Assessment of Quality of Life Indicators in School-age Children Who Have Experienced COVID-19 of Varying Degrees of Severity
- 1. Bogomolets National Medical University, Ukraine
Description
Today the health status of school-age children after suffering from COVID-19 is an urgent medical problem all over the world. The study of indicators of quality of life (QoL) is of great practical importance for children and adolescents. QoL is a multidimensional concept that takes into account physical, mental and social aspects of well-being and functioning
The objective: to analyze the quality of life indicators in school-age children who suffered from COVID-19 of varying degrees of severity.
Materials and methods. The study included 155 children from 6 to 18 years old, who were divided into groups. The main group included 120 children with a confirmed diagnosis of COVID-19 in the anamnesis and a period after COVID-19 of more than 12 weeks. The control group included 35 somatically healthy children who did not suffer from COVID-19, and were the same age as individuals in the main group. The patients of the main group were divided into three groups: I group – 49 children who had mild COVID-19; II group – 40 children who suffered from moderate severity of COVID-19; III group – 31 children who fell ill with COVID-19 with a severe course.
Quality of life indicators were assessed using a questionnaire based on the PedQL 4.0 scale. General clinical (analysis of anamnesis data, objective examination) and statistical research methods were also used.
Results. As a result of the study, it was found that the average score of the final assessment of the state of physical health in the main group was 76.64±8.62 points, in the control group – 87.68±6.01 points (p<0.001). The average score of the final assessment of psychosocial health in the main group was 68.57±7.67 points, in the control group – 85.43±6.21 points (p<0.001). The average value of the total score on the PedsQL 4.0 scale in the main group was 72.61±6.69 points, in the control group – 86.55±5.1 points (p<0.001). The lowest indicators of the final assessment of the state of physical health, psychosocial health and the total score on the PedsQL 4.0 scale were found in the III group, the highest indicators – in the I group (statistical difference from the control group p<0.01).
A rank negative correlation of medium strength was determined between the indicator of the final assessment of the physical state of health and the total score on the PedsQL 4.0 scale and severity of COVID-19 (r=–0.626; p<0.001, r=–0.615; p<0.001, respectively). A negative weak rank correlation was established between the index of the final assessment of the psychosocial state of health and the degree of severity of COVID-19 (r=–0.364; р<0.001).
Conclusions. The results of the study indicate that acute COVID-19 affects the quality of life of children. The impact of the coronavirus disease affects various indicators and areas of QoL in children and depends on the severity of COVID-19. Severe COVID-19 has an equally negative impact on all areas of the quality of life of children and adolescents.
Other
Files
Assessment_of_Quality_of_Life_Indicators_in_School_age_Children_Who_Have_Experienced_COVID_19_of_Varying_Degrees_of_Severity.pdf
Files
(1.7 MB)
| Name | Size | Download all |
|---|---|---|
|
md5:6fea37abf8efe4469f220ff785f528c1
|
1.7 MB | Preview Download |
Additional details
References
- Marushko Y, Hyshchak T, Marushko T, Kostinska N, Khomych O. Gender characteristics of health-related quality of life indicators in children with high normal blood pressure and primary hypertension. Child's Health. 2023;18(2):80–7. doi: 10.22141/2224-0551.18.2.2023.1566.
- Marushko YV, Kostynska NG, Hyshchak TV. Assessment of life quality indicators in school-age children with hypertension and obesity. Mod Pediatr Ukr. 2023;130(2):50–9. doi: 10.15574/sp.2023.130.50.
- Ludwig-Walz H, Dannheim I, Pfadenhauer LM, Fegert JM, Bujard M. Increase of depression among children and adolescents after the onset of the COVID-19 pandemic in Europe: a systematic review and meta-analysis. Child Adolesc Psychiatry Ment Health. 2022;16(1):109. doi: 10.1186/s13034-022-00546-y.
- Castelpietra G, Knudsen AKS, Agardh EE, Armocida B, Beghi M, Iburg KM, et al. The burden of mental disorders, substance use disorders and self-harm among young people in Europe, 1990-2019: Findings from the Global Burden of Disease Study 2019. Lancet Reg Health Eur. 2022;16:100341. doi: 10.1016/j.lanepe.2022.100341.
- American Academy of Pediatrics. Interim Guidance on Supporting the Emotional and Behavioral Health Needs of Children, Adolescents, and Families During the COVID-19 Pandemic [Internet]. 2022. Available from: https://www.aap.org/en/pages/2019-novel-coronaviruscovid-19-infections/clinical-guidance/interim-guidance-on-supporting-the-emotional-and-behavioral-health-needs-of-children-adolescents-and-families-during-the-covid-19-pandemic/.
- Hyshchak TV, Marushko YV, Dmytryshyn OA, Kostynska NG, Dmytryshyn BY. Tolerance to physical activity and its changes in children after COVID-19 (literature review). Mod Pediatr Ukr. 2022;125(5):108–16.
- Bullinger M. Assessing health related quality of life in medicine. An overview over concepts, methods and applications in international research. Restor Neurol Neurosci. 2002;20(3-4):93–101.
- Kaplan RM, Hays RD. Health-Related Quality of Life Measurement in Public Health. Annu Rev Public Health. 2022;43:355-73. doi: 10.1146/annurev-publhealth-052120-012811.
