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Children and COVID-19 Research Library

UNICEF Innocenti's curated library of COVID-19 + Children research

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Journal article

What's happened to Italian adolescents during the COVID-19 pandemic? A preliminary study on symptoms, problematic social media usage, and attachment: relationships and differences with pre-pandemic peers

AUTHOR(S)
Stefania Muzi; Alessandra Sansò; Cecilia Serena Pace

Published: April 2021 Journal: Frontiers in Psychiatry

Italian adolescents were confined at home for 3 months due to the COVID-19 pandemic, which exposed them to feelings of fear, uncertainty, and loneliness that may have increased their vulnerability to emotional-behavioral symptoms (e.g., anxiety) and binge-eating attitudes. Potential risk factors for these psychopathological symptoms are problematic social media usage and attachment insecurity. Therefore, this study aimed: (1) to assess emotional-behavioral symptoms, binge eating, problematic social media usage, and attachment representations of adolescents during the pandemic, comparing them with prepandemic similar samples; (2) to investigate relationships among variables, exploring the role of problematic social media usage and insecure attachment as risk factors for more psychopathological symptoms.

Journal article

Childbirth care among SARS-CoV-2 positive women in Italy

AUTHOR(S)
Serena Donati; Edoardo Corsi; Michele Antonio Salvatore (et al.)

Published: April 2021 Journal: International Journal of Environmental Research and Public Health

The new coronavirus emergency spread to Italy when little was known about the infection’s impact on mothers and newborns. This study aims to describe the extent to which clinical practice has protected childbirth physiology and preserved the mother–child bond during the first wave of the pandemic in Italy. A national population-based prospective cohort study was performed enrolling women with confirmed SARS-CoV-2 infection admitted for childbirth to any Italian hospital from 25 February to 31 July 2020.

Cite this research | No. of pages: 8 | Language: English | Topics: Health, Mental Health | Tags: COVID-19 response, early childhood development, maternal and child health, mental health services, mental stress, pregnancy, pregnant women, psychological distress | Countries: Italy

Research brief

Adolescents with somatic symptom disorder experienced less anxiety and depression than healthy peers during the first COVID‐19 lockdown

AUTHOR(S)
Laura De Nardi; Giuseppe Abbracciavento; Giorgio Cozzi (et al.)

Published: April 2021 Journal: Acta Paediatrica

Adolescents with mental health disorders are a high‐risk population, and problems during COVID‐19 lockdowns have included increasing, widespread anxiety, fear, anger and uncertainty. Somatic symptom disorder (SSD) is characterised by disproportionate thoughts, feelings and behaviours about physical symptoms associated with the distress and disruption of everyday functioning. SSD accounts for 15%–25% of adolescent mental health cases in primary care paediatric settings, and 8.6% of non‐traumatic adolescent pain in emergency departments. This cross‐sectional observational study evaluated how the Italian COVID‐19 lockdown, from 9 March to 4 May 2020, affected Italian adolescents aged 13–18 with and without SSD.

Journal article

Psychosocial impact of Covid-19 outbreak on Italian asthmatic children and their mothers in a post lockdown scenario

Published: April 2021 Journal: Scientific Reports

Italy was the first European country to fight the Covid-19 outbreak. To limit the transmission of the virus, the Italian Government imposed strict domestic quarantine policies and temporary closure of non-essential businesses and schools from March 10th,2020. Although more and more literature is exploring the impact of the pandemic on non-referred children and families, only a few studies are focused on the psychosocial impact of Covid-19 in chronically ill children and their caregivers. The present study investigates asthma control and children and mothers’ psychological functioning (i.e.: psychological well-being, fear of contagion, and mothers’ Covid-19 related fears) in 45 asthmatic children aged 7-to-14, compared to a control sample. The subjects were administered an online survey after the lockdown (from 28th May to 23rd August 2020).

Journal article

Characteristics and risk factors for SARS-CoV-2 in children tested in the early phase of the pandemic: a cross-sectional study, Italy, 23 February to 24 May 2020

AUTHOR(S)
Marzia Lazzerini; Idanna Sforzi; Sandra Trapani (et al.)

