Longitudinal transactional relationships between caregiver and child mental health during the COVID-19 global pandemic.

Longitudinal transactional relationships between caregiver and child mental health during the COVID-19 global pandemic.
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DOI:
10.1186/s13034-021-00422-1
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发表时间:
2021-11-15
影响因子:
5.6
通讯作者:
Natale R
Natale R
中科院分区:
医学3区
文献类型:
--
作者:
Robertson EL;Piscitello J;Schmidt E;Mallar C;Davidson B;Natale R

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研究COVID-19对儿童和家庭心理影响的新工作表明,与流行病相关的压力,儿童心理社会功能和照顾者心理健康之间的关系是相互关联的。然而,这项研究的大部分是单向的,因此对儿童和照顾者可能经历的双向级联效应知之甚少。目前的研究考察了在COVID-19大流行期间,随着时间的推移,照顾者和儿童心理健康之间的关系。语言、种族和民族多样化的幼儿照顾者(N = 286)完成了照顾者心理健康、照顾者流行病相关压力和儿童心理健康(即,外化,内化,亲社会行为)在2020年春季的三个时间点。使用自回归交叉滞后分析,时间1(2020年4月)的护理人员心理健康受损预测时间2(2020年5月)的护理人员流行病相关压力增加。时间1时的照顾者流行病相关压力预测时间2时儿童内化症状增加,这反过来又预测时间3(2020年7月)时照顾者流行病相关压力增加。最后,在时间2(2020年5月)的照顾者心理健康受损预测在时间3(2020年7月)的儿童外化症状增加。在COVID-19大流行期间,评估儿童和照顾者心理健康之间的交易关系对于为风险和复原力模型提供信息非常重要。应考虑在照顾者、儿童和/或家庭层面采取干预措施,以中断潜在的负面发展连锁反应。
Emerging work examining the psychological impact of COVID-19 on children and families suggests that the relationship between pandemic-related stress, child psychosocial functioning, and caregiver mental health are interrelated. However, much of this research is unidirectional and thus little is known about the bidirectional cascading effects children and caregivers may experience. The current study examined the transactional relationships between caregiver and child mental health over time during the COVID-19 pandemic. Linguistically, racially, and ethnically diverse caregivers (N = 286) of young children completed measures of caregiver mental health, caregiver pandemic-related stress, and child mental health (i.e., externalizing, internalizing, prosocial behavior) across three time points in the spring of 2020. Using autoregressive cross-lagged analyses, impaired caregiver mental health at Time 1 (April 2020) predicted increased caregiver pandemic-related stress at Time 2 (May 2020). Caregiver pandemic-related stress at Time 1 predicted increased child internalizing symptoms at Time 2 which, in turn, predicted increased caregiver pandemic-related stress at Time 3 (July 2020). Lastly, impaired caregiver mental health at Time 2 (May 2020) predicted increased child externalizing symptoms at Time 3 (July 2020). Assessing transactional relationships between child and caregiver mental health during the COVID-19 pandemic is important to inform models of risk and resilience. Interventions at the level of the caregiver, the child, and/or the family should be considered as a way to interrupt potential negative developmental cascades.
将压力视为介体,这是共同锁定对父母和子女福祉的纵向影响的中介。
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