探索新冠疫情对幼儿父母心理健康的影响:焦虑、抑郁及影响因素
Exploring the mental health impact of COVID-19 on parents of young children: anxiety, depression, and contributing factors.
作者信息
Rodríguez-Toscano Elisa, Schleicher Daniel, Ecker Angelika, Kandsperger Stephanie, Brunner Romuald, Jarvers Irina
机构信息
Department of Experimental Psychology, Cognitive Processes and Speech Therapy, Universidad Complutense de Madrid (UCM), Madrid, Spain.
Department of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón School of Medicine, Universidad Complutense, IiSGM, CIBERSAM, Madrid, Spain.
出版信息
BMC Public Health. 2025 Jun 26;25(1):2174. doi: 10.1186/s12889-025-23467-9.
BACKGROUND
The COVID-19 pandemic led to a global shutdown, with most countries implementing widespread lockdowns. While such measures were essential in curbing the spread of COVID-19, their impact on the mental health of parents with preschool-aged children is not yet sufficiently understood. This study aimed to assess anxiety and depression symptoms in parents during and after the COVID-19 lockdowns, and to examine how demographic and pandemic-related factors influenced these outcomes.
METHOD
A sample of 128 parents in Germany with preschool children (aged 2 to 6 years) participated in an online survey. The survey assessed three key periods: before the nationwide lockdowns (retrospectively), during the most challenging phase of the lockdown (retrospectively), and after the lockdowns were lifted. Symptoms of depression and anxiety were investigated with validated questionnaires and pandemic-specific stressors (e.g., isolation of child) with a self-developed set of 23 items. Descriptive statistics, group comparisons, and hierarchical multiple regression analyses were conducted.
RESULTS
Symptoms of anxiety and depression significantly increased during lockdowns in comparison to before pandemic onset and remained elevated after restrictions eased. Key predictors of poorer mental health included pre-pandemic symptoms, lower parental education, concerns about access to primary care, and children's social isolation during lockdowns. Demographic factors alone were not consistently significant predictors.
CONCLUSIONS
Symptoms of anxiety and depression significantly increased during lockdowns compared to before pandemic onset and remained elevated after restrictions eased. COVID-19-related stressors played a greater role in parental mental health outcomes than demographic variables. These findings emphasize the need for early identification of at-risk families and the development of targeted interventions to support parental well-being in future public health emergencies.
背景
2019冠状病毒病疫情导致全球停工停产,多数国家实施了大范围封锁措施。虽然这些措施对于遏制2019冠状病毒病传播至关重要,但其对有学龄前儿童的父母心理健康的影响尚未得到充分了解。本研究旨在评估2019冠状病毒病封锁期间及之后父母的焦虑和抑郁症状,并探讨人口统计学因素及与疫情相关的因素如何影响这些结果。
方法
德国128名有学龄前儿童(2至6岁)的父母参与了一项在线调查。该调查评估了三个关键时期:全国封锁前(回顾性)、封锁最具挑战性阶段(回顾性)以及封锁解除后。采用经过验证的问卷对抑郁和焦虑症状进行调查,并通过一套自行编制的包含23个条目的问卷对特定于疫情的应激源(如孩子被隔离)进行调查。进行了描述性统计、组间比较和分层多元回归分析。
结果
与疫情开始前相比,封锁期间焦虑和抑郁症状显著增加,且在限制措施放宽后仍居高不下。心理健康状况较差的关键预测因素包括疫情前症状、父母教育程度较低、对获得初级保健的担忧以及封锁期间孩子的社会隔离。仅人口统计学因素并非始终是显著预测因素。
结论
与疫情开始前相比,封锁期间焦虑和抑郁症状显著增加,且在限制措施放宽后仍居高不下。与2019冠状病毒病相关的应激源在父母心理健康结果中比人口统计学变量发挥了更大作用。这些发现强调了在未来公共卫生紧急情况下早期识别高危家庭以及制定有针对性的干预措施以支持父母福祉的必要性。