scholarly journals Psychosocial and Behavioural Effects of the COVID-19 Pandemic on Children with Autism and their Families: A Systematic Review and Initial Data from a Multinational Online Survey

2021 ◽  
Author(s):  
Helene Kreysa ◽  
Dana Schneider ◽  
Andrea Erika Kowallik ◽  
Samaneh Sadat Dastgheib ◽  
Cem Dogdu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Social Life ◽  
Online Survey ◽  
High Functioning Autism ◽  
Children With Autism ◽  
Well Being ◽  
Older Children ◽  
School Closures ◽  
Adults With Autism ◽  
Positive Effects

Background: Since COVID-19 has become pandemic, everyday life has seen dramatic changes affecting individuals, families, and children with and without autism. These entail, among other things, more time at home, digital forms of communication, school closures, and reduced support and intervention. Aim: Here we aim to systematically assess the effects of the pandemic on autistic and neurotypical (NT) children, and pursue a pre-registered hypothesis suggested by initial observations that some children with autism might respond comparatively well to a situation of constrained, predictable, and digital social communication during the pandemic. Methods: We provide a systematic review of current relevant work, including 76 papers selected from a database search until February 1, 2021. We then report survey data from several countries assessing activities, well-being (PedsQLTM), and social life in families with autism, and their respective change at various stages of the pandemic. We focus on differences between children with and without autism from within the same families, and on different outcomes for children with high- or low-functioning autism. Results: While children with autism scored lower in emotional and social functioning than their NT siblings, comparable decreases in well-being and increases in anxiety were seen for both groups, compared to before the pandemic. By contrast, decreases in adaptability were significantly more pronounced in autistic than NT children. Preliminary results suggest that changes were comparable for children with high- and low-functional autism overall, but individual differences prevail. Conclusions: Overall, although individual families do report some positive effects of pandemic restrictions, our data give no clear evidence that these generalize across children with autism, or even just to children with high-functioning autism. We discuss significant challenges for children with and without autism that need to be addressed to protect childrens’ well-being under pandemic conditions but also point to potential in the present situation that could be used towards social participation and success in older children and young adults with autism.

scholarly journals Distance Learning Effects Among Italian Children and Parents During COVID-19 Related School Lockdown

2021 ◽  
Vol 12 ◽  
Author(s):  
Giulia Crisci ◽  
Irene C. Mammarella ◽  
Ughetta M. M. Moscardino ◽  
Maja Roch ◽  
Lisa B. Thorell
Keyword(s):  
Distance Learning ◽  
Online Survey ◽  
Well Being ◽  
Regression Analyses ◽  
Negative Effects ◽  
School Closures ◽  
Psychological Well Being ◽  
Positive Effects ◽  
Italian Children ◽  
Child Age

Background: During the COVID-19 pandemic, both children and their parents experienced consequences related to distance learning (DL). However, positive and negative effects have varied greatly among families, and the specific factors explaining these differences in experiences are still underexplored. In this study, we examined children's executive functions (EF) and parents' psychological well-being in relation to negative and positive effects of DL on both children and their parents.Method: Participants were 637 Italian parents (92% mothers) with a child (48% male) aged between 6 and 19 years involved in DL due to school closures during the first wave of the COVID-19 pandemic. Data were collected using an online survey. We performed three fixed-order hierarchical multiple regression analyses with child age and sex, children's EF deficits, and parents' psychological well-being as independent variables, and DL-related negative effects (on the child and on the parent) and DL-related positive effects as dependent variables.Results: The results of the regression analyses showed that for negative effects of DL, younger age and greater EF deficits explained most part of the variance. Specifically, regarding negative effects on children, the most important factor was EF deficits, whereas regarding negative effects on parents, child age was the most important factor. For positive effects of DL, all variables explained only a small part of the variance. Child age was the most important factor, but EF deficits and parents' psychological well-being also had a significant impact.Conclusions: The effects of DL during school closures vary widely across families. Our findings indicate that intervention efforts need to consider background variables, child factors, as well as parent factors when supporting families with homeschooling in times of pandemic.

