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
Links to Exploration step
pubmed:33257293Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Impact of COVID-19 pandemic in pediatric patients with epilepsy with neuropsychiatric comorbidities: A telemedicine evaluation.</title><author><name sortKey="Pasca, Ludovica" sort="Pasca, Ludovica" uniqKey="Pasca L" first="Ludovica" last="Pasca">Ludovica Pasca</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: ludovica.pasca01@universitadipavia.it.</nlm:affiliation></affiliation></author><author><name sortKey="Zanaboni, Martina Paola" sort="Zanaboni, Martina Paola" uniqKey="Zanaboni M" first="Martina Paola" last="Zanaboni">Martina Paola Zanaboni</name><affiliation><nlm:affiliation>Department of Child Neurology and Psychiatry, IRCSS Mondino Foundation, Pavia, Italy. Electronic address: martinapaola.zanaboni@mondino.it.</nlm:affiliation></affiliation></author><author><name sortKey="Grumi, Serena" sort="Grumi, Serena" uniqKey="Grumi S" first="Serena" last="Grumi">Serena Grumi</name><affiliation><nlm:affiliation>Department of Child Neurology and Psychiatry, IRCSS Mondino Foundation, Pavia, Italy.</nlm:affiliation></affiliation></author><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></affiliation></author><author><name sortKey="Ballante, Elena" sort="Ballante, Elena" uniqKey="Ballante E" first="Elena" last="Ballante">Elena Ballante</name><affiliation><nlm:affiliation>BioData Science Center, IRCCS Mondino Foundation, Pavia, Italy. Electronic address: elena.ballante01@universitadipavia.it.</nlm:affiliation></affiliation></author><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></affiliation></author><author><name sortKey="De Giorgis, Valentina" sort="De Giorgis, Valentina" uniqKey="De Giorgis V" first="Valentina" last="De Giorgis">Valentina De Giorgis</name><affiliation><nlm:affiliation>Department of Child Neurology and Psychiatry, IRCSS Mondino Foundation, Pavia, Italy. Electronic address: valentina.degiorgis@mondino.it.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:33257293</idno><idno type="pmid">33257293</idno><idno type="doi">10.1016/j.yebeh.2020.107519</idno><idno type="pmc">PMC7695947</idno><idno type="wicri:Area/Main/Corpus">000A08</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000A08</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Impact of COVID-19 pandemic in pediatric patients with epilepsy with neuropsychiatric comorbidities: A telemedicine evaluation.</title><author><name sortKey="Pasca, Ludovica" sort="Pasca, Ludovica" uniqKey="Pasca L" first="Ludovica" last="Pasca">Ludovica Pasca</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: ludovica.pasca01@universitadipavia.it.</nlm:affiliation></affiliation></author><author><name sortKey="Zanaboni, Martina Paola" sort="Zanaboni, Martina Paola" uniqKey="Zanaboni M" first="Martina Paola" last="Zanaboni">Martina Paola Zanaboni</name><affiliation><nlm:affiliation>Department of Child Neurology and Psychiatry, IRCSS Mondino Foundation, Pavia, Italy. Electronic address: martinapaola.zanaboni@mondino.it.</nlm:affiliation></affiliation></author><author><name sortKey="Grumi, Serena" sort="Grumi, Serena" uniqKey="Grumi S" first="Serena" last="Grumi">Serena Grumi</name><affiliation><nlm:affiliation>Department of Child Neurology and Psychiatry, IRCSS Mondino Foundation, Pavia, Italy.</nlm:affiliation></affiliation></author><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></affiliation></author><author><name sortKey="Ballante, Elena" sort="Ballante, Elena" uniqKey="Ballante E" first="Elena" last="Ballante">Elena Ballante</name><affiliation><nlm:affiliation>BioData Science Center, IRCCS Mondino Foundation, Pavia, Italy. Electronic address: elena.ballante01@universitadipavia.it.</nlm:affiliation></affiliation></author><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></affiliation></author><author><name sortKey="De Giorgis, Valentina" sort="De Giorgis, Valentina" uniqKey="De Giorgis V" first="Valentina" last="De Giorgis">Valentina De Giorgis</name><affiliation><nlm:affiliation>Department of Child Neurology and Psychiatry, IRCSS Mondino Foundation, Pavia, Italy. Electronic address: valentina.degiorgis@mondino.it.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Epilepsy & behavior : E&B</title><idno type="eISSN">1525-5069</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><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></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">33257293</PMID><DateRevised><Year>2020</Year><Month>12</Month><Day>07</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1525-5069</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Nov</Month><Day>27</Day></PubDate></JournalIssue><Title>Epilepsy & behavior : E&B</Title><ISOAbbreviation>Epilepsy Behav</ISOAbbreviation></Journal><ArticleTitle>Impact of COVID-19 pandemic in pediatric patients with epilepsy with neuropsychiatric comorbidities: A telemedicine evaluation.</ArticleTitle><Pagination><MedlinePgn>107519</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1525-5050(20)30699-5</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.yebeh.2020.107519</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="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.</AbstractText><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><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">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.</AbstractText><CopyrightInformation>Copyright © 2020 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pasca</LastName><ForeName>Ludovica</ForeName><Initials>L</Initials><AffiliationInfo><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.