Caregiver Perceptions of Children's Psychological Well-being During the COVID-19 Pandemic.
Caregiver Perceptions of Children's Psychological Well-being During the COVID-19 Pandemic.
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DOI：
10.1001/jamanetworkopen.2021.11103
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发表时间：
2021-04-01
影响因子：
13.8
通讯作者：
Gupta R
中科院分区：
文献类型：
--
作者：
Raviv T;Warren CM;Washburn JJ;Kanaley MK;Eihentale L;Goldenthal HJ;Russo J;Martin CP;Lombard LS;Tully J;Fox K;Gupta R
新冠肺炎的流行和压力暴露是否与照顾者对儿童心理健康的看法有关？在本次调查研究中，32名 217名公立学校学生的照顾者对儿童心理健康问题的认可显著高于面对面指导结束前，而对积极适应特征的认可显著低于面对面指导结束前。在考虑协变量后，随着新冠肺炎接触和家庭压力源的增加，儿童心理健康担忧的概率增加，积极适应特征的概率下降。这些发现表明，新冠肺炎与照顾者对儿童心理健康的负面看法有关，需要制定全面的公共卫生战略。这项调查研究了学校停课和暴露于新冠肺炎相关压力源与照顾者对孩子心理健康的看法之间的关系。在新冠肺炎大流行期间了解青年福祉，有助于适当分配资源，并为支持青年的政策提供信息。检查照顾者报告的孩子在新冠肺炎全职服务开始3-4个月后心理健康的变化，并检查照顾者报告的新冠肺炎暴露和家庭压力源与照顾者对儿童心理健康感知的关系。这项调查研究使用了一项匿名调查，于2020年6月24日至7月15日通过电子邮件向伊利诺伊州芝加哥公立学校的350个 000学生家庭发放了调查问卷。先验假设是，与关闭前相比，照顾者会报告关闭期间儿童心理健康状况恶化，暴露于新冠肺炎相关应激源将与儿童心理健康恶化的可能性更高相关。对2020年9月10日至2021年3月15日的数据进行了分析。结果是7个心理健康问题和5个积极的适应特征由照顾者报告，采用回溯性的事前设计。照顾者也报告了接触新冠肺炎和家庭压力的原因。在被邀请参加的350个 000家庭中，32名 217照顾者(10 827[39.3%]白人，8320[30.2%]拉丁裔，6 168[22.4%]黑人；2223[8.1%]多种族或其他族裔)代表49名 397名学龄前至12年级儿童完成了调查。根据具体问题，报告了40名 723到40名 852儿童的特定儿童结果。照顾者认可青少年心理健康问题的频率从0.1个百分点(191名照顾者[0.5%]关门前对246名照顾者[0.6%]；P <； .001)到28.3个百分点(孤独感，1452名照顾者[3.6%]关门前对13名 019照顾者[31.9%]关门前；P <； .001)之间。照顾者认可青少年积极适应特征的频率从−13.4%(18名 114名照顾者报告的未来计划[44.3%]对12名 601照顾者在关闭期间[30.9%]；P <； .001)到−30.9个百分点(24名 666名照顾者报告的积极同伴关系[60.4%]对19名 130照顾者在关闭期间[46.8%]；P <； .001)在面对面指导结束后更低。新冠肺炎风险敞口在不同种族/民族(F3，27 534 = 614.8；P <； .001)和家庭收入阶层(F5，27 506 = 842.0；P <； .001)之间观察到显著差异。在考虑协变量后，所有心理健康问题的概率(如愤怒：优势比，1.5 5[95%CI，1.48-1.62]；P <； .001)随着新冠肺炎暴露和家庭压力源的增加而降低(如，希望或积极：优势比，0.88[95%CI，0.84-0.92]；P <； .001)。在新冠肺炎大流行期间对照料者进行的这项调查研究中，新冠肺炎和由此产生的压力与较差的青年心理健康有关，表明需要采取一种综合公共卫生方法，将儿童福祉放在优先位置，并引起公众对青年心理健康需求的广泛关注。
Is the COVID-19 pandemic and stressor exposure associated with caregivers’ perceptions of children’s psychological well-being? In this survey study among 32 217 caregivers of public-school students, endorsement of child mental health concerns was significantly higher and endorsement of positive adjustment characteristics was significantly lower after the end of in-person instruction compared with before. After accounting for covariates, child mental health concerns increased in probability and positive adjustment characteristics decreased in probability as COVID-19 exposure and family stressors increased. These findings suggest that COVID-19 was associated with negative caregiver perceptions of children’s psychological well-being, requiring a comprehensive public health strategy. This survey study examines the associations of school closure and exposure to COVID-19–related stressors with caregivers’ perceptions of their children’s mental well-being. Understanding youth well-being during the COVID-19 pandemic can help appropriately allocate resources and inform policies to support youth. To examine caregiver-reported changes in the psychological well-being of their children 3 to 4 months after the start of COVID-19 stay-at-home orders, and to examine the association of caregiver-reported COVID-19 exposure and family stressors with caregiver perceptions of child psychological well-being. This survey study used an anonymous survey distributed via email from June 24 to July 15, 2020, to 350 000 families of students attending public schools in Chicago, Illinois. The a priori hypotheses were that caregivers would report worsening in child psychological well-being during the closure