Emotion Regulation Strategies Predict Emotional Distress during the COVID-19 Outbreak among Parents of Children with Special Needs

2021 ◽  
Author(s):  
Mor Keleynikov ◽  
Joy Benatov ◽  
Noga Cohen
Keyword(s):  
Emotion Regulation ◽  
Special Needs ◽  
Emotional Distress ◽  
Online Survey ◽  
Well Being ◽  
Children With Special Needs ◽  
Emotion Regulation Strategies ◽  
School Closures ◽  
Raising Children ◽  
Regulation Strategies

The coronavirus (COVID-19) outbreak has been declared a global pandemic. The consequences of this pandemic, among them changes in routine, quarantine, school closures and more, place children with special needs and their families at risk of severe emotional distress. Therefore, the present study used an online survey to measure stress, anxiety and depression levels as well as concerns related to the COVID-19 outbreak among 94 parents of children with special needs (mean age = 41.6 years, SD = 6.59; 83% female) and 79 parents raising a typically developing child (mean age = 40.85 years, SD = 7.40; 85% female). We also examined whether the use of adaptive and maladaptive emotion regulation (ER) strategies (reappraisal and suppression, respectively) predicts emotional distress among the two parent groups. The results indicate that compared to parents of TD children, parents of children with special needs reported more concerns about the COVID19 outbreak and more symptoms of emotional distress (depression, anxiety and stress). The use of adaptive and maladaptive emotion regulation strategies moderated the association between concerns arising from the COVID-19 outbreak and emotional distress. In addition, the habitual use of emotion regulation strategies predicted distress only among parents of children with special needs but not among parents of TD children. These findings highlight the role played by emotion regulation in maintaining well-being at times of crisis among vulnerable populations, such as families raising children with special needs.

scholarly journals Sedentary behaviors and psychological outcomes among older adults: a systematic review

Motricidade ◽  
2018 ◽  
Vol 14 (1) ◽  
pp. 73 ◽  
Author(s):  
André Ramalho ◽  
João Petrica ◽  
António Rosado
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Depressive Symptomatology ◽  
Well Being ◽  
The Elderly ◽  
Psychological Outcomes ◽  
Positive Effects ◽  
Sedentary Behaviours ◽  
The Relationship ◽  
Sedentary Activities

This systematic review aimed to synthesize the scientific evidence about the relationship between sedentary behaviours and various psychological outcomes in older adults. The study searches were conducted in the following databases: PubMed, PsycINFO, ISI Web of Knowledge and ScienceDirect. We selected 15 observational quantitative studies according to specific eligibility criteria. The data extraction was performed independently by different authors, including the evaluation of the risk of bias of the studies and the classification of the force of evidence. The results showed a tendency of showing no associations between the sedentary behaviours, the well-being and quality of life of the elderly. Concerning life satisfaction and perceived stress, it seems that active sedentary activities have positive effects on these indicators. Evidence has also suggested that some sedentary behaviours may help maintain some cognitive functions in the elderly population, namely in different types of memory. In other studies, it has been demonstrated a tendency that too much time in passive sedentary activities has been associated with depressive symptomatology. However, this review suggested that the evidence is not yet consistent in the relationship between the sedentary behaviours of the elderly and the indicators analysed, and more research is needed.

scholarly journals Effects of School Closures Resulting From COVID-19 in Autistic and Neurotypical Children

2021 ◽  
Vol 6 ◽  
Author(s):  
Helen M. Genova ◽  
Aditi Arora ◽  
Amanda L. Botticello
Keyword(s):  
Social Isolation ◽  
Online Survey ◽  
Children With Autism ◽  
Negative Consequences ◽  
Autistic Children ◽  
School Closures ◽  
Daily Routines ◽  
School Aged Children ◽  
Parental Perspectives ◽  
Returning To School

The purpose of this study was to assess differences in negative consequences resulting from pandemic-related school closures between autistic and neurotypical children. We predicted that more negative consequences overall would be reported for children with autism compared to neurotypical children. We also expected to observe differences in the types of stressors reported between these two groups, with disruptions to daily routines more commonly reported for children with autism and stress due to social isolation more commonly reported for neurotypical children. Participants were parents of school-aged children, ages of 4–15 years old, who responded to an online survey (N = 250). Parental perspectives were collected using the Covid-19 Adolescent Symptom and Psychological Experience Questionnaire (CASPE). Parents in the autism group were additionally asked to respond to a survey about autism-specific stressors which may have increased during the pandemic, such as behavioral concerns, therapy disruptions, and hygiene issues. The majority of the respondents (65%) were parents of children with autism and 35% were parents of neurotypical children. Parents of autistic children were more likely to report that their child was negatively affected by routine changes, whereas parents of neurotypical children were more likely to report that their child was affected by social isolation. Overall, parents of children with autism were more than three times as likely to report negative changes in their child compared to parents of neurotypical children. When asked about autism-specific stressors, parents of autistic children reported concerns related to hygiene, behavioral regression, therapy disruption, meltdowns, and returning to school. The effects of the COVID-19 pandemic and prolonged school closures have disrupted the lives of children. Our results indicate that children with autism are at greater risk for negative outcomes due to emergency-related school disruptions. These findings have implications for educational planning for this vulnerable population for future public health crises.

