Abstract

The COVID-19 pandemic has presented many challenges to caregivers of children. Families with children with attention-deficit/hyperactivity disorder (ADHD) and/or autism spectrum disorder (ASD) are an understudied but potentially vulnerable population to changes during the outbreak. As such, the aim of this study was to contrast quality of life for caregivers of children with ADHD and/or ASD, before and during the pandemic, compared to caregivers of neurotypical (NT) children. Total, Parent Health-Related Quality of Life, and Family Functioning Summary Scores from the Family Impact Module of the Pediatric Quality of Life InventoryTM were contrasted among caregivers of children with ADHD, ASD, comorbid ADHD and ASD, and NT development. For all scores, caregivers of ADHD and/or ASD children reported lower quality of life, both before and during the pandemic, in comparison to caregivers of NT children. For all diagnoses, quality of life decreased during the pandemic, but caregivers of children with ADHD and/or ASD reported a greater decrease in quality of life than caregivers for NT children. There are limitations to this study in terms of the composition of the sample and the survey methodology, but we are able to conclude that caregivers of children with ADHD and/or ASD have been disproportionately affected by the pandemic, and it is imperative that these families receive additional resources and support to improve their quality of life.

Highlights

  • The COVID-19 pandemic has resulted in numerous adjustments to daily life for children and their caregivers, including stay-at-home orders, remote learning due to school closures, and new social distancing recommendations

  • The goal of the present study was to determine the impact of the COVID-19 pandemic on the quality of life for caregivers of children diagnosed with attention-deficit/hyperactivity disorder (ADHD) and/or autism spectrum disorder (ASD) in comparison to NT children using a reliable and validated questionnaire

  • Caregivers of NT children had higher scores for all measures compared to caregivers for children afflicted with ADHD and/or ASD before the COVID-19 pandemic

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Summary

Introduction

The COVID-19 pandemic has resulted in numerous adjustments to daily life for children and their caregivers, including stay-at-home orders, remote learning due to school closures, and new social distancing recommendations. These measures are in place to assist from a public health perspective, they pose new risks and burdens for children and their caregivers. 14% of surveyed parents reported worse physical and behavioral health for their children in June 2020 than in March 2020 [3] These COVID-19-related adjustments have negatively impacted the well-being of the parents and caregivers of these children [4]

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