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Gawlik KS, Melnyk BM, Tan A. Burnout and Mental Health in Working Parents: Risk Factors and Practice Implications. J Pediatr Health Care 2025; 39:41-50. [PMID: 39297832 DOI: 10.1016/j.pedhc.2024.07.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2024] [Revised: 07/05/2024] [Accepted: 07/16/2024] [Indexed: 12/16/2024]
Abstract
INTRODUCTION Burnout and mental health disorders in parents can have significant implications for families. Little is known about these conditions in working parents. The purpose of this study was to identify the prevalence and mental health risk factors for working parent burnout. METHOD De-identified data were collected on a convenience sample of 1285 working parents through an online survey. RESULTS Sixty-five percent of working parents reported burnout. Depression, anxiety, attention deficient hyperactivity disorder, abuse, or history of a mental health disorder in the parent were significantly correlated with parental burnout. Anxiety, attention deficient hyperactivity disorder, presence of a mental health disorder in the child, or if parents thought their child might have a mental health disorder were significantly correlated with parent burnout. Parental burnout was significantly associated with greater risk of child maltreatment. DISCUSSION This study provides insight into the prevalence and mental health risk factors for parental burnout specific to the working parent.
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Wang Z, Bai X. Recharging exhausted parents: How and when involvement in children's education increases working parents' flourishing at home and engagement at work. Psych J 2024; 13:780-795. [PMID: 38627217 PMCID: PMC11444731 DOI: 10.1002/pchj.753] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Accepted: 03/01/2024] [Indexed: 10/03/2024]
Abstract
Parental involvement in children's education is highly valued and encouraged in many societies. While existing research has mainly focused on the positive effects parental involvement has for children, we argue that engaging in such quality parent-child interactions can also be a resource-gaining process for parents. Drawing on the conservation of resources theory and the work-home resources model, the current study aims to investigate how and when working parents' involvement in children's education enhances their well-being at home and engagement at work. Using a two-wave survey of 206 full-time employees with at least one school-aged child, our results indicate that for parents experiencing higher levels of parental burnout, involvement in their children's education enhances their flourishing experience at home and subsequently improves work engagement and creative process engagement at work. Overall, our study contributes to the well-being and work-family interface literature by highlighting the positive effect of parental involvement, an underexplored construct, on working parents' well-being both at home and in the workplace. This study also provides practical implications for burned-out working parents that they can benefit from involving themselves in their children's education to cope with and thrive from family demands.
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Affiliation(s)
- Zhuojun Wang
- CAS Key Laboratory of Behavioral ScienceInstitute of Psychology, Chinese Academy of SciencesBeijingChina
- Department of PsychologyUniversity of Chinese Academy of SciencesBeijingChina
| | - Xinwen Bai
- CAS Key Laboratory of Behavioral ScienceInstitute of Psychology, Chinese Academy of SciencesBeijingChina
- Department of PsychologyUniversity of Chinese Academy of SciencesBeijingChina
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Benhayoun A, Olsavsky A, Akard TF, Gerhardt C, Skeens MA. Predictors of loneliness among middle childhood and adolescence during the COVID-19 pandemic. PLoS One 2024; 19:e0308091. [PMID: 39146346 PMCID: PMC11326567 DOI: 10.1371/journal.pone.0308091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2024] [Accepted: 07/17/2024] [Indexed: 08/17/2024] Open
Abstract
Social contexts (e.g., family, friends) are important in predicting and preventing loneliness in middle childhood (MC) and adolescence; however, these social contexts were disrupted during the COVID-19 pandemic. Comparison of social context factors that may differentially contribute to loneliness at each developmental stage (MC vs. adolescence) during the COVID-19 pandemic have been overlooked. This study examined longitudinal predictors of loneliness, including social contexts and COVID-19 impact, within MC (8-12y) and adolescence (13-17y). Parents reported on demographic information, and their children completed surveys on COVID-19 impact, loneliness, and family functioning using the COVID-19 Exposure and Family Impact Survey (CEFIS), the NIH Toolbox Loneliness (Ages 8-17) measure, and the PROMIS Family Relationships Short Form 4a measure, respectively. Regression models examined time one (T1; May-June 2020) predictors of time two (T2; November 2020-January 2021) MC child (n=92, Mage=10.03) and adolescent (n=56, Mage=14.66) loneliness. For the MC child model, significant predictors of higher loneliness included worse family functioning as well as higher COVID-19 impact and lower family income. On the other hand, higher adolescent loneliness was significantly predicted by not having married/partnered parents and was marginally significantly predicted by higher COVID-19 impact. The regression model with the full sample and interaction terms revealed no significant interactions, but that lower family functioning and higher COVID-19 impact were significant predictors of higher loneliness. Lower family income and lower in-person communication were marginally significant predictors of higher loneliness in the combined interaction model. Lastly, further exploratory mediation analyses displayed that family functioning significantly mediated the relationship between COVID-19 impact and T2 loneliness only for MC children and the full sample. Results support future interventions focused on optimizing family functioning to help mitigate MC loneliness in the context of adversity, such as a global pandemic.
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Affiliation(s)
- Ashley Benhayoun
- Center for Biobehavioral Health, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, United States of America
| | - Anna Olsavsky
- Center for Biobehavioral Health, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, United States of America
| | - Terrah Foster Akard
- Vanderbilt School of Nursing, Vanderbilt University, South Nashville, TN, United States of America
| | - Cynthia Gerhardt
- Center for Biobehavioral Health, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, United States of America
- The Ohio State University College of Medicine Columbus, Columbus, OH, United States of America
| | - Micah A Skeens
- Center for Biobehavioral Health, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, United States of America
- The Ohio State University College of Medicine Columbus, Columbus, OH, United States of America
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Nolvi S, Paavonen EJ, Korja R, Pelto J, Karukivi M, Tuulari JJ, Karlsson H, Karlsson L. Course of child social-emotional and sleep symptoms, parental distress and pandemic-related stressors during COVID-19. Dev Psychopathol 2024; 36:518-532. [PMID: 36794405 DOI: 10.1017/s0954579422001377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
Research on the longitudinal courses of child social-emotional symptoms and sleep during the COVID-19 pandemic within societies would be of key value for promoting child well-being in global crises. We characterized the course of children's social-emotional and sleep symptoms before and throughout the pandemic in a Finnish longitudinal cohort of 1825 5- to 9-year-old children (46% girls) with four follow-up points during the pandemic from up to 695 participants (spring 2020-summer 2021). Second, we examined the role of parental distress and COVID-related stressful events in child symptoms. Child total and behavioral symptoms increased in spring 2020 but decreased thereafter and remained stable throughout the rest of the follow-up. Sleep symptoms decreased in spring 2020 and remained stable thereafter. Parental distress was linked with higher child social-emotional and sleep symptoms. The cross-sectional associations between COVID-related stressors and child symptoms were partially mediated by parental distress. The findings propose that children can be protected from the long-term adverse influences of the pandemic, and parental well-being likely plays a mediating role between pandemic-related stressors and child well-being. Further research focusing on the societal and resilience factors underlying family and child responses to the pandemic is warranted.
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Affiliation(s)
- Saara Nolvi
- Turku Institute for Advanced Studies, Department of Psychology and Speech-Language Pathology, FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku. Medisiina A (307), Kiinamyllynkatu 10, 20014 Turun yliopisto, Turku, Finland
| | - E Juulia Paavonen
- Department of Public Health, Finnish Institute for Health and Welfare, Helsinki, Finland; Pediatric Research Center, Child Psychiatry, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
| | - Riikka Korja
- Department of Psychology and Speech-Language Pathology, FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland
| | - Juho Pelto
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine and Department of Mathematics and Statistics, University of Turku, Turku, Finland
| | - Max Karukivi
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine & Department of Adolescent Psychiatry, University of Turku and Turku University Hospital, Turku, Finland
| | - Jetro J Tuulari
- Turku Collegium for Science, Medicine and Technology; FinnBrain Birth Cohort Study, Turku Brain and Mind Center & Department of Psychiatry, Department of Clinical Medicine, University of Turku and Turku University Hospital, Turku, Finland
| | - Hasse Karlsson
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center & Department of Psychiatry & Center for Population Health Research, Department of Clinical Medicine, University of Turku and Turku University Hospital, Turku, Finland
| | - Linnea Karlsson
- FinnBrain Birth Cohort Study & Center for Population Health Research, Psychiatry, Paediatrics and Adolescent Medicine, Department of Clinical Medicine, University of Turku and Turku University Hospital, Turku, Finland
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5
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Louie-Poon S, Reid K, Appiah PO, Hartling L, Scott SD. "There is a strangeness in this disease": A qualitative study of parents' experiences caring for a child diagnosed with COVID-19. PLoS One 2024; 19:e0300146. [PMID: 38564592 PMCID: PMC10986929 DOI: 10.1371/journal.pone.0300146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Accepted: 02/22/2024] [Indexed: 04/04/2024] Open
Abstract
BACKGROUND The beginning of the COVID-19 pandemic marked a period of uncertainty as public health guidelines, diagnostic criteria, and testing protocols or procedures have continuously evolved. Despite the virus being declared a worldwide pandemic, little research has been done to understand how parents manage caring for their child diagnosed with COVID-19. We sought to understand parents' experiences and information need when caring for a child diagnosed with COVID-19. METHODS A qualitative descriptive study with an inductive and exploratory approach was completed. Participants were recruited through social media and local public health clinics. Data collection and analysis were concurrent. Semi-structured virtual interviews were conducted with 27 participants. Thematic analysis was conducted. FINDINGS Four major themes emerged: a) dealing with uncertainty; b) anxiety; c) social stigma and stress; d) a sense of community. CONCLUSION Our study highlights that parent experiences were diverse and multi-faceted, and their experiences evolved and shifted over the course of the pandemic. Parents would benefit from clear and consistent evidence-based online information. Understanding the perspectives of parents caring for a child with COVID-19 is an important step in developing future resources tailored to meet their unique experiences and information needs.
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Affiliation(s)
| | - Kathy Reid
- Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
| | | | - Lisa Hartling
- Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada
| | - Shannon D. Scott
- Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
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Halliday ER, Cepeda SL, Grassie HL, Jensen-Doss A, Ehrenreich-May J. Initial Effects of a Brief Transdiagnostic Intervention on Parent Emotion Management During COVID-19. Child Psychiatry Hum Dev 2024; 55:372-383. [PMID: 35976544 PMCID: PMC9383671 DOI: 10.1007/s10578-022-01409-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/01/2022] [Indexed: 12/04/2022]
Abstract
Parents are a vulnerable group to increased distress resulting from the COVID-19 pandemic. In this study, 80 parents with at least mildly elevated internalizing symptoms were randomized to receive a four session, transdiagnostic intervention via telehealth during the height of the COVID-19 pandemic based on the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders (UP-Caregiver), immediately or 6-weeks after receipt of psychoeducational materials. Results showed no between-condition differences in slopes of primary outcome measures; however, significant group differences in intercepts indicated that those receiving UP-Caregiver immediately had greater improvements in distress tolerance and intolerance of uncertainty than those in the delayed condition. Analyses also suggested within-condition improvements in emotional functioning and high satisfaction with UP-Caregiver. Results suggest that psychoeducation and symptom monitoring may be helpful to some distressed parents. Future investigations should utilize a larger sample to identify which parents might benefit the most from interventions like UP-Caregiver during crises.