scholarly journals Perceived efficacy of COVID-19 restrictions, reactions and their impact on mental health during the early phase of the outbreak in six countries

2020 ◽  
Author(s):  
Martin Jensen Mækelæ ◽  
Niv Reggev ◽  
Natalia Bezerra Dutra ◽  
Ricardo M. Tamayo ◽  
Reinaldo A. Silva-Sobrinho ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Life ◽  
Early Phase ◽  
Online Survey ◽  
Daily Life ◽  
Well Being ◽  
Effective School ◽  
Policy Makers ◽  
School Closings ◽  
Life Habits

The COVID-19 pandemic forced millions of people to drastically change their social life habits as governments employed harsh restrictions to reduce the spread of the virus. Although beneficial to physical health, the perception of physical distancing and related countermeasures could impact mental health. In a pre-registered online survey, we assessed how effective a range of countermeasures were perceived, how severely they affected daily life, general distress and paranoia during the early phase of the outbreak in Brazil, Colombia, Germany, Israel, Norway and US. Most of our over 2000 respondents rated the countermeasures as effective. School closings were perceived as having the strongest effect on daily life. Participants who believed their country reacted too mildly perceived the risk of contracting Sars-CoV-2 to be higher, were more worried and expressed reduced beliefs in the ability to control the outbreak. Relatedly, dissatisfaction with governmental actions corresponded with increased distress levels. Together, we found that satisfaction with one’s governmental actions and fear appraisal play an important role in assessing the efficacy of countermeasures during the pandemic and their related psychological outcomes. These findings inform policy-makers on the psychological factors that strengthen resilience and foster the well-being of citizens in times of global crisis.

scholarly journals Psychological Effects of Coronavirus Disease 2019 on Students

2021 ◽  
Vol 7 (1) ◽  
pp. 21-29
Author(s):  
Sreeja R. Kuppam ◽  
Keyword(s):  
Mental Health ◽  
High School Students ◽  
Social Life ◽  
Online Survey ◽  
Well Being ◽  
Social Needs ◽  
Psychological Effects ◽  
School Students ◽  
Verbal Form ◽  
Fear And Anxiety

Background This qualitative study investigated the psychological effects on 21 U.S. high school students during the coronavirus disease 2019 (COVID-19) pandemic. Aim The study aimed to identify and assess the pandemic’s effect on the mental health of these students. Method To determine the stress and anxiety students faced during the pandemic, an online survey used five open-ended questions that focused on awareness of the pandemic surrounding the major themes of insight, stress, anxiety, social support, and adapted coping strategies. NVivo software analyzed the raw data. Colaizzi’s descriptive phenomenological analysis method converted the quantitative results into a visual/verbal form. Based on the analysis, the researcher identified the pandemic’s effects on students’ mental health and well-being. Results All 21 participants responded to each of the five questions. Of the participants, 72% demonstrated a negative outlook on their future. Seventy percent (70%) of the participants felt that COVID-19 hurt their social life because of safety precautions, such as social distancing. Even though schools and their faculty tried to keep students engaged and active, 64% of the participants found it challenging to be physically distanced from friends and teachers while learning from home. Of the students, 62% worried about missing out on sports and activities canceled due to the pandemic. 63.14% of the students felt the pandemic stressed them to the point that fear and anxiety overwhelmed them with many questions about the future. Conclusion This study’s results may help create programs that better meet students’ mental and social needs.

scholarly journals Interventions to support parents of pre-school children with Autism Spectrum Disorders: a systematic review

2021 ◽  
Vol 10 (14) ◽  
pp. e102101421932
Author(s):  
Maria Zygopoulou ◽  
Eleni Gkiolnta ◽  
Elpis Papaefstathiou ◽  
Kyriaki Sarri ◽  
Christine K. Syriopoulou-Delli
Keyword(s):  
Preschool Children ◽  
Mental Health Problems ◽  
Children With Autism ◽  
Well Being ◽  
Autism Spectrum ◽  
Depression And Anxiety ◽  
Positive Effects ◽  
Children With Asd ◽  
Different Types ◽  
Spectrum Disorders

