Document Type

Article

Publication Date

2025

Identifier

DOI: 10.52768/annpediatr/1152; PMCID: PMC12525824

Abstract

OBJECTIVE: The COVID-19 (C19) pandemic impacted youth mental/behavioral health with a 25% increase in prevalence of anxiety and depression worldwide. Little is known about the emotional impact of C19 for children with Chronic Kidney Disease (CKD). The purpose of the current study is to describe C19-related distress and worry among youth with CKD.

METHODS: C19 questionnaire adapted from the SARS-CoV-19 worry scale was completed for participants. Covariate data were collected at or prior to C19 questionnaire administration.Analyses examined rates of C19 emotional distress and worry and included logistic regression to identify associations with socioeconomic and disease-related covariates.

RESULTS: The sample included 320 participants from the Chronic Kidney Disease in Children Study: 63% male, 18% African American, 10% Hispanic, median age 16 years, median estimated GFR 52 ml/min/1.73m2 among pre-End Stage Kidney Disease (ESKD) participants and median urine P:C 0.27. 27% were post-kidney replacement, 29% had household income < $36,000 and 29% had maternal education of high school or less. 19% and 17% endorsed C19-related emotional distress and worry, respectively. Having eGFR < 30 pre-ESKD was associated with endorsement of emotional distress (OR 3.34; p=0.046). Low household income was associated with endorsement of C19-related worry (OR 5.43; p=0.01).

CONCLUSION: 15-19% of youth and young adults with CKD endorsed elevated rates of C19-associated emotional distress and worry. Findings suggest that children with poorer kidney function and lower income were more likely to endorse distress and worry related to C19.

Journal Title

Ann Pediatr

Volume

8

Issue

1

PubMed ID

41103540

Keywords

Chronic kidney disease COVID-19; Pandemic emotional distress worry

Comments

This Article is distributed under the terms of Creative Commons Attribution 4.0 International License

Publisher's Link: https://meddocsonline.org/annals-of-pediatrics/covid-19-associated-worry-and-emotional-distress-in-youth-and-young-adults-with-chronic-kidney-disease.html

Download

Share

COinS