Psychological aid for children infected with COVID-19 in “red zone” in the context of illness of close adults

Relevance. The article defines the first-ever directions of psychological aid for children infected with COVID-19 in “red zone” in the context of illness of close adult people. 

The goal of the research is psychological state of children infected with COVID-19 in “red zone” in the context of illness of close adults and determination of the required psychological aid. 

Methods and sample. Analysis of 36 clinical cases of 7–17 years old children in the context of illness of close adults, who were in critical condition in intensive care department (first group – 28 children) or in satisfactory condition being treated at home (second group – 8 children). The research included the following: observation of medical records; screening diagnostics, which included the ‘Three Wishes” technique, an adapted method of “Unfinished sentences” (for adolescents), a drawing (any topic); 10-questions questionnaire focused on child's physical well-being, its wishes for organization of everyday life and leisure activities in hospital ward, etc. 

Results.The majority of patients appeared to be in unfavorable psychological state (close to acute stress or unstable state), which manifested itself in three different ways: severe anxiety; over-excitement, impaired mood. These symptoms were constant and illustrative for children whose relatives were in critical condition in the intensive care department. Children, whose relatives were in satisfactory condition and were treated at home were observed during periods when they were influenced by additional stressors. 

Conclusions. Taking into account psychological differences and other factors (such as age, level of psychological maturity, severity of physical condition) provides an opportunity to give children and adolescents in “red zone” differentiated psychological aid. 

Acknowledgments. This research was carried out with the aid of officers of FSAI “NMRC of Children’s Health” of the Ministry of Health of the Russian Federation and medical psychologists M.S. Afonina, M.B. Rabinovich, V.M. Sklyadneva, M.S. Erotievich, and N.N. Pavlova.

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