Background: Since the beginning of 2020, Italy, together with the rest of the world, has been facing the state of health emergency linked to the Covid-19 pandemic, the deadline for which has been set for March 2022. Due to the security measures implemented to contain the infections, the daily life of children and adults has undergone significant changes with the related consequences on psychological well-being.The association between the Covid-19 pandemic and worsening mental health conditions, especially of children and adolescents, seems to be increasingly certain, with a consequent increase in emergency room visits and first outpatient visits for psychiatric problems. Moreover, these events are part of an expanding epidemiological trend regarding childhood psychiatric disorders. Purpose of the study: The purpose of this work is to detect the socio-demographic and clinical characteristics that differentiate children and adolescents referred to NPI outpatient services for neuropsychic problems, before and after the COVID 19 pandemic in order to highlight the changes on which to focus the diagnostic intervention strategies-psychological and psychiatric therapy. Materials and methods: the study is of an observational retrospective cohort type. The data relating to 2010 first outpatient visits of patients aged between 0 and 18 referred to the U.O.C. were analysed. of NPI of the Padua Hospital, from February 2018 to March 2022. The data were obtained by consulting paper files and/or the IT Operating System for archiving and consulting data. Results: The study demonstrates that in the pandemic two-year period there has been an increase in accesses of boys vs children and of girls vs boys. From the diagnostic point of view, there is an increase in depressive disorders, anxiety disorders, eating disorders and behavioral disorders compared to the pre-pandemic two-year period. Conclusions: Covid-19 and the related containment measures have negatively impacted the mental health of children and adolescents; in the context of the generalized increase in requests for treatment for psychic problems, it is important to take into account some personal and clinical aspects in order to implement targeted interventions.
Presupposti dello studio: Dall’inizio del 2020 l’Italia, insieme al resto del mondo, ha affrontato lo stato di emergenza sanitaria legato alla pandemia da Covid-19, il cui termine è stato fissato per marzo 2022. Le misure di sicurezza volte a contenere i contagi hanno stravolto la quotidianità di bambini ed adulti comportando notevoli conseguenze sul benessere psicologico. Pare essere sempre più certa l’associazione tra pandemia da Covid-19 e peggioramento delle condizioni di salute mentale, soprattutto di bambini ed adolescenti, con conseguente incremento negli accessi in pronto soccorso e prime visite ambulatoriali per problematiche psichiatriche. Scopo dello studio: lo scopo di questo lavoro è rilevare le caratteristiche socio-demografiche e cliniche che differenziano bambini e adolescenti afferenti a servizi ambulatoriali di NPI per problematiche neuropsichiche, prima e dopo la pandemia, al fine di evidenziare i cambiamenti su cui concentrare le strategie di intervento diagnostico-terapeutico psicologico-psichiatrico. Materiali e metodi: lo studio è di tipo osservazionale di coorte retrospettivo. Sono stati analizzati i dati relativi a 2010 prime visite ambulatoriali di pazienti di età̀ compresa tra 0 e 18 anni afferiti alla U.O.C. di Neuropsichiatria Infantile (NPI) dell’Azienda Ospedaliera-Università di Padova, da febbraio 2018 a marzo 2022. I dati sono stati ottenuti tramite la consultazione di cartelle cartacee e/o del Sistema Operativo Informatico di archiviazione e consultazione dati. Risultati: lo studio dimostra come nel biennio pandemico vi sia stato un aumento di accessi di ragazzi vs bambini e di femmine vs maschi.A livello diagnostico si registra un aumento di disturbi depressivi, disturbi ansiosi, disturbi alimentari e disturbi comportamentali rispetto al biennio prepandemico. Conclusioni: il Covid-19 e le relative misure di contenimento hanno impattato negativamente sulla salute mentale di bambini e adolescenti; nell’ambito dell’aumento generalizzato di richieste di cura per problemi psichici è importante tenere conto di alcuni aspetti anagrafici e clinici per attuare interventi mirati.
Impatto della pandemia da COVID 19 sugli accessi ambulatoriali in ambito neuropsichiatrico infantile: studio epidemiologico-clinico e confronto tra bienni precovid e covid
TAMION, JESSICA
2022/2023
Abstract
Background: Since the beginning of 2020, Italy, together with the rest of the world, has been facing the state of health emergency linked to the Covid-19 pandemic, the deadline for which has been set for March 2022. Due to the security measures implemented to contain the infections, the daily life of children and adults has undergone significant changes with the related consequences on psychological well-being.The association between the Covid-19 pandemic and worsening mental health conditions, especially of children and adolescents, seems to be increasingly certain, with a consequent increase in emergency room visits and first outpatient visits for psychiatric problems. Moreover, these events are part of an expanding epidemiological trend regarding childhood psychiatric disorders. Purpose of the study: The purpose of this work is to detect the socio-demographic and clinical characteristics that differentiate children and adolescents referred to NPI outpatient services for neuropsychic problems, before and after the COVID 19 pandemic in order to highlight the changes on which to focus the diagnostic intervention strategies-psychological and psychiatric therapy. Materials and methods: the study is of an observational retrospective cohort type. The data relating to 2010 first outpatient visits of patients aged between 0 and 18 referred to the U.O.C. were analysed. of NPI of the Padua Hospital, from February 2018 to March 2022. The data were obtained by consulting paper files and/or the IT Operating System for archiving and consulting data. Results: The study demonstrates that in the pandemic two-year period there has been an increase in accesses of boys vs children and of girls vs boys. From the diagnostic point of view, there is an increase in depressive disorders, anxiety disorders, eating disorders and behavioral disorders compared to the pre-pandemic two-year period. Conclusions: Covid-19 and the related containment measures have negatively impacted the mental health of children and adolescents; in the context of the generalized increase in requests for treatment for psychic problems, it is important to take into account some personal and clinical aspects in order to implement targeted interventions.| File | Dimensione | Formato | |
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https://hdl.handle.net/20.500.12608/47015