Rizeq Jala, Korczak Daphne J, Cost Katherine Tombeau, Anagnostou Evdokia, Charach Alice, Monga Suneeta, Birken Catherine S, Kelley Elizabeth, Nicolson Rob, Burton Christie L, Crosbie Jennifer
Department of Psychiatry, The Hospital for Sick Children (SickKids), 555 University Ave, Psychiatry Research, 4th Floor, Black Wing, Toronto, ON M5G 1X8 Canada.
Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON Canada.
Curr Psychol. 2021 Nov 19:1-11. doi: 10.1007/s12144-021-02459-z.
We examined pathways from pre-existing psychosocial and economic vulnerability to mental health difficulties and stress in families during the COVID-19 pandemic. Data from two time points from a multi-cohort study initiated during the COVID-19 pandemic were used. Parents of children 6-18 years completed questionnaires on pre-COVID-19 socioeconomic and demographic factors in addition to material deprivation and stress due to COVID-19 restrictions, mental health, and family functioning. Youth 10 years and older also completed their own measures of mental health and stress. Using structural equation modelling, pathways from pre-existing vulnerability to material deprivation and stress due to COVID-19 restrictions, mental health, and family functioning, including reciprocal pathways, were estimated. Pre-existing psychosocial and economic vulnerability predicted higher material deprivation due to COVID-19 restrictions which in turn was associated with parent and child stress due to restrictions and mental health difficulties. The reciprocal effects between increased child and parent stress and greater mental health difficulties at Time 1 and 2 were significant. Reciprocal effects between parent and child mental health were also significant. Finally, family functioning at Time 2 was negatively impacted by child and parent mental health and stress due to COVID-19 restrictions at Time 1. Psychosocial and economic vulnerability is a risk factor for material deprivation during COVID-19, increasing the risk of mental health difficulties and stress, and their reciprocal effects over time within families. Implications for prevention policy and parent and child mental health services are discussed.
The online version contains supplementary material available at 10.1007/s12144-021-02459-z.
我们研究了在新冠疫情期间，从先前存在的社会心理和经济脆弱性到家庭心理健康问题及压力的路径。我们使用了一项在新冠疫情期间启动的多队列研究中两个时间点的数据。6至18岁儿童的父母除了填写关于新冠疫情限制导致的物质匮乏和压力、心理健康及家庭功能的问卷外，还完成了关于新冠疫情前社会经济和人口因素的问卷。10岁及以上的青少年也完成了他们自己的心理健康和压力测量。使用结构方程模型，估计了从先前存在的脆弱性到因新冠疫情限制导致的物质匮乏和压力、心理健康及家庭功能的路径，包括相互作用的路径。先前存在的社会心理和经济脆弱性预示着因新冠疫情限制会导致更高的物质匮乏，而这反过来又与因限制导致的父母和孩子的压力以及心理健康问题相关。在时间1和时间2，孩子和父母压力增加与更大的心理健康问题之间的相互影响是显著的。父母和孩子心理健康之间的相互影响也很显著。最后，时间2的家庭功能受到时间1因新冠疫情限制导致的孩子和父母心理健康及压力的负面影响。社会心理和经济脆弱性是新冠疫情期间物质匮乏的一个风险因素，增加了心理健康问题和压力的风险，以及随着时间推移家庭内部它们的相互影响。文中讨论了对预防政策以及父母和孩子心理健康服务的启示。
在线版本包含可在10.1007/s12144-021-02459-z获取的补充材料。
