Examining the impacts of the COVID-19 pandemic on family mental health in Canada: findings from a national cross-sectional study.
Examining the impacts of the COVID-19 pandemic on family mental health in Canada: findings from a national cross-sectional study.
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DOI：
10.1136/bmjopen-2020-042871
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发表时间：
2021-01-12
期刊：
影响因子：
2.9
通讯作者：
Jenkins E
中科院分区：
文献类型：
--
作者：
Gadermann AC;Thomson KC;Richardson CG;Gagné M;McAuliffe C;Hirani S;Jenkins E
在2019冠状病毒病大流行的第一波浪潮中，社会隔离、学校/托儿中心关闭和就业不稳定为在家抚养孩子的家庭创造了前所未有的条件。本研究描述了COVID-19大流行对加拿大有孩子的家庭的心理健康影响。这项描述性研究对居住在加拿大的成年人（n=3000）进行了一项具有全国代表性的横断面调查，以检查COVID-19大流行对心理健康的影响。将子女<18岁的父母（n=618）的结果与其他样本进行比较。数据是通过2020年5月14日至5月29日的在线调查收集的。与会者报告了自大流行开始以来其心理健康的变化以及压力来源、情绪反应、药物使用模式和自杀/自残行为。此外，父母还确定了他们与子女互动的变化，对子女心理健康的影响以及获得支持的来源。家中有18岁以下子女的家长中，有44.3%的人报告因COVID-19大流行导致心理健康状况恶化，而家中没有18岁以下子女的家长中，这一比例为35.6%,χ2 (1, n=3000)=16.2, p<0.001。与其他样本相比，更多的父母报告饮酒增加（27.7%比16.1%,χ2 (1, n=3000)=43.8, p<0.001），自杀念头/感觉（8.3%比5.2%,χ2 (1, n=3000)=8.0, p=0.005），以及为避免身体/情感家庭暴力而感到压力（11.5%比7.9%,χ2 (1, n=3000)=8.1, p=0.005）。24.8% （95% CI 21.4至28.4）的父母报告说，自大流行以来，他们孩子的心理健康状况恶化了。父母还报告说，由于大流行，他们与孩子的消极互动和积极互动更频繁(例如，冲突更多，22.2% (95% CI 19.0至25.7)；亲密感增加，49.7% (95% CI 45.7 - 53.7))。这项研究确定，家中有18岁以下儿童的家庭由于大流行而经历了心理健康恶化。需要在人口层面作出反应，以充分满足家庭的多样化需求，并减轻对父母和儿童的保健和社会不平等现象扩大的可能性。
In the first wave of the COVID-19 pandemic, social isolation, school/child care closures and employment instability have created unprecedented conditions for families raising children at home. This study describes the mental health impacts of the COVID-19 pandemic on families with children in Canada. This descriptive study used a nationally representative, cross-sectional survey of adults living in Canada (n=3000) to examine the mental health impacts of the COVID-19 pandemic. Outcomes among parents with children <18 years old living at home (n=618) were compared with the rest of the sample. Data were collected via an online survey between 14 May to 29 May 2020. Participants reported on changes to their mental health since the onset of the pandemic and sources of stress, emotional responses, substance use patterns and suicidality/self-harm. Additionally, parents identified changes in their interactions with their children, impacts on their children’s mental health and sources of support accessed. 44.3% of parents with children <18 years living at home reported worse mental health as a result of the COVID-19 pandemic compared with 35.6% of respondents without children <18 living at home, χ2 (1, n=3000)=16.2, p<0.001. More parents compared with the rest of the sample reported increased alcohol consumption (27.7% vs 16.1%, χ2 (1, n=3000)=43.8, p<0.001), suicidal thoughts/feelings (8.3% vs 5.2%, χ2 (1, n=3000)=8.0, p=0.005) and stress about being safe from physical/emotional domestic violence (11.5% vs 7.9%, χ2 (1, n=3000)=8.1, p=0.005). 24.8% (95% CI 21.4 to 28.4) of parents reported their children’s mental health had worsened since the pandemic. Parents also reported more frequent negative as well as positive interactions with their children due to the pandemic (eg, more conflicts, 22.2% (95% CI 19.0 to 25.7); increased feelings of closeness, 49.7% (95% CI 45.7 to 53.7)). This study identifies that families with children <18 at home have experienced deteriorated mental health due to the pandemic. Population-level responses are required to adequately respond to families’ diverse needs and mitigate the potential for widening health and social inequities for parents and children.
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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：
7.4
作者：
Baumel, Amit;Muench, Frederick;Kane, John M.
通讯作者：
Kane, John M.
DOI：
10.1037/tra0000866
发表时间：
2020-08
期刊：
Psychological trauma : theory, research, practice and policy
影响因子：
--
作者：
Kofman YB;Garfin DR
通讯作者：
Garfin DR
影响因子：
4.7
作者：
Bashshur, Rashid L.;Shannon, Gary W.;Yellowlees, Peter M.
通讯作者：
Yellowlees, Peter M.
影响因子：
64.3
作者：
Holmes, Emily A.;O'Connor, Rory C.;Bullmore, Ed
通讯作者：
Bullmore, Ed