Relation Between ADHD and COVID-19: A Narrative Review to Guide Advancing Clinical Research and Therapy

Overview

Journal Iran J Psychiatry

Specialty Psychiatry

Date 2022 Apr 28

PMID 35480135

Authors

Samin Davoody

Stella Goeschl

Mahsa Dolatshahi

Rozita Davari-Ashtiani

Reyhaneh Saffarpour

Fatemeh Sodeifian

Serge Brand

Affiliations

Soon will be listed here.

Abstract

To cope with the COVID-19 pandemic, national health authorities temporarily closed cultural, religious, and educational institutions such as universities and schools. Children and adolescents with ADHD were challenged with the restrictions caused by the Covid-19 pandemic such as homeschooling and reduced physical activity. The present narrative review aimed to summarize the state-of-the-art regarding associations between COVID-19-related social restrictions and possible psychological and behavioral issues in children and adolescents with ADHD. Additionally, we discussed the underlying possible reasons of the association focusing on the role of parental influence and physical activity, vulnerabilities of individuals with ADHD to Covid-19 infection and to school closure and remote learning. To collect data for the present narrative review, recent publications on these topics between February 1st, 2020 and January 10th, 2021 were retrieved from the most popular search engines (PubMed; Scopus; Google Scholar; Psych Info; Embase) through a comprehensive search using relevant keywords. During confinement, children and adolescents with ADHD reported increased behavioral and ADHD-related symptoms and overall decreased psychological well-being. Factors negatively impacting children's and adolescents' behavioral symptoms and well-being were: less physical activity, adverse parental behavior, difficulties in coping with preventive guidelines, and school closure and remote learning consequences. Children and adolescents with ADHD and their caregivers faced both specific and general psychological issues related to the school lockdowns and homeschooling. Additionally, Individuals with ADHD seem to be more vulnerable to Covid-19 infection which highlights the need for better healthcare adaptation.

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References

Spinelli M, Lionetti F, Pastore M, Fasolo M . Parents' Stress and Children's Psychological Problems in Families Facing the COVID-19 Outbreak in Italy. Front Psychol. 2020; 11:1713. PMC: 7350926. DOI: 10.3389/fpsyg.2020.01713. View

Fegert J, Vitiello B, Plener P, Clemens V . Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: a narrative review to highlight clinical and research needs in the acute phase and the long return to normality. Child Adolesc Psychiatry Ment Health. 2020; 14:20. PMC: 7216870. DOI: 10.1186/s13034-020-00329-3. View

Saurabh K, Ranjan S . Compliance and Psychological Impact of Quarantine in Children and Adolescents due to Covid-19 Pandemic. Indian J Pediatr. 2020; 87(7):532-536. PMC: 7257353. DOI: 10.1007/s12098-020-03347-3. View

Gau S, Shang C, Liu S, Lin C, Swanson J, Liu Y . Psychometric properties of the Chinese version of the Swanson, Nolan, and Pelham, version IV scale - parent form. Int J Methods Psychiatr Res. 2008; 17(1):35-44. PMC: 6878250. DOI: 10.1002/mpr.237. View

Zhang J, Shuai L, Yu H, Wang Z, Qiu M, Lu L . Acute stress, behavioural symptoms and mood states among school-age children with attention-deficit/hyperactive disorder during the COVID-19 outbreak. Asian J Psychiatr. 2020; 51:102077. PMC: 7195413. DOI: 10.1016/j.ajp.2020.102077. View

Ahmed R, Borst J, Yong C, Aslani P . Do parents of children with attention-deficit/hyperactivity disorder (ADHD) receive adequate information about the disorder and its treatments? A qualitative investigation. Patient Prefer Adherence. 2014; 8:661-70. PMC: 4020896. DOI: 10.2147/PPA.S60164. View

Arbel Y, Fialkoff C, Kerner A, Kerner M . Can Increased Recovery Rates from Coronavirus be explained by Prevalence of ? An Analysis at the US Statewide Level. J Atten Disord. 2020; 25(14):1951-1954. PMC: 7506183. DOI: 10.1177/1087054720959707. View

Nonweiler J, Rattray F, Baulcomb J, Happe F, Absoud M . Prevalence and Associated Factors of Emotional and Behavioural Difficulties during COVID-19 Pandemic in Children with Neurodevelopmental Disorders. Children (Basel). 2020; 7(9). PMC: 7552706. DOI: 10.3390/children7090128. View

Wolraich M, Lambert W, Doffing M, Bickman L, Simmons T, Worley K . Psychometric properties of the Vanderbilt ADHD diagnostic parent rating scale in a referred population. J Pediatr Psychol. 2003; 28(8):559-67. DOI: 10.1093/jpepsy/jsg046. View

10.

