COVID-19 pandemic impact on family life and exacerbated emotional and behavioral health among preschool children: A longitudinal study

Liu, Haixia; Wang, Hao; Song, Qiuxia; Su, Wei; Li, Ning; Liang, Mingming; Guo, Xianwei; Qu, Guangbo; Ma, Shaodi; Qin, Qirong; Chen, Ming-Chun; Sun, Liang; Sun, Yehuan

doi:10.1016/j.ijchp.2022.100327

Cited by 10 publications

(8 citation statements)

References 37 publications

(50 reference statements)

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“…The preschooler’s anxiety score on this scale is calculated as the average of all item scores; greater scores correspond to higher levels of anxiety. The scale has high reliability and validity in existing studies ( Ding et al, 2022 ). The Cronbach’s α coefficient for the total scale in this study was 0.893.…”

Section: Methodsmentioning

confidence: 95%

Maternal autistic traits and anxiety in children with typical development in Chinese families: a moderated mediation model of mothers’ negative emotional expressions and child gender

Gu,

Li,

Dong

2024

Front. Psychol.

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BackgroundPrior studies have focused on the effects of maternal autistic traits on children with autism, but little attention has been paid to the effects of maternal autistic traits on typically developing children, while the mechanisms of the effects are not clear.ObjectiveGiven that, a moderated mediation model was conducted to examine the association between maternal autistic traits and typically developing children’s anxiety and the underlying mechanisms.Methods and resultsParticipants were 648 mother–child dyads in which these children had no autistic siblings. Mothers reported their autistic traits and negative emotional expressions in the family and children’s anxiety. The results indicated that children’s anxiety was predicted by maternal autistic traits. Mediating analysis revealed that mothers’ negative emotional expressions partially mediated the association between their autistic traits and children’s anxiety. The findings also indicated that child gender moderated the relationship between maternal emotional expressions and children’s anxiety. Specifically, anxiety in girls was more strongly predicted by negative emotional expressions from their mothers than in boys.ConclusionThese results have important theoretical and practical implications for reducing the adverse effect of maternal autistic traits on children’s anxiety, especially for girls. The present study also reveals that maternal negative emotional expression is an important mechanism. Causal conclusions cannot be drawn based on cross-sectional research design, so it is necessary to conduct longitudinal studies in the future.

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Section: Methodsmentioning

confidence: 95%

Maternal autistic traits and anxiety in children with typical development in Chinese families: a moderated mediation model of mothers’ negative emotional expressions and child gender

Gu,

Li,

Dong

2024

Front. Psychol.

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“…Finally, 1595 children were effectively followed up and included in our study. Another our published article from the same follow-up dataset study found that the main characteristics (age, gender, and the number of siblings) were similar and not statistically different between the completed follow-up and lost to follow-up children, suggesting that the missing samples were random [ 27 ]. This study was approved by the Ethics Committee of Anhui Medical University (No.…”

Section: Methodsmentioning

confidence: 99%

“…Also, a pilot study of nap restriction in preschoolers found that children in no-nap group had increased nighttime sleep, which may contribute to improved attentional function [20]. In addition, several studies have shown that the COVID-19 pandemic had differential effects on both sleep and EBPs among preschool children, such as prolonged sleep duration, decreased sleep quality, negative changes in emotions and behaviors, exacerbation of EBPs, and even deterioration of mental health [21][22][23][24][25][26][27]. A previous intervention study indicated that a modest extension in sleep duration was associated with significant improvement in emotional lability and restless-impulsive behavior [28].…”

Section: Introductionmentioning

confidence: 99%

Longitudinal association of nighttime sleep duration with emotional and behavioral problems among rural preschool children

Liu

Feng

et al. 2023

Eur Child Adolesc Psychiatry

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This study aimed to examine the association between nighttime sleep duration and emotional and behavioral problems (EBPs) among rural preschool children. This longitudinal study including 1595 preschool children aged 3–6 years from 26 kindergartens in four counties was conducted in Anhui Province rural areas. Cross-lagged panel models and multivariable logistic regressions were performed to examine the bidirectional association between nighttime sleep duration and EBPs and further explore the predictive effect of nighttime sleep duration on EBPs. Compared to baseline, preschool children at follow-up had significantly more nighttime sleep duration (10.01 ± 0.68 vs. 10.15 ± 0.69) and lower EBPs (total difficulties: 15.8% vs. 11.2%; prosocial behavior problems: 12.4% vs. 7.0%). Results of cross-lagged panel models indicated that nighttime sleep duration was a predictor for EBPs, but not vice versa. Results of logistic regression analysis showed that each 1-h increase in nighttime sleep duration at T1 was associated with a 0.77-fold reduction in the risk of total difficulties at T2 (the most adjusted OR = 0.774, 95% CI 0.607–0.988, P = 0.040), but not with the prosocial behavior. Interestingly, the predictive effect of nighttime sleep duration at T1 on EBPs at T2 was only found in girls, children aged 3 years and children with lower maternal education. The decreased nighttime sleep duration may predict future EBPs, especially in girls, younger preschool children and children with lower maternal education. Extending sleep duration may improve EBPs in preschool children.

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“…Research indicates that young children (especially toddlers) exposed to domestic violence and physical abuse are more likely to experience social development issues [ 47 , 56 , 57 ]. Preschoolers, often attached to non-abusing parents (typically their mothers), may develop separation anxiety [ 58 ]. However, preschool workers often struggle to identify signs of domestic violence unless there are visible physical marks of abuse.…”

Section: Impact Of Domestic Violence During the Pandemicmentioning

confidence: 99%

The Global Landscape of Domestic Violence against Women during the COVID-19 Pandemic: A Narrative Review

Kunasagran,

Mokti,

Ibrahim

et al. 2024

Korean J Fam Med

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The coronavirus disease (COVID-19) pandemic has led to an alarming increase in domestic violence against women owing to lockdown measures and limited access to support services. This article provides insights into the global prevalence of domestic violence, barriers to seeking help, its impact on women and children, and the best practices implemented worldwide. Domestic violence encompasses various forms of abuse; many young women experience partner violence. Barriers to seeking help include fear, financial constraints, lack of awareness of available services, and distrust among stakeholders. The consequences of domestic violence affect the mental health of both mothers and children. Countries have increased shelter funding and developed innovative protocols to reach survivors and address this issue. However, the healthcare sector’s involvement in addressing domestic violence has been limited. This review advocates collaboration among healthcare institutions and government bodies. Key recommendations include utilizing telehealth services, implementing comprehensive training programs, establishing effective referral systems, enhancing health education, developing a domestic violence registry, improving the responses of law enforcement and justice systems through healthcare integration, promoting data sharing, and conducting further research. Healthcare systems should recognize domestic violence as a public health concern and detect, prevent, and intervene in cases to support survivors.

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COVID-19 pandemic impact on family life and exacerbated emotional and behavioral health among preschool children: A longitudinal study

Cited by 10 publications

References 37 publications

Maternal autistic traits and anxiety in children with typical development in Chinese families: a moderated mediation model of mothers’ negative emotional expressions and child gender

Maternal autistic traits and anxiety in children with typical development in Chinese families: a moderated mediation model of mothers’ negative emotional expressions and child gender

Longitudinal association of nighttime sleep duration with emotional and behavioral problems among rural preschool children

The Global Landscape of Domestic Violence against Women during the COVID-19 Pandemic: A Narrative Review

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