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Affiliation(s)
- Elizabeth R Halliday
- Department of Psychology, University of Miami, 5665 Ponce de Leon Boulevard, Coral Gables, FL, 33146, USA.
| | - Sandra L Cepeda
- Department of Psychology, University of Miami, 5665 Ponce de Leon Boulevard, Coral Gables, FL, 33146, USA
| | - Hannah L Grassie
- Department of Psychology, University of Miami, 5665 Ponce de Leon Boulevard, Coral Gables, FL, 33146, USA
| | - Amanda Jensen-Doss
- Department of Psychology, University of Miami, 5665 Ponce de Leon Boulevard, Coral Gables, FL, 33146, USA
| | - Jill Ehrenreich-May
- Department of Psychology, University of Miami, 5665 Ponce de Leon Boulevard, Coral Gables, FL, 33146, USA
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Roskam I, Aguiar J, Akgun E, Arena AF, Arikan G, Aunola K, Besson E, Beyers W, Boujut E, Brianda ME, Brytek-Matera A, Budak AM, Carbonneau N, César F, Chen BB, Dorard G, Dos Santos Elias LC, Dunsmuir S, Egorova N, Favez N, Fontaine AM, Foran H, Fricke J, Furutani K, Gannagé M, Gaspar M, Godbout L, Goldenberg A, Gross JJ, Gurza MA, Helmy M, Huynh MT, Kawamoto T, Lazarevic LB, Le Vigouroux S, Lebert-Charron A, Leme V, MacCann C, Manrique-Millones D, Matias M, Miranda-Orrego MI, Miscioscia M, Morgades-Bamba C, Mousavi SF, Muntean A, Olderbak S, Osman F, Oyarce-Cadiz D, Pérez-Díaz PA, Petrides KV, Pineda-Marin C, Prikhidko A, Ricci RT, Salinas-Quiroz F, Sarrionandia A, Scola C, Simonelli A, Cabrera PS, Soenens B, Sorbring E, Sorkkila M, Schrooyen C, Stănculescu E, Starchenkova E, Szczygiel D, Tapia J, Tri TMT, Tremblay M, van Bakel H, Verhofstadt L, Wendland J, Yotanyamaneewong S, Mikolajczak M. Three reasons why parental burnout is more prevalent in individualistic countries: a mediation study in 36 countries. Soc Psychiatry Psychiatr Epidemiol 2024; 59:681-694. [PMID: 37195293 DOI: 10.1007/s00127-023-02487-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Accepted: 04/30/2023] [Indexed: 05/18/2023]
Abstract
PURPOSE The prevalence of parental burnout, a condition that has severe consequences for both parents and children, varies dramatically across countries and is highest in Western countries characterized by high individualism. METHOD In this study, we examined the mediators of the relationship between individualism measured at the country level and parental burnout measured at the individual level in 36 countries (16,059 parents). RESULTS The results revealed three mediating mechanisms, that is, self-discrepancies between socially prescribed and actual parental selves, high agency and self-directed socialization goals, and low parental task sharing, by which individualism leads to an increased risk of burnout among parents. CONCLUSION The results confirm that the three mediators under consideration are all involved, and that mediation was higher for self-discrepancies between socially prescribed and actual parental selves, then parental task sharing, and lastly self-directed socialization goals. The results provide some important indications of how to prevent parental burnout at the societal level in Western countries.
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Affiliation(s)
- Isabelle Roskam
- Department of Psychology, UCLouvain, Place Cardinal Mercier 10, 1348, Louvain-la-Neuve, Belgium.
| | - Joyce Aguiar
- University of Porto, Rua Alfredo Allen, s/n, 4200-135, Porto, Portugal
| | - Ege Akgun
- Ankara University, Ankara Universitesi Egitim Bilimleri Fakultesi Okul Oncesi Egitimi AD Cebeci, 06590, Ankara, Turkey
| | - Andrew F Arena
- University of New South Wales, Hospital Road, Randwick, NSW, 2031, Australia
| | - Gizem Arikan
- Ozyegin University, Nisantepe Mah., Orman Sok., 34794, Cekmekoy, Istanbul, Turkey
| | - Kaisa Aunola
- University of Jyväskylä, P.O. BoX 35, 40014, Jyvaskyla, Finland
| | - Eliane Besson
- Saint-Joseph University, Campus des Sciences Humaines, Rue de Damas, Mar Mikhael, B.P. 17-5208, Beyrouth, 1104 2020, Lebanon
| | - Wim Beyers
- Ghent University, Henri Dunantlaan 2, 9000, Ghent, Belgium
| | - Emilie Boujut
- Laboratoire de Psychopathologie et Processus de Santé, Université de Paris, 92100, Boulogne-Billancourt, France
| | | | | | - A Meltem Budak
- Bahcesehir University, Guney Yerleskesi, Besiktas, Istanbul, Turkey
| | - Noémie Carbonneau
- Université du Québec à Trois-Rivières, 3351 Bd des Forges, Trois-Rivières, QC, G8Z 4M3, Canada
| | - Filipa César
- University of Porto, Rua Alfredo Allen, s/n, 4200-135, Porto, Portugal
| | - Bin-Bin Chen
- Fudan University, Handan Road 220, Shanghai, China
| | - Géraldine Dorard
- Laboratoire de Psychopathologie et Processus de Santé, Université de Paris, 92100, Boulogne-Billancourt, France
| | | | - Sandra Dunsmuir
- University College London, 26 Bedford Way, London, WC1H 0AP, UK
| | - Natalia Egorova
- EPSM de l'agglomération lilloise, 1 rue de Lommelet, 59871, Saint-André-lez-Lille, France
| | - Nicolas Favez
- University of Geneva, 40 Boulevard du Pont-d'Arve, 1205, Geneva, Switzerland
| | | | - Heather Foran
- University of Klagenfurt, Universitaetsstr. 65-67, 9020, Klagenfurt, Austria
| | - Julia Fricke
- Charité-Universitätsmedizin Berlin, Luisenstr. 57, 10117, Berlin, Germany
| | | | - Myrna Gannagé
- Saint-Joseph University, Campus des Sciences Humaines, Rue de Damas, Mar Mikhael, B.P. 17-5208, Beyrouth, 1104 2020, Lebanon
| | - Maria Gaspar
- University of Coimbra, Rua do Colégio Novo, 3000-115, Coimbra, Portugal
| | - Lucie Godbout
- Université du Québec à Trois-Rivières, 3351 Bd des Forges, Trois-Rivières, QC, G8Z 4M3, Canada
| | - Amit Goldenberg
- Harvard University, Soldiers Field, Boston, MA, 02163, USA
- Stanford University, Stanford, CA, 94305-2130, USA
| | | | | | - Mai Helmy
- Sultan Qaboos university, Muscat, Oman, Egypt
- Menoufia University, Shebin El-Kom, Egypt
| | - Mai Trang Huynh
- Ho Chi Minh City University of Education, 280 An Dương Vương, District 5, Hồ Chí Minh City, Vietnam
| | - Taishi Kawamoto
- Chubu University, 1200 Matsumoto-cho, Kasugai, Aichi, 487-8501, Japan
| | | | - Sarah Le Vigouroux
- Université de Nîmes, 5 Rue du Docteur Georges Salan CS 13019, 30021, Nîmes, France
| | - Astrid Lebert-Charron
- Laboratoire de Psychopathologie et Processus de Santé, Université de Paris, 92100, Boulogne-Billancourt, France
| | - Vanessa Leme
- State University of Rio de Janeiro, Place São Francisco Xavier, 524, B-10005c F, Maracanã, Rio de Janeiro, Brazil
| | - Carolyn MacCann
- The University of Sydney, Brennan MacCallum 449, Manning Road, Camperdown, NSW, 2007, Australia
| | | | - Marisa Matias
- University of Porto, Rua Alfredo Allen, s/n, 4200-135, Porto, Portugal
| | - María Isabel Miranda-Orrego
- Pontificia Universidad Católica del Ecuador, Avenida 12 de Octubre 1076 y Vicente Ramón Roca, 170525, Quito, Ecuador
| | | | - Clara Morgades-Bamba
- Universidad Nacional de Educación a Distancia (UNED), Avda Valencia 13, 50005, Zaragoza, Spain
| | | | - Ana Muntean
- West University in Timisoara, Oradea, str. Razboieni, nr.1, Timișoara, Romania
| | - Sally Olderbak
- Institut für Therapieforschung, Leopoldstraße 125, 80804, Munich, Germany
| | - Fatumo Osman
- Dalarna University, Sweden, Hogskolegatan 2, 791 88, Falun, Sweden
| | | | - Pablo A Pérez-Díaz
- Austral University of Chile, Institute of Psychology, Los Pinos Avenue, W/N, Puerto Montt, Chile
| | | | | | - Alena Prikhidko
- Florida International University, 11200 SW 8 Street, Miami, FL, 33199, USA
| | - Ricardo T Ricci
- Universidad Nacional de Tucumán, Las Heras 429 7B (400), San Miguel de Tucumán, Argentina
| | | | - Ainize Sarrionandia
- University of the Basque Country, Tolosa Hiribidea 70, Donostia-San Sebastian, 20018, Gipuzkoa, Basque Country, Spain
| | - Céline Scola
- Aix Marseille Univ, 29 avenue Robert Schuman, 13621, Aix-en-Provence cedex 01, France
| | | | | | - Bart Soenens
- Ghent University, Henri Dunantlaan 2, 9000, Ghent, Belgium
| | | | | | | | | | - Elena Starchenkova
- Saint Petersburg State University, Universitetskaya nab. 7/9, Saint Petersburg, Russia
| | | | - Javier Tapia
- Universidad de Costa Rica, Sede Rodrigo Facio, San Pedro, Costa Rica
| | - Thi Minh Thuy Tri
- Chubu University, 1200 Matsumoto-cho, Kasugai, Aichi, 487-8501, Japan
| | - Mélissa Tremblay
- Université du Québec à Trois-Rivières, 3351 Bd des Forges, Trois-Rivières, QC, G8Z 4M3, Canada
| | - Hedwig van Bakel
- Tilburg University, Professor Cobbenhagenlaan 125, 5000 LE, Tilburg, The Netherlands
| | | | - Jaqueline Wendland
- Laboratoire de Psychopathologie et Processus de Santé, Université de Paris, 92100, Boulogne-Billancourt, France
| | | | - Moïra Mikolajczak
- Department of Psychology, UCLouvain, Place Cardinal Mercier 10, 1348, Louvain-la-Neuve, Belgium
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Pires MT, Mourão S, Santos J. Psychometric Validation of the Portuguese Obsession with COVID-19 Scale (PT-OCS). Healthcare (Basel) 2024; 12:563. [PMID: 38470674 PMCID: PMC10931488 DOI: 10.3390/healthcare12050563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2023] [Revised: 01/19/2024] [Accepted: 02/11/2024] [Indexed: 03/14/2024] Open
Abstract
The psychological effects of the COVID-19 pandemic on the Portuguese population are quite relevant and partially related to their repetitive and disruptive thinking about the disease. The successive periods of lockdown contributed to an additional burden on the family-work-life balance for parents. This study aims to validate the Portuguese version of the Obsession with COVID-19 Scale (PT-OCS), which was developed using a general sample from several regions of the country (n = 531) together with a specific sample of Portuguese parents (n = 109). The confirmatory factor analysis results indicate that the PT-OCS includes a set of excellent psychometric properties concerning both the general sample (χ2(1) = 0.446, p = 0.504; CFI = 1.0; GFI = 1.0; RMSEA = 0.0; standardised RMR = 0.003) and the parent group (χ2(2) = 1.816, p = 0.403; CFI = 1.0; GFI = 0.99; RMSEA = 0.0; standardised RMR = 0.016; Bollen-Stine bootstrap p = 0.65). The scale shows very good reliability (0.84 < α/ω < 0.88). As expected, obsession with COVID-19 was highly correlated with COVID-19 anxiety, and women had higher PT-OCS scores. The findings suggest that the PT-OCS is a reliable and valid measure for both persistent and disruptive thinking about COVID-19 in different groups of the Portuguese population, with potential for studying future epidemic events.
