Association of Children’s Behavioral Changes and Parent-Child Relationship with Parental Anxiety under Home Confinement during the COVID-19 Pandemic: A Cross-sectional Study (Preprint)

2020 ◽  
Author(s):  
Wenhan Yang ◽  
Guifeng Xu ◽  
Buyun Liu ◽  
Juan Zheng ◽  
Rui Gao ◽  
...  

BACKGROUND Coronavirus Disease-19 (COVID-19) has become a global pandemic, and mental health of children and parents are affected by confinement in home. While parental mental health is critical to the whole family’s psychological reaction to unusual situations, they are also affected by their children’s behaviors and parent-child relationship. OBJECTIVE To examine how the changes of children’s behaviors and parent-child relationship affect parental anxiety during this difficult time. METHODS A cross-sectional online investigation was conducted with snowbell sampling to collect the information about the behavioral changes of children and the anxiety of parents from February 23 to March 3, 2020. 642 participants who had children aged 3-17 yeas included in this study. Information about behavioral change of children was reported by parents with a questionnaire, parental anxiety was assessed with Self-rating Anxiety Scale (SAS, Chinese Version). The descriptive analysis were used to display the distribution of variables in respective domains. Multiple logistic regression was used to estimate the Odds ratios (ORs) and 95% confidence intervals (CI) of parental anxiety and potential variables. RESULTS This study included 642 participants (mean age 38.59±4.58, female 78.82%). The mean SAS-C score was 38.04±8.43. The percentage of anxiety was 9.81% (63/642) overall, and 8.10% (52/6642) for mild anxiety, 1.40% (9/642) for moderate anxiety, and 0.31% (2/642) for severe anxiety. Among children’s behaviors, decreased time of outdoor activity than usual was associated with a lower odd of parental anxiety, with an adjusted OR of 0.31 (95% CI, 0.11-0. 87). Parents’ satisfaction with children's behaviors was associated with a lower odd of parental anxiety (OR, 0.13; 95% CI, 0.05-0.35). In addition, we observed a significant association of worse behavioral performance than usual and worse family relationship than usual with anxiety among parents with the adjusted OR of 2.78 (95% CI, 1.35-5.73), and 2.67 (95% CI, 1.13-6.32), respectively. CONCLUSIONS Under the stay-at-home order during COVID-19 outbreak in China, worse behavioral performance of children than usual and worse family relationship than usual were associated with increased parental anxiety, while less outdoor activities time among children and being satisfied with children's behaviors were associated with reduced parental anxiety. Our finding suggested that family mental health support and promotion should consider the children’s behavioral regulation and parent-child relationship as essential components.

Author(s):  
H. Sampasa-Kanyinga ◽  
K. Lalande ◽  
I. Colman

Abstract Aims Previous research has found links between cyberbullying victimisation and internalising and externalising problems among adolescents. However, little is known about the factors that might moderate these relationships. Thus, the present study examined the relationships between cyberbullying victimisation and psychological distress, suicidality, self-rated poor mental health and substance use among adolescents, and tested whether parent–child relationship and child's sex would moderate these relationships. Methods Self-report data on experiences of cyberbullying victimisation, self-rated poor mental health, psychological distress, suicidality and substance use were derived from the 2013 Ontario Student Drug Use and Health Survey, a province-wide school-based survey of students in grades 7 through 12 aged 11–20 years (N = 5478). Logistic regression models adjusted for age, sex, ethnicity, subjective socioeconomic status and involvement in physical fighting, bullying victimisation and perpetration at school. Results Cyberbullying victimisation was associated with self-rated poor mental health (adjusted odds ratio (OR) 2.15; 95% confidence interval (CI) 1.64–2.81), psychological distress (OR 2.41; 95% CI 1.90–3.06), suicidal ideation (OR 2.38; 95% CI 1.83–3.08) and attempts (OR 2.07; 95% CI 1.27–3.38), smoking tobacco cigarette (OR 1.96; 95% CI 1.45–2.65), cannabis use (OR 1.82; 95% CI 1.32–2.51), and binge drinking (OR 1.44; 95% CI 1.03–2.02). The association between cyberbullying victimisation and psychological distress was modified by parent–child relationship and child's sex (three-way interaction term p < 0.05). The association between cyberbullying victimisation and psychological distress was much stronger among boys who have a negative relationship with their parents. Conclusions Findings suggest that cyberbullying victimisation is strongly associated with psychological distress in most adolescents with the exception of males who get along well with their parents. Further research using a longitudinal design is necessary to disentangle the interrelationship among child's sex, parent–child relationship, cyberbullying victimisation and mental health outcomes among adolescents in order to improve ongoing mental health prevention efforts.