Published: April 2021 Journal: Eurosurveillance

The pandemic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) affected Italy as first country in Europe. The Italian government declared a state of emergency on 31 January 2020 and by 24 May 2020, a total of 229,858 cases of COVID-19 had been diagnosed across the country. From the very beginning of the pandemic, data suggested that children are less affected than adults by COVID-19. However, timely diagnosis of SARS-CoV-2 infection is not only important for the single individual, it is crucial to prevent the spread of the pandemic. A better understanding of the predictors of a positive SARS-CoV-2 test results may facilitate timely case finding and contact tracing and thus contribute to control the pandemic. It may also improve organisation of care in settings where diagnostic facilities are available but still require a considerable processing time, where diagnostic facilities are lacking and where diagnosis, in the absence of other tools, may need to be based on clinical characteristics alone.

Journal article

Women perception of SARS-CoV-2 vaccination during pregnancy and subsequent maternal anxiety: a prospective observational study

AUTHOR(S)
Ilenia Mappa; Maria Luviso; Flavia Adalgisa Distefano (et al.)

Published: April 2021 Journal: The Journal of Maternal-Fetal & Neonatal Medicine

The use of Coronavirus 2 (SARS-CoV-2) vaccine in pregnant women is controversial and still not performed in Italy. Our objective was to evaluate the propensity of a population of Italian women to receive the vaccine and its psychological impact. A prospective, observational study was performed on pregnant women attending Ospedale Cristo Re Università Roma TorVergata. A multi-section questionnaire was sent to each included woman on the first day of available SARS-CoV-2 vaccination. Part-A was finalized to acquire maternal characteristics and to test the women’s perception of vaccinations in pregnancy and their fear-induced by vaccines. Part-B included the State-Trait-Anxiety-Inventory (STAI) a validated test for scoring trait anxiety (basal anxiety, STAI-T) and state anxiety (STAI-S). An abnormal value of STAI was considered when ≥40. Comparisons of maternal variables were performed according to their vaccine attitude.

Journal article

Coping behaviors and psychological disturbances in youth affected by the COVID-19 health crisis

AUTHOR(S)
Mireia Orgilés; Alexandra Morales; Elisa Delvecchio (et al.)

Published: March 2021 Journal: Frontiers in Psychology

The COVID-19 pandemic and the quarantine undergone by children in many countries is a stressful situation about which little is known to date. Children and adolescents' behaviors to cope with home confinement may be associated with their emotional welfare. The objectives of this study were: (1) to examine the coping strategies used out by children and adolescents during the COVID-19 health crisis, (2) to analyze the differences in these behaviors in three countries, and (3) to examine the relationship between different coping modalities and adaptation.

Journal article

Pregnant women perspectives on SARS-COV-2 vaccine

AUTHOR(S)
Luigi Carbone; Ilenia Mappa; Angelo Sirico (et al.)

Published: March 2021 Journal: American Journal of Obstetrics & Gynecology

Since COVID-19 vaccines have been distributed, a debate has raised on whether pregnant women should get the vaccine. No available data exist so far regarding safety, efficacy and toxicology of these vaccines when administered during pregnancy. Most of the Obstetrics and Gynecology societies suggested that pregnant could agree to be vaccinated, after a thorough counseling of risks and benefits with their gynecologists, thus leading to an autonomous decision. The aim of this study was to evaluate the attitude to COVID-19 vaccination in pregnant and breastfeeding women in Italy.

Journal article

COVID‐19‐related psychiatric impact on Italian adolescent population: a cross‐sectional cohort study

AUTHOR(S)
Martina M. Mensi; Luca Capone; Chiara Rogantini (et al.)

Published: March 2021 Journal: Journal of Community Psychology

This study investigated the prevalence rate and sociodemographic correlates of COVID‐19‐related posttraumatic stress disorder (PTSD), and COVID‐19‐related acute stress disorder (ASD) among Italian adolescents, their level of stress, perception of parental stress, and connection with mental health. Adolescents aged 12–18 years compiled an online questionnaire designed through validated diagnostic instruments.

Journal article

Pediatric routine vaccinations in the COVID 19 lockdown period: the survey of the Italian Pediatric Society

AUTHOR(S)
Rocco Russo; Elena Bozzola; Paolo Palma (et al.)

Published: March 2021 Journal: Italian Journal of Pediatrics

COVID-19 pandemic was responsible for disrupting routine immunization activities all over the world. Aim of the study was to investigate the reduced adherence to the national children vaccination schedule during the lockdown period in Italy. Through social channels, the Italian Pediatric Society conducted a survey among Italian families on children vaccination during lockdown period.

