Parenting a Child with a Neurodevelopmental Disorder during the Early Stage of the COVID-19 Pandemic: Quantitative and Qualitative Cross-Cultural Findings.

Parenting a Child with a Neurodevelopmental Disorder during the Early Stage of the COVID-19 Pandemic: Quantitative and Qualitative Cross-Cultural Findings.
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DOI:
10.3390/ijerph20010499
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发表时间:
2022-12-28
影响因子:
--
通讯作者:
Giannotti, Michele
Giannotti, Michele
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Mazzoni, Noemi;Bentenuto, Arianna;Filosofi, Fabio;Tardivo, Angela;Strathearn, Lane;Zarei, Kasra;De Falco, Simona;Venuti, Paola;Iandolo, Giuseppe;Giannotti, Michele

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2019冠状病毒病大流行期间的研究表明,儿童症状、父母压力和心理健康挑战之间存在密切关系。大流行改变了家庭常规,使儿童疾病和父母负担恶化。本研究的目的是调查从COVID-19大流行之前到大流行期间,儿童外化行为、父母压力和治疗中断的感知变化幅度如何影响大流行期间父母的心理健康。此外,我们试图比较欧洲国家和美国之间的这些方面的跨文化。为此,我们请意大利、西班牙和美国的神经发育障碍(NDD)儿童的父母完成一项在线调查。定量结果表明,增加父母的压力可能会导致父母的心理困扰恶化,无论文化。此外,他们认为,儿童外化行为通过父母压力间接影响父母的心理困扰。定性分析强调,治疗活动的缺乏或中断可能是COVID-19大流行期间育儿负担的主要原因之一。最后,定性结果强调了在大流行期间可能降低心理问题风险的复原力因素,例如强烈的父母效能感和适应不断变化的家庭动态的能力。
Research during the COVID-19 pandemic has shown a strong relationship between child symptoms, parental stress, and mental health challenges. The pandemic has changed family routines, worsening child symptomatology and parental burden. The aim of this study was to investigate how the magnitude of the perceived changes in child externalizing behavior, parental stress, and discontinuity of therapy—from before to during the COVID-19 pandemic—affected parental mental health during the pandemic. Moreover, we sought to compare these aspects cross-culturally between European countries and the USA. To these purposes, we asked Italian, Spanish, and U.S. parents of children with neurodevelopmental disabilities (NDD) to complete an online survey. Quantitative results showed that increased parental stress may have contributed to a worsening in parental psychological distress, regardless of culture. Moreover, they suggested an indirect effect of child externalizing behaviors on parents’ psychological distress via parental stress. Qualitative analyses highlighted that the lack, or discontinuity, of therapeutic activities may have been one of the key contributors to parenting burden during the COVID-19 pandemic. Finally, qualitative results highlighted resilience factors that could have decreased the risk of psychological problems during the pandemic, such as a strong sense of parental efficacy and the ability to adapt to changing family dynamics.
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