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Benhayoun A, Olsavsky A, Akard TF, Gerhardt C, Skeens MA. Predictors of loneliness among middle childhood and adolescence during the COVID-19 pandemic. PLoS One 2024; 19:e0308091. [PMID: 39146346 PMCID: PMC11326567 DOI: 10.1371/journal.pone.0308091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2024] [Accepted: 07/17/2024] [Indexed: 08/17/2024] Open
Abstract
Social contexts (e.g., family, friends) are important in predicting and preventing loneliness in middle childhood (MC) and adolescence; however, these social contexts were disrupted during the COVID-19 pandemic. Comparison of social context factors that may differentially contribute to loneliness at each developmental stage (MC vs. adolescence) during the COVID-19 pandemic have been overlooked. This study examined longitudinal predictors of loneliness, including social contexts and COVID-19 impact, within MC (8-12y) and adolescence (13-17y). Parents reported on demographic information, and their children completed surveys on COVID-19 impact, loneliness, and family functioning using the COVID-19 Exposure and Family Impact Survey (CEFIS), the NIH Toolbox Loneliness (Ages 8-17) measure, and the PROMIS Family Relationships Short Form 4a measure, respectively. Regression models examined time one (T1; May-June 2020) predictors of time two (T2; November 2020-January 2021) MC child (n=92, Mage=10.03) and adolescent (n=56, Mage=14.66) loneliness. For the MC child model, significant predictors of higher loneliness included worse family functioning as well as higher COVID-19 impact and lower family income. On the other hand, higher adolescent loneliness was significantly predicted by not having married/partnered parents and was marginally significantly predicted by higher COVID-19 impact. The regression model with the full sample and interaction terms revealed no significant interactions, but that lower family functioning and higher COVID-19 impact were significant predictors of higher loneliness. Lower family income and lower in-person communication were marginally significant predictors of higher loneliness in the combined interaction model. Lastly, further exploratory mediation analyses displayed that family functioning significantly mediated the relationship between COVID-19 impact and T2 loneliness only for MC children and the full sample. Results support future interventions focused on optimizing family functioning to help mitigate MC loneliness in the context of adversity, such as a global pandemic.
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Affiliation(s)
- Ashley Benhayoun
- Center for Biobehavioral Health, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, United States of America
| | - Anna Olsavsky
- Center for Biobehavioral Health, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, United States of America
| | - Terrah Foster Akard
- Vanderbilt School of Nursing, Vanderbilt University, South Nashville, TN, United States of America
| | - Cynthia Gerhardt
- Center for Biobehavioral Health, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, United States of America
- The Ohio State University College of Medicine Columbus, Columbus, OH, United States of America
| | - Micah A Skeens
- Center for Biobehavioral Health, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, United States of America
- The Ohio State University College of Medicine Columbus, Columbus, OH, United States of America
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Yates J, Mantler T. The Resilience of Caregivers and Children in the Context of COVID-19: A Systematic Review. JOURNAL OF CHILD & ADOLESCENT TRAUMA 2023; 16:1-20. [PMID: 36778656 PMCID: PMC9902831 DOI: 10.1007/s40653-022-00514-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 12/21/2022] [Indexed: 06/18/2023]
Abstract
The COVID-19 pandemic has necessitated caregivers and school-aged children to adapt to ongoing changes and uncertainty. Understanding why some caregivers and school-aged children area able to adapt and others are not could be attributed to resilience. The relationships between caregiver or child resilience and socioeconomic status (SES) in the context of COVID-19 remain largely un-explored. Therefore, the purpose of this qualitative systematic review was to explore (1) what is currently known about the relationship between caregiver and child resilience in the context of COVID-19; and (2) the role of SES on caregiver or child resilience throughout the COVID-19 pandemic. Four databases (i.e., MEDLINE, Scopus, PsycINFO, and CINAHL) were systematically searched, title/abstract and full-text screening were conducted, and 17 articles met the inclusion criteria (i.e., discussed resilience of caregivers/children during COVID-19, mean age of children between 7-10, primary research/grey literature, English), including 15 peer-reviewed and two grey literature sources. Thematic analysis revealed five themes: (1) the mitigating effects of child resilience; (2) overcoming the psychological toll of the pandemic; (3) the unknown relationship: caregiver and child resilience; (4) family functioning during COVID-19; and (5) the perfect storm for socioeconomic impacts. Results from this review provide the first synthesis of the impact of the COVID-19 pandemic on the resilience of caregivers and school-aged children. Future research should conduct longitudinal data collection to understand the possible long-term impacts of the pandemic on these populations' resilience. Understanding these impacts will be integral to assisting families in bouncing back from the long-lasting adverse circumstances caused by the COVID-19 pandemic.