Keshavarzi Z, Bajoghli H, Mohamadi M, Salmanian M, Kirov R, Gerber M . In a randomized case-control trial with 10-years olds suffering from attention deficit/hyperactivity disorder (ADHD) sleep and psychological functioning improved during a 12-week sleep-training program. World J Biol Psychiatry. 2014; 15(8):609-19. DOI: 10.3109/15622975.2014.922698. View

11.

Merzon E, Manor I, Rotem A, Schneider T, Vinker S, Golan Cohen A . ADHD as a Risk Factor for Infection With Covid-19. J Atten Disord. 2020; 25(13):1783-1790. PMC: 8427814. DOI: 10.1177/1087054720943271. View

12.

Hupp S, Reitman D, Northup J, OCallaghan P, Leblanc M . The effects of delayed rewards, tokens, and stimulant medication on sportsmanlike behavior with ADHD-diagnosed children. Behav Modif. 2002; 26(2):148-62. DOI: 10.1177/0145445502026002002. View

13.

Wang G, Zhang Y, Zhao J, Zhang J, Jiang F . Mitigate the effects of home confinement on children during the COVID-19 outbreak. Lancet. 2020; 395(10228):945-947. PMC: 7124694. DOI: 10.1016/S0140-6736(20)30547-X. View

14.

Brooks S, Webster R, Smith L, Woodland L, Wessely S, Greenberg N . The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020; 395(10227):912-920. PMC: 7158942. DOI: 10.1016/S0140-6736(20)30460-8. View

15.

Cortese S, Asherson P, Sonuga-Barke E, Banaschewski T, Brandeis D, Buitelaar J . ADHD management during the COVID-19 pandemic: guidance from the European ADHD Guidelines Group. Lancet Child Adolesc Health. 2020; 4(6):412-414. PMC: 7164889. DOI: 10.1016/S2352-4642(20)30110-3. View

16.

Bobo E, Lin L, Acquaviva E, Caci H, Franc N, Gamon L . [How do children and adolescents with Attention Deficit Hyperactivity Disorder (ADHD) experience lockdown during the COVID-19 outbreak?]. Encephale. 2020; 46(3S):S85-S92. PMC: 7276130. DOI: 10.1016/j.encep.2020.05.011. View

17.

Hoza B, Smith A, Shoulberg E, Linnea K, Dorsch T, Blazo J . A randomized trial examining the effects of aerobic physical activity on attention-deficit/hyperactivity disorder symptoms in young children. J Abnorm Child Psychol. 2014; 43(4):655-67. PMC: 4826563. DOI: 10.1007/s10802-014-9929-y. View

18.

Morelli M, Cattelino E, Baiocco R, Trumello C, Babore A, Candelori C . Parents and Children During the COVID-19 Lockdown: The Influence of Parenting Distress and Parenting Self-Efficacy on Children's Emotional Well-Being. Front Psychol. 2020; 11:584645. PMC: 7574609. DOI: 10.3389/fpsyg.2020.584645. View

19.

Ludyga S, Gerber M, Mucke M, Brand S, Weber P, Brotzmann M . The Acute Effects of Aerobic Exercise on Cognitive Flexibility and Task-Related Heart Rate Variability in Children With ADHD and Healthy Controls. J Atten Disord. 2018; 24(5):693-703. DOI: 10.1177/1087054718757647. View

20.

Shinn A, Viron M . Perspectives on the COVID-19 Pandemic and Individuals With Serious Mental Illness. J Clin Psychiatry. 2020; 81(3). DOI: 10.4088/JCP.20com13412. View