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Affiliation(s)
- Mónica Taveira Pires
- Psychology Research Centre (CIP-UAL), Universidade Autónoma de Lisboa, 1169-023 Lisbon, Portugal;
| | - Susana Mourão
- Psychology Research Centre (CIP-UAL), Universidade Autónoma de Lisboa, 1169-023 Lisbon, Portugal;
- Beatriz Ângelo Hospital, 2674-514 Loures, Portugal;
| | - José Santos
- Beatriz Ângelo Hospital, 2674-514 Loures, Portugal;
- Medicine Faculty, Universidad de Extremadura, 06006 Badajoz, Spain
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Malloy LC, Dykstra VW, Steen LAR, Filoso D, Salem H, Comer JS, Peris TS, Pincus DB, Ehrenreich-May J, Evans AD. Avoidant Parent-Child Communication About COVID-19: A Longitudinal Investigation of Associations with Youth Adjustment Across the First 6 Months of the Pandemic. Res Child Adolesc Psychopathol 2024; 52:253-266. [PMID: 37801269 DOI: 10.1007/s10802-023-01133-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/27/2023] [Indexed: 10/07/2023]
Abstract
In the aftermath of discrete disasters, how families discuss the event has been linked with child well-being. There is less understanding, however, of how family communication affects adjustment to a protracted and ongoing public health crisis such as the COVID-19 pandemic. The present research leveraged a large longitudinal sample of families (N = 1884) across the United States and Canada to investigate factors that predicted family communication styles (active versus avoidant communication) about the COVID-19 pandemic and examined the longitudinal sequelae of mental health outcomes for youth associated with different family communication styles. Parents of youth between 5 to 17 years old completed surveys about their own mental health, their child's mental health, and family communication about the COVID-19 pandemic at two time points 6 months apart. Overall, findings indicated that poorer parental mental health was related to greater use of avoidant communication, and avoidant communication styles were associated with poorer youth mental health over time. Findings suggest potential perils of avoidant family communication about ongoing threats and can help identify families at risk of negative mental health outcomes.
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Affiliation(s)
- Lindsay C Malloy
- Faculty of Social Science and Humanities, Ontario Tech University, Oshawa, ON, Canada.
| | | | | | - Daniella Filoso
- Faculty of Social Science and Humanities, Ontario Tech University, Oshawa, ON, Canada
| | - Hanan Salem
- Department of Counseling, Clinical, & School Psychology, University of California, Santa Barbara, CA, USA
| | - Jonathan S Comer
- Center for Children and Families, Florida International University, Miami, FL, USA
| | - Tara S Peris
- Department of Psychiatry & Biobehavioral Sciences / Semel Institute for Neuroscience & Human Behavior, University of California, Los Angeles, CA, USA
| | - Donna B Pincus
- Center for Anxiety and Related Disorders, Boston University, Boston, MA, USA
| | | | - Angela D Evans
- Department of Psychology, Brock University, St. Catharine's, ON, Canada
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10
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Bayot M, Brianda ME, van der Straten N, Mikolajczak M, Shankland R, Roskam I. Treating Parental Burnout: Impact and Particularities of a Mindfulness- and Compassion-Based Approach. CHILDREN (BASEL, SWITZERLAND) 2024; 11:168. [PMID: 38397280 PMCID: PMC10887731 DOI: 10.3390/children11020168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/05/2023] [Revised: 01/13/2024] [Accepted: 01/25/2024] [Indexed: 02/25/2024]
Abstract
Mindfulness- and self-compassion-based programs have been shown to reduce parental stress, and levels of mindfulness and self-compassion have been shown to be negatively related to parental burnout (PB) factors. Based on these results, the present study aimed to test the efficacy of an 8-week mindfulness and compassion-based group approach (MCA) (n = 29) compared with the existing Parenting in Balance Program (PBP) (n = 25). Parents were blindly enrolled in one of the two conditions. Parental burnout, parental neglect and violence, irritability, parental balance between stress-enhancing and stress-alleviating factors, hair cortisol, and mindful parenting and self-compassion were measured before, after, and three months after the end of the program. All the measured outcomes positively changed over time in both conditions, except for irritability. Large effect sizes were found for parental burnout, parental neglect and violence, and mindful parenting and self-compassion. However, contrary to our hypothesis, the decrease in parental burnout in the MCA was not significantly related to an increase in mindful parenting nor self-compassion. Furthermore, certain participants from the MCA group reported higher levels of parental burnout after the intervention. The absence of specific effects between MCA and PBP programs suggests the presence of common effectiveness factors. Therefore, future studies need to analyze specific variables that may explain differential effects of programs on parental burnout levels.
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Affiliation(s)
- Marie Bayot
- Department of Clinical Sciences, University of Liège, CHU du Sart Tilman–Quartier Hôpital–B23, Avenue Hippocrate 13, 4000 Liège, Belgium;
- Psychological Research Institute, Catholic University of Louvain, Place Cardinal Mercier 10, 1348 Louvain-la-Neuve, Belgium (M.M.)
| | - Maria Elena Brianda
- Psychological Research Institute, University of Liège, Quartier Agora–B33, Place des Orateurs 1, 4000 Liège, Belgium;
| | - Nastasya van der Straten
- Psychological Research Institute, Catholic University of Louvain, Place Cardinal Mercier 10, 1348 Louvain-la-Neuve, Belgium (M.M.)
| | - Moïra Mikolajczak
- Psychological Research Institute, Catholic University of Louvain, Place Cardinal Mercier 10, 1348 Louvain-la-Neuve, Belgium (M.M.)
| | - Rebecca Shankland
- Département de Psychologie du Développement, de l’Éducation et des Vulnérabilités, Université Lumière Lyon 2, Avenue Pierre Mendès-France 5, 69676 Bron, France;
| | - Isabelle Roskam
- Psychological Research Institute, Catholic University of Louvain, Place Cardinal Mercier 10, 1348 Louvain-la-Neuve, Belgium (M.M.)
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11
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Hails KA, Wellen BC, Simoni M, Gaultney WM, Petts RA, Hostutler CA, Riley AR. Parents' Preferences for Primary Care-Based Behavioral Services and the COVID-19 Pandemic: A Mixed Method Study. J Pediatr Psychol 2023; 48:879-892. [PMID: 37369014 PMCID: PMC11025383 DOI: 10.1093/jpepsy/jsad034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Revised: 05/22/2023] [Accepted: 05/29/2023] [Indexed: 06/29/2023] Open
Abstract
OBJECTIVE This study examined how family factors impacted parents' attitudes toward integrated behavioral health (IBH) in pediatric primary care during the COVID-19 pandemic. We hypothesized that COVID-19 impact would predict family functioning challenges, and that pre-existing familial contextual factors would predict parents' interest in IBH modalities. METHODS Parents of children ages 1.5-5 years (N = 301) from five primary care clinics completed a survey with measures assessing familial contextual factors (income, race and ethnicity, and parents' childhood adversity), COVID-19 impact on family relationships and wellbeing, family functioning (child behavior, parenting self-efficacy, and parent psychological functioning), and parents' preferences for behavioral support in primary care. A subsample of parents (n = 23) completed qualitative interviews to provide deeper insights into quantitative relationships. RESULTS Higher COVID-19 impact was significantly associated with worse parent mental health and child behavior problems, as well as lower interest in IBH virtual support options. Overall, lower SES and racial and/or ethnic minority parents both indicated greater interest in IBH modalities compared to higher SES and White parents, respectively. Qualitative interviews identified how pandemic stressors led to increases in parents' desire for behavioral support from pediatricians, with parents sharing perspectives on the nature of support they desired, including proactive communication from providers and variety and flexibility in the behavioral supports offered. CONCLUSIONS Findings have important implications for the provision of behavioral supports for families in primary care, underlying the need to increase parents' access to IBH services by proactively providing evidence-based resources and continuing to offer telehealth support.
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Affiliation(s)
| | - Brianna C Wellen
- Department of Pediatrics, Institute on Development and Disability, Oregon Health & Science University, USA
| | - Marisa Simoni
- Pediatric Mental Health Institute, Children's Hospital Colorado, USA
| | - Wendy M Gaultney
- Department of Anesthesiology, University of Colorado, Anschutz Medical Campus, USA
| | - Rachel A Petts
- School of Psychology and Counseling, Fairleigh Dickinson University, USA
| | - Cody A Hostutler
- Department of Pediatric Psychology and Neuropsychology, Nationwide Children’s Hospital, USA
| | - Andrew R Riley
- Department of Pediatrics, Institute on Development and Disability, Oregon Health & Science University, USA
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12
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Prino LE, Arace A, Zonca P, Agostini P, Scarzello D. Preschool Emotional Problems in the Post-Pandemic Era between Parental Risk and Protective Factors. Healthcare (Basel) 2023; 11:2862. [PMID: 37958006 PMCID: PMC10647701 DOI: 10.3390/healthcare11212862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Revised: 10/25/2023] [Accepted: 10/27/2023] [Indexed: 11/15/2023] Open
Abstract
The psychosocial adaptation of children born or experiencing their early years during the COVID-19 pandemic remains uncertain. In order to implement prevention strategies, it is, therefore, a priority to deeply analyze children's mental health in this post-pandemic phase and to identify family risk and protective factors. Indeed, recent studies reveal that children's emotional distress increased with the COVID-19 pandemic, especially in situations of high parental stress. The study investigates associations between some parental characteristics (coping strategies, parental burnout, resilience, perception of social support, and promotion of children's social-emotional competence) and children's emotional symptoms, considering gender differences. A total of 358 parents of children aged 2 to 6 years participated in this study. Regression analyses show that parental burnout is a predictor of emotional symptoms; moreover, for females, higher levels of emotional symptoms are associated with parental maladaptive coping strategies, whereas for males, the parent's ability to promote children's emotional competence is a protective factor. Results emphasize the importance of supporting parental well-being as a critical factor in shielding children from the repercussions of adverse situations.
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Affiliation(s)
- Laura Elvira Prino
- Department of Philosophy and Education Sciences, University of Turin, 10124 Turin, Italy; (A.A.); (P.Z.); (P.A.); (D.S.)
