Emotional and Behavioral Problems of Children with ASD—The Lessons That We Learned from the Pandemic
Abstract
:1. Introduction
2. Services for Children with Developmental Disorders during the COVID-19 Pandemic in Bulgaria
3. Material and Methods
3.1. Study Design
3.2. Instruments
- Childhood Autism Spectrum Test (CAST) [34,35]. The questionnaire contains 39 yes/no questions for parents. CAST is a parent questionnaire that looks for signs of autism in the child, such as difficulties in social communication. The questionnaire is used to estimate the severity of symptoms exhibited by children on the spectrum. It has been demonstrated to be an effective screening tool for autism spectrum disorders (ASD) and social communication issues. In this study, we used the Bulgarian version of the questionnaire [36]. It was administered to both typically developing children and children with ASD in February 2020. The questionnaire can be administered to children with typical development to determine whether the scores correspond to no risk, present risk, or high probability of ASD symptoms. Further diagnostics are necessary if the results indicate a risk.
- Child Behavior Checklist (CBCL) [37,38,39], a questionnaire for parents, is a part of the Achenbach System of Empirically Based Assessment (ASEBA). ASEBA screens children, adolescents and adults for behavioral and emotional issues [40,41]. The CBCL was administered to both study groups in February 2020 and in June 2020, after the first lockdown, to children with ASD only.
- A survey designed to examine the influences of the COVID-19 pandemic on children’s lifestyle and development was administered to parents of children with ASD and parents of typically developing children in June 2020, after the first COVID-19 lockdown. The survey was compiled by the authors and included questions related to changes in the child’s behavior during the lockdown, educational issues, everyday life, mental well-being, as well as questions related to the parents’ own anxiety. The questions were open ones, i.e., parents were given the opportunity to share more information related to the children and their respective behavior during the lockdown. The answers of the parents were of particular interest to the research team because this was a unique situation for both children with developmental difficulties and typical development. The answers reflected the opportunity parents had to spend more time with their children at home, hence observing them better and interacting considerably more with them.
3.3. Participants
4. Results
4.1. Administration of Childhood Autism Spectrum Test and CBCL Questionnaire in Both Children with ASD and Typically Developing Children
4.2. Comparison of the Results of Children with ASD of the CBCL Questionnaire before and after the First COVID-19 Lockdown
4.3. Results of a Parent Survey for the Consequences of the First COVID-19 Lockdown in June 2020
- -
- Question 1: “Do you observe a decline in the social skills of the child as a result of the isolation during the COVID-19 lockdown, ability to communicate with adults and peers, or be part of a group and communicate successfully with other children?”
- -
- Question 2: “Do you think that the language skills of the child declined as a result of the isolation during the COVID-19 lockdown—the ability to use words, apply grammatical rules, etc.?”
- -
- Question 3: “Do you observe, as a result of the isolation during the COVID-19 period, an increase in the anxiety levels of the child?”
- -
- Question 4: “Did the child become more irritable during the isolation period during the COVID-19 pandemic?”
- -
- Question 5: “Did your own anxiety levels increase during the isolation period?”
