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Pike MR, Lipner E, O'Brien KJ, Breen EC, Cohn BA, Cirillo PM, Krigbaum NY, Kring AM, Olino TM, Alloy LB, Ellman LM. Prenatal maternal Inflammation, childhood cognition and adolescent depressive symptoms. Brain Behav Immun 2024; 119:908-918. [PMID: 38761818 DOI: 10.1016/j.bbi.2024.05.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2023] [Revised: 04/10/2024] [Accepted: 05/12/2024] [Indexed: 05/20/2024] Open
Abstract
BACKGROUND Accumulating evidence indicates that higher prenatal maternal inflammation is associated with increased depression risk in adolescent and adult-aged offspring. Prenatal maternal inflammation (PNMI) may increase the likelihood for offspring to have lower cognitive performance, which, in turn, may heighten risk for depression onset. Therefore, this study explored the potential mediating role of childhood cognitive performance in the relationship between PNMI and adolescent depressive symptoms in offspring. METHODS Participants included 696 mother-offspring dyads from the Child Health and Development Studies (CHDS) cohort. Biomarkers of maternal inflammation [interleukin (IL)-6, IL-8, IL-1 receptor antagonist (IL-1RA) and soluble TNF receptor-II (sTNF-RII)] were assayed from first (T1) and second trimester (T2) sera. Childhood (ages 9-11) cognitive performance was assessed via standardized Peabody Picture Vocabulary Test (PPVT), a measure of receptive vocabulary correlated with general intelligence. Adolescent (ages 15-17) depressive symptoms were assessed via self-report. RESULTS There were no significant associations between T1 biomarkers and childhood PPVT or adolescent depressive symptoms. Higher T2 IL1-RA was directly associated with lower childhood PPVT (b = -0.21, SE = 0.08, t = -2.55, p = 0.01), but not with adolescent depressive symptoms. T2 IL-6 was not directly associated with childhood PPVT, but higher T2 IL-6 was directly associated at borderline significance with greater depressive symptoms in adolescence (b = 0.05, SE = 0.03, t = 1.96, p = 0.05). Lower childhood PPVT predicted significantly higher adolescent depressive symptoms (b = -0.07, SE = 0.02, t = -2.99, p < 0.01). There was a significant indirect effect of T2 IL-1RA on adolescent depressive symptoms via childhood PPVT (b = 0.03, 95 % CI = 0.002-0.03) indicating a partially mediated effect. No significant associations were found with T2 sTNF-RII nor IL-8. CONCLUSIONS Lower childhood cognitive performance, such as that indicated by a lower PPVT score, represents a potential mechanism through which prenatal maternal inflammation contributes to adolescent depression risk in offspring.
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Affiliation(s)
- Madeline R Pike
- Temple University, Department of Psychology and Neuroscience, 1701 N 13th St, Philadelphia, PA 19122, USA.
| | - Emily Lipner
- Temple University, Department of Psychology and Neuroscience, 1701 N 13th St, Philadelphia, PA 19122, USA
| | - Kathleen J O'Brien
- Temple University, Department of Psychology and Neuroscience, 1701 N 13th St, Philadelphia, PA 19122, USA
| | - Elizabeth C Breen
- Cousins Center for Psychoneuroimmunology, University of California-Los Angeles, 300 Medical Plaza, Suite 3306, Los Angeles, CA 90095-7076, USA
| | - Barbara A Cohn
- Child Health and Development Studies, Public Health Institute, 1683 Shattuck Ave., Suite B, Berkeley, CA 94709, USA
| | - Piera M Cirillo
- Child Health and Development Studies, Public Health Institute, 1683 Shattuck Ave., Suite B, Berkeley, CA 94709, USA
| | - Nickilou Y Krigbaum
- Child Health and Development Studies, Public Health Institute, 1683 Shattuck Ave., Suite B, Berkeley, CA 94709, USA
| | - Ann M Kring
- University of California, Berkeley, Department of Psychology, 2121 Berkeley Way, Berkeley, CA 94720, USA
| | - Thomas M Olino
- Temple University, Department of Psychology and Neuroscience, 1701 N 13th St, Philadelphia, PA 19122, USA
| | - Lauren B Alloy
- Temple University, Department of Psychology and Neuroscience, 1701 N 13th St, Philadelphia, PA 19122, USA
| | - Lauren M Ellman
- Temple University, Department of Psychology and Neuroscience, 1701 N 13th St, Philadelphia, PA 19122, USA
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Butter S, Shevlin M, Gibson-Miller J, McBride O, Hartman TK, Bentall RP, Bennett K, Murphy J, Mason L, Martinez AP, Levita L. Psychological distress, wellbeing and resilience: modelling adolescent mental health profiles during the COVID-19 pandemic. DISCOVER MENTAL HEALTH 2024; 4:16. [PMID: 38780717 PMCID: PMC11116324 DOI: 10.1007/s44192-024-00071-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Accepted: 05/21/2024] [Indexed: 05/25/2024]
Abstract
