在社交互动受限和不受限期间，儿童的心理健康和同伴关系会发生什么？小学适龄儿童共同空间研究的结果。

What Happens to Children's Mental Health and Peer Relationships During Periods of Restricted and Unrestricted Social Interactions? Results From the Co-SPACE Study in Primary School-Aged Children.

作者信息

Guzman Holst Carolina, Oncioiu Sinziana I, Creswell Cathy, Bowes Lucy

机构信息

University of Oxford, Oxford, United Kingdom.

出版信息

JAACAP Open. 2023 Jun 6;1(2):128-140. doi: 10.1016/j.jaacop.2023.05.003. eCollection 2023 Sep.

DOI:10.1016/j.jaacop.2023.05.003

PMID:39555049

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11562425/

Abstract

OBJECTIVE

Children's experiences of peer victimization and peer aggression are strongly linked to their mental health. However, we do not know how this relationship is influenced by periods of restricted and unrestricted social interactions. In this study, we investigated the following: (1) the bidirectional association between children's peer problems and mental health; (2) individual differences in the joint development of peer victimization, peer aggression, and mental health; and (3) factors associated with joint trajectories over 13 months during the COVID-19 pandemic in the United Kingdom.

METHOD

Our sample consisted of 2,160 children 4 to 10 years of age for whom parents or carers/caregivers completed a baseline and at least 1 follow-up online survey between March 2020 and May 2021 as part of the COVID-19: Supporting Parents, Adolescents and Children during Epidemics (Co-SPACE) study. We used generalized linear models to examine bidirectional associations, group-based trajectory modeling to map joint trajectories, and multinomial logistic regressions to identify factors associated with trajectories.

RESULTS

Experiencing mental health difficulties during school closures increased the risk of experiencing peer victimization, but not peer aggression on return to school. Experiencing any peer problems during school closures did not predict subsequent mental health difficulties. The majority of children followed joint trajectories of low exposure to peer problems and mental health; however 16% to 17% of our sample followed joint trajectories of high exposure to peer problems and mental health. Low family income, family conflict, parental distress, special educational needs, and lack of friendships were associated with high exposure mental health and peer problem trajectories.

CONCLUSION

Increasing children's mental health support during periods of isolation may not only reduce concurrent and future mental health problems but may also prevent subsequent peer problems for both vulnerable and non-vulnerable children.

STUDY PREREGISTRATION INFORMATION

Co-SPACE (Covid-19: Supporting Parents, Adolescents and Children during Epidemics); https://osf.io/.

摘要

目的

儿童遭受同伴侵害和同伴攻击的经历与他们的心理健康密切相关。然而，我们并不清楚这种关系是如何受到社交互动受限期和不受限期的影响。在本研究中，我们调查了以下内容：（1）儿童同伴问题与心理健康之间的双向关联；（2）同伴侵害、同伴攻击和心理健康共同发展过程中的个体差异；（3）在英国新冠疫情期间13个月内与共同轨迹相关的因素。

方法

我们的样本包括2160名4至10岁的儿童，其父母或照料者在2020年3月至2021年5月期间完成了一项基线调查以及至少一次随访在线调查，这是新冠疫情期间支持父母、青少年和儿童（Co-SPACE）研究的一部分。我们使用广义线性模型来检验双向关联，基于群体的轨迹模型来描绘共同轨迹，并使用多项逻辑回归来识别与轨迹相关的因素。

结果

在学校关闭期间出现心理健康问题会增加复学后遭受同伴侵害的风险，但不会增加遭受同伴攻击的风险。在学校关闭期间出现任何同伴问题并不能预测随后的心理健康问题。大多数儿童遵循低暴露于同伴问题和心理健康问题的共同轨迹；然而，我们样本中的16%至17%遵循高暴露于同伴问题和心理健康问题的共同轨迹。低家庭收入、家庭冲突、父母苦恼、特殊教育需求以及缺乏友谊与高暴露的心理健康和同伴问题轨迹相关。