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Affiliation(s)
- Julia Yates
- Health and Rehabilitation Sciences Program, Faculty of Health Sciences, The University of Western Ontario, London, ON Canada
| | - Tara Mantler
- School of Health Studies, Faculty of Health Sciences, The University of Western Ontario, London, ON Canada
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Gabriel IWDM, Lima DGS, Pires JP, Vieira NB, Brasil AAGDM, Pereira YTG, Oliveira EGD, Menezes HLD, Lima NNR, Reis AOA, Alves RNP, Silva UPD, Gonçalves Junior J, Rolim-Neto ML. Impacts of COVID-19 on children and adolescents: A systematic review analyzing its psychiatric effects. World J Psychiatry 2022; 12:1313-1322. [PMID: 36438679 PMCID: PMC9693832 DOI: 10.5498/wjp.v12.i11.1313] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2022] [Revised: 04/28/2022] [Accepted: 08/16/2022] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE To summarize the most relevant data from a systematic review on the impact of COVID-19 on children and adolescents, particularly analyzing its psychiatric effects.
METHODS This review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and included experimental studies (randomized-individually or pooled-and non-randomized controlled trials), observational studies with a group for internal comparison (cohort studies-prospective and retrospective-and case-control) and qualitative studies in the period from 2021 to 2022.
RESULTS The search identified 325 articles; we removed 125 duplicates. We selected 200 manuscripts, chosen by title and selected abstracts. We excluded 50 records after screening titles and abstracts, as they did not meet the inclusion criteria. We retrieved 150 records selected for a full reading. We excluded 90 text articles and we selected 25 records for the (n) final. Limitations: Due to the short period of data collection, from 2021 to 2022, there is a possibility of lack of relevant studies related to the mental health care of children and adolescents. In addition, there is the possibility of publication bias, such as only significant findings being published.
CONCLUSION The impact of COVID-19 on the mental health of children and adolescents is of great concern to child and youth psychiatry. Situations such as fear, anxiety, panic, depression, sleep and appetite disorders, as well as impairment in social interactions caused by psychic stress, are punctual markers of pain and psychic suffering, which have increasing impacts on the mental health panorama of children and adolescents globally, particularly in vulnerable and socially at-risk populations.