There has been concern about adolescent mental health during the pandemic. The current study examined adolescent mental health during the initial phase of the COVID-19 pandemic in the UK. Using indicator of psychological distress, wellbeing and resilience, latent profile analysis was used to identify homogeneous mental health groups among young people aged 13-24 (N = 1971). Multinomial logistic regression was then used to examine which sociodemographic and psychosocial variables predicted latent class membership. Four classes were found. The largest class (Class 1, 37.2%) was characterised by moderate symptomology and moderate wellbeing. Class 2 (34.2%) was characterised by low symptomology and high wellbeing, while Class 3 (25.4%) was characterised by moderate symptomology and high wellbeing. Finally, Class 4 was the smallest (3.2%) and was characterised by high symptomology and low wellbeing. Compared to the low symptomology, high wellbeing class, all other classes were associated with less social engagement with friends, poorer family functioning, greater somatic symptoms, and a less positive model of self. A number of unique associations between the classes and predictor variables were identified. Although around two-thirds of adolescents reported moderate-to-high symptomology, most of these individuals also reported concurrent moderate-to-high levels of wellbeing, reflecting resilience. Furthermore, these findings demonstrate how a more comprehensive picture of mental health can be gained through adopting a dual-continua conceptualisation of mental health that incorporates both pathology and well-being. In this way, at-risk youth can be identified and interventions and resources targeted appropriately.
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Affiliation(s)
- Sarah Butter
- School of Psychology, Ulster University, Cromore Road, Coleraine, BT52 1SA, Northern Ireland.
| | - Mark Shevlin
- School of Psychology, Ulster University, Cromore Road, Coleraine, BT52 1SA, Northern Ireland
| | | | - Orla McBride
- School of Psychology, Ulster University, Cromore Road, Coleraine, BT52 1SA, Northern Ireland
| | - Todd K Hartman
- Department of Social Statistics, University of Manchester, Manchester, England
| | - Richard P Bentall
- Department of Psychology, University of Sheffield, Sheffield, England
| | - Kate Bennett
- Department of Psychology, University of Liverpool, Liverpool, England
| | - Jamie Murphy
- School of Psychology, Ulster University, Cromore Road, Coleraine, BT52 1SA, Northern Ireland
| | - Liam Mason
- Division of Psychology and Language Sciences, University College London, London, England
| | - Anton P Martinez
- Department of Psychology, University of Sheffield, Sheffield, England
| | - Liat Levita
- School of Psychology, University of Sussex, Falmer, England
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Magis-Weinberg L, Arreola Vargas M, Carrizales A, Trinh CT, Muñoz Lopez DE, Hussong AM, Lansford JE. The impact of COVID-19 on the peer relationships of adolescents around the world: A rapid systematic review. JOURNAL OF RESEARCH ON ADOLESCENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR RESEARCH ON ADOLESCENCE 2024. [PMID: 38682766 DOI: 10.1111/jora.12931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Revised: 02/16/2024] [Accepted: 02/19/2024] [Indexed: 05/01/2024]
Abstract
The main objective of this rapid systematic review was to examine how the COVID-19 pandemic impacted peer relationships for adolescents (10-25 years of age) around the globe. We focused on four indices of peer relationships: (1) loneliness, (2) social connectedness, (3) social support, and (4) social media use. In addition, we examined gender and age differences. Four databases (APA PsychInfo, PubMed, Scopus, and Web of Science) were searched for articles published from January 2020 to November 2022. A total of 96 studies (cross-sectional: n = 66, longitudinal: n = 30, quantitative: n = 67, qualitative: n = 12, mixed-methods: n = 17) met our inclusion criteria (empirical observational studies with data on at least one of the indices of interest, cross-sectional data on COVID-19-related experiences or longitudinal data collected during the pandemic, age range of 10-25 years, typically developing adolescents). We extracted data and conducted a narrative synthesis. Findings suggest that COVID-19 disruptions negatively impacted peer relationships for youth. Most studies reported either an increase in loneliness over the course of the pandemic or a positive association between loneliness and COVID-19-related experiences. Similar findings were observed for increased social media use as a means of continued communication and connection. Fewer studies focused on social support but those that did reported a decrease or negative association with COVID-19-related experiences. Lastly, findings suggest a mixed impact on social connectedness, which might be due to the strengthening of closer ties and weakening of more distant relationships. Results for gender differences were mixed, and a systematic comparison of differences across ages was not possible. The heterogeneity in measures of COVID-19-related experiences as well as timing of data collection prevented a more nuanced examination of short and more long-term impacts.