- Le N, Belay YB, Le LK, Pirkis J, Mihalopoulos C. Health-related quality of life in children, adolescents and young adults with self-harm or suicidality: A systematic review. Aust N Z J Psychiatry. 2023;57(7):952–65. doi: 10.1177/00048674231165477.
- Marushko Y, Shipelik T, Hyschak T, Kramarev S, Kryuchko T, Pisarev A, et al. Methodology for assessment of the quality of life of children with corona virus infection and the post-viral syndrome. Med Sci Ukr. 2023;19(2):72–80.
- Marushko Y, Hyshchak T, Marushko T, Onufriev O, Zlobynets A, Khomych O, et al. Health-related quality of life in pediatric patients with high-normal blood pressure and primary arterial hypertension. Fam Med Primary Care Rev. 2020;22(4):291–6. doi: 10.5114/fmpcr.2020.100433.
- Varni JW. The PedsQLMeasurement Model for the Pediatric Quality of Life Inventory [Internet]. Available from: https://www.pedsql.org/about_pedsql.html.
- Radhakrishnan L, Leeb RT, Bitsko RH, Carey K, Gates A, Holland KM, et al. Pediatric Emergency Department Visits Associated with Mental Health Conditions Before and During the COVID-19 Pandemic – United States, January 2019–January 2022. MMWR Morb Mortal Wkly Rep. 2022;71(8):319–24. doi:10.15585/mmwr.mm7108e2.
- Deng J, Zhou F, Hou W, Heybati K, Lohit S, Abbas U, et al. Prevalence of mental health symptoms in children and adolescents during the COVID-19 pandemic: A meta-analysis. Ann N Y Acad Sci. 2023;1520(1):53–73. doi: 10.1111/nyas.14947.
- Yard E, Radhakrishnan L, Ballesteros MF, Sheppard M, Gates A, Stein Z, et al. Emergency Department Visits for Suspected Suicide Attempts Among Persons Aged 12-25 Years Before and During the COVID-19 Pandemic – United States, January 2019–May 2021. MMWR Morb Mortal Wkly Rep. 2021;70(24):888–94. doi: 10.15585/mmwr.mm7024e1.
- Ministry of Health. On the approval of the protocol «Providing medical assistance for the treatment of the coronavirus disease (COVID-19)» [Internet]. 2020. Order No. 762. Available from: https://zakon.rada.gov.ua/rada/show/v0762282-20#Text.
- Varni JW, Seid M, Kurtin PS. PedsQL 4.0: reliability and validity of the Pediatric Quality of Life Inventory version 4.0 generic core scales in healthy and patient populations. Med Care. 2001;39(8):800–12. doi: 10.1097/00005650-200108000-00006.
- Kanda Y. Investigation of the freely available easy-to-use software «EZR» for medical statistics. Bone Marrow Transplant. 2013;48(3):452–8. doi: 10.1038/bmt.2012.244.
- Ravens-Sieberer U, Kaman A, Otto C, Adedeji A, Devine J, Erhart M, et al. Mental Health and Quality of Life in Children and Adolescents During the COVID-19 Pandemic-Results of the Copsy Study. Dtsch Arztebl Int. 2020;117(48):828–9. doi: 10.3238/arztebl.2020.0828.
- Dragun R, Veček NN, Marendić M, Pribisalić A, Đivić G, Cena H, et al. Have Lifestyle Habits and Psychological Well-Being Changed among Adolescents and Medical Students Due to COVID-19 Lockdown in Croatia? Nutr. 2020;13(1):97. doi: 10.3390/nu13010097.
- Nobari H, Fashi M, Eskandari A, Villafaina S, Murillo-Garcia Á, Pérez-Gómez J. Effect of COVID-19 on Health-Related Quality of Life in Adolescents and Children: A Systematic Review. Int J Environ Res Public Health. 2021;18(9):4563. doi: 10.3390/ijerph18094563.
- Basterfield L, Burn NL, Galna B, Batten H, Goffe L, Karoblyte G, et al. Changes in children's physical fitness, BMI and health-related quality of life after the first 2020 COVID-19 lockdown in England: A longitudinal study. J Sports Sci. 2022;40(10):1088–96. doi: 10.1080/02640414.2022.2047504.
- de Matos DG, Aidar FJ, Almeida-Neto PF de, Moreira OC, Souza RF de, Marçal AC, et al. The Impact of Measures Recommended by the Government to Limit the Spread of Coronavirus (COVID-19) on Physical Activity Levels, Quality of Life, and Mental Health of Brazilians. Sustainability. 2020;12(21):9072.
- Tamarit A, Barrera U, Mónaco E, Schoeps K , Montoya-Castilla I. Psychological impact of COVID-19 pandemic in Spanish adolescents: risk and protective factors of emotional symptoms. Dialnet. 2020;7(3):73–80.
- de la Barrera U, Schoeps K, Gil-Gómez JA, Montoya-Castilla I. Predicting Adolescent Adjustment and Well-Being: The Interplay between Socio-Emotional and Personal Factors. Int J Environ Res Public Health. 2019;16(23):4650. doi: 10.3390/ijerph16234650.