中国新冠肺炎疫情期间青少年心理健康、父母心理困扰和家庭关系的关联。
Associations of youth mental health, parental psychological distress, and family relationships during the COVID-19 outbreak in China.
机构信息
Department of Health Policy and Management, School of Public Health, Peking University, 100191, Beijing, China.
Department of Neurology and ICCTR Biostatistics and Research Design Center, Boston Children's Hospital, Harvard Medical School, 02115, Boston, Massachusetts, USA.
出版信息
BMC Psychiatry. 2022 Apr 19;22(1):275. doi: 10.1186/s12888-022-03938-8.
BACKGROUND
The COVID-19 pandemic has brought significant changes in society and family life, which could be particularly difficult for parents. The present study examines the relationship between youth mental health and parental psychological distress after the first peak of the COVID-19 Outbreak in China. The parent-child and marital relationships were examined as moderators of the above relationship.
METHODS
Parents and their children aged 10 to 18 years were recruited for this study. The parents completed the Depression Anxiety Stress Scales-21 (DASS-21), the Strengths and Difficulties Questionnaire (SDQ), and a subset of items from the questionnaire of the COVID-19 Supporting Parents, Adolescents, and Children in Epidemics (Co-SPACE) survey of parental mental health, child's psychological symptoms, parent-child, and marital relationship. Several multiple linear regressions were used to analyze the data.
RESULTS
The largest variance in parental mental health was explained by the child's psychological symptoms (effect size beta = 0.27). Parent-child (effect size beta = -0.13) and marital relationship (effect size beta = -0.21) were negatively associated with parental mental health. The relationship between child's psychological symptoms and parental mental health was moderated by marital relationship (effect size beta = -0.07). Both parent-child and marital relationships presented with a significant interaction with impact scores, while only parent-child relationships with burden scores.
CONCLUSIONS
Youth mental health problems were significantly associated with parental psychological symptoms during the early phase of the COVID-19 pandemic The parent-child and marital relationship moderated the association between youth psychological symptoms and parental mental health. Interventions for alleviating parenting stress and support services that improve family relationships may be particularly effective in reducing parental psychological distress associated with future COVID-19 or related crises.
背景
COVID-19 大流行给社会和家庭生活带来了重大变化，这对父母来说可能特别困难。本研究考察了中国 COVID-19 爆发第一波高峰后青少年心理健康与父母心理困扰之间的关系。亲子关系和婚姻关系被视为上述关系的调节因素。
方法
本研究招募了 10 至 18 岁的父母及其子女。父母完成了抑郁焦虑压力量表-21（DASS-21）、长处和困难问卷（SDQ）以及父母心理健康、儿童心理症状、亲子关系和婚姻关系的 COVID-19 支持父母、青少年和儿童在流行中的调查问卷的一部分项目。使用多个多元线性回归分析数据。
结果
儿童心理症状对父母心理健康的变异解释最大（效应量β=0.27）。亲子关系（效应量β=-0.13）和婚姻关系（效应量β=-0.21）与父母心理健康呈负相关。儿童心理症状与父母心理健康之间的关系受婚姻关系的调节（效应量β=-0.07）。亲子关系和婚姻关系都与影响评分有显著的交互作用，而只有亲子关系与负担评分有显著的交互作用。
结论
在 COVID-19 大流行的早期阶段，青少年心理健康问题与父母的心理症状显著相关。亲子关系和婚姻关系调节了青少年心理症状与父母心理健康之间的关系。缓解育儿压力的干预措施和改善家庭关系的支持服务可能特别有助于减轻与未来 COVID-19 或相关危机相关的父母心理困扰。
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