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13
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Fardell JE, Hu N, Wakefield CE, Marshall G, Bell J, Lingam R, Nassar N. Impact of Hospitalizations due to Chronic Health Conditions on Early Child Development. J Pediatr Psychol 2023; 48:799-811. [PMID: 37105227 DOI: 10.1093/jpepsy/jsad025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Revised: 04/10/2023] [Accepted: 04/12/2023] [Indexed: 04/29/2023] Open
Abstract
OBJECTIVE To assess the impact of hospitalization for chronic health conditions on early child development and wellbeing at school start. METHODS We conducted a longitudinal cohort study of children starting school using population-based record linkage of routinely collected admitted hospital data and standardized assessment of early childhood development (Australian Early Developmental Census: AEDC). Developmental vulnerability (DV) was defined as children scoring <10th centile in any one of five developmental domains. Children scoring <10th centile on two or more domains were considered developmentally high-risk (DHR). Children hospitalized with chronic health conditions were compared to children without hospitalizations prior to school start. RESULTS Among 152,851 children with an AEDC record, 22,271 (14·6%) were hospitalized with a chronic condition. Children hospitalized with chronic health conditions were more likely to be DHR (adjusted odds ratio 1.25, 95% CI: 1.18-1.31) compared to children without hospitalizations. Children hospitalized more frequently (>7 times) or with longer duration (>2 weeks) had a 40% increased risk of being DHR (1.40, 95% CI: 1.05-1.88 and 1.40, 95% CI: 1.13-1.74, respectively). Children hospitalized with mental health/behavioral/developmental conditions had the highest risk of DHR (2.23, 95% CI: 1.72-2.90). Developmental vulnerability was increased for physical health (1.37, 95% CI: 1.30-1.45), language (1.28, 95% CI: 1.19-1.38), social competence (1.22, 95% CI: 1.16-1.29), communication (1.17, 95% CI: 1.10-1.23), and emotional maturity (1.16, 95% CI: 1.09-1.23). CONCLUSIONS Frequent and longer duration hospitalizations for chronic health conditions can impact early childhood development. Research and interventions are required to support future development and well-being of children with chronic health conditions who are hospitalized.
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Affiliation(s)
- Joanna E Fardell
- Behavioural Sciences Unit, School of Women's and Children's Health, UNSW Sydney, Australia
- Kids Cancer Centre, Sydney Children's Hospital, Australia
| | - Nan Hu
- Population Child Health Research Group, School of Women's and Children's Health, University of New South Wales, Australia
| | - Claire E Wakefield
- Behavioural Sciences Unit, School of Women's and Children's Health, UNSW Sydney, Australia
- Kids Cancer Centre, Sydney Children's Hospital, Australia
| | - Glenn Marshall
- Kids Cancer Centre, Sydney Children's Hospital, Australia
| | - Jane Bell
- Child Population and Translational Health Research, Children's Hospital at Westmead Clinical School, University of Sydney, Australia
| | - Raghu Lingam
- Population Child Health Research Group, School of Women's and Children's Health, University of New South Wales, Australia
| | - Natasha Nassar
- Child Population and Translational Health Research, Children's Hospital at Westmead Clinical School, University of Sydney, Australia
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14
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Perron-Tremblay R, Clément MÈ, Dubois-Comtois K. Fear of COVID-19 and parental violence: The mediating role of parental burnout and child perceived as difficult. CHILD ABUSE & NEGLECT 2023; 143:106284. [PMID: 37352648 PMCID: PMC10267501 DOI: 10.1016/j.chiabu.2023.106284] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Revised: 05/27/2023] [Accepted: 06/11/2023] [Indexed: 06/25/2023]
Abstract
BACKGROUND Since the beginning of the COVID-19 pandemic, there has been a worldwide increase in the incidence of child abuse. Studies show that the pandemic context contributes to exacerbate several risk factors usually associated with the use of violent disciplinary practices. OBJECTIVE This study aims to better understand the role of parental burnout and child perceived as difficult as a parental stressor in the link between fear of COVID-19 and the use of parental violence (minor and severe physical violence and repeated psychological aggression). PARTICIPANTS The sample includes 467 mothers living in Québec (Canada) with a child aged 5 or less. METHOD An online questionnaire, administered one year after the beginning of the COVID-19 pandemic in Québec (March to May 2021), was used to measure parental violence, parental burnout, parental stress related to the perception of the child as difficult and fear of COVID-19. Serial mediation analyses were performed. RESULTS The main analyses confirmed the indirect association between fear of COVID-19 and the three forms of parental violence studied, through parental burnout and the child perceived as difficult. Unlike physical violence (minor and severe), the association between fear of COVID-19 and repeated psychological aggression is explained only by parental burnout. CONCLUSIONS This study has identified new mechanisms that allow a better understanding of processes underlying parental violence during the pandemic. It also shows that parental violence can also occur in low-risk families. It is crucial to develop strategies to prevent the use of violent disciplinary practices in future socio-health crises such as the COVID-19 pandemic.
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Affiliation(s)
- Roxanne Perron-Tremblay
- Département de psychologie, Université du Québec à Trois-Rivières, 3351, boul. des Forges, C.P. 500, Trois-Rivières, Québec, G9A 5H7, Canada
| | - Marie-Ève Clément
- Université du Québec en Outaouais, Saint-Jérôme, Québec, J7Z 0B7, Canada
| | - Karine Dubois-Comtois
- Département de psychologie, Université du Québec à Trois-Rivières, 3351, boul. des Forges, C.P. 500, Trois-Rivières, Québec, G9A 5H7, Canada; Hôpital en santé mentale Albert-Prévost, CIUSSS du Nord-de-l'Île-de-Montréal, Canada.
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15
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Khoury JE, Atkinson L, Jack S, Bennett T, Raha S, Duku E, Gonzalez A. Protocol for the COVID-19 Wellbeing and Stress Study: a longitudinal study of parent distress, biological stress and child biopsychosocial development during the pandemic and beyond. BMJ Open 2023; 13:e071926. [PMID: 37580092 PMCID: PMC10432660 DOI: 10.1136/bmjopen-2023-071926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Accepted: 05/22/2023] [Indexed: 08/16/2023] Open
Abstract
INTRODUCTION The COVID-19 pandemic has had a unique impact on the mental health and well-being of pregnant individuals and parents of young children. However, the impact of COVID-19-related stress during pregnancy on early child biopsychosocial development, remains unclear. The COVID-19 Wellbeing and Stress Study will: (1) investigate the impact of different forms of prenatal stress experienced during the pandemic (including objective hardship, perceived psychological distress and biological stress) on child stress biology, (2) examine the association between child stress biology and child developmental outcomes, (3) determine whether child stress biology acts as a mechanism linking prenatal stress to adverse child developmental outcomes and (4) assess whether gestational age at the onset of the COVID-19 pandemic or child sex, moderate these associations. METHODS AND ANALYSES The COVID-19 Wellbeing and Stress Study is a prospective longitudinal study, consisting of six time points, spanning from pregnancy to 3 years postpartum. The study began in June 2020, consisting of 304 pregnant people from Ontario, Canada. This multimethod study is composed of questionnaires, biological samples, behavioural observations and developmental assessments ETHICS AND DISSEMINATION: This study was approved by the Hamilton Integrated Research Ethics Board (#11034) and the Mount Saint Vincent University Research Ethics Board (#2020-187, #2021-075, #2022-008). Findings will be disseminated through peer-reviewed presentations and publications, community presentations, and electronic forums (social media, newsletters and website postings).
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Affiliation(s)
- Jennifer E Khoury
- Department of Psychology, Mount Saint Vincent University, Halifax, Nova Scotia, Canada
| | - Leslie Atkinson
- Department of Psychology, Toronto Metropolitan University, Toronto, Ontario, Canada
| | - Susan Jack
- School of Nursing, McMaster University, Hamilton, Ontario, Canada
| | - Teresa Bennett
- Psychiatry and Behavioural Neuroscience, McMaster University, Hamilton, Ontario, Canada
- Offord Centre for Child Studies, McMaster University, Hamilton, Ontario, Canada
| | - Sandeep Raha
- Department of Biochemistry & Biomedical Sciences, McMaster University, Hamilton, Ontario, Canada
| | - Eric Duku
- Offord Centre for Child Studies, McMaster University, Hamilton, Ontario, Canada
| | - Andrea Gonzalez
- Psychiatry and Behavioural Neuroscience, McMaster University, Hamilton, Ontario, Canada
- Offord Centre for Child Studies, McMaster University, Hamilton, Ontario, Canada
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16
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Yakupova V, Suarez A. Parental burnout, depression and emotional development of the preschoolers. Front Psychol 2023; 14:1207569. [PMID: 37408967 PMCID: PMC10318402 DOI: 10.3389/fpsyg.2023.1207569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Accepted: 06/05/2023] [Indexed: 07/07/2023] Open
Abstract
Introduction Parental burnout is becoming more and more prevalent in the world, mainly incultures with high demands towards parents. Parental burnout is distinctive from depression and might have its unique influence on child development, which isunder current international research. This work contributes to the understanding of parental burnout, maternal depression and child emotional development(specifically emotion comprehension) interrelations. Additionally, we explored whether there are differences in the effects of parental burnout and depressionon boys and girls. Methods To analyse the emotional development of the preschoolers, the Russian version of the Test of Emotional Comprehension (TEC) was used. We used the Russian version of the Parental Burnout Inventory (PBI) to analyse the level of PB and the Russian version of Beck depression Inventory (BDI) to assess participants' depression level. Results Parental burnout positively correlates with child emotional comprehension skills, specifically understanding of external causes (B = 0.20, CI: 0.03; 0.37) and mental causes of emotions (B = 0.22, CI: 0.05; 0.40). This effect is gender dependent and is significantlyhigher for girls (B = 0.54, CI: 0.09; 0.98). The effect of maternal depression on emotion comprehension skills is also gender dependent: total scores on emotioncomprehension tasks are significantly higher for daughters of mothers with depression (B = 0.59, CI: 0.001; 1.18). Discussion Maternal depression and parental burnout might provoke development of extra sensitivity and self-regulation strategies in girls.
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17
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Rueda-Posada MF, Thibodeau-Nielsen RB, Dier SE, Wilson-Dooley A, Palermo F, White RE, Chung C. Pandemic play moderates the relation between caregiver stress and child emotional distress in contexts of economic adversity. Front Psychol 2023; 14:1155617. [PMID: 37333599 PMCID: PMC10272616 DOI: 10.3389/fpsyg.2023.1155617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Accepted: 05/09/2023] [Indexed: 06/20/2023] Open
Abstract
It is well-established that caregiver stress is linked to increased emotional distress among children, and recent evidence highlights similar associations between caregiver and child emotional well-being during the coronavirus (COVID-19) pandemic. Examining protective factors and coping mechanisms that are associated with resiliency in the face of pandemic-related stress can highlight potential strategies that may help children adapt to other unexpected hardships outside of a global pandemic. Previous research found that playing about the pandemic moderated an association between caregiver stress and children's emotional distress. However, few studies have explored "pandemic play" among children from low-income households, where pandemic-related stressors were often exacerbated. In the present study, 72 caregivers of Head Start preschoolers between 3 and 6 years of age were surveyed between late 2020 and early 2021. Results revealed that 32% of children engaged in pandemic play frequently. Caregiver stress was positively associated with child emotional distress, but only among children who did not engage in pandemic play frequently. These findings support the idea that child-directed play may be a developmentally appropriate and accessible coping mechanism to reduce the emotional burden of stressful events on children, regardless of economic context.
