A recent study from the Kennedy Krieger Institute highlights a troubling trend: nearly 40% of children with long COVID are experiencing anxiety or depression, with many facing these challenges for the first time. Researchers evaluated 139 pediatric patients at the institute’s Pediatric Post-COVID-19 Rehabilitation Clinic, utilizing validated mental health screening tools to assess their emotional well-being.
Key findings reveal that 25% of the children reported new anxiety symptoms, while 14% exhibited new depressive symptoms, even though they had no prior mental health issues. These children described their quality of life as similar to that of peers suffering from serious conditions such as cancer or cystic fibrosis. Many expressed feelings of ineffectiveness and a loss of confidence, significantly impacting their daily lives.
Dr. Laura Malone, director of the clinic and co-investigator of the study, noted that half of the children showing these symptoms had no previous mental health diagnoses. She emphasized the complexity of long COVID, stating, “We’re seeing children and teens who were doing well before their COVID infection now struggling to attend school, socialize, or even enjoy basic activities.”
The study’s results underscore the pressing need for integrated mental health screenings and early interventions for children affected by long COVID. With more than one-third of participants reporting elevated anxiety or depression symptoms—characterized by worry, sleep disturbances, and irritability—the findings call for healthcare providers to implement routine mental health assessments in pediatric long COVID care.
The strongest predictor of poor quality of life among these children was a sense of ineffectiveness, which refers to feelings of being unable to succeed or enjoy activities. Dr. Malone remarked, “These children are losing confidence in themselves and their ability to participate in daily life. That loss of function can be just as devastating as the physical symptoms. It is important to identify and treat both to improve quality of life for children with long COVID.”
While earlier studies suggested a mental health impact from long COVID, this research is notable for using standardized measures to assess mental health in a pediatric population. It also indicates that traditional screening tools might overlook the full scope of mental health challenges, as physical symptoms of long COVID—such as fatigue and dizziness—can mimic anxiety or depression.
Healthcare professionals at Kennedy Krieger urge the adoption of regular mental health screenings in long COVID treatment protocols. Early identification and intervention can facilitate faster access to appropriate support, ultimately aiding in the recovery process for these children.
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