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Affiliation(s)
| | | | - Alexia Carrizales
- Department of Human Development and Family Studies, Purdue University, West Lafayette, Indiana, USA
| | - Calvin Thanh Trinh
- Department of Psychology, University of Washington, Seattle, Washington, USA
| | | | - Andrea M Hussong
- Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Jennifer E Lansford
- Center for Child and Family Policy, Sanford School of Public Policy, Duke University, Durham, North Carolina, USA
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Vacaru SV, Parenteau AM, Yi S, Silvers JA, Hostinar CE, de Weerth C. Adolescents' hair cortisol concentrations during COVID-19: Evidence from two longitudinal studies in the Netherlands and the United States. Dev Psychobiol 2023; 65:e22438. [PMID: 38010307 DOI: 10.1002/dev.22438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Revised: 09/27/2023] [Accepted: 10/17/2023] [Indexed: 11/29/2023]
Abstract
BACKGROUND Prolonged stress exposure is associated with alterations in cortisol output. The COVID-19 pandemic represented a stressor for many, including children. However, a high-quality caregiving environment may protect against psychological problems and possibly against elevations in cortisol. We examined adolescents' physiological stress responses to the pandemic and the role of attachment in two longitudinal samples from the Netherlands and the United States (https://aspredicted.org/HHY_8MK). METHODS Cortisol was assessed from hair samples before and during the pandemic, while attachment was self-reported prepandemic. Study 1 included a Dutch sample (N = 158; examined at ages 10 and later at 14 years old), whereas Study 2 included a US sample (N = 153; examined at ages 9-11 and again 2 years later) and an age-matched prepandemic sample (N = 29, 10-13 years old). Repeated-measures analyses of variance examined changes in cortisol from prepandemic to during the pandemic and the effect of attachment in each sample separately. RESULTS After accounting for age, both studies revealed nonsignificant changes in hair cortisol and a nonsignificant effect of attachment. A significant effect of sex emerged in Study 1, with Dutch girls showing a significant cortisol increase during the pandemic, which was not explained by puberty. CONCLUSION These findings suggest differential associations of the pandemic with hair cortisol increases by sex and country.
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Affiliation(s)
- Stefania V Vacaru
- Donders Institute for Brain, Cognition and Behaviour, Department of Cognitive Neuroscience, Radboud University Medical Center, Nijmegen, The Netherlands
- Department of Clinical Child and Family Studies & Amsterdam Public Health, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Anna M Parenteau
- Department of Psychology, University of California, Davis, Davis, California, USA
- Center for Mind and Brain, University of California, Davis, Davis, California, USA
| | - Sydney Yi
- Department of Psychology, University of California, Davis, Davis, California, USA
- Center for Mind and Brain, University of California, Davis, Davis, California, USA
| | - Jennifer A Silvers
- Department of Psychology, University of California, Los Angeles, Los Angeles, California, USA
| | - Camelia E Hostinar
- Department of Psychology, University of California, Davis, Davis, California, USA
- Center for Mind and Brain, University of California, Davis, Davis, California, USA
| | - Carolina de Weerth
- Donders Institute for Brain, Cognition and Behaviour, Department of Cognitive Neuroscience, Radboud University Medical Center, Nijmegen, The Netherlands
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Hong JS, Choi MJ, Wade RM, O'Donnell LA, Johns S. Racial/ethnic differences in parenting behaviors as protective factors in adolescent internalizing problems. THE JOURNAL OF GENERAL PSYCHOLOGY 2023; 150:467-484. [PMID: 36576224 DOI: 10.1080/00221309.2022.2152414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Accepted: 11/17/2022] [Indexed: 12/29/2022]
Abstract
The current study explores variations among racially/ethnically diverse adolescents regarding parents' role in mitigating internalizing problems. Adolescents with a higher level of parental awareness, ease of talking to parents, and parental support were less likely to show internalizing problems. Parental awareness was negatively associated with internalizing problems among Whites and Hispanics. The ease of talking to parents was significant for all groups except for American Indians/Alaska Natives. These findings can inform culturally relevant treatments.
