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Essler S, Christner N, Paulus M. Short-term and long-term effects of the COVID-19 pandemic on child psychological well-being: a four-wave longitudinal study. Eur Child Adolesc Psychiatry 2024; 33:909-922. [PMID: 37119393 PMCID: PMC10148581 DOI: 10.1007/s00787-023-02215-7] [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: 08/08/2022] [Accepted: 04/15/2023] [Indexed: 05/01/2023]
Abstract
As the COVID-19 pandemic further unfolds, it becomes a key theoretical and practical question to identify trajectories of child psychological well-being and to explore risk and resilience factors for developmental adjustment. The current study addressed this research gap by means of an ecological design: A (lockdown)-B (relaxation)-B (relaxation)-A (lockdown). We collected parental reports via online questionnaires over four measurement occasions during the COVID-19 pandemic in Germany (non-probabilistic sample): from the first lockdown (T1-spring 2020, N = 1769) to the following period of relaxation (T2-summer 2020, n = 873; T3-fall 2020, n = 729) on to the second lockdown (T4-winter 2020/21, n = 748). Key measures at T1-T4 were child emotional and behavioral problems as well as hyperactivity, child emotional and family-related well-being, parental strain, and parent-child relationship quality. We found evidence for quadratic growth models. While child problem behaviors (b = 0.32, p < 0.001) and emotional well-being (b = - 0.33, p < 0.001) improved after the first lockdown during subsequent periods of relaxation before worsening again in the second lockdown, child family-related well-being steadily decreased over all four measurement points (T1-T2: p < 0.001; T2-T3: p = 0.045; T3-T4: p = 0.030). Importantly, parental stress emerged as a strong risk factor (ps < 0.11) and the parent-child relationship quality constituted a resilience factor (p = 0.049) for child psychological well-being. These findings have major implications for policies aiming to further child health during the COVID-19 pandemic.
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Affiliation(s)
- Samuel Essler
- Developmental Psychology, Ludwig-Maximilians-Universität München, Leopoldstr. 13, 80802, Munich, Germany.
- FOM University of Applied Sciences, Essen, Germany.
| | - Natalie Christner
- Developmental Psychology, Ludwig-Maximilians-Universität München, Leopoldstr. 13, 80802, Munich, Germany
| | - Markus Paulus
- Developmental Psychology, Ludwig-Maximilians-Universität München, Leopoldstr. 13, 80802, Munich, Germany
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Calvano C, Engelke L, Holl-Etten AK, Renneberg B, Winter SM. Almost 2 years into the COVID-19 pandemic: an update on parental stress, parent mental health, and the occurrence of child maltreatment. Eur Child Adolesc Psychiatry 2023; 32:2593-2609. [PMID: 36739338 PMCID: PMC9899111 DOI: 10.1007/s00787-023-02147-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2022] [Accepted: 01/19/2023] [Indexed: 02/05/2023]
Abstract
Increased parental stress, poorer mental health, and an increase in the occurrence of child maltreatment (CM) have been reported in earlier phases of the COVID-19 pandemic. However, data from later phases of the pandemic are not yet available. We conducted a cross-sectional, representative survey among 1087 parents (48.8% female; mean age 41.72 years, SD = 9.15) in Germany in December 2021. Data were compared to a previous representative sample, assessed in August 2020 (N = 1024), and to normative scores of the outcome measures. Predictors for the occurrence of CM were analyzed by logistic regression. Pandemic-related stress and general stress were higher and physical and mental health were poorer in the December 2021 sample than in the August 2020 sample. Occurrence rates of CM varied between 5 and 56%. Verbal emotional abuse (n = 607, 56%), witnessing domestic violence (n = 446, 41%), and emotional neglect (n = 435, 40%) were most frequently reported. For these subtypes, parental risk for alcohol abuse (OR 2.1-2.7) and parental recent experience of violence (OR 2.1-5.1) were the strongest predictors. Across all subtypes of CM, parents reporting child maltreatment showed poorer scores on all stress outcomes, with medium-large-effect sizes. Results confirm a high burden within the families, almost 2 years into the pandemic. Occurrence rates of a broad spectrum of CM subtypes raise further concerns for the well-being of children. Family-oriented intervention efforts are needed to stabilize families and provide targeted support. Longitudinal studies are needed for a description of families at risk for poorer outcomes.
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Affiliation(s)
- Claudia Calvano
- Clinical Child and Adolescent Psychology and Psychotherapy, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany.
