Impact of COVID-19 pandemic in pediatric patients with epilepsy with neuropsychiatric comorbidities: A telemedicine evaluation.
Identifieur interne : 000A08 ( Main/Corpus ); précédent : 000A07; suivant : 000A09Impact of COVID-19 pandemic in pediatric patients with epilepsy with neuropsychiatric comorbidities: A telemedicine evaluation.
Auteurs : Ludovica Pasca ; Martina Paola Zanaboni ; Serena Grumi ; Martina Totaro ; Elena Ballante ; Costanza Varesio ; Valentina De GiorgisSource :
- Epilepsy & behavior : E&B [ 1525-5069 ] ; 2020.
Abstract
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.
DOI: 10.1016/j.yebeh.2020.107519
PubMed: 33257293
PubMed Central: PMC7695947
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pubmed:33257293Le document en format XML
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<affiliation><nlm:affiliation>Department of Child Neurology and Psychiatry, IRCSS Mondino Foundation, Pavia, Italy; Department of Brain and Behaviour Neuroscience, University of Pavia, Pavia, Italy. Electronic address: ludovica.pasca01@universitadipavia.it.</nlm:affiliation>
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<author><name sortKey="Zanaboni, Martina Paola" sort="Zanaboni, Martina Paola" uniqKey="Zanaboni M" first="Martina Paola" last="Zanaboni">Martina Paola Zanaboni</name>
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<author><name sortKey="Grumi, Serena" sort="Grumi, Serena" uniqKey="Grumi S" first="Serena" last="Grumi">Serena Grumi</name>
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<author><name sortKey="Totaro, Martina" sort="Totaro, Martina" uniqKey="Totaro M" first="Martina" last="Totaro">Martina Totaro</name>
<affiliation><nlm:affiliation>Department of Child Neurology and Psychiatry, IRCSS Mondino Foundation, Pavia, Italy; Department of Brain and Behaviour Neuroscience, University of Pavia, Pavia, Italy. Electronic address: martina.totaro01@universitadipavia.it.</nlm:affiliation>
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<author><name sortKey="Ballante, Elena" sort="Ballante, Elena" uniqKey="Ballante E" first="Elena" last="Ballante">Elena Ballante</name>
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<author><name sortKey="Varesio, Costanza" sort="Varesio, Costanza" uniqKey="Varesio C" first="Costanza" last="Varesio">Costanza Varesio</name>
<affiliation><nlm:affiliation>Department of Child Neurology and Psychiatry, IRCSS Mondino Foundation, Pavia, Italy. Electronic address: costanza.varesio@mondino.it.</nlm:affiliation>
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<author><name sortKey="De Giorgis, Valentina" sort="De Giorgis, Valentina" uniqKey="De Giorgis V" first="Valentina" last="De Giorgis">Valentina De Giorgis</name>
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<author><name sortKey="Zanaboni, Martina Paola" sort="Zanaboni, Martina Paola" uniqKey="Zanaboni M" first="Martina Paola" last="Zanaboni">Martina Paola Zanaboni</name>
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<author><name sortKey="Grumi, Serena" sort="Grumi, Serena" uniqKey="Grumi S" first="Serena" last="Grumi">Serena Grumi</name>
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<author><name sortKey="Totaro, Martina" sort="Totaro, Martina" uniqKey="Totaro M" first="Martina" last="Totaro">Martina Totaro</name>
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<author><name sortKey="Ballante, Elena" sort="Ballante, Elena" uniqKey="Ballante E" first="Elena" last="Ballante">Elena Ballante</name>
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<author><name sortKey="Varesio, Costanza" sort="Varesio, Costanza" uniqKey="Varesio C" first="Costanza" last="Varesio">Costanza Varesio</name>
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<author><name sortKey="De Giorgis, Valentina" sort="De Giorgis, Valentina" uniqKey="De Giorgis V" first="Valentina" last="De Giorgis">Valentina De Giorgis</name>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>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.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>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.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>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.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>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.</p>
</div>
</front>
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<AbstractText Label="METHODS" NlmCategory="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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="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.</AbstractText>
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