Impact of pediatric COVID-19 isolation on children’s well-being and caregiver mental health

Abstract Background The Korean government implemented mandatory hospital isolation in the early phase of the COVID-19 pandemic. This study investigated the mental health of children and caregivers who underwent mandatory hospital isolation due to COVID-19. Methods This prospective study examined the...

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Main Authors: Song I. Yang, Chi-Hyun Choi, Eun Joo Lee, Sun Hee Jee, Mi Seon Han
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Pediatrics
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Online Access:https://doi.org/10.1186/s12887-025-05399-w
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author Song I. Yang
Chi-Hyun Choi
Eun Joo Lee
Sun Hee Jee
Mi Seon Han
author_facet Song I. Yang
Chi-Hyun Choi
Eun Joo Lee
Sun Hee Jee
Mi Seon Han
author_sort Song I. Yang
collection DOAJ
description Abstract Background The Korean government implemented mandatory hospital isolation in the early phase of the COVID-19 pandemic. This study investigated the mental health of children and caregivers who underwent mandatory hospital isolation due to COVID-19. Methods This prospective study examined the physical condition and mental health of children under 7 years of age with COVID-19 and the mental health of their caregivers who underwent isolation in negative pressure rooms at two hospitals in Korea from April to September 2021. Caregivers received a self-report questionnaire via text message. Their responses were analyzed to compare the physical condition and mental health of children with COVID-19 and the mental health of their caregivers during and after isolation and identify factors influencing caregivers’ mental health. Results Sixty caregivers participated in the study. More than half of the caregivers perceived their children’s disease severity as mild. During hospital isolation, 36.4% of the children experienced decreased oral intake, which improved significantly post-isolation (8.7%, P = 0.014). During isolation, approximately 22.2% of the children frequently awoke from sleep, 20.0% displayed irritability, and 70.8% had symptoms of depression. Approximately 36.7% of caregivers showed at least moderate levels of depression during isolation, which significantly decreased to 14.3% three months after discharge (P = 0.032). Factors associated with caregivers’ mental health included child-related issues, such as difficulty concentrating, frequent awakenings, and irritability. Conclusion Mandatory hospital isolation has a significantly negative psychological impact on children and caregivers during pandemics. Isolation decisions must be carefully considered during pandemics, especially those concerning young children. Heightened vigilance is warranted for the early detection and intervention of mental health issues in children and their caregivers.
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spelling doaj-art-9c77f58f394c4174963e1e5003e79a962025-01-19T12:38:50ZengBMCBMC Pediatrics1471-24312025-01-0125111110.1186/s12887-025-05399-wImpact of pediatric COVID-19 isolation on children’s well-being and caregiver mental healthSong I. Yang0Chi-Hyun Choi1Eun Joo Lee2Sun Hee Jee3Mi Seon Han4Department of Pediatrics, National Police HospitalDepartment of Psychiatry, Seoul Metropolitan Government-Seoul National University Boramae Medical CenterDepartment of Pediatrics, Seongnam Citizens Medical CenterDepartment of General Surgery, Seongnam Citizens Medical CenterDepartment of Pediatrics, Seoul Metropolitan Government-Seoul National University Boramae Medical CenterAbstract Background The Korean government implemented mandatory hospital isolation in the early phase of the COVID-19 pandemic. This study investigated the mental health of children and caregivers who underwent mandatory hospital isolation due to COVID-19. Methods This prospective study examined the physical condition and mental health of children under 7 years of age with COVID-19 and the mental health of their caregivers who underwent isolation in negative pressure rooms at two hospitals in Korea from April to September 2021. Caregivers received a self-report questionnaire via text message. Their responses were analyzed to compare the physical condition and mental health of children with COVID-19 and the mental health of their caregivers during and after isolation and identify factors influencing caregivers’ mental health. Results Sixty caregivers participated in the study. More than half of the caregivers perceived their children’s disease severity as mild. During hospital isolation, 36.4% of the children experienced decreased oral intake, which improved significantly post-isolation (8.7%, P = 0.014). During isolation, approximately 22.2% of the children frequently awoke from sleep, 20.0% displayed irritability, and 70.8% had symptoms of depression. Approximately 36.7% of caregivers showed at least moderate levels of depression during isolation, which significantly decreased to 14.3% three months after discharge (P = 0.032). Factors associated with caregivers’ mental health included child-related issues, such as difficulty concentrating, frequent awakenings, and irritability. Conclusion Mandatory hospital isolation has a significantly negative psychological impact on children and caregivers during pandemics. Isolation decisions must be carefully considered during pandemics, especially those concerning young children. Heightened vigilance is warranted for the early detection and intervention of mental health issues in children and their caregivers.https://doi.org/10.1186/s12887-025-05399-wHospital isolationCOVID-19Mental healthChildrenCaregivers
spellingShingle Song I. Yang
Chi-Hyun Choi
Eun Joo Lee
Sun Hee Jee
Mi Seon Han
Impact of pediatric COVID-19 isolation on children’s well-being and caregiver mental health
BMC Pediatrics
Hospital isolation
COVID-19
Mental health
Children
Caregivers
title Impact of pediatric COVID-19 isolation on children’s well-being and caregiver mental health
title_full Impact of pediatric COVID-19 isolation on children’s well-being and caregiver mental health
title_fullStr Impact of pediatric COVID-19 isolation on children’s well-being and caregiver mental health
title_full_unstemmed Impact of pediatric COVID-19 isolation on children’s well-being and caregiver mental health
title_short Impact of pediatric COVID-19 isolation on children’s well-being and caregiver mental health
title_sort impact of pediatric covid 19 isolation on children s well being and caregiver mental health
topic Hospital isolation
COVID-19
Mental health
Children
Caregivers
url https://doi.org/10.1186/s12887-025-05399-w
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