Impacto del confinamiento por la pandemia por COVID-19 en ansiedad, depresión y estrés en niños y adolescentes de México.

Background: COVID-19 has been perceived around the world as a major health threat, affecting people's lives by influencing everyday behavior and causing feelings of anxiety, depression and often triggering intense fear. Objective: To know the impact of confinement due to the COVID 19 pandemic on anxiety, depression and stress in children and adolescents in Mexico. Methods: An observational, analytical, cross-sectional, prospective study was carried out in the pediatric population aged 6 to 15 years 11 months, of both sexes, attending the High Specialty Medical Unit Number 48, Gynecology-pediatrics Hospital in the period from May 2020 to May 2021, prior to vaccination against COVID-19 and with the application of the Anxiety, Depression and Stress Scale (DASS 21), Youth Version (DASS-Y) questionnaire. Results: 380 children from 6 to 15 years 11 months were analyzed, with a median age of 13 years, 208 (54,74%) women and 172 (45,26%) men. According to the DASS-Y questionnaire, depression present in 71 subjects (18,69%), anxiety in 47 (12,37%) and stress in 45 (11,87%). Respiratory symptoms in the last 14 days were a factor associated with anxiety [OR, 2,57 (95% CI, 1,38 - 4,78), p 0,002] and depression [OR, 1,90 (95% CI), 1,12 -3,23), p 0,01]. A non-nuclear type of family was a risk factor for depression [OR, 1,69 (95% CI, 1,00 - 2,88), p 0,03]. Stress and anxiety were predictors of depression (Intercept -0,70, SE 0,12, R2 = 0,37, p <0,0001). Conclusions: This study showed the significant impact of confinement on the mental health status of children and adolescents who came for consultation during the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]