Journal article

A cross-sectional and prospective cohort study of the role of schools in the SARS-CoV-2 second wave in Italy

AUTHOR(S)
Sara Gandini; Maurizio Rainisio; Maria Luisa Iannuzzo (et al.)

Published: March 2021 Journal: The Lancet Regional Health - Europe

During COVID-19 pandemic, school closure has been mandated in analogy to its effect against influenza, but it is unclear whether schools are early COVID-19 amplifiers. A cross-sectional and prospective cohort study was performed in Italy during the second COVID-19 wave (from September 30, 2020 until at least February 28, 2021). Databases from the Italian Ministry of Education and the Veneto region systems of SARS-CoV-2 cases notification and of schools’ secondary cases tracing were used to compare SARS-CoV-2 incidence in students/school staff and general population and incidence across age groups. Number of tests, secondary infections by type of index case and ratio cases/ tests per school were estimated using an adjusted multivariable generalized linear regression model. Regional reproduction numbers Rt were estimated from Italian Civil Protection daily incidence data with a method of posterior distribution using a Markov Chain Monte Carlo algorithm.

Journal article

Adolescents’ stress reactions in response to COVID-19 pandemic at the peak of the outbreak in Italy

AUTHOR(S)
Annalaura Nocentini; Benedetta Emanuela Palladino; Ersilia Menesini

Published: March 2021 Journal: Clinical Psychological Science

This study evaluated the variation on stress reactions in Italian adolescents during the peak of the COVID-19 pandemic as related to national diffusion of the outbreak, demographic characteristics, and personal experiences related to COVID-19. An online survey was disseminated from April 1 to April 5, 2020.

Journal article

Emotional dysregulation mediates the impact of childhood trauma on psychological distress: first Italian data during the early phase of COVID-19 outbreak

AUTHOR(S)
Delfina Janiri; Lorenzo Moccia; Luigi Dattoli (et al.)

Published: March 2021 Journal: The Australian and New Zealand journal of psychiatry

The coronavirus disease 2019 pandemic represents an unprecedented traumatic stressor to mental health. Psychological distress is considered a reliable proxy for psychopathology and can be negatively influenced by childhood trauma through sensitization effects. Emotion dysregulation has been proposed as a potential mediator of this mechanism. This paper aimed to test this hypothesis in a national Italian sample assessed in the early phase of the coronavirus disease 2019 outbreak.

Journal article

Impact of ethnicity on COVID-19 related hospitalizations in children during the first pandemic wave in Northern Italy

AUTHOR(S)
Roberto Baronio; Lucia Savaré; Jessica Ruggiero (et al.)

Published: February 2021 Journal: Frontiers in Pediatrics

There is increasing evidence that black people and other minorities have a higher incidence of severe COVID-19 disease, but little is known about the situation of children, especially in Europe. In general children are less infected and if so, frequently show mild or asymptomatic disease, making conclusions difficult. This paper collected data on SARS-CoV-2 associated hospitalizations in a well-defined population of 550,180 children up to 15 years in five hub-centers during the “first wave” at the heart of the pandemic in Northern Italy.

Commentaries and Think Pieces

Breastfeeding and COVID-19 vaccination: position statement of the Italian scientific societies

AUTHOR(S)
Riccardo Davanzo; Massimo Agosti; Irene Cetin (et al.)

Published: February 2021 Journal: Italian Journal of Pediatrics

The availability of a COVID-19 vaccine has raised the issue of its compatibility with breastfeeding. Consequently, the Italian Society of Neonatology (SIN), the Italian Society of Pediatrics (SIP), the Italian Society of Perinatal Medicine (SIMP), the Italian Society of Obstetrics and Gynecology (SIGO), the Italian Association of Hospital ObstetriciansGynecologists (AOGOI) and the Italian Society of Infectious and Tropical Diseases (SIMIT) have made an ad hoc consensus statement. Currently, knowledge regarding the administration of COVID-19 vaccine to the breastfeeding mother is limited. Nevertheless, as health benefits of breastfeeding are well demonstrated and since biological plausibility suggests that the health risk for the nursed infant is unlikely, Italian scientific societies conclude that COVID-19 vaccination is compatible with breastfeeding.

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UNICEF Innocenti's Children and COVID-19 Library is a database collecting research from around the world on COVID-19 and its impacts on children and adolescents.

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