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高风险样本中疫情前照顾者及儿童与新冠病毒相关应激的个体和家庭预测因素

Pre-pandemic Individual and Household Predictors of Caregiver and Child COVID-19-Related Stress in a High-Risk Sample.

作者信息

Olson Anneke E, Shenk Chad E, Fisher Zachary, Heim Christine M, Noll Jennie G, Shalev Idan, Schreier Hannah M C

机构信息

Department of Human Development and Family Studies, The Pennsylvania State University.

Department of Pediatrics, The Pennsylvania State University College of Medicine.

出版信息

Child Prot Pract. 2024 Aug;2. doi: 10.1016/j.chipro.2024.100046. Epub 2024 Jul 2.

DOI:10.1016/j.chipro.2024.100046
PMID:40881609
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12382429/
Abstract

BACKGROUND

Many families experienced increased stress during the COVID-19 pandemic and families recently investigated for child maltreatment may have been at particularly high risk. However, little research has focused on pre-pandemic individual and household predictors of COVID-19-related stress among such families who may have been especially vulnerable to the pandemic.

OBJECTIVE

The present study prospectively examined pre-pandemic predictors of caregiver and child COVID-19-related stress in a sample of caregivers and children investigated for child maltreatment prior to the COVID-19 pandemic.

PARTICIPANTS AND SETTING

Participants included children ( = 285), ages 8-13, and their caregivers ( = 246) investigated for child maltreatment prior to the COVID-19 pandemic.

METHODS

Multiple linear regression models were run to separately predict caregiver and child COVID-19-related stress from pre-pandemic household chaos, caregiver and child emotion regulation, caregiver psychological distress, and sociodemographic characteristics.

FINDINGS

Black caregivers and children reported significantly more COVID-19-related stress than White caregivers and children ( 2.27, = 0.006 and 1.70, = 0.013, respectively). Hispanic children reported more COVID-19-related stress than non-Hispanic children ( 2.12, < 0.001). Caregivers' pre-pandemic psychological distress also predicted their children's COVID-19-related stress (1.80, = 0.001). Household dysfunction and child and caregiver emotion regulation were unrelated to subsequent COVID-19-related stress (s > .05).

CONCLUSIONS

There is a need to support minority families and address mental health concerns to prevent disparate outcomes in the face of stressors.

摘要

背景

在新冠疫情期间,许多家庭承受的压力增加,近期接受儿童虐待调查的家庭可能面临特别高的风险。然而,很少有研究关注在疫情之前,这些可能特别容易受到疫情影响的家庭中,与新冠疫情相关压力的个体和家庭预测因素。

目的

本研究前瞻性地考察了在新冠疫情之前接受儿童虐待调查的照顾者和儿童样本中,疫情前照顾者和儿童与新冠疫情相关压力的预测因素。

参与者与研究背景

参与者包括在新冠疫情之前接受儿童虐待调查的8至13岁儿童(n = 285)及其照顾者(n = 246)。

方法

运行多元线性回归模型,分别从疫情前的家庭混乱状况、照顾者和儿童的情绪调节、照顾者的心理困扰以及社会人口学特征来预测照顾者和儿童与新冠疫情相关的压力。

研究结果

黑人照顾者和儿童报告的与新冠疫情相关的压力显著高于白人照顾者和儿童(分别为β = 2.27,p = 0.006和β = 1.70,p = 0.013)。西班牙裔儿童报告的与新冠疫情相关的压力高于非西班牙裔儿童(β = 2.12,p < 0.001)。照顾者在疫情前的心理困扰也预测了其子女与新冠疫情相关的压力(β = 1.80,p = 0.001)。家庭功能失调以及儿童和照顾者的情绪调节与随后与新冠疫情相关的压力无关(p值均>.05)。

结论

有必要支持少数族裔家庭并解决心理健康问题,以防止在面对压力源时出现不同的结果。

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