大流行后幼儿家庭的社会心理压力:没有时间休息。

IF 3.4 3区 医学 Q1 PEDIATRICS
Katharina Richter, Catherine Buechel, Michaela Augustin, Anna Friedmann, Volker Mall, Ina Nehring
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引用次数: 0

摘要

背景:在大流行期间,父母和儿童面临的养育压力和心理健康挑战都有所增加。然而,对家庭的持久影响在很大程度上仍未得到探索。此外,年轻家庭目前面临经济通胀、俄乌战争和气候危机等压力因素,这些因素对家庭的影响尚不清楚。因此,这项研究的主要目的是评估大流行后时代的养育压力以及儿童和父母的心理健康问题。此外,该研究还试图确定父母养育压力和心理健康问题的潜在预测因素。方法:从2023年2月到2024年3月,我们对巴伐利亚州(德国南部)0-9岁儿童的家庭(N = 17,333)进行了一项数字横断面研究,根据当前的社会挑战,研究父母和孩子的育儿压力和心理健康问题。使用有效的问卷收集数据,并调查造成父母压力的潜在因素。结果:我们发现53.7%的父母得分高于临界值,表明他们经历了中等到高度的育儿压力。此外,13.5%的人表现出焦虑症状的迹象,14.6%的人表现出抑郁的迹象。此外,34.9%的婴儿(0-24个月)有哭泣和/或睡眠困难,而8.7的幼儿(2-4岁)和10.4%的学龄前和小学(4岁)有情绪和行为问题。59.3%的家长认为经济通胀是压力或非常大的压力,激进化和社会分裂(49.3%)、俄乌战争(37.9%)和气候危机(31.8%)也被认为是压力的来源。对于31.6%的家庭来说,大流行的持续影响仍然是一个(重大)负担。在所有年龄组中,儿童的心理健康问题和社会挑战是育儿压力的主要预测因素。结论:我们的研究强调,即使在大流行后,有儿童的家庭的心理社会压力因素仍然很明显。此外,我们的研究结果强调了更广泛的社会趋势,如经济通胀和社会分化,对家庭福祉的影响。应对这些压力源,促进婴儿的心理健康,同时通过减轻父母的压力来增强父母的复原力,应成为2019冠状病毒病后医疗保健举措的关键优先事项。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychosocial stress in families of young children after the pandemic: no time to rest.

Background: During the pandemic, parenting stress and mental health challenges for both parents and children have increased. However, the lasting repercussions for families remain largely unexplored. Additionally, young families currently face stressors such as economic inflation, the Russia-Ukraine War, and the climate crisis, whose impacts on families are not yet understood. The primary aim of the study is therefore to evaluate parenting stress as well as child and parent mental health problems in the postpandemic era. Additionally, the study seeks to identify potential predictors of parenting stress and mental health issues in parents.

Methods: From February 2023 to March 2024, we conducted a digital cross-sectional study involving families (N = 17,333) with children aged 0-9 years in Bavaria (Southern Germany) to examine parenting stress and mental health issues among both parents and children in light of current societal challenges. Validated questionnaires were used to gather data, and potential factors contributing to parenting stress were investigated.

Results: We found that 53.7% of parents scored above the cut-off value, indicating that they experienced moderate to high levels of parenting stress. Additionally, 13.5% showed signs of anxiety symptoms, while 14.6% exhibited indications of depression according to cut-off values. Additionally, 34.9% of the infants (0-24 months) had crying and/or sleeping difficulties, whereas emotional and behavioral problems were observed in 8.7 of the toddlers (2-4 years) and 10.4% of the pre- and primary schoolers (˃ 4 years). Economic inflation was perceived as stressful or very stressful for 59.3% of parents, with radicalization and social division (49.3%), the Russia-Ukraine War (37.9%), and the climate crisis (31.8%) also cited as sources of stress. For 31.6% of families, the lingering effects of the pandemic continued to be a (major) burden. Across all age groups, children's mental health issues and societal challenges were the primary predictors of parenting stress.

Conclusion: Our study underscores that psychosocial stressors for families with children remain pronounced even postpandemic. Moreover, our findings highlight the impact of broader societal trends, such as economic inflation and social division, on family well-being. Addressing these stressors and promoting the mental health of infants while bolstering parental resilience by alleviating parenting stress should be key priorities for healthcare initiatives in the aftermath of COVID-19.

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来源期刊
Child and Adolescent Psychiatry and Mental Health
Child and Adolescent Psychiatry and Mental Health PEDIATRICSPSYCHIATRY-PSYCHIATRY
CiteScore
7.00
自引率
3.60%
发文量
84
审稿时长
16 weeks
期刊介绍: Child and Adolescent Psychiatry and Mental Health, the official journal of the International Association for Child and Adolescent Psychiatry and Allied Professions, is an open access, online journal that provides an international platform for rapid and comprehensive scientific communication on child and adolescent mental health across different cultural backgrounds. CAPMH serves as a scientifically rigorous and broadly open forum for both interdisciplinary and cross-cultural exchange of research information, involving psychiatrists, paediatricians, psychologists, neuroscientists, and allied disciplines. The journal focusses on improving the knowledge base for the diagnosis, prognosis and treatment of mental health conditions in children and adolescents, and aims to integrate basic science, clinical research and the practical implementation of research findings. In addition, aspects which are still underrepresented in the traditional journals such as neurobiology and neuropsychology of psychiatric disorders in childhood and adolescence are considered.
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