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Affiliation(s)
- Jun Sung Hong
- School of Social Work, Wayne State University, Detroit, MI, USA
- Department of Social Welfare, Ewha Womans University, Seoul, South Korea
| | - Mi Jin Choi
- School of Social Work, Texas State University, San Marcos, TX, USA
| | - Ryan M Wade
- School of Social Work, The University of Illinois at Urbana-Champaign, Urbana, IL, USA
| | | | - Shantalea Johns
- School of Social Work, Wayne State University, Detroit, MI, USA
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Zambrano-Sánchez E, Martínez-Cortéz JA, Dehesa-Moreno M, del Río-Carlos Y, Sánchez-Cortés NA, Villalpando-Hernández J, del Consuelo Martínez-Wbaldo M. Manifest anxiety and quality of life in schoolchildren with ADHD during confinement due to the COVID-19 pandemic. ACTAS ESPANOLAS DE PSIQUIATRIA 2023; 51:148-156. [PMID: 37817734 PMCID: PMC10803832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 07/01/2023] [Accepted: 07/01/2023] [Indexed: 10/12/2023]
Abstract
The pandemic generated by COVID-19 forced the governments of all countries to enter into quarantine, modifying the daily coexistence among family members.
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Moroń M, Jach Ł, Atłas K, Moroń R. Parental and Pandemic Burnout, Internalizing Symptoms, and Parent-Adolescent Relationships: A Network Analysis. JOURNAL OF PSYCHOPATHOLOGY AND BEHAVIORAL ASSESSMENT 2023; 45:428-443. [PMCID: PMC10010964 DOI: 10.1007/s10862-023-10036-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/24/2023] [Indexed: 03/16/2023]
Abstract
The COVID-19 pandemic and preventive measures undertaken by many governments have had a significant impact on family relationships, which could result in worsened parenting. In our study, we used network analysis to examine the dynamic system of parental and pandemic burnout, depression, anxiety, and three dimensions of relationship with an adolescent: connectedness, shared activities, and hostility. Parents (N = 374; Mage = 42.9) of at least one child at the age of adolescence completed an online survey. The central symptoms in the network were parental emotional exhaustion and parental anxiety. Parental emotional exhaustion correlated negatively with activities shared with the adolescent, but positively with hostility. Anxiety correlated positively with parental emotional exhaustion. Emotional exhaustion and anxiety were the strongest bridge symptoms between parental burnout, internalizing symptoms, and parenting. Our results suggest that psychological interventions supporting parent-adolescent relationships should address primarily parental emotional exhaustion and anxiety.
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Affiliation(s)
- Marcin Moroń
- Institute of Psychology, University of Silesia in Katowice, 53 Grażyńskiego Street, Katowice, 43-126 Poland
| | - Łukasz Jach
- Institute of Psychology, University of Silesia in Katowice, 53 Grażyńskiego Street, Katowice, 43-126 Poland
| | - Karina Atłas
- Institute of Psychology, University of Silesia in Katowice, 53 Grażyńskiego Street, Katowice, 43-126 Poland
| | - Rafał Moroń
- Primary School, No. 14 Wisława Szymborska in Rybnik, Rybnik, Poland
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Jarvers I, Ecker A, Schleicher D, Brunner R, Kandsperger S. Impact of preschool attendance, parental stress, and parental mental health on internalizing and externalizing problems during COVID-19 lockdown measures in preschool children. PLoS One 2023; 18:e0281627. [PMID: 36780506 PMCID: PMC9925084 DOI: 10.1371/journal.pone.0281627] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Accepted: 01/28/2023] [Indexed: 02/15/2023] Open
Abstract
BACKGROUND Internalizing problems are common in young children, often persist into adulthood, and increase the likelihood for subsequent psychiatric disorders. Problematic attachment, parental mental health problems, and stress are risk factors for the development of internalizing problems. COVID-19 lockdown measures have resulted in additional parental burden and especially their impact on preschool children has rarely been investigated as of now. The current study examined the impact of sustained preschool attendance, parental stress, and parental mental health on internalizing and externalizing problems during COVID-19 lockdown measures in a sample of preschool children in Germany. METHODS AND FINDINGS N = 128 parents of preschool children filled out a one-time online survey about children's internalizing problems, externalizing problems, and attachment for three time points: before a nation-wide lockdown (T1), during the most difficult time of the lockdown (T2) and after the lockdown (T3). Additionally, parents answered questions about their own depressive and anxious symptomatology for the three time points and parental stress for T1 and T2. Linear-mixed effect models were computed to predict children's internalizing / externalizing behavior. Preschool children showed a significant increase in internalizing and externalizing problems over time, highest at T2 with small decreases at T3. Parental depressive and anxious symptomatology increased significantly from T1 to T2, but also remained high at T3. Parental stress levels were comparable to community samples at T1, but attained average values reported for at-risk families at T2. Linear-mixed effect models identified higher parental stress, parental anxiety, attachment problems, parental education, and less preschool attendance as significant predictors for internalizing and externalizing problems in preschoolers with more specific associations shown in separate models. A limitation is the retrospective assessment for the times T1 and T2. CONCLUSIONS Preschool children's mental health is strongly and negatively influenced by the ongoing COVID-19 pandemic and its lockdown measures. Sustained preschool attendance may serve as a protective factor.