period compared with preclosure and that exposure to COVID-19–related stressors would be associated with a higher probability of worsening child psychological well-being. Data were analyzed from September 10, 2020, to March 15, 2021. Outcomes were 7 mental health concerns and 5 positive adjustment characteristics reported by caregivers using a retrospective pre-post design. COVID-19 exposure and family stressors were also reported by caregivers. Among 350 000 families invited to participate, 32 217 caregivers (10 827 [39.3%] White, 8320 [30.2%] Latinx, 6168 [22.4%] Black; 2223 [8.1%] with multiple or other races/ethnicities) completed the survey on behalf of 49 397 children in prekindergarten through 12th grade. Child-specific outcomes were reported for 40 723 to 40 852 children depending on the specific question. The frequency of caregiver endorsement of youth mental health concerns ranged from 0.1 percentage point (suicidal ideation or self-harm, reported by 191 caregivers [0.5%] preclosure vs 246 caregivers [0.6%] during closure; P < .001) to 28.3 percentage points (loneliness, reported by 1452 caregivers [3.6%] preclosure vs 13 019 caregivers [31.9%] during closure; P < .001) higher after the end of in-person instruction compared with preclosure. Frequency of caregiver endorsement of youth positive adjustment characteristics ranged from −13.4 percentage points (plans for the future, reported by 18 114 caregivers [44.3%] preclosure vs 12 601 caregivers [30.9%] during closure; P < .001) to −30.9 percentage points (positive peer relationships, reported by 24 666 caregivers [60.4%] preclosure vs 19 130 caregivers [46.8%] during closure; P < .001) lower after the end of in-person instruction. Significant differences in COVID-19 exposure were observed across racial/ethnic (F3,27 534 = 614.8; P < .001) and household income strata (F5,27 506 = 842.0; P < .001). After accounting for covariates, all mental health concerns increased in probability (eg, angry: odds ratio, 1.55 [95% CI, 1.48-1.62]; P < .001) and all the positive adjustment characteristics decreased in probability (eg, hopeful or positive: odds ratio, 0.88 [95% CI, 0.84-0.92]; P < .001) as COVID-19 exposure and family stressors increased. In this survey study of caregivers during the COVID-19 pandemic, COVID-19 and resulting exposure to stress were associated with worse youth psychological well-being, demonstrating the need for a comprehensive public health approach that prioritizes children’s well-being and draws broad public attention to the mental health needs of youth.
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DOI：
10.1037/amp0000707
发表时间：
2021-04
期刊：
The American psychologist
影响因子：
--
作者：
Gruber J;Prinstein MJ;Clark LA;Rottenberg J;Abramowitz JS;Albano AM;Aldao A;Borelli JL;Chung T;Davila J;Forbes EE;Gee DG;Hall GCN;Hallion LS;Hinshaw SP;Hofmann SG;Hollon SD;Joormann J;Kazdin AE;Klein DN;La Greca AM;Levenson RW;MacDonald AW;McKay D;McLaughlin KA;Mendle J;Miller AB;Neblett EW;Nock M;Olatunji BO;Persons JB;Rozek DC;Schleider JL;Slavich GM;Teachman BA;Vine V;Weinstock LM
通讯作者：
Weinstock LM
影响因子：
4.6
作者：
Blair C;Granger DA;Willoughby M;Mills-Koonce R;Cox M;Greenberg MT;Kivlighan KT;Fortunato CK;FLP Investigators
通讯作者：
FLP Investigators
影响因子：
8
作者：
Gassman-Pines, Anna;Ananat, Elizabeth Oltmans;Fitz-Henley, John, II
通讯作者：
Fitz-Henley, John, II
影响因子：
8
作者：
Patrick, Stephen W.;Henkhaus, Laura E.;Davis, Matthew M.
通讯作者：
Davis, Matthew M.
DOI：
10.1097/00004583-200503000-00011
发表时间：
2005-03-01
影响因子：
13.3
作者：
Barry, TD;Dunlap, ST;Wells, KC
通讯作者：
Wells, KC