Abstract
COVID-19-Associated Worry and Emotional Distress in Children with CKD: SA-PO676
Journal of the American Society of Nephrology, Vol.35(10S)
10/2024
DOI: 10.1681/ASN.2024de3qk899
Abstract
Background:
The COVID-19 (C19) pandemic impacted youth mental/behavioral health, with 26% reporting significant emotional distress. Little is known about the emotional impact of C19 for youth with chronic kidney disease (CKD). We examined rates of C19 associated worry and emotional distress in youth with CKD and associations with socioeconomic and disease-related variables.
Methods:
Caregivers completed the C19 questionnaire adapted from the Women’s Interagency HIV Study and Multicenter AIDS Cohort Study. Covariate data was collected at or prior to C19 questionnaire. Analyses examined rates of C19 emotional distress and worry and included logistic regression to identify associations with covariates.
Results:
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-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 emotional distress and worry, respectively (see Figure 1). Having eGFR <30 pre-KRT was associated with endorsement of emotional distress (OR 3.34; p= 0.046). Low household income was associated with endorsement of C19 worry (OR 5.43; p=0.01).
Conclusion:
Youth with CKD endorsed C19 associated emotional distress and worry at rates lower than what has been observed nationally. Being pre-KRT with eGFR <30 was associated with increased C19 emotional distress, and low household income was significantly associated with C19 worry. This study did not assess social-emotional health broadly among youth with CKD but suggests those with poorer kidney function and lower income were more likely to endorse distress and worry related to C19.
Details
- Title: Subtitle
- COVID-19-Associated Worry and Emotional Distress in Children with CKD: SA-PO676
- Creators
- Joann M. Carlson - Rutgers, The State University of New JerseyErin Marie Jones - Emory UniversityMatthew Matheson - Johns Hopkins UniversitySharon L. Manne - Rutgers, The State University of New JerseyCynthia Wong - Stanford UniversityCamille Wilson - Nationwide Children's HospitalAmy Kogon - Children's Hospital of PhiladelphiaJudith Jerry-Fluker - Johns Hopkins UniversityMarc Lande - University of RochesterLyndsay Harshman - University of IowaSusan L. Furth - Children's Hospital of PhiladelphiaBradley A. Warady - Children's Mercy HospitalStephen R. Hooper - University of North Carolina at Chapel HillRebecca J. Johnson - Children's Mercy Hospital
- Resource Type
- Abstract
- Publication Details
- Journal of the American Society of Nephrology, Vol.35(10S)
- Publisher
- AMER SOC NEPHROLOGY
- DOI
- 10.1681/ASN.2024de3qk899
- ISSN
- 1046-6673
- eISSN
- 1533-3450
- Grant note
- NIDDK
NIDDK Support
- Language
- English
- Date published
- 10/2024
- Academic Unit
- Iowa Neuroscience Institute; Stead Family Department of Pediatrics; Radiation Oncology; Nephrology, Dialysis and Transplantation
- Record Identifier
- 9984740957402771
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