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Affiliation(s)
- Irina Jarvers
- Department of Child and Adolescent Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany
- * E-mail:
| | - Angelika Ecker
- Department of Child and Adolescent Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany
| | - Daniel Schleicher
- Department of Child and Adolescent Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany
| | - Romuald Brunner
- Department of Child and Adolescent Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany
| | - Stephanie Kandsperger
- Department of Child and Adolescent Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany
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Mavragani A, Sanchez T, Yang H, Zhao F, Qin Y, Wu J, Yan H, Xu Y, Zhang L. Caregiver Perceptions of Children's and Adolescents' Psychosocial Functioning During the Stringent COVID-19 Lockdown Restrictions in Shanghai: Cross-sectional Study. JMIR Public Health Surveill 2023; 9:e43689. [PMID: 36749625 PMCID: PMC9907570 DOI: 10.2196/43689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Revised: 12/19/2022] [Accepted: 01/06/2023] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic represents a global health crisis. The Shanghai municipal government in China implemented strict and comprehensive pandemic control strategies in the first half of 2022 to eliminate a wave of COVID-19 infection. The pandemic and the resulting government responses have led to abrupt changes to families' daily lives, including the mental health of children and adolescents. OBJECTIVE The aim of this paper is to examine the impact of COVID-19 exposure and the stringent lockdown measures on the daily life and mental health of children and adolescents and to provide suggestions on maintaining their mental health when similar public health emergencies occur in the future. METHODS In this cross-sectional study, an anonymous survey was distributed online in May 1-15, 2022, in Shanghai. Individuals were eligible to participate if they were currently the caregiver of a child or adolescent (aged 4-17 years). Outcomes were psychosocial functioning of children and adolescents, as reported by parents, using the Pediatric Symptom Checklist-17. COVID-19 exposure and life changes were also reported. Multivariate logistic regression was used to analyze risk factors for poor psychosocial functioning. RESULTS In total, 2493 valid questionnaires were analyzed. The rate of positive scores on the global Pediatric Symptom Checklist-17 scale was 16.5% (n=411). Internalizing, attention, and externalizing problem subscale positivity rates were 17.3% (n=431), 10.9% (n=272), and 8.9% (n=221), respectively. Caregivers reported that 64.2% (n=1601) and 20.7% (n=516) of the children's interactions with friends or peers and parents deteriorated, respectively. Compared with male caregivers, female caregivers were less likely to report psychosocial problems in children and adolescents (adjusted odds ratio [aOR] 0.68; 95% CI 0.53-0.88). Older children and those with lower COVID-19 Exposure and Family Impact Scales scores were less likely to have psychological problems (aOR 1.15; 95% CI 1.10-1.21). Compared with children with screen times <1 hour per day for recreation, those using screens for >3 hours had higher odds of psychological distress (aOR 2.09; 95% CI 1.47-1.97). Children who spent 1-2 hours exercising and had better interactions with friends or peers and parents showed a trend toward lower odds of psychological problems. Children and adolescents with worse sleep compared with preclosure were more likely to have psychological problems. CONCLUSIONS The prevalence of psychosocial problems among children and adolescents is relatively high. Being young, having more COVID-19 exposure, and having more screen times (>3 h/day), less exercise time (<30 min), worse sleep, and deteriorated interactions with friends or peers and parents were risk factors for poor psychosocial functioning. It is necessary for governments, communities, schools, and families to take appropriate countermeasures to reduce the negative impact of the stringent control measures on caregivers' parenting and psychosocial functioning of children and adolescents.