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Affiliation(s)
| | | | - Shannon E. Dier
- Department of Human Development and Family Science, University of Missouri, Columbia, MO, United States
| | - Alaina Wilson-Dooley
- Department of Human Development and Family Science, University of Missouri, Columbia, MO, United States
| | - Francisco Palermo
- Department of Human Development and Family Science, University of Missouri, Columbia, MO, United States
| | - Rachel E. White
- Department of Psychology, Hamilton College, Clinton, NY, United States
| | - Christina Chung
- Department of Human Development and Family Science, University of Missouri, Columbia, MO, United States
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18
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Pena-Shaff J, Heckart A, Mannion C, Barry K. Caregivers' anxiety and perception of their children's wellbeing: a year into the COVID-19 pandemic. Front Psychol 2023; 14:1115322. [PMID: 37275733 PMCID: PMC10234571 DOI: 10.3389/fpsyg.2023.1115322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2022] [Accepted: 04/19/2023] [Indexed: 06/07/2023] Open
Abstract
The COVID-19 pandemic and related social restrictions disrupted family routines affecting millions of youths and their caregivers worldwide. This study explored the relationship between caregivers' anxiety and their children's emotional states 1 year after COVID-19, as well as differences between caregivers' perceptions of their children's emotional states and reality. Sixty-eight caregiver-child pairs completed an online survey between March 31 and May 31, 2021. Our analysis showed positive correlations between caregivers' anxiety and children's wellbeing, worries about children's use of time, and a variety of negative emotional states in their children. Caregivers' anxiety about their children's wellbeing was negatively correlated with their children's perceptions of self-control. Caregivers' anxiety about their personal wellbeing was negatively correlated with children's feelings of busyness and positively associated to their children's fear. Caregivers' perception of COVID-19 as a challenging experience was positively associated with some of their children's negative emotions. Overall, caregivers were accurate about children's emotional experiences in the previous 3 months with some exceptions: their children felt lonelier and more worried about schoolwork and grades than their caregivers realized. These findings will help researchers and practitioners further explore the sources of caregivers' anxiety and their relationship with children's emotions and stress management as countries move toward a new normal.
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19
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Holmes C, Iwanaga K. Parental Burnout, Quality of Life,
and Pregnancy During COVID-19. FAMILY JOURNAL (ALEXANDRIA, VA.) 2023:10664807231173693. [PMCID: PMC10170250 DOI: 10.1177/10664807231173693] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2023]
Abstract
Background: Parents may be at greater risk to experience parental burnout after experiencing challenges during the COVID-19 pandemic. Given the unique experiences of parents with young children during the first two years of the pandemic, this study explored the relationship between parental burnout, quality of life (QOL), and perceived threat of COVID-19 among a sample of adults who parented at least one child under the age of five. Method: A brief survey was conducted through convenience sampling (N = 48) and included the Brief Parental Burnout Scale, The QOL Scale, and a perceived COVID threat scale. Results: Logistic regression analysis found that pregnancy was a significant predictor of burnout risk even after controlling other effects on burnout risk. Conclusion: Findings suggest that the pandemic negatively impacted parental burnout and pregnancy during the first 2 years of the pandemic increased risk for burnout. Awareness is important for appropriate assessment and intervention by clinicians.
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Affiliation(s)
- Courtney Holmes
- Department of Rehabilitation Counseling, Virginia Commonwealth University, Richmond, VA, USA
| | - Kanako Iwanaga
- Department of Rehabilitation Counseling, Virginia Commonwealth University, Richmond, VA, USA
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20
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Kroshus E, Hawrilenko M, Tandon PS, Browning A, Steiner MK, Christakis DA. Structural Inequities in Self-compassion and Parental Burnout. Mindfulness (N Y) 2023; 14:1192-1203. [PMID: 37304655 PMCID: PMC10113733 DOI: 10.1007/s12671-023-02104-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/03/2023] [Indexed: 06/13/2023]
Abstract
Objectives When parenting-related stressors and coping resources are chronically imbalanced, there is risk of parental burnout, and consequent negative impact on parent and child wellbeing. The objective of this study was to determine the relations between structural and social determinants of health inequities, self-compassion (a theoretically indicated coping practice), and parental burnout during the COVID-19 pandemic. Method Participants were parents (n = 2324) with at least one child aged 4-17 in the household recruited from NORC's AmeriSpeak Panel (a probability-based panel providing coverage of 97% of the US household population). Parents completed an online or telephone questionnaire in English or Spanish in December 2020. Structural equation modeling was used to test a system of relations between income, race and ethnicity, parental burnout, and parent and child mental health. Indirect effects and moderation by self-compassion were also tested. Results On average, parents experienced symptoms of burnout several days per week. Symptoms were the most frequent among parents with the least income, as well as female-identified and Asian parents. More self-compassion was associated with less parental burnout, and fewer parent and child mental health difficulties. Black and Hispanic parents were more self-compassionate compared to white parents, helping to explain similar levels of parental burnout and relatively better mental health outcomes, despite comparatively more stressors. Conclusions Self-compassion is a potentially promising target for interventions aiming to address parental burnout; however, such efforts must not detract from critical structural changes to reduce parenting stressors, particularly those impacting parents experiencing systemic racism and other forms of socioeconomic disadvantage. Preregistration This study is not preregistered. Supplementary Information The online version contains supplementary material available at 10.1007/s12671-023-02104-9.
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Affiliation(s)
- Emily Kroshus
- Center for Child Health, Behavior and Development, Seattle Children’s Research Institute, 1920 Terry Ave, Seattle, WA 98101 USA
- Department of Pediatrics, University of Washington, Seattle, USA
| | - Matt Hawrilenko
- Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195 USA
| | - Pooja S. Tandon
- Center for Child Health, Behavior and Development, Seattle Children’s Research Institute, 1920 Terry Ave, Seattle, WA 98101 USA
- Department of Pediatrics, University of Washington, Seattle, USA
| | - Anne Browning
- School of Medicine, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195 USA
| | - Mary Kathleen Steiner
- Center for Child Health, Behavior and Development, Seattle Children’s Research Institute, 1920 Terry Ave, Seattle, WA 98101 USA
| | - Dimitri A. Christakis
- Center for Child Health, Behavior and Development, Seattle Children’s Research Institute, 1920 Terry Ave, Seattle, WA 98101 USA
- Department of Pediatrics, University of Washington, Seattle, USA
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21
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Warschburger P, Kamrath C, Lanzinger S, Sengler C, Wiegand S, Göldel JM, Weihrauch-Blüher S, Holl RW, Minden K. A prospective analysis of the long-term impact of the COVID-19 pandemic on well-being and health care among children with a chronic condition and their families: a study protocol of the KICK-COVID study. BMC Pediatr 2023; 23:130. [PMID: 36949465 PMCID: PMC10031163 DOI: 10.1186/s12887-023-03912-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Accepted: 02/17/2023] [Indexed: 03/24/2023] Open
Abstract
BACKGROUND There is consistent evidence that the COVID-19 pandemic is associated with an increased psychosocial burden on children and adolescents and their parents. Relatively little is known about its particular impact on high-risk groups with chronic physical health conditions (CCs). Therefore, the primary aim of the study is to analyze the multiple impacts on health care and psychosocial well-being on these children and adolescents and their parents. METHODS We will implement a two-stage approach. In the first step, parents and their underage children from three German patient registries for diabetes, obesity, and rheumatic diseases, are invited to fill out short questionnaires including questions about corona-specific stressors, the health care situation, and psychosocial well-being. In the next step, a more comprehensive, in-depth online survey is carried out in a smaller subsample. DISCUSSION The study will provide insights into the multiple longer-term stressors during the COVID-19 pandemic in families with a child with a CC. The simultaneous consideration of medical and psycho-social endpoints will help to gain a deeper understanding of the complex interactions affecting family functioning, psychological well-being, and health care delivery. TRIAL REGISTRATION German Clinical Trials Register (DRKS), no. DRKS00027974. Registered on 27th of January 2022.
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Affiliation(s)
- Petra Warschburger
- Department of Psychology, Counseling Psychology, University of Potsdam, Karl-Liebknecht-Str. 24-25, 14476, Potsdam, Germany.
| | - Clemens Kamrath
- Center of Child and Adolescent Medicine, University of Giessen, Gießen, Germany
| | - Stefanie Lanzinger
- Institute of Epidemiology and Medical Biometry, ZIBMT, Ulm University, Ulm, Germany
- German Center for Diabetes Research (DZD), Munich-Neuherberg, Germany
| | - Claudia Sengler
- Deutsches Rheuma-Forschungszentrum (DRFZ), Program Area Epidemiology, Berlin, Germany
| | - Susanna Wiegand
- Center for Social-Pediatric Care, Department of Pediatric Endocrinology and Diabetology, Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin und Humboldt- Universität zu Berlin, Berlin, Germany
| | - Julia M Göldel
- Department of Psychology, Counseling Psychology, University of Potsdam, Karl-Liebknecht-Str. 24-25, 14476, Potsdam, Germany
| | - Susann Weihrauch-Blüher
- Department of Pediatrics I, Pediatric Endocrinology, University Hospital Halle/S, Halle/S, Germany
| | - Reinhard W Holl
- Institute of Epidemiology and Medical Biometry, ZIBMT, Ulm University, Ulm, Germany
- German Center for Diabetes Research (DZD), Munich-Neuherberg, Germany
| | - Kirsten Minden
- Deutsches Rheuma-Forschungszentrum (DRFZ), Program Area Epidemiology, Berlin, Germany
- Department of Pediatric Respiratory Medicine, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin und Humboldt- Universität zu Berlin, Immunology and Critical Care Medicine at Charité University Hospital Berlin, Berlin, Germany
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22
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Moroń M, Jach Ł, Atłas K, Moroń R. Parental and Pandemic Burnout, Internalizing Symptoms, and Parent-Adolescent Relationships: A Network Analysis. JOURNAL OF PSYCHOPATHOLOGY AND BEHAVIORAL ASSESSMENT 2023; 45:428-443. [PMCID: PMC10010964 DOI: 10.1007/s10862-023-10036-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/24/2023] [Indexed: 03/16/2023]
Abstract
The COVID-19 pandemic and preventive measures undertaken by many governments have had a significant impact on family relationships, which could result in worsened parenting. In our study, we used network analysis to examine the dynamic system of parental and pandemic burnout, depression, anxiety, and three dimensions of relationship with an adolescent: connectedness, shared activities, and hostility. Parents (N = 374; Mage = 42.9) of at least one child at the age of adolescence completed an online survey. The central symptoms in the network were parental emotional exhaustion and parental anxiety. Parental emotional exhaustion correlated negatively with activities shared with the adolescent, but positively with hostility. Anxiety correlated positively with parental emotional exhaustion. Emotional exhaustion and anxiety were the strongest bridge symptoms between parental burnout, internalizing symptoms, and parenting. Our results suggest that psychological interventions supporting parent-adolescent relationships should address primarily parental emotional exhaustion and anxiety.
