ESPN 53rd Annual Meeting

ESPN 2021

Is COVID-19 Related Anxiety Higher in Children With Chronic Kidney Disease Than Healthy Children?
Gökçen Erfidan 1 Gonca Özyurt 2 Seçil Arslansoyu Çamlar 3 Özgür Özdemir Şimşek 1 Cemaliye Başaran 1 Demet Alaygut 1 Fatma Mutlubaş 3 Belde Kasap Demir 4

1- University of Health Sciences, Tepecik Training and Research Hospital, Department of Pediatrics, Division of Nephrology, Izmir, Turkey
2- İzmir Katip Celebi University, Faculty of Medicine, Department of Child and Adolescent Psychiatry, İzmir, Turkey
3- University of Health Sciences, Izmir Faculty of Medicine, Department of Pediatrics, Division of Nephrology, Izmir, Turkey
4- İzmir Katip Celebi University, Faculty of Medicine, Department of Pediatrics, Division of Nephrology and Rheumatology, Izmir, Turkey

Since the emergence and worldwide spread of the new Coronavirus pandemic (COVID-19), many factors such as the high rate of spread, unpredictability and uncertainty of the prognosis, physical and social restrictions due to the measures taken, have caused people to be psychologically adversely affected in our country as well as in the world. This study aimed to assess anxiety levels during COVID‐19 in children with chronic kidney disease (CKD), including nephrotic syndrome (NS) and kidney transplantation (Tx). 

Material and methods:

A case-control, cross-sectional study was conducted with children aged of 10 to 18 years, who had been followed with diagnosis of CKD, NS, Tx in Izmir Tepecik Training and Research Hospital, Turkey, between April and July 2020. Healthy control group was recruited age and gender-matched children. A questionnaire with printed and online version is designed in three parts: demographic characteristics, opinions about the pandemic, Turkish version of The Revised Child Anxiety and Depression Scale- Child Version (RCADS-CV). 



 Total of 88 children completed the questionnaire. The patient and control groups were similar by gender, age, household members and history of psychiatric treatment. Both groups stated that coronavirus is a risky disease for children (63.6%), they were afraid of contagion (69.3%). Only half of them were receiving realistic and informative answers from family members. In RCADS-CV, 66% of them get high score from at least one subscale. Social Phobia (SP) scores of the control group was higher, although the high-scoring ratios were similar. The ratio of high-scored participants was higher in CKD patients for Panic Disorder, and was lower in immunosuppressive agent group for SP. 


 The current COVID-19 pandemic is a disaster that children encounter for the first time in their lives. It does not exclusively cause anxiety among children with chronic kidney diseases, but also healthy children.