Cargando…

Impact of COVID-19 pandemic in pediatric patients with epilepsy with neuropsychiatric comorbidities: A telemedicine evaluation

OBJECTIVE: The objective of this study was to evaluate care needs, emotional and behavioral changes, and parental stress indices in a cohort of pediatric patients with epilepsy with neurocognitive and emotional comorbidities at the time of the coronavirus disease 2019 (COVID-19) pandemic. METHODS: T...

Descripción completa

Detalles Bibliográficos
Autores principales: Pasca, Ludovica, Zanaboni, Martina Paola, Grumi, Serena, Totaro, Martina, Ballante, Elena, Varesio, Costanza, De Giorgis, Valentina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7695947/
https://www.ncbi.nlm.nih.gov/pubmed/33257293
http://dx.doi.org/10.1016/j.yebeh.2020.107519
_version_ 1783615297497858048
author Pasca, Ludovica
Zanaboni, Martina Paola
Grumi, Serena
Totaro, Martina
Ballante, Elena
Varesio, Costanza
De Giorgis, Valentina
author_facet Pasca, Ludovica
Zanaboni, Martina Paola
Grumi, Serena
Totaro, Martina
Ballante, Elena
Varesio, Costanza
De Giorgis, Valentina
author_sort Pasca, Ludovica
collection PubMed
description OBJECTIVE: The objective of this study was to evaluate care needs, emotional and behavioral changes, and parental stress indices in a cohort of pediatric patients with epilepsy with neurocognitive and emotional comorbidities at the time of the coronavirus disease 2019 (COVID-19) pandemic. METHODS: This is a prospective observational study involving pediatric patients with epilepsy with neurocognitive and emotional comorbidities. Included patients were admitted to our hospital between August 2019 and February 2020 for epilepsy and neuropsychiatric assessment, and Child Behavior Checklist (CBCL) questionnaires were filled in by parents. Those patients and their families accepted to participate in a phone follow-up visit in April–May 2020 and to refill CBCL and Parenting Stress Index–Short Form (PSI-SF) questionnaires. Descriptive statistics for demographic and clinical data, CBCL questionnaire scores before and during the COVID-19 pandemic, and PSI-SF scores have been computed. Moreover, results of a short phone survey on the psychological burden during COVID lockdown have been reported. RESULTS: This study provides the parental-proxy report of emotional and behavioral profile changes of 23 pediatric patients with epilepsy and neurocognitive and emotional comorbidities during the COVID-19 pandemic. Concerns for therapy monitoring at the time of lockdown emerged in 43% of families, and 30% of patients showed worries for an altered contact with the referring medical team. Patients with neurocognitive comorbidities were more likely to exhibit behavioral problems, especially externalizing problems compared with patients with a diagnosis of anxiety/depression. CONCLUSION: Our data suggest the importance to monitor disease trajectory and behavior and affective symptoms with telehealth strategies to provide effective care to patients and their families.
format Online
Article
Text
id pubmed-7695947
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Elsevier Inc.
record_format MEDLINE/PubMed
spelling pubmed-76959472020-12-01 Impact of COVID-19 pandemic in pediatric patients with epilepsy with neuropsychiatric comorbidities: A telemedicine evaluation Pasca, Ludovica Zanaboni, Martina Paola Grumi, Serena Totaro, Martina Ballante, Elena Varesio, Costanza De Giorgis, Valentina Epilepsy Behav Article OBJECTIVE: The objective of this study was to evaluate care needs, emotional and behavioral changes, and parental stress indices in a cohort of pediatric patients with epilepsy with neurocognitive and emotional comorbidities at the time of the coronavirus disease 2019 (COVID-19) pandemic. METHODS: This is a prospective observational study involving pediatric patients with epilepsy with neurocognitive and emotional comorbidities. Included patients were admitted to our hospital between August 2019 and February 2020 for epilepsy and neuropsychiatric assessment, and Child Behavior Checklist (CBCL) questionnaires were filled in by parents. Those patients and their families accepted to participate in a phone follow-up visit in April–May 2020 and to refill CBCL and Parenting Stress Index–Short Form (PSI-SF) questionnaires. Descriptive statistics for demographic and clinical data, CBCL questionnaire scores before and during the COVID-19 pandemic, and PSI-SF scores have been computed. Moreover, results of a short phone survey on the psychological burden during COVID lockdown have been reported. RESULTS: This study provides the parental-proxy report of emotional and behavioral profile changes of 23 pediatric patients with epilepsy and neurocognitive and emotional comorbidities during the COVID-19 pandemic. Concerns for therapy monitoring at the time of lockdown emerged in 43% of families, and 30% of patients showed worries for an altered contact with the referring medical team. Patients with neurocognitive comorbidities were more likely to exhibit behavioral problems, especially externalizing problems compared with patients with a diagnosis of anxiety/depression. CONCLUSION: Our data suggest the importance to monitor disease trajectory and behavior and affective symptoms with telehealth strategies to provide effective care to patients and their families. Elsevier Inc. 2021-02 2020-11-28 /pmc/articles/PMC7695947/ /pubmed/33257293 http://dx.doi.org/10.1016/j.yebeh.2020.107519 Text en © 2020 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Pasca, Ludovica
Zanaboni, Martina Paola
Grumi, Serena
Totaro, Martina
Ballante, Elena
Varesio, Costanza
De Giorgis, Valentina
Impact of COVID-19 pandemic in pediatric patients with epilepsy with neuropsychiatric comorbidities: A telemedicine evaluation
title Impact of COVID-19 pandemic in pediatric patients with epilepsy with neuropsychiatric comorbidities: A telemedicine evaluation
title_full Impact of COVID-19 pandemic in pediatric patients with epilepsy with neuropsychiatric comorbidities: A telemedicine evaluation
title_fullStr Impact of COVID-19 pandemic in pediatric patients with epilepsy with neuropsychiatric comorbidities: A telemedicine evaluation
title_full_unstemmed Impact of COVID-19 pandemic in pediatric patients with epilepsy with neuropsychiatric comorbidities: A telemedicine evaluation
title_short Impact of COVID-19 pandemic in pediatric patients with epilepsy with neuropsychiatric comorbidities: A telemedicine evaluation
title_sort impact of covid-19 pandemic in pediatric patients with epilepsy with neuropsychiatric comorbidities: a telemedicine evaluation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7695947/
https://www.ncbi.nlm.nih.gov/pubmed/33257293
http://dx.doi.org/10.1016/j.yebeh.2020.107519
work_keys_str_mv AT pascaludovica impactofcovid19pandemicinpediatricpatientswithepilepsywithneuropsychiatriccomorbiditiesatelemedicineevaluation
AT zanabonimartinapaola impactofcovid19pandemicinpediatricpatientswithepilepsywithneuropsychiatriccomorbiditiesatelemedicineevaluation
AT grumiserena impactofcovid19pandemicinpediatricpatientswithepilepsywithneuropsychiatriccomorbiditiesatelemedicineevaluation
AT totaromartina impactofcovid19pandemicinpediatricpatientswithepilepsywithneuropsychiatriccomorbiditiesatelemedicineevaluation
AT ballanteelena impactofcovid19pandemicinpediatricpatientswithepilepsywithneuropsychiatriccomorbiditiesatelemedicineevaluation
AT varesiocostanza impactofcovid19pandemicinpediatricpatientswithepilepsywithneuropsychiatriccomorbiditiesatelemedicineevaluation
AT degiorgisvalentina impactofcovid19pandemicinpediatricpatientswithepilepsywithneuropsychiatriccomorbiditiesatelemedicineevaluation