Parental stress, anxiety and depression during hospital stay with COVID-19 children
Main Article Content
Objective: This study aimed to investigate parental stress, anxiety, and depression during the hospital stay
with COVID-19 children in Thailand.
Methods: This was a retrospective cohort study which reported severity of depression and anxiety, using
Depression Anxiety Stress Scales (DASS-21), in the parents of COVID-19 children during their hospitalization
at Srinagarind hospital from 28 June to 20 July 2021. Child Maladaptive behavior was measured by Eyberg
Child Behavior Inventory to monitor problematic behaviors.
Results: Data from 16 pairs of parents and COVID-19 children were extracted. Prevalence of depression,
anxiety, and stress first-week hospitalization was 12.5%, 31.25%, and 18.75%, respectively. Most of parental
stress, anxiety, and depression were mild in severity. DASS-21 anxiety and stress subscales showed statistic
trends to decrease after 2 weeks when compared to the baseline (p-value=.057 and .083). At 2-week, there
was a significant correlation between parental stress and child maladaptive behavior (r=.516, p-value=0.049)
Conclusion: Parental stress, anxiety and depression were not uncommon during the hospital stay with COVID-19
children. Severity of stress and anxiety tended to decrease over time. Parental stress and child maladaptive
behavior was correlated.
Key words: COVID-19, children, depression, anxiety, stress, parents
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ส่งมาลงตีพิมพ์ในวารสารสมาคมจิตแพทย์ ต้องไม่เคยตีพิมพ์หรือได้รับการตอบรับให้ตีพิมพ์ในวารสารฉบับอื่น และต้องไม่อยู่ระหว่างการส่งไปตีพิมพ์ในวารสารอื่น
Samkoset R. COVID-19 in children (age 0-18) situation since second wave [Internet]. Bangkok: The Royal College Pediatricians of Thailand; 2021 [Cited 2021 Oct 1]. Available from: https://www.thaipediatrics.org/Media/media20210901022138.pdf
Emergency Operations Center, Department of Disease Control. Situation Report of Coronavirus 2019 Volume 636 On 30 September 2021 at 12.00PM [Internet]. Bangkok: Ministry of Public health; 2021 [Cited 2021 Oct 1]. Available from: https://ddc.moph.go.th/viralpneumonia/situation.php
Mehta NS, Mytton OT, Mullins EWS, Fowler TA, Falconer CL, Murphy OB, et al. SARS-CoV-2 (COVID-19): What do we know about children? A systematic review. Clin Infect Dis 2020;71:2469-79.
Adadms EL, Smith D, Caccavale LJ, Bean MK. Parents are stressed! Patterns of parent stress across COVID-19. Preprint Res Sq 2020;rs.3.rs-66730.
Fontanesi L, Marchetti D, Mazza C, Giandomenico SD. The effect of the COVID-19 lockdown on parents: A call to adopt urgent measures. Psychological Trauma: Theory, Research, Practice, and Policy 2020;12,S79–S81.
Davico C, Ghiggia A, Marcotulli D, Ricci F, Amianto F, Vitiello B. Psychological impact of the COVID-19 pandemic on adults and their children in Italy. Front Psychiatry 2021;12:572997.
Jafari-Oori M, Ebadi A, Moradian ST, Dehi M, Ghasemifard F. Psychiatric distress in family caregivers of patients with COVID-19. Arch Psychiatr Nurs 2021 [Epub ahead of print, 2021 Jul 12].
Orsini A, Corsi M, Pedrinelli V, Santangelo A, Bertelloni C, Dell’Oste V, et al. Post-traumatic stress, anxiety, and depressive symptoms in caregivers of children tested for COVID-19 in the acute phase of the Italian outbreak. J Psychiatr Res 2021;135:256-63.
Sahoo S, Mehra A, Suri V, Malhotra P, Yaddanapudi N, Puri GD, et al. Handling children in COVID wards: A narrative experience
and suggestions for providing psychological support. Asian J Psychiatr 2020;53:102207.
Eyberg S, Ross AW. Assessment of child behavior problems: The validation of a new inventory. J Clin Child Psychology 1978;7,113–116.
Corsi M, Orsini A, Pedrinelli V, Santangelo A, Bertalloni CA, Carli N, et al. PTSD in parents of children with severe diseases: a
systematic review to face Covid-19 impact. Ital J Pediatr 2021;47(1):8.