Parents of children with a recently ASD diagnosis face elevated distress and mental health problems like stress, depression, and anxiety. Lately, few interventions which target directly parents of preschool children well-being have been implemented in some researches. It was conducted a review of studies that empirically tested the effects of different kind of interventions targeting improvements in parents of preschool children with ASD well-being. The objective of this review is to find out the different types of interventions that have been used and the outcomes on parental well-being enhancement. Searching on four databases and following a range of search strategies, a total of 9 studies met inclusion criteria. Findings suggest that in most cases, any type of intervention leads to positive effects on parents’ distress and well-being. However, comparisons and conclusions among the different approaches are difficult to be made, as each of the presented studies follows different methodology. Certainly, more studies have to focus on the parents of preschool children with ASD well-being and take into consideration all the limitations of the studies that are reviewed in this paper. Despite this fact, it is very encouraging that more and more researchers and clinicians are concerned about these kinds of interventions in order families with a child with ASD to get supported appropriately.

scholarly journals The Effects of the COVID-19 Pandemic on Health and Well-Being of Children and Youth in Nova Scotia: Youth and Parent Perspectives

2021 ◽  
Vol 9 ◽  
Author(s):  
Hilary A. T. Caldwell ◽  
Camille L. Hancock Friesen ◽  
Sara F. L. Kirk
Keyword(s):  
Nova Scotia ◽  
Social Interactions ◽  
Online Survey ◽  
Well Being ◽  
Children And Youth ◽  
School Age Children ◽  
School Closures ◽  
Physically Active ◽  
Anxious Youth ◽  
Health And Well Being

Objectives: The COVID-19 pandemic led to school closures, cancellations of major events, and loss of in-person social interactions for children and youth. These restrictions undoubtedly impacted the lives of children and youth. This study describes the well-being of children and youth in Nova Scotia during the COVID-19 pandemic and their thoughts and feelings about the return to school, from the perspectives of both youth and parents.Methods: A province-wide survey was conducted in August 2020 with parents of school-age children and youth and youth to measure youth well-being since the pandemic began.Results: Parents of children and youth in grades pre-primary to 12 (n = 699; 53% girls) and youth in grades 3–12 (n = 279; 69% girls) completed the online survey. Perceptions of parents about children's emotions during the pandemic were: bored, safe, lonely, happy, and anxious. Youth reported feeling bored, relaxed, depressed, safe, and worried. Sixty-three percent of youth and 72% of parents reported that they/their child felt they were missing important life events. Parents reported that being with parents, being physically active and being with friends made their child feel positive. Youth reported that being with friends, pets and watching TV made them feel good during this time. Seventy-six percent of parents and 62% of youth reported they/their child were getting more screen time than before the pandemic. With schools closed, participants most frequently shared that they missed friends and social interactions, in-person learning, and extra-curricular activities. Youth and parents expressed worries about COVID-19 outbreaks and related restrictions when schools re-opened to in-person learning.Conclusion: The well-being of children and youth in Nova Scotia was greatly impacted by the COVID-19 pandemic and related school closures in 2020. It is essential that pandemic recovery plans prioritize the health and well-being of children and youth.

scholarly journals Interventions for improving self-direction in people with dementia: a systematic review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Carola M. E. Döpp ◽  
Hermijntje Drenth ◽  
Paul-Jeroen Verkade ◽  
Anneke F. Francke ◽  
Iris van der Heide
Keyword(s):  
Systematic Review ◽  
Methodological Quality ◽  
Quantitative Methods ◽  
Empirical Studies ◽  
Well Being ◽  
Cochrane Library ◽  
Everyday Functioning ◽  
Positive Effects ◽  
People With Dementia ◽  
Essential Components