- Clinical Child and Adolescent Psychology, Christian-Albrechts-Universität zu Kiel, Olshausenstr. 62, 24118, Kiel, Germany.
| | - Lara Engelke
- Clinical Psychology and Psychotherapy, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany
| | - Anna Katharina Holl-Etten
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353, Berlin, Germany
| | - Babette Renneberg
- Clinical Psychology and Psychotherapy, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany
| | - Sibylle M Winter
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353, Berlin, Germany
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A S, S L, K AO, R S, A HJ. Resilient communities? A qualitative interview study on sustaining a community project for health promotion among socially disadvantaged women during the first two years of the COVID-19 pandemic. BMC Public Health 2023; 23:1654. [PMID: 37644521 PMCID: PMC10463586 DOI: 10.1186/s12889-023-16593-9] [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: 12/15/2022] [Accepted: 08/23/2023] [Indexed: 08/31/2023] Open
Abstract
OBJECTIVES With the emergence of SARS-CoV-2 a global pandemic impacted on health promotion, overlapping and hindering efforts to overcome the worldwide pandemic of lacking physical activity (PA). Nationwide lockdowns, the closure of public facilities and sports venues, made it significantly more difficult to sustain community-run PA projects. In our case study, we explore (a) under which circumstances a community-basedhealth promotion project can be maintained during crisis and (b) what resilience capacities are important for community project coordinators to deal with those aggravating circumstances. METHODS Our case study looks at a community-based project called BIG, an exercise promotion project for women in difficult life circumstances. The case study was conducted between July 2021 and January 2022 with six municipalities implementing the project. Following a triangulation approach, we used minutes from short exchanges (n=17) with community project coordinators, information brochures about current exercise classes (n=6) and semi-structured qualitative interviews with project coordinators (n=6). All data were analyzed using the framework approach. RESULTS All sites showed a high level of willingness to adapt to the pandemic situation and to maintain the project as best as possible. Findings highlight that coordinators whose work routine was characterized by intense relationship management with participants and trainers demonstrated higher levels of adaptive and absorptive capacities on an individual level than coordinators of those communities with less social cohesion. At a community level, important resources for strengthening adaptive and absorptive resilience capacities were job security of the coordinators, sufficient financial resources to adapt classes to changing circumstances, and a supportive organizational climate in the coordinators' working environment to allow them to react flexibly according to current pandemic regulations. CONCLUSION Despite high resilience capacities especially on an individual level, the low-threshold nature of the project could not be maintained at a pre-pandemic level. For many women, participation in the project was no longer possible at times. Awareness should be raised in communities that PA promotion programs are crucial to strengthening physical and mental health, even in times of crisis. It seems necessary to find permanent funding options for such programs, to integrate them permanently into municipal structures.
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Affiliation(s)
- Sauter A
- Department of Epidemiology and Preventive Medicine, Medical Sociology, University of Regensburg, Universitätsstraße 31, 93053, Regensburg, Germany.
| | - Linder S
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nuremberg, Gebbertstraße 123b, 91058, Erlangen, Germany
| | - Abu-Omar K
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nuremberg, Gebbertstraße 123b, 91058, Erlangen, Germany
| | - Sommer R
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nuremberg, Gebbertstraße 123b, 91058, Erlangen, Germany
| | - Herrmann-Johns A
- Department of Epidemiology and Preventive Medicine, Medical Sociology, University of Regensburg, Universitätsstraße 31, 93053, Regensburg, Germany
- School of Medicine and Public Health, HMRI Building, Level 4, West Wing, University of Newcastle, Callaghan, NSW, 2308, Australia
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[Parental intention to vaccinate their children against COVID-19]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2022; 65:1281-1288. [PMID: 36350345 PMCID: PMC9645347 DOI: 10.1007/s00103-022-03613-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Accepted: 10/13/2022] [Indexed: 11/11/2022]
Abstract