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zanaboni</LastName><ForeName>Martina Paola</ForeName><Initials>MP</Initials><AffiliationInfo><Affiliation>Department of Child Neurology and Psychiatry, IRCSS Mondino Foundation, Pavia, Italy. Electronic address: martinapaola.zanaboni@mondino.it.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Grumi</LastName><ForeName>Serena</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Child Neurology and Psychiatry, IRCSS Mondino Foundation, Pavia, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Totaro</LastName><ForeName>Martina</ForeName><Initials>M</Initials><AffiliationInfo><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.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ballante</LastName><ForeName>Elena</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>BioData Science Center, IRCCS Mondino Foundation, Pavia, Italy. Electronic address: elena.ballante01@universitadipavia.it.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Varesio</LastName><ForeName>Costanza</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Child Neurology and Psychiatry, IRCSS Mondino Foundation, Pavia, Italy. Electronic address: costanza.varesio@mondino.it.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>De Giorgis</LastName><ForeName>Valentina</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Department of Child Neurology and Psychiatry, IRCSS Mondino Foundation, Pavia, Italy. Electronic address: valentina.degiorgis@mondino.it.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>11</Month><Day>27</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Epilepsy Behav</MedlineTA><NlmUniqueID>100892858</NlmUniqueID><ISSNLinking>1525-5050</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Anxiety</Keyword><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Depression</Keyword><Keyword MajorTopicYN="N">Epilepsy</Keyword><Keyword MajorTopicYN="N">Learning disabilities</Keyword><Keyword MajorTopicYN="N">Neuropsychiatric comorbidities</Keyword></KeywordList><CoiStatement>Declaration of competing interest None of the authors has any conflict of interest to disclose.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>08</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>09</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>09</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>12</Month><Day>1</Day><Hour>5</Hour><Minute>46</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>12</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>12</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33257293</ArticleId><ArticleId IdType="pii">S1525-5050(20)30699-5</ArticleId><ArticleId IdType="doi">10.1016/j.yebeh.2020.107519</ArticleId><ArticleId IdType="pmc">PMC7695947</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Semin Pediatr Neurol. 2017 Nov;24(4):276-281</Citation><ArticleIdList><ArticleId IdType="pubmed">29249507</ArticleId></ArticleIdList></Reference><Reference><Citation>N Engl J Med. 2020 Mar 26;382(13):1194-1196</Citation><ArticleIdList><ArticleId IdType="pubmed">32074416</ArticleId></ArticleIdList></Reference><Reference><Citation>Int J Environ Res Public Health. 2020 Jun 24;17(12):</Citation><ArticleIdList><ArticleId IdType="pubmed">32599911</ArticleId></ArticleIdList></Reference><Reference><Citation>J Neurol Sci. 2020 Jun 15;413:116832</Citation><ArticleIdList><ArticleId IdType="pubmed">32299017</ArticleId></ArticleIdList></Reference><Reference><Citation>Nat Rev Neurol. 2016 Aug;12(8):465-76</Citation><ArticleIdList><ArticleId IdType="pubmed">27448186</ArticleId></ArticleIdList></Reference><Reference><Citation>Psychol Med. 2020 Jun 23;:1-10</Citation><ArticleIdList><ArticleId IdType="pubmed">32571438</ArticleId></ArticleIdList></Reference><Reference><Citation>Epilepsy Behav. 2020 Jul;108:107122</Citation><ArticleIdList><ArticleId IdType="pubmed">32361677</ArticleId></ArticleIdList></Reference><Reference><Citation>Epilepsy Res. 2016 Nov;127:72-77</Citation><ArticleIdList><ArticleId IdType="pubmed">27565414</ArticleId></ArticleIdList></Reference><Reference><Citation>J Autoimmun. 2020 May;109:102433</Citation><ArticleIdList><ArticleId IdType="pubmed">32113704</ArticleId></ArticleIdList></Reference><Reference><Citation>Neurology. 2020 Jun 9;94(23):1032-1037</Citation><ArticleIdList><ArticleId IdType="pubmed">32327490</ArticleId></ArticleIdList></Reference><Reference><Citation>Epileptic Disord. 2016 May 16;:</Citation><ArticleIdList><ArticleId IdType="pubmed">27184435</ArticleId></ArticleIdList></Reference><Reference><Citation>Epilepsia. 2005 May;46(5):720-30</Citation><ArticleIdList><ArticleId IdType="pubmed">15857439</ArticleId></ArticleIdList></Reference><Reference><Citation>J Autism Dev Disord. 2020 Jul 31;:</Citation><ArticleIdList><ArticleId IdType="pubmed">32737668</ArticleId></ArticleIdList></Reference><Reference><Citation>Epilepsia. 2017 Jul;58(7):1123-1130</Citation><ArticleIdList><ArticleId IdType="pubmed">28464309</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/LockdownV1/Data/Main/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000A08 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd -nk 000A08 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= LockdownV1
|flux= Main
|étape= Corpus
|type= RBID
|clé= pubmed:33257293
|texte= Impact of COVID-19 pandemic in pediatric patients with epilepsy with neuropsychiatric comorbidities: A telemedicine evaluation.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Corpus/RBID.i -Sk "pubmed:33257293" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a LockdownV1
| This area was generated with Dilib version V0.6.38. |  |