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Affiliation(s)
- Marcin Moroń
- Institute of Psychology, University of Silesia in Katowice, 53 Grażyńskiego Street, Katowice, 43-126 Poland
| | - Łukasz Jach
- Institute of Psychology, University of Silesia in Katowice, 53 Grażyńskiego Street, Katowice, 43-126 Poland
| | - Karina Atłas
- Institute of Psychology, University of Silesia in Katowice, 53 Grażyńskiego Street, Katowice, 43-126 Poland
| | - Rafał Moroń
- Primary School, No. 14 Wisława Szymborska in Rybnik, Rybnik, Poland
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23
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Park J, Kim S. Child Tax Credit, Spending Patterns, and Mental Health: Mediation Analyses of Data from the U.S. Census Bureau's Household Pulse Survey during COVID-19. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4425. [PMID: 36901435 PMCID: PMC10002275 DOI: 10.3390/ijerph20054425] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/08/2023] [Revised: 02/20/2023] [Accepted: 02/28/2023] [Indexed: 06/18/2023]
Abstract
This study examined the relationship between the receipt of COVID-19 child tax credit and adult mental health problems in the United States, and we explored whether and the extent to which a wide range of spending patterns of the credit-15 patterns regarding basic necessities, child education, and household expenditure-mediated the relationship. We used COVID-19-specialized data from the U.S. Census Bureau's Household Pulse Survey, a representative population sample (N = 98,026) of adult respondents (18 and older) who participated between 21 July 2021 and 11 July 2022. By conducting mediation analyses with logistic regression, we found relationships between the credit and lower levels of anxiety (odds ratio [OR] = 0.914; 95% confidence interval [CI] = 0.879, 0.952). The OR was substantially mediated by spending on basic necessities such as food and housing costs (proportion mediated = 46% and 44%, respectively). The mediating role was relatively moderate in the case of spending on child education and household expenditure. We also found that spending the credit on savings or investments reduces the effect of the child tax credit on anxiety (-40%) while donations or giving to family were not a significant mediator. Findings on depression were consistent with anxiety. The child tax credit-depression relationships were substantially mediated by spending on food and housing (proportion mediated = 53% and 70%). These mediation analyses suggested that different patterns of credit spending are important mediators of the relationship between the receipt of the child tax credit and mental illnesses. Public health approaches to improve adult mental health during and after the COVID-19 pandemic need to consider the notable mediating role of spending patterns.
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Affiliation(s)
- JungHo Park
- Department of Housing & Interior Design (AgeTech-Service Convergence Major), College of Human Ecology, Kyung Hee University, Seoul 02447, Republic of Korea
| | - Sujin Kim
- Department of Environmental Planning, Graduate School of Environmental Studies, Seoul National University, Seoul 08826, Republic of Korea
- Division of Economy and Society, The Seoul Institute, Seoul 06756, Republic of Korea
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24
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Wiley L, Black KJ, Ross D. Too stressed to de-stress? The experience of work stress and recovery among attorneys during the COVID-19 pandemic. PSYCHIATRY, PSYCHOLOGY, AND LAW : AN INTERDISCIPLINARY JOURNAL OF THE AUSTRALIAN AND NEW ZEALAND ASSOCIATION OF PSYCHIATRY, PSYCHOLOGY AND LAW 2023; 31:440-465. [PMID: 38895728 PMCID: PMC11182056 DOI: 10.1080/13218719.2022.2155722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Accepted: 11/23/2022] [Indexed: 02/11/2023]
Abstract
It is well-established that legal professionals experience high stress and often high rates of associated health problems. Much less is known about attitudes and behaviours around stress prevention in this occupation. Our study examined views of stress and recovery among 131 U.S. attorneys. In open-ended data, attorneys commonly expressed that their job is very demanding, and it impacts their health. Many respondents felt it was important to manage their stress but had difficulty doing so. Quantitative analyses showed that attitudes about stress (stress-related comparisons, viewing stress as achievement, stress-related impression management, and stigma around stress concerns) demonstrated several significant relationships with perceived stress, recovery experiences, remorse for relaxation, and work-family conflict. Our findings suggest that practical interventions to support the health and well-being of legal professionals may need to target the workload norms, as well as attitudes and beliefs about the normalness of high stress and insufficient recovery.
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Affiliation(s)
- Luke Wiley
- Psychology, University of Tennessee at Chattanooga, Chattanooga, TN, USA
| | | | - David Ross
- Psychology, University of Tennessee at Chattanooga, Chattanooga, TN, USA
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25
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Angell AM, Carreon ED, Akrofi JNS, Franklin MD, Taylor EE, Miller J, Crowley C, Maher SO. Challenges and Facilitators to Telehealth Occupational Therapy for Autistic Children During COVID-19. OTJR-OCCUPATION PARTICIPATION AND HEALTH 2023:15394492221142597. [PMID: 36597578 DOI: 10.1177/15394492221142597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Pre-pandemic, telehealth occupational therapy (OT) for autistic children appeared promising, but research was limited. The pandemic provided a unique opportunity to investigate how clinics transitioned to telehealth. The purpose of this study was to examine barriers and facilitators that influenced delivery of OT services through telehealth for autistic children during the pandemic. We conducted semi-structured qualitative interviews with 13 participants (three administrators, six OTs, and four parents of autistic children) at three Los Angeles area clinics over a 7-month period. We used narrative and thematic analysis to identify four themes. We identified (a) Challenges and (b) Facilitators to Conducting Telehealth OT, including practical strategies for successful facilitation, and (c) Negative and (d) Positive Outcomes of Conducting Telehealth OT. As telehealth will likely remain a viable means of OT service delivery in the future, our findings provide insight into ways that it can be improved and sustained.
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Affiliation(s)
| | | | | | | | | | - Julie Miller
- Professional Child Development Associates, Pasadena, CA, USA
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26
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Ferro L, Cariello M, Colombesi A, Segantini A, Centonze E, Baccini G, Cristofanelli S. Burnout Syndrome and COVID-19 Lockdown: Research on Residential Care Workers Who Assume Parental Roles with Youths. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16320. [PMID: 36498390 PMCID: PMC9738759 DOI: 10.3390/ijerph192316320] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 12/02/2022] [Accepted: 12/02/2022] [Indexed: 06/17/2023]
Abstract
Healthcare professionals are at higher risk of developing and experiencing burnout. Parents may also suffer from prolonged stressful conditions that lead to physical and emotional exhaustion. Residential youth care workers assume a caregiving role that can lead to persistent stressful conditions that affect their relationship with the youth. In addition, the COVID-19 lockdown has had a negative impact on both the organization and the work, as well as on the lifestyle of workers and minors. In fact, during the pandemic, contact with families was not possible due to restrictions and this increased the need for caregivers to assume a parental role. This research aims to examine the risk of burnout in a sample of 75 healthcare professionals working with youths and the association with psychological traits. Then, we aim to evaluate these aspects during the COVID-19 lockdown The measurements, conducted in both February 2019 and April 2021, included six questionnaires: MBI to assess burnout, TAS_20 to explore alexithymic traits, COPE_NVI to assess coping strategies, FDS_R to quantify frustration intolerance at work, IRI for empathy, and FFMQ to investigate awareness and emotional regulation. Our sample shows a medium-high risk of developing burnout, which worsened during the pandemic. A worsening of emotional skills, paralleled by a greater empathic investment required by the emergency situation, and an assumed parental role is observable. Coping strategies correlate with burnout risk, as avoidance strategies were strongly associated with emotional exhaustion. These findings suggest an urgent need to develop targeted and timely interventions for healthcare professionals in order to prevent long-term consequences.
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Affiliation(s)
- Laura Ferro
- Department of Psychology, Faculty of Psychology, University of Valle d’Aosta, 11100 Aosta, Italy
| | | | | | | | | | | | - Stefania Cristofanelli
- Department of Psychology, Faculty of Psychology, University of Valle d’Aosta, 11100 Aosta, Italy
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27
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Gabriel IWDM, Lima DGS, Pires JP, Vieira NB, Brasil AAGDM, Pereira YTG, Oliveira EGD, Menezes HLD, Lima NNR, Reis AOA, Alves RNP, Silva UPD, Gonçalves Junior J, Rolim-Neto ML. Impacts of COVID-19 on children and adolescents: A systematic review analyzing its psychiatric effects. World J Psychiatry 2022; 12:1313-1322. [PMID: 36438679 PMCID: PMC9693832 DOI: 10.5498/wjp.v12.i11.1313] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2022] [Revised: 04/28/2022] [Accepted: 08/16/2022] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE To summarize the most relevant data from a systematic review on the impact of COVID-19 on children and adolescents, particularly analyzing its psychiatric effects.
METHODS This review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and included experimental studies (randomized-individually or pooled-and non-randomized controlled trials), observational studies with a group for internal comparison (cohort studies-prospective and retrospective-and case-control) and qualitative studies in the period from 2021 to 2022.
RESULTS The search identified 325 articles; we removed 125 duplicates. We selected 200 manuscripts, chosen by title and selected abstracts. We excluded 50 records after screening titles and abstracts, as they did not meet the inclusion criteria. We retrieved 150 records selected for a full reading. We excluded 90 text articles and we selected 25 records for the (n) final. Limitations: Due to the short period of data collection, from 2021 to 2022, there is a possibility of lack of relevant studies related to the mental health care of children and adolescents. In addition, there is the possibility of publication bias, such as only significant findings being published.
CONCLUSION The impact of COVID-19 on the mental health of children and adolescents is of great concern to child and youth psychiatry. Situations such as fear, anxiety, panic, depression, sleep and appetite disorders, as well as impairment in social interactions caused by psychic stress, are punctual markers of pain and psychic suffering, which have increasing impacts on the mental health panorama of children and adolescents globally, particularly in vulnerable and socially at-risk populations.
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Affiliation(s)
| | | | - Jeully Pereira Pires
- Mais Médicos Program, Federal Government of Brazil-Ministry of Health, Iguatu 63048-080, Ceara, Brazil
| | - Nélio Barreto Vieira
- School of Medicine, Federal University of Cariri, Barbalha 63048-080, Ceara, Brazil
| | | | - Yara Talita Gomes Pereira
- Julio Alves de Lira Hospital and Maternity Hospital, HALHM, Belo Jardim 55157-290, Pernambuco, Brazil
| | - Erika Galvao de Oliveira
- Nursing Department, Doctor Leão Sampaio University Center-UNILEAO, Juazeiro do Norte 63.041-140, Ceara, Brazil
| | | | - Nadia Nara Rolim Lima
- Graduate Program (Post-Doctoral) in Neuro-Psychiatry, UFPE, Recife 50670-901, Pernambuco, Brazil
| | - Alberto Olavo Advíncula Reis
- Postgraduate Program (Master’s and Doctorate) in Public Health, University of São Paulo-USP, São Paulo 01246-904, São Paulo, Brazil
| | | | | | - Jucier Gonçalves Junior
- Internal Medicine-Division of Rheumathology at Hospital das Clínicas, São Paulo University, São Paulo 01246-903, São Paulo, Brazil
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28
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Marra DEC, Simons MU, Schwartz ES, Marston EA, Hoelzle JB. Burnt Out: Rate of Burnout in Neuropsychology Survey Respondents During the COVID-19 Pandemic, Brief Communication. Arch Clin Neuropsychol 2022; 38:258-263. [PMID: 36241192 PMCID: PMC9619778 DOI: 10.1093/arclin/acac081] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/14/2022] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE Due to the COVID-19 pandemic, burnout among healthcare workers has significantly increased. This study evaluated rates of burnout in neuropsychologists one year into the COVID-19 pandemic. METHOD A survey invitation was sent across five neuropsychology-related listservs in April 2021. Burnout was assessed with the Copenhagen Burnout Inventory (CBI; Kristensen, T. S., Borritz, M., Villadsen, E., & Christensen, K. B. (2005). The Copenhagen Burnout Inventory: A new tool for the assessment of burnout. Work & Stress, 19 (3), 192-207) and differences in Personal, Work, and Client burnout scores were evaluated across patient population and work setting. RESULTS 57.3% and 51.5% of respondents (N = 130) endorsed moderate-to-high levels of personal and work-related burnout, respectively. In the Personal domain, respondents working with pediatric patients had higher mean scores and a higher proportion of respondents endorsed moderate-to-high levels of burnout. CONCLUSION More than half of the survey respondents endorsed elevated levels of personal and work-related burnout. This is concerning as burnout is associated with personal challenges and diminished patient care. Potential organizational interventions are discussed.
