COVID-19 and Parent-Child Psychological Well-being

COVID-19 and Parent-Child Psychological Well-being
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DOI:
10.1542/peds.2020-007294
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发表时间:
2020-10-01
期刊:
影响因子:
8
通讯作者:
Fitz-Henley, John, II
Fitz-Henley, John, II
中科院分区:
医学2区
文献类型:
--
作者:
Gassman-Pines, Anna;Ananat, Elizabeth Oltmans;Fitz-Henley, John, II

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受新冠肺炎疫情影响,父母的心理健康状况有所恶化。家庭经历的与covid -19相关的困难越多,父母和孩子的心理健康就越差。背景和目的:2019年冠状病毒病的爆发已经以难以及时捕捉的方式改变了美国社会。在本研究中,我们利用危机前后收集的日常调查数据,开始调查危机恶化了父母和孩子的心理健康的假设。我们还研究了与危机相关的困难的程度,并评估了困难的积累将与父母和儿童的心理健康有关的假设。方法:每日调查数据收集于2020年2月20日至4月27日,来自美国某大城市的小时工,他们有一个年幼的孩子(2-7岁)(N= 8222人日,来自645人)。在3月23日至4月26日期间进行的关于危机影响的一次性调查中,有一个子样本完成了调查(子样本= 561)。结果:有序概率模型显示,自危机开始以来,父母报告的每日负面情绪的频率显着增加。许多家庭在危机中经历了困难,包括失业、收入损失、照顾负担和疾病。在危机后时期,父母和孩子的幸福感与家庭经历的与危机相关的困难的数量密切相关。结论:与我们的假设一致,在经历了与2019年冠状病毒病危机相关的多重困难的家庭中,父母和孩子的心理健康状况都更差。随着危机的继续展开,儿科医生应筛查心理健康状况,特别关注那些家庭特别容易受到危机的经济和疾病影响的儿童。
Parent psychological well-being has worsened after COVID-19-induced restrictions. The more COVID-19-related hardship that families experienced, the worse parents' and children's psychological well-being.BACKGROUND AND OBJECTIVES: The outbreak of coronavirus disease 2019 has changed American society in ways that are difficult to capture in a timely manner. With this study, we take advantage of daily survey data collected before and after the crisis started to investigate the hypothesis that the crisis has worsened parents' and children's psychological well-being. We also examine the extent of crisis-related hardships and evaluate the hypothesis that the accumulation of hardships will be associated with parent and child psychological well-being. METHODS: Daily survey data were collected between February 20 and April 27, 2020, from hourly service workers with a young child (aged 2-7) in a large US city (N= 8222 person-days from 645 individuals). A subsample completed a one-time survey about the effects of the crisis fielded between March 23 and April 26 (subsamplen= 561). RESULTS: Ordered probit models revealed that the frequency of parent-reported daily negative mood increased significantly since the start of the crisis. Many families have experienced hardships during the crisis, including job loss, income loss, caregiving burden, and illness. Both parents' and children's well-being in the postcrisis period was strongly associated with the number of crisis-related hardships that the family experienced. CONCLUSIONS: Consistent with our hypotheses, in families that have experienced multiple hardships related to the coronavirus disease 2019 crisis, both parents' and children's mental health is worse. As the crisis continues to unfold, pediatricians should screen for mental health, with particular attention to children whose families are especially vulnerable to economic and disease aspects of the crisis.