Child Psychiatry Department, Medical Faculty, Istanbul Medeniyet University, Uskudar, Istanbul, Turkey.
Child Psychiatry Department, Medical Faculty, Istanbul University-Cerrahpasa, Fatih, Istanbul, Turkey.
Int J Soc Psychiatry. 2021 Sep;67(6):696-704. doi: 10.1177/0020764020970240. Epub 2020 Nov 5.
Pandemics can cause substantial psychological distress; however, we do not know the impact of the COVID-19 related lockdown and mental health burden on the parents of school age children. We aimed to comparatively examine the COVID-19 related the stress and psychological burden of the parents with different occupational, locational, and mental health status related backgrounds.
A large-scale multicenter online survey was completed by the parents ( = 3,278) of children aged 6 to 18 years, parents with different occupational (health care workers-HCW [18.2%] vs. others), geographical (İstanbul [38.2%] vs. others), and psychiatric (child with a mental disorder [37.8%]) backgrounds.
Multivariable logistic regression analysis showed that being a HCW parent (odds ratio 1.79, < .001), a mother (odds ratio 1.67, < .001), and a younger parent (odds ratio 0.98, = .012); living with an adult with a chronic physical illness (odds ratio 1.38, < .001), having an acquaintance diagnosed with COVID-19 (odds ratio 1.22, = .043), positive psychiatric history (odds ratio 1.29, < .001), and living with a child with moderate or high emotional distress (odds ratio 1.29, < .001; vs. odds ratio 2.61, < .001) were independently associated with significant parental distress.
Parents report significant psychological distress associated with COVID-19 pandemic and further research is needed to investigate its wider impact including on the whole family unit.
大流行可导致严重的心理困扰;然而,我们尚不清楚与 COVID-19 相关的封锁和精神健康负担对学龄儿童的父母的影响。我们旨在比较研究具有不同职业、地理位置和精神健康背景的父母与 COVID-19 相关的压力和心理负担。
通过一项大规模的多中心在线调查,对 6 至 18 岁儿童的父母( = 3278)进行了调查,这些父母具有不同的职业(医护人员[18.2%]与其他人)、地理位置(伊斯坦布尔[38.2%]与其他人)和精神科背景(有精神障碍儿童[37.8%])。
多变量逻辑回归分析显示,医护人员的父母(优势比 1.79, < .001)、母亲(优势比 1.67, < .001)和年轻父母(优势比 0.98, = .012);与患有慢性躯体疾病的成年人同住(优势比 1.38, < .001)、认识患有 COVID-19 的人(优势比 1.22, = .043)、有阳性精神病史(优势比 1.29, < .001)以及与情绪困扰中度或高度的儿童同住(优势比 1.29, < .001;与优势比 2.61, < .001)与父母的显著困扰独立相关。
父母报告与 COVID-19 大流行相关的心理困扰显著,需要进一步研究其更广泛的影响,包括对整个家庭单位的影响。