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Affiliation(s)
| | | | - Jeully Pereira Pires
- Mais Médicos Program, Federal Government of Brazil-Ministry of Health, Iguatu 63048-080, Ceara, Brazil
| | - Nélio Barreto Vieira
- School of Medicine, Federal University of Cariri, Barbalha 63048-080, Ceara, Brazil
| | | | - Yara Talita Gomes Pereira
- Julio Alves de Lira Hospital and Maternity Hospital, HALHM, Belo Jardim 55157-290, Pernambuco, Brazil
| | - Erika Galvao de Oliveira
- Nursing Department, Doctor Leão Sampaio University Center-UNILEAO, Juazeiro do Norte 63.041-140, Ceara, Brazil
| | | | - Nadia Nara Rolim Lima
- Graduate Program (Post-Doctoral) in Neuro-Psychiatry, UFPE, Recife 50670-901, Pernambuco, Brazil
| | - Alberto Olavo Advíncula Reis
- Postgraduate Program (Master’s and Doctorate) in Public Health, University of São Paulo-USP, São Paulo 01246-904, São Paulo, Brazil
| | | | | | - Jucier Gonçalves Junior
- Internal Medicine-Division of Rheumathology at Hospital das Clínicas, São Paulo University, São Paulo 01246-903, São Paulo, Brazil
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Fray L, Jaremus F, Gore J, Harris J. Schooling upheaval during COVID-19: troubling consequences for students' return to school. AUSTRALIAN EDUCATIONAL RESEARCHER 2022; 50:1-18. [PMID: 36157081 PMCID: PMC9489483 DOI: 10.1007/s13384-022-00572-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/09/2022] [Accepted: 08/29/2022] [Indexed: 06/16/2023]
Abstract
Efforts to contain the COVID-19 virus resulted in various stay-at-home orders and school closures around the globe, causing unprecedented disruption to the lives of children and generating grave concern for their well-being. This study draws on phone interviews with 12 teachers and 6 school leaders from 13 government schools in New South Wales, Australia, to provide insight into how students fared on their return to school after the first wave of COVID-19 in 2020. The interviews highlighted negative consequences for many students including increased stress and anxiety and decreased engagement. This evidence suggests that even a comparatively short period of school closure can drive troubling changes in students' well-being and behaviour following their return to school. Given far more challenging conditions arising from the pandemic, both elsewhere in Australia and globally, we argue that attending to student well-being is as important as ensuring academic achievement and must be a key focus of policy makers and education systems moving forward.
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Affiliation(s)
- Leanne Fray
- CT Building, The University of Newcastle, University Drive, Callaghan, NSW 2308 Australia
| | - Felicia Jaremus
- CT Building, The University of Newcastle, University Drive, Callaghan, NSW 2308 Australia
- Teachers and Teaching Research Centre, School of Education, University of Newcastle, Newcastle, Australia
| | - Jennifer Gore
- CT Building, The University of Newcastle, University Drive, Callaghan, NSW 2308 Australia
- Teachers and Teaching Research Centre, School of Education, University of Newcastle, Newcastle, Australia
| | - Jess Harris
- CT Building, The University of Newcastle, University Drive, Callaghan, NSW 2308 Australia
- Teachers and Teaching Research Centre, School of Education, University of Newcastle, Newcastle, Australia
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The Predictors of Psychological Well-Being in Lithuanian Adolescents after the Second Prolonged Lockdown Due to COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19063360. [PMID: 35329053 PMCID: PMC8949903 DOI: 10.3390/ijerph19063360] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Revised: 03/03/2022] [Accepted: 03/08/2022] [Indexed: 12/05/2022]
Abstract
Recent research highlights the impact of prolonged pandemics and lockdown on the mental health of youngsters. The second wave of COVID-19 brought an increase in mental health problems among young people. Therefore, this study aims to analyze the main factors arising from intra-individual, inter-individual, and environmental contexts that predict good psychological well-being in a group of adolescents after a second prolonged period of social restrictions and distance education. The study included 1483 school students from 11 to 19 years old. The survey assessed self-reported students’ psychological well-being (WHO-5 index), physical activity, sedentary behavior, school social capital, communication with peers and relationships with parents, existing emotional and behavioral problems. The results indicated that 58% of adolescents were of good psychological well-being in spring 2021, after half a year in lockdown. Almost 19% of adolescents had depression risk. The study revealed that during a period of prolonged isolation, male gender, better relationships between young people and their parents, the absence of serious emotional and behavioral problems, less sedentary behavior, and higher school social capital were found to be significant factors predicting adolescents’ psychological well-being. Lower physical activity is an important contributor to students’ poor well-being. Finally, the lack of face-to-face communication with peers was revealed as a specific factor in predicting adolescents with depression risk.
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