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比较 COVID-19 对有和没有发育障碍的儿童的家庭照顾者的负担和心理困扰的初始影响。

Comparing the initial impact of COVID-19 on burden and psychological distress among family caregivers of children with and without developmental disabilities.

机构信息

Department of Educational Psychology, University of Connecticut.

出版信息

Sch Psychol. 2021 Sep;36(5):358-366. doi: 10.1037/spq0000426. Epub 2021 Apr 15.

DOI:10.1037/spq0000426
PMID:33856853
Abstract

The current COVID-19 pandemic is presenting challenges for families (Cluver et al., The Lancet, 2020), which may be exacerbated for caregivers of children with developmental disabilities (DDs; Center on the Developing Child, Stress, hope, and the role of science: Responding to the coronavirus pandemic, 2020). The purpose of this study was to explore caregiver burden and psychological distress among caregivers of children with DD as compared to caregivers of typically developing children across the United States as a result of COVID-19. Between 2 weeks and 1 month following COVID-19-related school closures, a total of 460 caregivers from across the U.S. completed an online survey via Qualtrics; recruitment and initial survey completion occurred simultaneously. Of the total sample of eligible participants (N = 407), 225 were the primary caregiver of a child with autism spectrum disorder (ASD)/attention-deficit/hyperactivity disorder (ADHD) and 182 were the primary caregiver of a child without ASD/ADHD. Participants across groups indicated varying levels of exposure to COVID-19 and an impact of COVID-19 at the community and individual or family levels. However, caregivers of children with ASD/ADHD reported significantly higher levels of burden, depression, anxiety, and stress. Overall, findings are consistent with anecdotal and preliminary reports that all caregivers are experiencing COVID-19-related challenges, with caregivers of children with ASD/ADHD experiencing even greater challenges, particularly with regard to burden and psychological distress. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

当前的 COVID-19 大流行给家庭带来了挑战(Cluver 等人,柳叶刀,2020 年),对于有发育障碍(DD)儿童的照顾者来说,这种挑战可能会更加严重(发展儿童中心,压力、希望和科学的作用:应对冠状病毒大流行,2020 年)。本研究的目的是探索与通常发育儿童的照顾者相比,美国各地有发育障碍儿童的照顾者因 COVID-19 而产生的照顾者负担和心理困扰。在 COVID-19 相关学校关闭后的 2 周到 1 个月内,美国各地共有 460 名照顾者通过 Qualtrics 完成了在线调查;招募和初步调查同时进行。在合格参与者的总样本(N = 407)中,225 人为自闭症谱系障碍(ASD)/注意力缺陷多动障碍(ADHD)儿童的主要照顾者,182 人为没有 ASD/ADHD 儿童的主要照顾者。各小组的参与者表示接触 COVID-19 的程度不同,以及 COVID-19 在社区和个人或家庭层面的影响程度不同。然而,ASD/ADHD 儿童的照顾者报告说,负担、抑郁、焦虑和压力的水平明显更高。总体而言,研究结果与传闻和初步报告一致,即所有照顾者都在经历与 COVID-19 相关的挑战,而 ASD/ADHD 儿童的照顾者面临更大的挑战,尤其是在负担和心理困扰方面。(PsycInfo 数据库记录(c)2021 APA,保留所有权利)。

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