Abstract

Objective: Adolescents with COVID-19 are usually asymptomatic or they have milder symptoms, but the psychological effects of the disease on adolescents is unknown. In our knowledge, to date no published studies have evaluated the anxiety status of adolescents with COVID-19 infection. In this study, we aimed to investigate the anxiety status of adolescents with COVID-19.


Material and Methods:
Eighteen adolescents hospitalized with moderate symptoms of COVID-19 and seventeen adolescents non hospitalized with mild symptoms of COVID-19 and 29 healthy adolescents were enrolled in the study. The State and Trait Anxiety Inventory (STAI) questionnaire was performed to both groups and scores were compared.


Results:
The adolescents with COVID-19 had significantly higher anxiety scores in the State Anxiety Inventory (SAI) (p:0.019) and the Trait Anxiety Inventory (TAI) (p:0.048) than healthy adolescents. Comparison of adolescents with mild and moderate symptoms showed no significant difference both in SAI (p:1.0) and TAI (p:0.98) scores.

Conclusion: COVID-19 has a psychological impact on adolescents causing higher anxiety scores independent from the disease severity. 

Keywords: Adolescent, Anxiety, COVID-19

References

  1. Dong Y, Mo XI, Hu Y, Xin Qi, Jiang F, Jiang Z, et al. Epidemiological characteristics of 2143 pediatric patients with 2019 coronavirus disease in China. Pediatrics 2020;145:e20200702. [Epub ahead of print]
  2. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the
  3. General Population in China. Int J Environ Res Public Health 2020;17:1729-54.
  4. Zhou SJ, Zhang LG, Wang LL, Guo ZC, Wang JQ, Chen JC, et al. Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. Eur Child Adolesc Psychiatry 2020;29:749-58.
  5. Li W, Yang Y, Liu ZH, Zhao YJ, Zhang Q, Zhang L, et al. Progression of Mental Health Services during the COVID-19 Outbreak in China. Int J Biol Sci 2020;16:1732-38.
  6. Öner N, Le Compte A. Durumluk-Sürekli Kaygı Envanteri El Kitabı. 1st ed. İstanbul, Boğaziçi Üniversitesi Matbaası 1983;1-26.
  7. Julian LJ. Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Arthritis Care Res (Hoboken) 2011;63:467-72.
  8. Zhang Y. The Epidemiological Characteristics of an Outbreak of an outbreak of 2019 novel Coronavirus Diseases (COVID-19) in China, 2020. Zhonghua Liu Xing Bing Xue Za Zhi 2020;10;41:145-51.
  9. COVİD 19 Situation Report Turkey. Republic of Turkey Minisitry of Health. Time of Access 30.06.2020. Available from: http://covid19.saglik.gov.tr/
  10. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020;395:912–20.
  11. Barbisch D, Koenig KL, Shih FY. Is there a case for quarantine? Perspectives from SARS to Ebola. Disaster Med Public Health Prep 2015;9:547–53.
  12. Ozamiz-Etxebarria N, Dosil-Santamaria M, Picaza-Gorrochategui M, Idoiaga-Mondragon N. Stress, anxiety, and depression levels in the initial stage of the COVID-19 outbreak in a population sample in the northern Spain. Cad Saude Publica 2020 30;36:e00054020.
  13. Liang L, Ren H, Cao R, Hu Y, Qin Z, Li C, et al. The Effect of COVID-19 on Youth Mental Health. Psychiatr Q 2020;91:841-52.
  14. Chen F, Zheng D, Liu J, Gong Y, Guan Z, Lou D. Depression and anxiety among adolescents during COVID-19: A cross-sectional study. Brain Behav Immun 2020;88:36-8.

How to cite

1.
Ayça S, Akkoç G, Yolcu C, Ünlü HC, Selçuk Duru N, Elevli M. Evaluation of Anxiety Statuso Adolescents with COVID 19. Turk J Pediatr Dis [Internet]. 2022 May 30 [cited 2025 May 25];16(3):186-90. Available from: https://turkjpediatrdis.org/article/view/882