Hintergrund Mit Beginn der Impfkampagne hat eine neue Phase der Bewältigung der Coronapandemie begonnen. Zulassung und Empfehlung für die COVID-19-Impfung von Kindern folgten schrittweise; bis heute (mit Stand vom 04.10.2022) sind in Deutschland Impfungen für Kinder unter 5 Jahren nicht zugelassen. Ziel der Arbeit Ziel war es, zu untersuchen, wie sich die COVID-19-Impfintention von Eltern bezogen auf ihre Kinder von Mai 2020 bis Februar 2021 (von der ersten zur zweiten Coronawelle) entwickelte und welche Determinanten der Impfintention es gibt. Methoden 612 Familien, die mit ihrem Kind im Alter zwischen 1,5 und 6 Jahren an der KUNO Kids Gesundheitsstudie teilnehmen, beantworteten im Mai 2020 Fragen eines Online-Surveys (Teilnahmerate 51 %), 507 nahmen an der Wiederholungsbefragung im Februar 2021 teil. Determinanten der Impfintention wurden für beide Zeitpunkte in uni- und multivariablen logistischen Regressionsmodellen analysiert. Ergebnisse Während 51 % der Eltern im Mai 2020 angaben, ihr Kind gegen COVID-19 impfen lassen zu wollen, reduzierte sich dieser Anteil bis Februar 2021 auf 41 %. Zu mindestens einem der beiden Zeitpunkte waren Gesundheitskompetenz sowie die wahrgenommene Kompetenz bzgl. Schutzmaßnahmen gegen das Virus signifikant positiv mit einer höheren Impfintention assoziiert, die Zugehörigkeit von Angehörigen zu einer Risikogruppe sowie der Eindruck, dass die politischen Maßnahmen übertrieben seien, ging mit einer niedrigeren Impfintention einher. Diskussion Die Intention, das Kind gegen COVID-19 impfen zu lassen, war nur mäßig ausgeprägt und nahm zur zweiten Coronawelle weiter ab. Einstellungs- und kompetenzbezogene Determinanten waren zu beiden Zeitpunkten wichtig und könnten in einer künftigen Impfkampagne, die Eltern jüngerer Kinder adressiert, gezielt berücksichtigt werden. Zusatzmaterial online Zusätzliche Informationen sind in der Online-Version dieses Artikels (10.1007/s00103-022-03613-z) enthalten.
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Sari DK, Mani S, Fadli M, Ihksan R, Machrina Y, Arrasyid NK, Siregar KB, Sunarno A. Is It Important to Increase Physical Activity Among University Students During the Second-Wave COVID-19 Pandemic in Asian Countries? A Cross-Sectional Study of the Knowledge, Attitudes, and Practices in Asian Countries. J Multidiscip Healthc 2022; 15:1559-1571. [PMID: 35903185 PMCID: PMC9314754 DOI: 10.2147/jmdh.s368635] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Accepted: 06/29/2022] [Indexed: 11/25/2022] Open
Abstract
Background Difficulties in exercising have occurred for the entire world’s population during this COVID-19 pandemic, especially in the second wave at the end of 2021. Most worrying is the lack of physical activity in young adults, as lack of exercise will increase the risk of noncommunicable diseases in the future. The youth such as university student can be agents of change, to increase physical activity, from sedentary to sport life. This study aimed to determine the relationship between knowledge, attitudes, and actions of university students and the correlation between the related variables. Methods This study is a cross-sectional observational study involving 458 Asian university students based on Asian and African nationalities. This research was conducted from December 2021 to January 2022, during the second wave of the COVID-19 pandemic in Asia. The variables studied were the knowledge, attitudes, and actions of university students with regard to sports, and the statistical test used was the Chi-squared test. Results The results showed that the research subjects were mainly from Indonesia and India (95.8%), there were more women than men (69.9% vs 30.1%), the most common age range was 18–20 years (61.4%), and 45.4% had a normal body mass index. In total, 48.3% had high knowledge, 93.4% had a positive attitude, and 34.7% had good practice. There was a significant relationship between knowledge and attitude (p=0.002) but not with action. Conclusion This study found that good knowledge was associated with a good attitude, but due to the COVID-19 pandemic with activity restrictions on university students, there was no relationship with action. ![]()
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Affiliation(s)
- Dina Keumala Sari
- Department of Nutrition, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
| | - Suresh Mani
- Department of Physiotherapy, Faculty of Applied Medical Science, Lovely Professional University, Phagwara, Punjab, India
| | - Muhammad Fadli
- Medical Education and Professional Program, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
| | - Riyadh Ihksan
- Department of Science and Technology, North Sumatra Branch-National Sport Committee, Medan, Indonesia
| | - Yetty Machrina
- Department of Physiology, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
| | | | - Kamal Basri Siregar
- Department of Surgery, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
| | - Agung Sunarno
- Department of Sport, Faculty of Sport Science, Universitas Medan Area, Medan, Indonesia
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