ArticleItalian journal of pediatrics2021
Sleep disorders reveal distress among children and adolescents during the Covid-19 first wave: results of a large web-based Italian survey.
Article in Italian journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Emotions in Times of Pandemic Crisis among Italian Children: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- An observatory on changes in dreaming during a pandemic: a living systematic review (part 1).Journal of sleep research · 2023Pooled it
- Impact of COVID-19 pandemic lockdown on movement behaviours of children and adolescents: a systematic review.BMJ global health · 2022Pooled it
- The Impact of COVID-19 on the Mental Health and Wellbeing of Children with Special Education Needs and Disabilities: A Systematic Review.Review journal of autism and developmental disorders · 2026Review
- Longitudinal associations between the COVID-19 pandemic and sleep characteristics in children and parents.Frontiers in public health · 2025Article
- Differences in eating habits, physical activity, and sleep patterns among high school students and their parents before and during COVID-19 pandemic.Frontiers in public health · 2024Article
- Family functioning and quality of life among children with nephrotic syndrome during the first pandemic wave.Pediatric nephrology (Berlin, Germany) · 2023Article
- Mental Health among Italian Children and Adolescents during and after the SARS-CoV-2 Pandemic: A Professionals' Focus Group Study.Journal of clinical medicine · 2023Article
- Impact of the COVID-19 Lockdown on Children's Psychosocial Well-Being: A Cross-Sectional Study in Saudi Arabia.Cureus · 2023Article
- The impact of COVID-19 on sleep for autistic children: A systematic review.Research in autism spectrum disorders · 2023Review
- Trends in pediatric nonprescription analgesic/antipyretic exposures during the COVID-19 pandemic.Clinical toxicology (Philadelphia, Pa.) · 2023Article
- Loneliness and Well-Being in Children and Adolescents during the COVID-19 Pandemic: A Systematic Review.Children (Basel, Switzerland) · 2023Review
- Assessment of the COVID-19 Pandemic Associated Sleep Abnormalities in Children: Authors' Reply.Journal of child neurology · 2022Article
- UK parents' help-seeking for child sleep: A qualitative investigation into parental preferences and reservations about resources.Health & social care in the community · 2022Article
- The year 2021 in COVID-19 pandemic in children.Italian journal of pediatrics · 2022Review
- Social Determinants of Health and Distance Learning in Italy in the Era of the SARS-CoV-2 Pandemic.International journal of environmental research and public health · 2022Article
- Sleep of infants and toddlers during 12 months of the COVID-19 pandemic in the midwestern United States.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022Article
- Quality of Life and Mental Health in Children and Adolescents after the First Year of the COVID-19 Pandemic: A Large Population-Based Survey in South Tyrol, Italy.International journal of environmental research and public health · 2022Article
- Central precocious puberty during COVID-19 pandemic and sleep disturbance: an exploratory study.Italian journal of pediatrics · 2022Article
- Psychosocial and Behavioral Effects of the COVID-19 Pandemic on Children and Adolescents with Autism and Their Families: Overview of the Literature and Initial Data from a Multinational Online Survey.Healthcare (Basel, Switzerland) · 2022Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMeasures to contain the Covid-19 pandemic led to significant lifestyle changes for children and adolescents mainly related to the closure of schools and recreational activities, reduced social interaction, and increased family concerns.
methodsA cross-sectional online survey of 78 questions investigating social determinants of health, mood changes, symptoms of anxiety, increase in sleep disorders and unusual repetitive movements was offered to parents living in Italy with children ≤18 years; including families of children with disabilities, autism spectrum disorders, chronic diseases, and specific learning disabilities. The survey was conducted on the Qualtrics platform 6 months after the beginning of the pandemic and distributed in hospitals and paediatricians' waiting rooms as well as through social networks. The primary outcomes were the increase in sleep disorders among children and adolescents. Possible risk factors were investigated through multivariable regression.
resultsSix thousand two hundred ten volunteer parents responded to the questions concerning mood changes, sleep disorders and unusual repetitive movements, and were included in the present study. The majority were female (91.8%) and Italian (97.0%). 72.7% answered that their children had become more nervous, worried, or sad (80.2% in children with learning disabilities); 77.6% reported feelings of loneliness and 69.3% more difficulties in children falling asleep, 30.2% in staying asleep, and 18.7% an increase in nightmares and/or sleep terrors. Statistical analysis identified socioeconomic status, parent's job loss, food insecurity, family attitude toward the pandemic, and children's mood swing, feelings of loneliness, or missing outdoor activities, as major risk factors for sleep disorders.
conclusionThe first Covid-19 lockdown impacted children's and adolescents' health through an increase in sleep disorders. In the following phases of the pandemic, this evidence may be useful to investigate and treat these disorders as well as make decisions about containment health policies concerning this age group.
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