Abstract Background Dementia is a progressive disease that affects people’s everyday functioning, including the ability to express values, needs and wishes, which can be considered key elements of self-direction. For the purpose of this review, self-direction refers to the organization and/or coordination of your own life, including professional and other care, with the objective of having what you perceive to be a good life. The aim of this systematic review was to assess and describe interventions that aim to improve self-direction of people with dementia. Methods A systematic search was conducted in PubMed, Embase, CINAHL, PsycInfo and the Cochrane Library. Empirical studies up to April 2020 were included that used qualitative and/or quantitative methods and reported on interventions for people with dementia aimed at improving self-direction. Stepwise study selection and the assessment of methodological quality were conducted independently by two authors. Data on study and intervention characteristics, outcomes related to self-direction and well-being of people with dementia and factors influencing the feasibility were extracted systematically and described narratively. Results Ten studies were identified describing a total of nine interventions. Interventions varied in terms of goals, content, target population and duration. Overall, interventions consisted of multiple components focusing on identifying “Who am I?” (beliefs, strengths, values, goals), identifying “What is important to me?” (meaningful activities and goal setting) and/or communicating about preferences with professionals and/or caregivers. The review provides indications that people with dementia may benefit from the interventions included. Overall, positive effects were found in studies on outcomes related to self-direction and wellbeing. However, outcomes measured using quantitative methods showed inconsistent effects between the studies. Conclusions Although the methodological quality of all the studies included was ‘good’ or at least ‘fair’, the evidence base of interventions aiming to improve self-direction is still limited due to the low number of studies, the low number of participants and the frequent use of and their authors’ own non-standardized measures. Nevertheless, the review points towards positive effects on self-direction and well-being. Identifying individual beliefs, strengths, values, goals and meaningful activities can be essential components of these interventions, as well as communication about the desired care and support.

scholarly journals The Attitudes of Therapists and Physicians on the Use of Sex Robots in Sexual Therapy: Online Survey and Interview Study

10.2196/13853 ◽  
2019 ◽  
Vol 21 (8) ◽  
pp. e13853 ◽  
Author(s):  
Christiane Eichenberg ◽  
Marwa Khamis ◽  
Lisa Hübner
Keyword(s):  
Online Survey ◽  
Well Being ◽  
Interview Study ◽  
Therapeutic Use ◽  
Theory Approach ◽  
Positive Effects ◽  
Therapeutic Benefits ◽  
Sex Robots ◽  
Sexual Therapy ◽  
Qualitative Interview Study

Background Various types of robots have already been successfully used in medical care, and the use of new technologies is also playing an increasing role in the area of sexuality. Sex robots are marketed as advanced sex toys and sex dolls with artificial intelligence. Only a few considerations about the therapeutic use of sex robots in sexual therapy are debated in expert discussions. Objective The aim of this study was to conduct a first exploratory survey on the attitudes of sex therapists and physicians toward the therapeutic benefits of sex robots. Methods This study comprised a quantitative online survey and a qualitative interview study. A self-constructed questionnaire was used to survey the general attitudes of sex therapists and physicians regarding the benefits of sex robots in therapy. The qualitative study was designed to gain in-depth insight into the participants’ beliefs and attitudes. Therefore, semistructured interviews were conducted. The quantitative data were evaluated by statistical analysis, and the interviews were transcribed and analyzed by using a grounded theory approach. Results A total of 72 sex therapists and physicians completed our self-constructed questionnaire (response rate 15%, 72/480). Only a few respondents (11%, 8/72) said that the use of sex robots was not conceivable for them, and almost half of all therapists and physicians could imagine recommending sex robots in therapy (45%, 33/72). The attitude toward sex robots as a therapeutic tool was very heterogeneous, with gender (P=.006), age (P=.03), and occupational differences (P=.05); female therapists, older therapists, and psychologists (in contrast to physicians) were more critical toward the therapeutic use of sex robots. The analysis of the 5 interviews identified 3 high-level core themes that were representative of the participants’ responses: (1) the importance of the personal definition of sex robots for the assessment of their therapeutic benefits, (2) therapeutic benefits and dangers of sex robots, and (3) considerations on the quality of human-robot sexuality. Initial insights into the possible therapeutic use of sex robots in different disorders (eg, sexual dysfunction or pedophilia) and situations were gained from the perspective of sex therapists. Conclusions The results of this study provide a first overview of the potential therapeutic use of sex robots. Moral, ethical, and treatment-related issues in this context are still unresolved and need to be further researched. We suggest integrating the topic into the training of sex therapists to form opinions beyond media images and to show therapy possibilities. Scientists engaged in sexual research should be involved in the development of sex robots to design robots with positive effects on sexual education, sexual therapy, sexual counseling, and sexual well-being for interested groups.

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