5. Discussion
6. Limitations of the Study
7. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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CBCL | ASD Children before the 1st Lockdown | ASD Children after the 1st Lockdown | Kruskal-Wallis Test |
---|---|---|---|
Emotionally Reactive | p > 0.05 | ||
Mean | 6.43 | 6.28 | |
St. dev. | 3.20 | 3.24 | |
Anxious/Depressed | p > 0.05 | ||
Mean | 5.86 | 5.38 | |
St. dev. | 2.76 | 2.84 | |
Somatic Complaints | p > 0.05 | ||
Mean | 3.14 | 2.90 | |
St. dev. | 2.41 | 2.45 | |
Withdrawn | p > 0.05 | ||
Mean | 5.81 | 5.57 | |
St. dev. | 2.77 | 2.68 |
CBCL | ASD Children before the 1st Lockdown | ASD Children after the 1st Lockdown | Kruskal-Wallis Test |
---|---|---|---|
Attention Problems | p < 0.05 | ||
Mean | 6.14 | 4.71 | |
St. dev. | 2.10 | 1.55 | |
Aggressive Behavior | p > 0.05 | ||
Mean | 14.08 | 13.14 | |
St. dev. | 7.78 | 7.73 |
CBCL | ASD Children before the 1st Lockdown | ASD Children after the 1st Lockdown | Kruskal-Wallis Test |
---|---|---|---|
Other Problems | p > 0.05 | ||
Mean | 20.14 | 19.28 | |
St. dev. | 8.89 | 8.80 |
CBCL | ASD Children before the 1st Lockdown | ASD Children after the 1st Lockdown | Kruskal-Wallis Test |
---|---|---|---|
Depressive Problems | p > 0.05 | ||
Mean | 2.62 | 2.19 | |
St. dev. | 2.15 | 2.13 | |
Anxiety Problems | p > 0.05 | ||
Mean | 4.90 | 4.62 | |
St. dev. | 2.37 | 2.32 | |
Autism Spectrum Problems | p > 0.05 | ||
Mean | 11.48 | 11.00 | |
St. dev. | 4.94 | 4.76 | |
Attention Deficit/Hyperactivity Problems | p < 0.05 | ||
Mean | 10.52 | 8.57 | |
St. dev. | 3.51 | 3.06 | |
Oppositional Defiant Problems | p > 0.05 | ||
Mean | 5.67 | 5.09 | |
St. dev. | 2.96 | 2.94 |
CBCL | ASD Children before the 1st Lockdown | ASD Children after the 1st Lockdown | Kruskal-Wallis Test |
---|---|---|---|
Internalizing | p > 0.05 | ||
Mean | 21.24 | 20.14 | |
St. dev. | 8.36 | 8.71 | |
Externalizing | p > 0.05 | ||
Mean | 20.24 | 17.86 | |
St. dev. | 9.39 | 8.86 | |
Total Problems | p > 0.05 | ||
Mean | 61.62 | 57.28 | |
St. dev. | 25.14 | 8.86 |
Positive Comments | Negative Comments |
---|---|
“The child did well with the tasks”. | “We are together all the time; I consider it negative”. |
“I would not say there were negative consequences; for us, the result was positive—it gave us the opportunity to work together, to take the Pampers off, and the child learnt to eat by himself. We only missed the sessions with the speech pathologist”. | “He always needs an electronic device to stay still”. |
“My child was happy because she was not attending kindergarten. We progressed a lot, physically and emotionally; she worked and developed. It was a wonderful period for us!” | “He became naughtier and gained weight”. |
“There were no consequences for us”. | “We observed increased anxiety levels and lack of physical activity”. |
“She learned how to report her physiological needs (she wears Pampers). She repeats two to three words now in a sequence and imitates”. | “Overuse of tablet”. |
“Working from home gave me more opportunities to share time with my child”. | “Anxiety, nervousness, and lack of physical activity”. |
“My child has progressed a lot. I consider it a result of closer contact with the family, although he is not willing to sit and work. We talk all the time now and we try in a playful context to learn”. |
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Stankova, M.; Kamenski, T.; Ivanov, I.; Mihova, P. Emotional and Behavioral Problems of Children with ASD—The Lessons That We Learned from the Pandemic. Children 2023, 10, 969. https://doi.org/10.3390/children10060969
Stankova M, Kamenski T, Ivanov I, Mihova P. Emotional and Behavioral Problems of Children with ASD—The Lessons That We Learned from the Pandemic. Children. 2023; 10(6):969. https://doi.org/10.3390/children10060969
Chicago/Turabian StyleStankova, Margarita, Tsveta Kamenski, Ivan Ivanov, and Polina Mihova. 2023. "Emotional and Behavioral Problems of Children with ASD—The Lessons That We Learned from the Pandemic" Children 10, no. 6: 969. https://doi.org/10.3390/children10060969
APA StyleStankova, M., Kamenski, T., Ivanov, I., & Mihova, P. (2023). Emotional and Behavioral Problems of Children with ASD—The Lessons That We Learned from the Pandemic. Children, 10(6), 969. https://doi.org/10.3390/children10060969