Department of Pediatrics, Medical School, University of Patras, Rio, Patras, Greece.
Eur Rev Med Pharmacol Sci. 2023 Aug;27(16):7728-7737. doi: 10.26355/eurrev_202308_33427.
OBJECTIVE: The impact of COVID-19 vaccination on parental and childhood stress levels has not been thoroughly investigated. Our aim was to explore the above relationship and identify factors that may influence the dissemination of stress within the family during the pandemic. SUBJECTS AND METHODS: A cross-sectional e-survey was conducted among a nationwide sample of parents in May 2021 in Greece. Parental stress was assessed using the Perceived Stress Scale (PSS) and the Revised Impact of Event Scale (IES-R) tools. Childhood mental well-being was evaluated with the Children's Revised Impact of Event 13 (CRIES 13) scale. RESULTS: 1,703 unique questionnaires were analyzed; 19.5% of responders were completely vaccinated, 23.7% were partially vaccinated, 38.3% were awaiting vaccination, and 18.5% were classified as vaccine-hesitant (15.2% would delay, and 3.3% refused the vaccination). Stress levels were significantly lower in completely or partially vaccinated parents than in vaccine-hesitant ones (p<0.001 for PSS/IES-R). Vaccination status emerged as a strong and independent predictor of PSS and IES-R. A significant decrease in PSS and IES-R scores was observed in 991 participants between March 2020 and May 2021 (p<0.001 for PSS/IES-R). Vaccine uptake was associated with lower PSS and IES-R scores, irrespective of the phase of the pandemic or other sociodemographic factors. The CRIES 13 score of the participant's children (n=2,969) was 19.4 ±14.9 and positively correlated with the PSS and IES-R scores. Children whose parents were vaccinated had lower stress levels than those of vaccine-hesitant parents (p<0.001). CONCLUSIONS: Parental vaccination against COVID-19 is a significant stress and anxiety predictor for both parents and their offspring. Parental and childhood stress levels were correlated, while the effect of vaccination was independent of the pandemic phase. The campaigns to promote vaccine uptake against COVID-19 should also highlight its potential benefit on the psychological well-being of the family.
目的:新冠疫情大流行期间,新冠疫苗接种对父母和儿童压力水平的影响尚未得到充分研究。本研究旨在探讨上述关系,并确定可能影响家庭内压力传播的因素。
受试者和方法:2021 年 5 月,我们在希腊全国性的父母样本中开展了一项横断面电子调查。采用感知压力量表(PSS)和修订版事件影响量表(IES-R)评估父母压力。采用儿童修订版事件影响量表 13 版(CRIES 13)评估儿童心理健康。
结果:共分析了 1703 份有效问卷;19.5%的应答者完全接种了疫苗,23.7%部分接种了疫苗,38.3%正在等待接种疫苗,18.5%为疫苗犹豫者(15.2%会推迟,3.3%拒绝接种)。完全或部分接种疫苗的父母的压力水平明显低于疫苗犹豫者(PSS/IES-R 均<0.001)。疫苗接种状态是 PSS 和 IES-R 的强有力且独立的预测因子。2020 年 3 月至 2021 年 5 月,991 名参与者的 PSS 和 IES-R 评分显著下降(PSS/IES-R 均<0.001)。无论大流行阶段或其他社会人口因素如何,疫苗接种率与较低的 PSS 和 IES-R 评分相关。2969 名参与者子女的 CRIES 13 评分为 19.4±14.9,与 PSS 和 IES-R 评分呈正相关。与疫苗犹豫者父母的子女相比,接种疫苗父母的子女压力水平更低(P<0.001)。
结论:父母接种新冠疫苗是父母及其子女压力和焦虑的重要预测因素。父母和儿童的压力水平呈正相关,而疫苗接种的影响独立于大流行阶段。推广针对新冠病毒的疫苗接种运动还应强调其对家庭心理健康的潜在益处。
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