Mactavish Alexandra, Mastronardi Carli, Menna Rosanne, Babb Kimberley A, Battaglia Marco, Amstadter Ananda B, Rappaport Lance M
Department of Psychology, University of Windsor, Windsor, Ontario.
Department of Psychiatry, University of Toronto, Toronto, Ontario; Division of Child and Youth, Centre for Addiction and Mental Health, Toronto, Ontario.
J Can Acad Child Adolesc Psychiatry. 2021 Aug;30(3):177-190. Epub 2021 Aug 1.
COVID-19 presents an unprecedented global crisis. Research is critically needed to identify the impact of the pandemic on children's mental health including psychosocial factors that predict resilience, recovery, and persistent distress. The present study collected data in June-July 2020 to describe children's mental health during the initial phase of the pandemic, including the magnitude and nature of psychiatric and psychological distress in children, and to evaluate social support as a putative psychosocial moderator of children's increased distress.
Children and parents from 190 families of children aged 8 to 13 from the Windsor-Essex region of Southwestern Ontario reported (i) retrospectively on children's well-being (e.g., worry, happiness) immediately prior to the pandemic and (ii) on children's current well-being; irritability; social support; and anxiety, depressive, and posttraumatic stress symptoms at the baseline assessment of an ongoing longitudinal study of the COVID-19 pandemic.
Children and parents reported worsened well-being and psychological distress during the pandemic compared to retrospective report of pre-pandemic well-being. Child-perceived social support from family and friends was associated with lower symptom severity and attenuated increase in psychological distress.
Study findings suggest possible broad psychological impacts of the COVID-19 pandemic and are consistent with prior research that indicates a protective role of social support to mitigate the negative psychological impact of the pandemic. These findings may inform clinical assessments and highlight the need for public resources to safeguard children's mental health.
新冠疫情带来了前所未有的全球危机。迫切需要开展研究,以确定这场大流行对儿童心理健康的影响,包括预测恢复力、康复和持续痛苦的社会心理因素。本研究于2020年6月至7月收集数据,以描述大流行初期儿童的心理健康状况,包括儿童精神和心理痛苦的程度及性质,并评估社会支持作为儿童痛苦增加的假定社会心理调节因素的作用。
来自安大略省西南部温莎-埃塞克斯地区190个有8至13岁孩子家庭的儿童及其父母报告了:(i)回顾疫情爆发前儿童的幸福状况(如担忧、幸福程度),以及(ii)儿童当前的幸福状况;易怒程度;社会支持情况;以及在一项正在进行的新冠疫情纵向研究的基线评估中儿童的焦虑、抑郁和创伤后应激症状。
与疫情前幸福状况的回顾性报告相比,儿童及其父母报告称在疫情期间幸福状况和心理痛苦有所恶化。儿童感受到的来自家人和朋友的社会支持与较低的症状严重程度以及心理痛苦增加的减弱有关。
研究结果表明新冠疫情可能产生广泛的心理影响,并且与先前表明社会支持在减轻疫情负面心理影响方面具有保护作用的研究一致。这些发现可能为临床评估提供参考,并凸显出需要公共资源来保障儿童心理健康。