Parental Mental Health and Children's Behaviors and Media Usage during COVID-19-Related School Closures.

Parental Mental Health and Children's Behaviors and Media Usage during COVID-19-Related School Closures.
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DOI:
10.3346/jkms.2021.36.e184
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发表时间:
2021-06-28
影响因子:
4.5
通讯作者:
Shin Y
Shin Y
中科院分区:
医学4区
文献类型:
--
作者:
Kim SJ;Lee S;Han H;Jung J;Yang SJ;Shin Y

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2019冠状病毒病(COVID-19)与以往的灾难不同,它持续到现在,影响了家庭生活的各个方面。在流行病期间,社会心理支持的重要性不亚于感染控制。在与COVID-19相关的学校关闭期间,学校长时间部分关闭可能对儿童造成不利的社会和健康后果,并可能增加家庭负担。本研究以韩国的一个社区样本为基础,确定了父母的担忧、儿童的媒体使用情况和其他各种因素,并研究了父母的压力水平或抑郁是否与COVID-19下学校关闭期间小学儿童的问题行为、媒体接触和睡眠问题呈正相关。参与者为居住在韩国水原的217名有小学子女的家长,他们回答了一份基于网络的问卷,内容包括家长对COVID-19下学校关闭的担忧、主观压力、抑郁、是否接受过心理健康服务以及家庭特征;儿童的睡眠模式、问题行为、仅在线上课期间的媒体使用情况以及大流行后活动水平的变化。在学校关闭期间,儿童体重增加,体育活动时间减少,使用媒体的时间增加。除了在线学习内容(97.2%),YouTube是使用率最高的内容(87.6%),其次是游戏(78.3%)。父母主观压力指数与父母抑郁(Pearson相关系数0.439,P < 0.001)、儿童睡眠问题(0.283,P < 0.001)、服药时间(0.171,P = 0.012)和行为问题(0.413,P < 0.001)高度相关。父母抑郁与儿童的睡眠问题(0.355,P < 0.001)、看电视时间(0.153,P = 0.024)、平板时间(0.159,P = 0.019)和行为问题(0.524,P < 0.001)相关。以前接受过心理服务的父母似乎更关心他们的孩子已经因为COVID-19而变得更糟的问题,而不是疾病本身。儿童的睡眠问题与平板电脑(0.172,P = 0.011)和智能手机时间(0.298,P < 0.001)有关,但与其频率无关。在COVID-19相关的学校关闭期间,许多家长和孩子都遇到了与心理健康有关的各种困难。可能需要扩大对高风险群体和多种支持系统的持续监测,以涵盖那些难以照顾子女的父母。
Coronavirus disease 2019 (COVID-19) is different from previous disasters in that it continues to the present and has affected all aspects of family life. During epidemics, psychosocial support is not less important than infection control. During COVID-19-related school closures, prolonged partial closures of schools could have detrimental social and health consequences for children and may increase the burden on the family. Based on a community sample in Korea, this study identified parental concerns, children's media usage, other various factors and examined whether parental stress level or depression were positively associated with problem behaviors, media exposure, and sleep problems of the primary school children during school closure under COVID-19. Participants were 217 parents residing in Suwon, South Korea, who had primary school children and responded to a web-based questionnaire on parental concerns from school closure under COVID-19, subjective stress, depression, whether having received mental health services, and family characteristics; children's sleep patterns, problem behaviors, media usage during the online-only class period, and changes in activity level following the pandemic. During school closure, children gained body weight, spent less time in physical activities and more in media usage. Besides online learning content (97.2%), YouTube was highly used content (87.6%), and games followed (78.3%). Parental subjective stress index was highly associated with parental depression (Pearson correlation 0.439, P < 0.001), children's sleep problems (0.283, P < 0.001), tablet time (0.171, P = 0.012) and behavior problems (0.413, P < 0.001). Parental depression was associated with children's sleep problems (0.355, P < 0.001), TV time (0.153, P = 0.024), tablet time (0.159, P = 0.019), and behavior problems (0.524, P < 0.001). Parents who previously received mental services seemed to be more concerned about the problems their children already have getting worse because of COVID-19 than the disease itself. Children's sleep problem was associated with tablet (0.172, P = 0.011) and smartphone time (0.298, P < 0.001), but not its frequency. During COVID-19-related school closures, many parents and children had various difficulties relating to mental health. Ongoing monitoring of mental health of high-risk groups and multiple support systems may need to be expanded to cover those parents having difficulty in caring for their children.
DOI: 10.3346/jkms.2018.33.e219
发表时间: 2018-08-20
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