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Affiliation(s)
- David E C Marra
- Corresponding author at: Jamaica Plain VA Medical Center, 150 S. Huntington Ave, Boston, MA 0213, USA. Tel: (857) 364-2081; Fax: (857) 364-3162; E-mail address: (D.E.C. Marra)
| | - Mary U Simons
- Department of Psychology, Marquette University, Milwaukee, WI, USA
| | - Eben S Schwartz
- Department of Neurology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA
| | | | - James B Hoelzle
- Department of Psychology, Marquette University, Milwaukee, WI, USA
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29
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Brown EM, Fernald LCH, Hamad R, Hoskote M, Jackson KE, Gosliner W. Pandemic-related socioeconomic disruptions and adverse health outcomes: a cross-sectional study of female caregivers. BMC Public Health 2022; 22:1893. [PMID: 36221110 PMCID: PMC9552726 DOI: 10.1186/s12889-022-14287-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 09/19/2022] [Accepted: 09/28/2022] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND The COVID-19 pandemic and efforts to mitigate transmission resulted in sudden and widespread socioeconomic disruptions including school and child care closures, unemployment and underemployment, and housing precarity. Understanding the extent to which these disruptions may have contributed to adverse health outcomes is critical for establishing policy priorities that can mitigate further harm. METHODS We explored the associations between pandemic-related child care, employment, and housing disruptions with depressive symptoms, self-rated health, and food security status among a sample of economically disadvantaged and racially diverse female caregivers of young children (n=464). Data were derived from the Assessing California Communities' Experiences with Safety Net Supports (ACCESS) study, which conducted survey-based interviews with California caregivers with low-income from August 2020 - May 2021. We implemented a series of multivariable Poisson regressions with robust standard errors to assess the potency of each exposure, independently and within the context of one another. RESULTS Most caregivers experienced disruptions to child care (70%) and employment (63%); few experienced major housing disruptions (8%). Women that experienced child care and housing disruptions had greater depressive symptoms, lower self-rated health, and greater food insecurity, although the relationships for housing and depressive symptoms were modified by the timing of participants' interviews. Employment disruptions were not associated with any of the examined adverse health outcomes. CONCLUSION In the wake of socioeconomic stressors brought about by the COVID-19 pandemic, attending to structural deficits in the child care system and increasing housing supports may be critical for protecting the health of caregivers.
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Affiliation(s)
- Erika M Brown
- Social Interventions Research and Evaluation Network, Center for Health and Community, University of California, San Francisco, 675 18th St, 94107, San Francisco, CA, USA.
| | - Lia C H Fernald
- Division of Community Health Sciences, School of Public Health, University of California, Berkeley, 2121 Berkeley Way, Room 5302, 94720, Berkeley, CA, USA
| | - Rita Hamad
- Philip R. Lee Institute for Health Policy Studies, Department of Family & Community Medicine, University of California, 490 Illinois St, 94158, San Francisco, CA, USA
| | - Mekhala Hoskote
- UC Berkeley-UCSF Joint Medical Program, 570 University Hall MC #7360, 2018 Oxford Street, 94720, Berkeley, CA, USA
| | - Kaitlyn E Jackson
- Philip R. Lee Institute for Health Policy Studies, University of California, 490 Illinois St, 94158, San Francisco, CA, USA
| | - Wendi Gosliner
- Nutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, 1111 Franklin Street, 94607, Oakland, CA, USA
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30
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Kamble S, Joshi A, Kamble R, Kumari S. Influence of COVID-19 Pandemic on Psychological Status: An Elaborate Review. Cureus 2022; 14:e29820. [PMCID: PMC9622468 DOI: 10.7759/cureus.29820] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Accepted: 10/01/2022] [Indexed: 11/05/2022] Open
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31
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Jansen E, Smith K, Thapaliya G, Sadler J, Aghababian A, Carnell S. Associations of mothers' and fathers' structure-related food parenting practices and child food approach eating behaviors during the COVID pandemic. Physiol Behav 2022; 252:113837. [PMID: 35513084 PMCID: PMC9059343 DOI: 10.1016/j.physbeh.2022.113837] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Revised: 04/19/2022] [Accepted: 04/30/2022] [Indexed: 01/12/2023]
Abstract
BACKGROUND During the COVID-19 pandemic, many mothers and fathers have spent more time at home with their children, warranting consideration of parenting practices around food during the pandemic as influences on obesogenic eating behaviors among children. Structure-related feeding practices, particularly around snacking, may be particularly challenging yet influential in the pandemic setting. Parent sex and levels of feeding-related co-operation among parents (co-feeding) are understudied potential influences on parent-child feeding relationships. METHODS We investigated relationships between structure-related parent feeding and child food approach behaviors during the COVID-19 pandemic, while considering potential moderating influences of parent sex and co-feeding levels. An online survey was completed by 318 parents (206 mothers and 112 fathers) of 2-12-year-olds who were living in states with statewide or regional lockdowns in May/June 2020 within the US. Mothers and fathers were drawn from different families, with each survey corresponding to a unique parent-child dyad. Parental stress/mental health, co-feeding (Feeding Coparenting Scale), structure-related food and snack parenting (Feeding Practices and Structure Questionnaire and Parenting around SNAcking Questionnaire), and child eating behaviors (Child Eating Behaviour Questionnaire) were assessed. Relationships of parents' structure-related food and snack parenting practices with their child's emotional overeating and food responsiveness behaviors were examined using structural equation modelling. Further, we investigated whether these relations were moderated by parent sex or level of co-feeding. RESULTS Parent sex differences were seen in parental stress, mental health, and co-feeding, but not in structure-related food and snack parenting or child food approach eating behaviors. Structure-related food parenting was negatively associated with emotional overeating. However, structure-related snack parenting was positively associated with emotional overeating and food responsiveness. While regression paths varied between mothers vs. fathers, as well as by co-feeding levels, neither parent sex nor co-feeding levels significantly moderated relationships between parent feeding and child eating variables. CONCLUSIONS Future studies of food and snack parenting and co-operation in relation to feeding among mothers and fathers within a familial unit may be critical to identify intervention strategies that draw on all family resources to better navigate future disruptive events such as the COVID-19 pandemic.
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Affiliation(s)
- Elena Jansen
- Division of Child & Adolescent Psychiatry, Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, 600 N Wolfe St, Baltimore, MD, USA.
| | - Kimberly Smith
- Johns Hopkins University School of Medicine, 600 N Wolfe St, Baltimore, MD, USA
| | - Gita Thapaliya
- Division of Child & Adolescent Psychiatry, Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, 600 N Wolfe St, Baltimore, MD, USA
| | - Jennifer Sadler
- Division of Child & Adolescent Psychiatry, Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, 600 N Wolfe St, Baltimore, MD, USA
| | - Anahys Aghababian
- Division of Child & Adolescent Psychiatry, Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, 600 N Wolfe St, Baltimore, MD, USA
| | - Susan Carnell
- Division of Child & Adolescent Psychiatry, Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, 600 N Wolfe St, Baltimore, MD, USA
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Singh S, Bedi D. Financial Disruption and Psychological Underpinning During COVID-19: A Review and Research Agenda. Front Psychol 2022; 13:878706. [PMID: 35910967 PMCID: PMC9333085 DOI: 10.3389/fpsyg.2022.878706] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Accepted: 03/14/2022] [Indexed: 01/31/2023] Open
Abstract
Coronavirus disease 2019 (COVID-19) has disastrous impacts on sustainability initiatives and worsened poverty, hunger, and health issues. The financial distress by this pandemic has resulted in psychological challenges among the people. The list of vulnerable sections of the psychological impacts of the financial problems during COVID-19 is led by students, pregnant women, children, old age people, parents, and many more. The recommendations of this article are to focus on coping strategies for managing psychological issues related to financial problems during the pandemic, facilitating social support, promoting public health facilities and health insurance, financial support for pregnant women, and child care. Special care for old-age people and support for troubling parents and students. This article also recommends interventions and policies for reviving the disrupted businesses and strengthening entrepreneurs. Measures for income generation, removal of hunger, and reducing addictions and gambling should also be on the priority list. Limited collaboration among countries was observed, but robust collaboration among the research institutions and authors.
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Affiliation(s)
- Sanjeet Singh
- University Centre for Research & Development, Chandigarh University, Mohali, India
- University School of Business, Chandigarh University, Mohali, India
- *Correspondence: Sanjeet Singh,
| | - Deepali Bedi
- University School of Business, Chandigarh University, Mohali, India
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Joo YS, Lee WK. Impact of COVID-19-related Stress on Preschool Children's Internalizing and Externalizing Problem Behaviors: The Indirect Effect of Mother's Depression and Parenting Behavior. CHILD INDICATORS RESEARCH 2022; 15:2093-2113. [PMID: 35702330 PMCID: PMC9186284 DOI: 10.1007/s12187-022-09946-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/28/2022] [Indexed: 06/07/2023]
Abstract
The COVID-19 pandemic is affecting families and children worldwide. Experiencing the pandemic leads to stress in families resulting from fear of infection and social isolation derived from social distancing. For families raising preschoolers, the prolonged closure of childcare centers puts additional childcare burden on family members, especially mothers. Due to the limited research exploring the impact of COVID-19 on preschool children's problem behaviors, this study examines the association between stress due to COVID-19 and preschool children's internalizing and externalizing problem behaviors related to mother's depression and parenting behavior. The study sample included data collected from 316 South Korean mothers raising preschool-aged children aged 3 to 5. The study findings suggest that mother's COVID-19 stress was indirectly associated with preschool children's internalizing and externalizing problem behaviors resulting from the mother's depression and parenting behaviors, although the direct effect of COVID-19 stress on preschool children's outcomes was not statistically significant. Increase in mother's COVID-19 stress was associated with increase in depression, and sequentially decreased positive parenting behaviors, which in turn resulted in preschool children's internalizing and externalizing problem behaviors. The study findings highlight the need to focus on enhancing mental health of mothers and preschool children's adjustment by implementing supportive interventions to reduce the adverse impacts of the prolonged COVID-19 pandemic.
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Toros K, Falch-Eriksen A. The voices of parents in child protective services: A qualitative analysis of families' struggles with COVID-19. DEVELOPMENTAL CHILD WELFARE 2022; 4:97-113. [PMID: 38603234 PMCID: PMC9047598 DOI: 10.1177/25161032221094045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The pandemic of the Coronavirus disease 2019 (COVID-19) has affected children and families worldwide, disrupting their daily lives and well-being. A small-scale study involving 13 parents in Child Protective Services in Estonia was conducted using in-depth, semi-structured interviews to explore parents' experiences with COVID-19 and its impact on their families' well-being. The findings indicated that one of the areas most impacted by the COVID-19 pandemic was schooling, as the implementation of remote schooling often created tensions and conflicts at home. Parents reported regression in daily functioning, attributing this to the lack of supportive services during lockdown and additional distress resulting from increased workload at home and problems with balancing home and work life. Parents were exhausted by the various problems caused by the pandemic and questioned their ability to provide their children the support they needed. Discontinuation of services intensified existing challenges for both parents and children. Furthermore, a lack of trust in Child Protective Services was identified, serving as a barrier to asking for help in times of crisis.
