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• W4381682765 abstract "Objective Although the risk of morbidity and mortality of children and adolescents was lower during the COVID-19 pandemic, it appears that their mental health was strongly impacted. The goal of this study is to document psychological dysfunction among children and adolescents who underwent confinement due to COVID-19 in Ecuador. Design A cross-sectional, internet-based questionnaire. Setting Ecuador. Participants A total of 1077 caregivers of children and adolescents (4–16 years old). Outcome measures Caregivers responded to Pediatric Symptom Checklist-35 to assess psychosocial dysfunction. Results The prevalence of psychosocial dysfunction was 20.8%, with internalising symptoms being the most common (30.7%). The prevalence of psychosocial dysfunction was higher in children who had a poor family relationship during confinement (prevalence ratio (PR) 2.23; 95% CI 1.22 to 4.07), children who never helped with housework (PR 2.63; 95% CI 1.13 to 6.14) and those whose caregivers were worried about children’s need for emotional therapy (PR 2.86; 95% CI 1.97 to 4.15). Never playing video games (PR 0.34; 95% CI 0.17 to 0.69) or playing video games infrequently (PR 0.39; 95% CI 0.20 to 0.79) was a protective factor for the psychosocial problems of children and adolescents. Conclusion Our study demonstrates that children and adolescents have experienced a deterioration of mental health due to the pandemic. Family factors played an important role in the mental health of children during the lockdown. When a public crisis occurs, supportive mental health policies should be developed and implemented to promote children’s psychological welfare." @default.
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• W4381682765 date "2023-06-01" @default.
• W4381682765 modified "2023-10-15" @default.
• W4381682765 title "Psychosocial dysfunction of children and adolescents during the COVID-19 lockdown in Ecuador: a cross-sectional study" @default.
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• W4381682765 doi "https://doi.org/10.1136/bmjopen-2022-068761" @default.
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