Understanding why the COVID-19 pandemic-related lockdown increases mental health difficulties in vulnerable young children.
Understanding why the COVID-19 pandemic-related lockdown increases mental health difficulties in vulnerable young children.
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DOI：
10.1111/jcv2.12005
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发表时间：
2021-04
期刊：
影响因子：
--
通讯作者：
van Goozen S
中科院分区：
文献类型：
--
作者：
Adegboye D;Williams F;Collishaw S;Shelton K;Langley K;Hobson C;Burley D;van Goozen S
学校关闭、社会孤立、经济和情感压力增加以及家庭冲突的增加可能会对已知脆弱的小学生造成明显的心理健康后果。我们需要疫情爆发前的数据，以便就COVID-19对弱势儿童的影响提供可靠的评估。本研究利用了一项正在进行的小学儿童（4-8岁）研究，该研究被教师确定为心理健康问题的“风险”。我们收集了疫情前的心理健康和社会经济数据，并在疫情期间通过研究人员主导的视频通话重新评估了该队列（n = 142），以评估COVID-19对这些家庭的社会和情感影响。心理健康问题，特别是焦虑，在这些儿童中显着增加。父母的心理健康问题（焦虑和抑郁）也很普遍。于COVID-19疫情前，先前被识别为生活贫困的低收入家庭在封锁期间的财务压力报告较多。研究发现，经济压力可以通过父母的心理健康间接预测儿童心理健康问题的增加。这些发现表明，这一流行病加剧了本已脆弱的儿童的心理健康问题。这些负面结果可以用财务压力来解释（例如，失业、失去收入和无力支付账单），这与父母的心理健康有负面联系。
The mental health consequences of school closure, social isolation, increased financial and emotional stress, and greater exposure to family conflicts are likely to be pronounced for primary school children who are known to be vulnerable. Data from prior to the pandemic are needed to provide robust assessments of the impact of COVID‐19 on vulnerable children. The present study capitalises on an ongoing study of primary school children (4–8 years) identified as ‘at‐risk’ for mental health problems by teachers. We collected mental health and socio‐economic data prior to the pandemic and re‐assessed this cohort (n = 142) via researcher‐led video calls during the pandemic to evaluate the social and emotional impacts of COVID‐19 for these families. Mental health problems, particularly anxiety, increased significantly in these children. Parental mental health difficulties (anxiety and depression) were also prevalent. There were higher reports of financial stress during lockdown amongst low‐income families previously identified as living in poverty, prior to the COVID‐19 pandemic. Financial strain was found to indirectly predict increases in child mental health problems through parental mental health. These findings show that the pandemic exacerbated mental health problems in already vulnerable children. These negative outcomes were explained by financial stress (e.g., lost employment, loss of income and inability to pay bills), which was negatively linked to parental mental health.
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期刊：
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