2021 ◽  
pp. 0192513X2110675
Author(s):  
Iraklis Grigoropoulos

The present study tested whether emotionally burdened parents due to the COVID-19 pandemic might appraise their relationship with their children more negatively. The current cross-sectional study was circulated through social media. A total of 265 respondents took part in the study. Multiple linear regression analysis was used to examine the association between predictor variables and the parent–child relationship. This study’s results report that older fathers with higher levels of COVID-19 related fear are more likely to appraise negatively their relationship with their children. Therefore, this study suggests the need for family-level strategies to address better the psychological aspects related to the pandemic outbreak.


2020 ◽  
Vol 48 (3) ◽  
pp. 793-803 ◽  
Author(s):  
Hugues Sampasa‐Kanyinga ◽  
Gary S. Goldfield ◽  
Mila Kingsbury ◽  
Zahra Clayborne ◽  
Ian Colman

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
P. Shah ◽  
M.C. Almeida

Aims:This workshop will present a theoretical framework to conceptualize early childhood behavior problems in the context of the early parent-child relationship, and will demonstrate how this relational framework can be used to diagnose, classify, and treat child behavior concerns in children under the age of five.Background:There is increasing evidence to suggest that a significant number of very young children manifest signs of early psychopathology, and that behavioral problems that emerge early are likely to persist, and warrant further assessment and intervention. One of the challenges to identifying early psychopathology in young children is how to diagnose and classify early behavioral disturbances using a developmental and relational framework.Methods:This presentation will describe an “infant mental health approach” to diagnose and intervene with young children with behavioral concerns. This comprehensive model of behavioral assessment incorporates an assessment of the parent's perceptions of the child, observations of dyadic interactions, and utilizes a developmental context to diagnose, classify and treat early behavioral concerns in children under the age of five. Using the DC 0-3R, this model will highlight how an understanding of child behavior in the context of the parent-child relationship can be a helpful framework to diagnose and treat early behavioral disturbances in children under the age of 5. Participants will learn how to identify vulnerabilities in the parent-child relationship, how to diagnose and conceptualize early psychopathology in young children, and how to formulate interventions to support dyads at risk.


2012 ◽  
Vol 33 (2) ◽  
pp. 173-186 ◽  
Author(s):  
Christian Postert ◽  
Marlies Averbeck-Holocher ◽  
Sandra Achtergarde ◽  
Jörg Michael Müller ◽  
Tilman Furniss

2019 ◽  
Vol 104 (11) ◽  
pp. 1034-1041 ◽  
Author(s):  
Anne Lise Olsen ◽  
Janni Ammitzbøll ◽  
Else Marie Olsen ◽  
Anne Mette Skovgaard

ObjectiveTo study regulatory problems (RPs) of feeding, sleeping and excessive crying in infancy, and explore the influence of maternal mental health problems and parent–child relationship problems.Design and settingData were collected in the general child health surveillance delivered to infant families by community health nurses (CHNs). Information on CHNs’ assessments and conclusions were obtained on 2598 infants and merged with data from national registers. Descriptive statistics and logistic regression models were used to study RPs in early and late infancy, and the influences due to child, family and parent–child relationship problems.ResultsCombined RPs (C-RPs), defined as two or more simultaneous problems of feeding, sleeping or excessive crying, was identified in 2.9% and 8.6% of the population between age 2–6 and 8–11 months, respectively. Low maternal schooling and immigrant parents were associated with an increased risk of late C-RPs, but RPs in early infancy stand out as the main predictor of late C-RPs OR 3.4 (95% CI 1.8 to 6.6), and the effect of early maternal mental health problems and parent–child relationship problems seem to be mediated by early C-RPs.ConclusionsCombined problems of feeding, sleeping or excessive crying may exist throughout infancy independently of exposures to maternal mental health problems and parent–child relationship problems. The results indicate that infants with RPs exceeding age 2 months need special attention, in clinical as well as community settings. Suggested intervention includes specific guidance to the parents to help them understand and regulate their infant’s sensitivity and reactions.


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