Clinical Child and Adolescent Psychology and Psychotherapy, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany.
Clinical Child and Adolescent Psychology, Christian-Albrechts-Universität zu Kiel, Olshausenstr. 62, 24118, Kiel, Germany.
Eur Child Adolesc Psychiatry. 2023 Dec;32(12):2593-2609. doi: 10.1007/s00787-023-02147-2. Epub 2023 Feb 4.
Increased parental stress, poorer mental health, and an increase in the occurrence of child maltreatment (CM) have been reported in earlier phases of the COVID-19 pandemic. However, data from later phases of the pandemic are not yet available. We conducted a cross-sectional, representative survey among 1087 parents (48.8% female; mean age 41.72 years, SD = 9.15) in Germany in December 2021. Data were compared to a previous representative sample, assessed in August 2020 (N = 1024), and to normative scores of the outcome measures. Predictors for the occurrence of CM were analyzed by logistic regression. Pandemic-related stress and general stress were higher and physical and mental health were poorer in the December 2021 sample than in the August 2020 sample. Occurrence rates of CM varied between 5 and 56%. Verbal emotional abuse (n = 607, 56%), witnessing domestic violence (n = 446, 41%), and emotional neglect (n = 435, 40%) were most frequently reported. For these subtypes, parental risk for alcohol abuse (OR 2.1-2.7) and parental recent experience of violence (OR 2.1-5.1) were the strongest predictors. Across all subtypes of CM, parents reporting child maltreatment showed poorer scores on all stress outcomes, with medium-large-effect sizes. Results confirm a high burden within the families, almost 2 years into the pandemic. Occurrence rates of a broad spectrum of CM subtypes raise further concerns for the well-being of children. Family-oriented intervention efforts are needed to stabilize families and provide targeted support. Longitudinal studies are needed for a description of families at risk for poorer outcomes.
在 COVID-19 大流行的早期阶段,报告了父母压力增加、心理健康状况恶化以及儿童虐待(CM)发生率增加。然而,目前还没有大流行后期的数据。我们在 2021 年 12 月对德国的 1087 名父母(48.8%为女性;平均年龄 41.72 岁,标准差=9.15)进行了一项横断面、代表性调查。将数据与之前在 2020 年 8 月评估的具有代表性的样本(n=1024)进行比较,并与结果测量的常模分数进行比较。通过逻辑回归分析预测 CM 的发生。与 2020 年 8 月的样本相比,2021 年 12 月的样本中与大流行相关的压力和一般压力更高,身心健康状况更差。CM 的发生率在 5%到 56%之间。言语情感虐待(n=607,56%)、目睹家庭暴力(n=446,41%)和情感忽视(n=435,40%)是最常报告的类型。对于这些亚型,父母酗酒的风险(OR 2.1-2.7)和父母最近经历暴力的风险(OR 2.1-5.1)是最强的预测因素。在所有 CM 亚型中,报告儿童虐待的父母在所有压力结果上的得分都较差,具有中到大效应量。研究结果证实,在大流行近 2 年后,家庭负担仍然很重。广泛的 CM 亚型的发生率进一步引起了对儿童福祉的关注。需要以家庭为导向的干预措施来稳定家庭并提供有针对性的支持。需要进行纵向研究以描述处于不良结局风险中的家庭。