Initial Challenges of Caregiving During COVID-19: Caregiver Burden, Mental Health, and the Parent-Child Relationship

Initial Challenges of Caregiving During COVID-19: Caregiver Burden, Mental Health, and the Parent-Child Relationship
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DOI:
10.1007/s10578-020-01037-x
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发表时间:
2020-08-04
影响因子:
2.9
通讯作者:
Horton, A. L.
Horton, A. L.
中科院分区:
医学4区
文献类型:
--
作者:
Russell, B. S.;Hutchison, M.;Horton, A. L.

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研究证实,全社区范围的灾害造成的心理健康负担是广泛的,对个人和家庭的影响是普遍的。很明显,儿童灾难的后果在高度痛苦的照顾者的孩子中最糟糕,或者那些经历了灾难的负面心理健康后果的照顾者。目前的研究使用路径分析来检查美国COVID-19大流行最初几个月期间全国样本中父母(n = 420)经历的并发模式。按父母性别组织的多组路径分析的结果表明与数据拟合良好[X-2(10)= 159.04,p < .01]。结果表明,父母的照顾者负担,心理健康和儿童的压力的看法之间存在显着的联系,这些反过来又显着联系到孩子-父母的亲密和冲突,表明可能的溢出效应为抑郁的父母和补偿效应为焦虑的父母。在COVID-19大流行期间,数百万家庭在不确定的一段时间内就地避难的影响可能会对个人的心理健康造成前所未有的影响,对子女与父母的关系产生未知的影响。这些影响可能会加剧的家庭,其照顾者的经验增加心理健康症状,是父亲在目前的样本的情况。
Research confirms that the mental health burdens following community-wide disasters are extensive, with pervasive impacts noted in individuals and families. It is clear that child disaster outcomes are worst among children of highly distressed caregivers, or those caregivers who experience their own negative mental health outcomes from the disaster. The current study used path analysis to examine concurrent patterns of parents' (n = 420) experience from a national sample during the early months of the U.S. COVID-19 pandemic. The results of a multi-group path analysis, organized by parent gender, indicate good fit to the data [X-2(10) = 159.04, p < .01]. Results indicate significant linkages between parents' caregiver burden, mental health, and perceptions of children's stress; these in turn are significantly linked to child-parent closeness and conflict, indicating possible spillover effects for depressed parents and compensatory effects for anxious parents. The impact of millions of families sheltering in place during the COVID-19 pandemic for an undefined period of time may lead to unprecedented impacts on individuals' mental health with unknown impacts on child-parent relationships. These impacts may be heightened for families whose caregivers experience increased mental health symptoms, as was the case for fathers in the current sample.