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Hill KL, Peterson CC. The Impact of COVID-19 on Parent Mental Health: Frameworks for Risk Assessment and Parent Interventions. J Pediatr Psychol 2022; 47:617-619. [PMID: 35535015 PMCID: PMC9384036 DOI: 10.1093/jpepsy/jsac042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 04/18/2022] [Accepted: 04/19/2022] [Indexed: 11/25/2022] Open
Affiliation(s)
- Kelsey L Hill
- Department of Psychology, Eastern Michigan University, USA
| | - Catherine C Peterson
- Department of Psychology, Eastern Michigan University, USA.,Division of Allergy and Immunology, University of Michigan Health System, USA
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Zhuo R, Yu Y, Shi X. Family Resilience and Adolescent Mental Health during COVID-19: A Moderated Mediation Model. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19084801. [PMID: 35457666 PMCID: PMC9028193 DOI: 10.3390/ijerph19084801] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Revised: 04/11/2022] [Accepted: 04/13/2022] [Indexed: 11/16/2022]
Abstract
Background: The COVID-19 pandemic has impacted and is still impacting people’s lives, including physical and mental health. Family plays an important role in adolescent mental health due to the long staying at home. Aims: This paper aimed to investigate the impact of family resilience on adolescent mental health during the COVID-19 pandemic, and the mediation role of pandemic stress perception and the moderation role of meta-mood. Methods: A total of 2691 Chinese adolescents were recruited using convenient sampling. Their mental health, family resilience, pandemic stress perception and meta-mood were surveyed. Multivariate statistics were used to analyze the data. Results: Our results showed that (1) about 36.7% adolescents in our sample have some mental health problems; (2) family resilience can positively predict adolescent mental health, whereas pandemic stress perception can negatively predict mental health; (3) pandemic stress perception mediates the relationship between family resilience and adolescent mental health; (4) meta-mood moderates the relationship between family resilience and pandemic perception, i.e., the first half of the mediation role. Conclusions: Our results indicate that one can either improve family resilience or improve adolescents’ meta-mood to relieve adolescents’ mental health problems.
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Affiliation(s)
- Ran Zhuo
- Department of Applied Psychology, School of Humanities, Jilin Agricultural University, Changchun 130118, China; (R.Z.); (X.S.)
| | - Yanhua Yu
- Faculty of Education, Northeast Normal University, Changchun 130024, China
- Center for Faculty Development, Jilin Agricultural University, Changchun 130118, China
- Correspondence:
| | - Xiaoxue Shi
- Department of Applied Psychology, School of Humanities, Jilin Agricultural University, Changchun 130118, China; (R.Z.); (X.S.)
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He Y, Ortiz R, Kishton R, Wood J, Fingerman M, Jacobs L, Sinko L. In their own words: Child and adolescent perceptions of caregiver stress during early COVID-19. CHILD ABUSE & NEGLECT 2022; 124:105452. [PMID: 34954423 PMCID: PMC8692067 DOI: 10.1016/j.chiabu.2021.105452] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Revised: 11/26/2021] [Accepted: 12/15/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic has exacerbated multiple stressors for caregivers of children in the United States, raising concern for increased family conflict, harsh parenting, and child maltreatment. Little is known regarding children's perceptions and experiences of caregiver stress during the COVID-19 pandemic. OBJECTIVE To examine how children and adolescents identify and experience caregiver stress during the early COVID-19 pandemic. METHODS We analyzed 105 de-identified helpline text and online chat transcripts from children under age 18 who submitted inquiries to the Childhelp National Child Abuse Hotline from March to June of 2020, with COVID-19 as a presenting issue. Inductive, thematic analysis was used to identify how child helpline users: 1) perceived and experienced drivers of caregiver stress and 2) used words to describe manifestations of caregiver stress during the COVID-19 pandemic. RESULTS Children experienced multiple drivers of caregiver stress during COVID-19, including intrapersonal (e.g. caregiver health concerns), interpersonal (e.g. parental discord, perceived dislike of child), and extrapersonal (e.g. financial insecurity, sheltering in place) stressors. Regardless of the driver, caregivers' stress was internalized by children. "Anger," "control," and "blame" were most commonly used to label manifestations of caregiver stress, which were often externalizing behaviors, including yelling, name calling, and blaming of others. CONCLUSION In text and online chat inquiries to a national child helpline during the COVID-19 pandemic, children described multiple drivers of caregiver stress, often feeling as though they were to blame. Providers serving children should address household stress spillover effects by including caregivers and directly acknowledging children's concerns using their own words.
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Affiliation(s)
- Yuan He
- University of Pennsylvania Perelman School of Medicine, National Clinician Scholars Program, United States of America; The Children's Hospital of Philadelphia, PolicyLab and Department of Pediatrics, United States of America; Leonard Davis Institute of Health Economics, University of Pennsylvania, United States of America.
| | - Robin Ortiz
- University of Pennsylvania Perelman School of Medicine, National Clinician Scholars Program, United States of America; The Children's Hospital of Philadelphia, PolicyLab and Department of Pediatrics, United States of America; Leonard Davis Institute of Health Economics, University of Pennsylvania, United States of America
| | - Rachel Kishton
- University of Pennsylvania Perelman School of Medicine, National Clinician Scholars Program, United States of America; Leonard Davis Institute of Health Economics, University of Pennsylvania, United States of America; University of Pennsylvania Perelman School of Medicine, Department of Family Medicine and Community Health, United States of America
| | - Joanne Wood
- University of Pennsylvania Perelman School of Medicine, National Clinician Scholars Program, United States of America; The Children's Hospital of Philadelphia, PolicyLab and Department of Pediatrics, United States of America; Leonard Davis Institute of Health Economics, University of Pennsylvania, United States of America
| | | | - Larel Jacobs
- Childhelp National Child Abuse Hotline, United States of America
| | - Laura Sinko
- University of Pennsylvania Perelman School of Medicine, National Clinician Scholars Program, United States of America; Leonard Davis Institute of Health Economics, University of Pennsylvania, United States of America; Temple University College of Public Health, Department of Nursing, United States of America
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Ng CSM, Ng SSL. Impact of the COVID-19 pandemic on children's mental health: A systematic review. Front Psychiatry 2022; 13:975936. [PMID: 36329921 PMCID: PMC9622998 DOI: 10.3389/fpsyt.2022.975936] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Accepted: 09/22/2022] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND The outbreak of COVID-19 in December 2019 has caused unprecedented disruption to the structure of children's daily lives due to school closures, online learning, strict social distancing measures, limited access to outdoor activities and many other restrictions. Since children are more susceptible to stress than adults and there is a growing concern about the potential debilitating consequences of COVID-19 for children's mental health, the present review aims to provide empirical evidence on the groups who are most at risk of mental health problems and uncover the risk and protective factors of children's mental health. METHODS A systematic search was performed, in accordance with PRISMA guidelines, in the electronic databases Web of Science (including SSCI and A&HI) and EBSCOhost (including ERIC, MEDLINE and APA PsycArticles and APA PsycINFO), for any empirical studies published between January 2020 and February 2022 that focused on children ≤ 12 years old. RESULTS An initial search identified 2,133 studies. A total of 30 studies fulfilled the inclusion criteria and were analyzed. The evidence showed that many children were affected by the COVID-19 pandemic and experienced internalizing and externalizing behaviors. Worsened child mental health outcomes reflected socioeconomic inequalities as most at-risk children had parents with low educational attainment, were from families of low socioeconomic status and lived in small homes. Key risk factors were identified, including unhealthy lifestyle behaviors (extended screen time, sleep disturbances and less physical activity), increased pandemic-related stressors among parents and deteriorated mental health of parents, which were directly or indirectly associated with the pandemic safety measures, such as home confinement or social distancing. Protective factors including parents' resilience, positive parent-child relationship and school connectedness in relation to children's mental health were reported. CONCLUSION The overall results highlight the urgent need for the implementation of tailor-made interventions for children with signs of internalizing and externalizing behaviors. Health promotion and prevention strategies by the government to maintain the mental health of children, particularly those from lower SES families who are at higher risk of worsened mental health are essential for post-pandemic policies.
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Affiliation(s)
- Catalina Sau Man Ng
- Department of Early Childhood Education, The Education University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Sally Sui Ling Ng
- Department of Early Childhood Education, The Education University of Hong Kong, Hong Kong, Hong Kong SAR, China
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Scala M, Marchman VA, Brignoni-Pérez E, Morales MC, Dubner SE, Travis KE. Impact of the COVID-19 pandemic on developmental care practices for infants born preterm. Early Hum Dev 2021; 163:105483. [PMID: 34649193 PMCID: PMC8489845 DOI: 10.1016/j.earlhumdev.2021.105483] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Revised: 09/09/2021] [Accepted: 09/30/2021] [Indexed: 02/07/2023]
Abstract
OBJECTIVES To assess the impact of the COVID-19 pandemic on rates of hospital visitation and rates and durations of developmental care practices for infants born preterm. METHODS We analyzed electronic medical record data from 129 infants born at less than 32 weeks gestational age (GA) cared for in the Lucile Packard Children's Hospital neonatal intensive care unit (NICU) in a COVID-19-affected period (March 8, 2020 to Nov 30, 2020, n = 67) and the analogous period in 2019 (n = 62). Rates of family visitation and of family- and clinical staff-delivered developmental care were compared across cohorts, adjusting for covariates. RESULTS Families of infants visited the hospital at nearly half of the rate during 2020 as during 2019 (p = 0.001). Infants experienced developmental care less frequently in 2020 vs. 2019 (3.0 vs. 4.3 activities per day; p = 0.001), resulting in fewer minutes per day (77.5 vs. 130.0; p = 0.001). In 2020, developmental care activities were 5 min shorter, on average, than in 2019, p = 0.001. Similar reductions occurred in both family- and staff-delivered developmental care. Follow-up analyses indicated that effects persisted and even worsened as the pandemic continued through fall 2020, despite relaxation of hospital visitation policies. CONCLUSIONS The COVID-19 pandemic has negatively impacted family visitation and preterm infant developmental care practices in the NICU, both experiences associated with positive health benefits. Hospitals should create programs to improve family visitation and engagement, while also increasing staff-delivered developmental care. Careful attention should be paid to long-term follow up of preterm infants and families.
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Affiliation(s)
- Melissa Scala
- Department of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University, Stanford, CA, USA.
| | - Virginia A Marchman
- Department of Psychology, Stanford University, Stanford, CA, USA; Department of Pediatrics, Division of Developmental-Behavioral Pediatrics, Stanford University, Stanford, CA, USA
| | - Edith Brignoni-Pérez
- Department of Pediatrics, Division of Developmental-Behavioral Pediatrics, Stanford University, Stanford, CA, USA; Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA
| | - Maya Chan Morales
- Department of Pediatrics, Division of Developmental-Behavioral Pediatrics, Stanford University, Stanford, CA, USA
| | - Sarah E Dubner
- Department of Pediatrics, Division of Developmental-Behavioral Pediatrics, Stanford University, Stanford, CA, USA
| | - Katherine E Travis
- Department of Pediatrics, Division of Developmental-Behavioral Pediatrics, Stanford University, Stanford, CA, USA
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