Melissa Elgie, Christy K. Y. Chan, Chloe Bedard, Mark A. Ferro
{"title":"COVID-19大流行期间躯体疾病儿童及其父母心理困扰的变化","authors":"Melissa Elgie, Christy K. Y. Chan, Chloe Bedard, Mark A. Ferro","doi":"10.1111/cch.70082","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Parents and their children with chronic physical illness (CPI) are often predisposed to experiencing psychopathology, a phenomenon, which may be exacerbated during the COVID-19 pandemic.</p>\n </section>\n \n <section>\n \n <h3> Objective</h3>\n \n <p>This study modelled trajectories of psychological distress experienced by children with CPI and their parents before and during COVID-19.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Overall, 134 parent–child dyads enrolled in an ongoing cohort study, Multimorbidity in Children and Youth across the Life-course study, participated in this COVID-19 substudy. Data were collected at three time-points: pre-pandemic (Dec 19–Mar 20) and two intrapandemic periods (Dec 20–Mar 21 and Jun 22–Oct 22) in Ontario, Canada. Parents reported on symptoms psychological distress they and their children experienced, using the Kessler-6. Linear mixed-effects modelling was used to estimate trajectories of psychological distress over time.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Parents of children with CPI experienced increased psychological distress from pre-pandemic to intrapandemic 2021, which declined slightly by intrapandemic 2022 (B<sub>linear</sub> = 4.64, <i>p</i> < 0.001; B<sub>quadratic</sub> = −1.79, <i>p</i> < 0.001), and this rate of change over time was influenced by parent stress. Psychological distress was lower among parents of older children. Children experienced increasing psychological distress from pre-pandemic to intrapandemic 2022 (B<sub>linear</sub> = 1.20, <i>p</i> < 0.001). Elevated child psychological distress was associated with the presence of mental illness, older age, greater disability, younger parent age, and higher household income.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Children with CPI and their parents experienced elevated psychological distress during COVID-19. Understanding the course of psychological distress for vulnerable children and their families is crucial to informing healthcare strategies that foster mental well-being and preparedness for future global crises.</p>\n </section>\n </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 3","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70082","citationCount":"0","resultStr":"{\"title\":\"Changes in Psychological Distress in Children With Physical Illness and Their Parents During the COVID-19 Pandemic\",\"authors\":\"Melissa Elgie, Christy K. Y. Chan, Chloe Bedard, Mark A. Ferro\",\"doi\":\"10.1111/cch.70082\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Parents and their children with chronic physical illness (CPI) are often predisposed to experiencing psychopathology, a phenomenon, which may be exacerbated during the COVID-19 pandemic.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>This study modelled trajectories of psychological distress experienced by children with CPI and their parents before and during COVID-19.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Overall, 134 parent–child dyads enrolled in an ongoing cohort study, Multimorbidity in Children and Youth across the Life-course study, participated in this COVID-19 substudy. Data were collected at three time-points: pre-pandemic (Dec 19–Mar 20) and two intrapandemic periods (Dec 20–Mar 21 and Jun 22–Oct 22) in Ontario, Canada. Parents reported on symptoms psychological distress they and their children experienced, using the Kessler-6. Linear mixed-effects modelling was used to estimate trajectories of psychological distress over time.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Parents of children with CPI experienced increased psychological distress from pre-pandemic to intrapandemic 2021, which declined slightly by intrapandemic 2022 (B<sub>linear</sub> = 4.64, <i>p</i> < 0.001; B<sub>quadratic</sub> = −1.79, <i>p</i> < 0.001), and this rate of change over time was influenced by parent stress. Psychological distress was lower among parents of older children. Children experienced increasing psychological distress from pre-pandemic to intrapandemic 2022 (B<sub>linear</sub> = 1.20, <i>p</i> < 0.001). Elevated child psychological distress was associated with the presence of mental illness, older age, greater disability, younger parent age, and higher household income.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Children with CPI and their parents experienced elevated psychological distress during COVID-19. 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Changes in Psychological Distress in Children With Physical Illness and Their Parents During the COVID-19 Pandemic
Background
Parents and their children with chronic physical illness (CPI) are often predisposed to experiencing psychopathology, a phenomenon, which may be exacerbated during the COVID-19 pandemic.
Objective
This study modelled trajectories of psychological distress experienced by children with CPI and their parents before and during COVID-19.
Methods
Overall, 134 parent–child dyads enrolled in an ongoing cohort study, Multimorbidity in Children and Youth across the Life-course study, participated in this COVID-19 substudy. Data were collected at three time-points: pre-pandemic (Dec 19–Mar 20) and two intrapandemic periods (Dec 20–Mar 21 and Jun 22–Oct 22) in Ontario, Canada. Parents reported on symptoms psychological distress they and their children experienced, using the Kessler-6. Linear mixed-effects modelling was used to estimate trajectories of psychological distress over time.
Results
Parents of children with CPI experienced increased psychological distress from pre-pandemic to intrapandemic 2021, which declined slightly by intrapandemic 2022 (Blinear = 4.64, p < 0.001; Bquadratic = −1.79, p < 0.001), and this rate of change over time was influenced by parent stress. Psychological distress was lower among parents of older children. Children experienced increasing psychological distress from pre-pandemic to intrapandemic 2022 (Blinear = 1.20, p < 0.001). Elevated child psychological distress was associated with the presence of mental illness, older age, greater disability, younger parent age, and higher household income.
Conclusions
Children with CPI and their parents experienced elevated psychological distress during COVID-19. Understanding the course of psychological distress for vulnerable children and their families is crucial to informing healthcare strategies that foster mental well-being and preparedness for future global crises.
期刊介绍：
Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.
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