Evolución del impacto psicopatológico al año del confinamiento por COVID-19 en menores con patología psiquiátrica previa y en sus familiares o cuidadores
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https://doi.org/10.31766/revpsij.v39n3a4Palabras clave:
COVID-19, niños, adolescentes, ansiedad, depresión, impacto psicopatológicoResumen
Introducción. La pandemia por COVID-19 ha motivado cambios en la sociedad, afectando a la salud mental de la población, particularmente en la infancia y adolescencia. Los menores con patología psiquiátrica previa pueden mostrar incrementos de su sintomatología (depresión, ansiedad o estrés) tanto durante el confinamiento como de forma persistente una vez concluido éste. Objetivo. Evaluar la sintomatología clínica y el impacto emocional en los menores que acuden a Hospital de día y en sus padres/cuidadores un año después de la finalización del confinamiento por COVID-19. Métodos: Se evaluó la sintomatología clínica (emocional y conductual) durante el confinamiento y/o un año después en 81 familias participantes. Se analizaron las diferencias clínicas entre ambos momentos temporales, en primer lugar, para dos grupos de menores y cuidadores independientes y, en segundo lugar, para un mismo grupo de menores y cuidadores evaluado en ambas ocasiones. Resultados. Los análisis longitudinales mostraron algunas tendencias de incrementos de la sintomatología en las dimensiones de depresión, ansiedad y de control afectivo y conductual en los menores. Sin embargo, estas diferencias significativas en ningún caso pasaron el corte de corrección por comparaciones múltiples. Sus familiares y cuidadores tampoco mostraron cambios significativos en la sintomatología evaluada entre ambos momentos temporales. Discusión: la sintomatología clínica de menores con patología psiquiátrica se ha mantenido un año después del fin del confinamiento por COVID-19. Se debería fomentar el seguimiento regular, una buena comunicación entre padres-hijos y un adecuado apoyo social sobre la díada menor-cuidador para favorecer un manejo emocional adecuado.
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