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Affiliation(s)
| | | | - Hongyang Yang
- Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.,Institute of Hospital Development Strategy, China Hospital Development Institute, Shanghai Jiao Tong University, Shanghai, China
| | - Fangjie Zhao
- College of Health Service, Second Military Medical University, Shanghai, China
| | - Yuchen Qin
- College of Health Service, Second Military Medical University, Shanghai, China
| | - Jiali Wu
- College of Health Service, Second Military Medical University, Shanghai, China
| | - Hongli Yan
- School of Nursing, Second Military Medical University, Shanghai, China
| | - Yan Xu
- College of Health Service, Second Military Medical University, Shanghai, China
| | - Lulu Zhang
- College of Health Service, Second Military Medical University, Shanghai, China
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10
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Correction: Internalizing symptoms and family functioning predict adolescent depressive symptoms during COVID-19: A longitudinal study in a community sample. PLoS One 2023; 18:e0280899. [PMID: 36662696 PMCID: PMC9858759 DOI: 10.1371/journal.pone.0280899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
[This corrects the article DOI: 10.1371/journal.pone.0264962.].
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11
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Skeens MA, Hill K, Olsavsky A, Ralph JE, Udaipuria S, Akard TF, Gerhardt CA. Family functioning buffers the consequences of the COVID-19 pandemic for children's quality of life and loneliness. Front Psychol 2023; 13:1079848. [PMID: 36710839 PMCID: PMC9880325 DOI: 10.3389/fpsyg.2022.1079848] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Accepted: 12/28/2022] [Indexed: 01/14/2023] Open
Abstract
COVID-19 resulted in mass quarantine measures early in the pandemic. This disruption of daily life widened inequities and made children one of the most vulnerable populations during the crisis. This national, cross-sectional "COVID-Kids" study collected data from almost 500 parent-child dyads using standardized measures to better understand the effects of COVID exposure and impact on children's quality of life and loneliness. Data were collected via social media from May to July 2020. According to parent proxy and child self-report, United States children experienced worse quality of life (p < 0.0001; d = 0.45 and 0.53) and greater child-reported loneliness (p < 0.0001) when compared to normative, healthy samples (i.e., children who do not have a chronic medical condition). Older children (r = 0.16, p = 0.001) and female children (r = 0.11, p = 0.02) reported greater loneliness. Higher child-reported family functioning scores were associated with better quality of life (r = 0.36, p < 0.0001) and less loneliness (r = -0.49, p < 0.0001). Moderated mediation analyses indicated the indirect effect of parent COVID impact on the association between COVID exposure and child quality of life was weaker in the context of better family functioning. Results of this study raise concern for the short-and long-term sequelae of the pandemic on the physical and mental health of children. Healthcare providers and researchers must find new and innovative ways to protect the well-being of children. Strengthening family functioning may buffer the effects of the pandemic and improve overall quality of life in our "COVID Kids."
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Affiliation(s)
- Micah A. Skeens
- Center for Biobehavioral Health, Nationwide Childrens Hospital, Columbus, OH, United States,Department of Pediatrics, The Ohio State University School of Medicine, Columbus, OH, United States,*Correspondence: Micah A. Skeens, ✉
| | - Kylie Hill
- Center for Biobehavioral Health, Nationwide Childrens Hospital, Columbus, OH, United States
| | - Anna Olsavsky
- Center for Biobehavioral Health, Nationwide Childrens Hospital, Columbus, OH, United States
| | - Jessica E. Ralph
- Center for Biobehavioral Health, Nationwide Childrens Hospital, Columbus, OH, United States
| | - Shivika Udaipuria
- Center for Biobehavioral Health, Nationwide Childrens Hospital, Columbus, OH, United States
| | - Terrah Foster Akard
- Vanderbilt School of Nursing, Vanderbilt University, Nashville, TN, United States
| | - Cynthia A. Gerhardt
- Center for Biobehavioral Health, Nationwide Childrens Hospital, Columbus, OH, United States,Department of Pediatrics, The Ohio State University School of Medicine, Columbus, OH, United States
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