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新冠疫情的隐性影响:儿科患者的亲子依恋关系

Silent Effects of the COVID-19 Pandemic: Parental Attachment in Pediatric Patients.

作者信息

Karakas Nazmi Mutlu, Kuzucu Selin

机构信息

Childhood Disease, Gazi University Medical School, Ankara, TUR.

Pediatric Medicine, Sorgun State Hospital, Yozgat, TUR.

出版信息

Cureus. 2024 Oct 6;16(10):e70937. doi: 10.7759/cureus.70937. eCollection 2024 Oct.

Abstract

AIM

The COVID-19 pandemic led to isolation measures intended to curb the spread of infection, which are believed to have negatively affected children's psychological well-being. This study examines the impact of the pandemic on parental attachment with children.

METHOD

A cross-sectional study was conducted with children visiting a general pediatrics clinic between April 1 and 20, 2023. Their COVID-19 infection history was recorded, and the Kern's Attachment Questionnaire was used to assess parental attachment in children who had contracted COVID-19 and those who had not.

RESULTS

The study involved 716 patients aged 9-12, divided into two groups: those who had contracted COVID-19 (n=253) and those who had not (n=463). Kern's Attachment Questionnaire scores for mothers were 46.3 for children with COVID-19 and 49.4 for those without. For fathers, the scores were 43.9 and 48, respectively. Children who had contracted COVID-19 showed significantly lower attachment scores to both mothers and fathers compared to the control group (p=0.04, p=0.00).

CONCLUSION

The pandemic's long-term biopsychosocial effects are evident, with increased stress and negative experiences posing risks to child development, particularly in terms of parental attachment. While early attachment begins in infancy, it continues to evolve. This study underscores the need for behavioral and psychological follow-up for adolescents in the post-pandemic period.

摘要

目的

新冠疫情导致了旨在遏制感染传播的隔离措施,据信这些措施对儿童的心理健康产生了负面影响。本研究探讨了疫情对亲子依恋关系的影响。

方法

对2023年4月1日至20日期间前往普通儿科诊所就诊的儿童进行了一项横断面研究。记录他们的新冠感染史,并使用克恩依恋问卷对感染新冠的儿童和未感染新冠的儿童的亲子依恋情况进行评估。

结果

该研究纳入了716名9至12岁的患者,分为两组:感染新冠的患者(n = 253)和未感染新冠的患者(n = 463)。感染新冠的儿童的母亲克恩依恋问卷得分是46.3,未感染新冠的儿童的母亲得分是49.4。父亲的得分分别为43.9和48。与对照组相比,感染新冠的儿童对母亲和父亲的依恋得分均显著更低(p = 0.04,p = 0.00)。

结论

疫情的长期生物心理社会影响是明显的,压力增加和负面经历对儿童发展构成风险,尤其是在亲子依恋方面。虽然早期依恋始于婴儿期,但它会持续发展。本研究强调了在疫情后时期对青少年进行行为和心理随访的必要性。

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