, Inserm, IRSD, Toulouse, France 

Corresponding author at: Urgences Pédiatriques, Hôpital des Enfants, 330, avenue de Grande-Bretagne, TSA 70034, 31059 Toulouse cedex 9, France.Urgences Pédiatriques, Hôpital des Enfants330, avenue de Grande-Bretagne, TSA 70034Toulousecedex 931059France

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ABSTRACT

The first containment of the Sars-Cov2 pandemic had the potential to generate posttraumatic stress (PTS) symptoms in children.

Objective

The main objective of the study was to determine the prevalence of PTS symptoms within 6 weeks of the end of lockdown, in children contained between March 17, 2020 and May 11, 2020 in France.

Material and Methods

This was a French prospective cross-sectional study between May 15 and July 2, 2020 conducted via telephone survey. Parents of children aged between 8 and 15 years were eligible. The invitation to participate was proposed through social networks (Instagram and Facebook), various local and national media, and by e-mail to the staff of our University Hospital Center. The PTS symptoms were assessed using the CRIES-13. A score of 30 and over has been confirmed as the cut-off for screening cases.

Results

During the study period, 379 children (male, n = 207) were included, their mean age was 10.8±2.1 years. Symptoms of PTSD were identified in 17% of the children (girls 20.5%, boys 13.5%). These children were younger (p = 0.04), lacked access to a private outdoor space (p < 0.0001; OR: 7.8), had parents whose profession exposed them more to the coronavirus, and had parents who were more afraid of COVID-19.

Conclusion

After the first lockdown related to the pandemic crisis, children developed PTSD symptoms. The onset of such symptoms is correlated with gender, age, lockdown conditions, and parental perceptions. These last considerations were worse for pink- or blue-collar families, attesting to the subsequent intensification of health inequalities.

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Keywords : Containment, Lockdown, COVID-19, Posttraumatic stress syndrome, Children


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© 2022  French Society of Pediatrics. Publicado por Elsevier Masson SAS. Todos los derechos reservados.
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Vol 29 - N° 3

P. 188-193 - avril 2022 Regresar al número
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