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Updated: Nov 29, 2025

Experimental Paradigm for Measuring the Effects of Self-distancing in Young Children
Published on: March 1, 2019
Vulnerability and resilience in children during the COVID-19 pandemic
Winnie W Y Tso1, Rosa S Wong1, Keith T S Tung1
1The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
Insights
The COVID-19 pandemic negatively impacted child psychosocial wellbeing, especially for vulnerable groups. Promoting family cohesion, sleep, exercise, and responsible screen time is crucial for resilience.
Area of Science:
- Child Psychology
- Public Health
- Epidemiology
Background:
- The COVID-19 pandemic significantly impacts children's health and development globally.
- Limited research exists on the psychosocial effects of COVID-19, school closures, and containment measures on children.
- Vulnerable populations and resilience factors require further investigation.
Purpose of the Study:
- To investigate the psychosocial wellbeing of children aged 2-12 years during the COVID-19 pandemic in Hong Kong.
- To identify factors associated with child psychosocial problems and parental stress.
- To explore characteristics of vulnerable groups and protective factors.
Main Methods:
- A large-scale, cross-sectional population study involving 29,202 Hong Kong families.
- Online surveys collected data on demographics, child wellbeing, lifestyle, parent-child interactions, and parental stress.
- Linear regression analyses were used to identify associated factors.
Main Results:
- Children with special educational needs, chronic illnesses, or those from single-parent or low-income families faced higher risks of psychosocial problems.
- Mothers with mental illness were also associated with increased child psychosocial issues.
- Inadequate sleep, insufficient exercise, and excessive screen time correlated with higher parental stress and child psychosocial problems in preschoolers.
Conclusions:
- Identified vulnerable groups include children with special needs, chronic conditions, and those from disadvantaged family structures.
- Strengthening family coherence, ensuring adequate sleep and exercise, and promoting responsible electronic device use are key.
- These factors are vital for enhancing children's psychosocial wellbeing during the pandemic.
Background:
The coronavirus disease 2019 (COVID-19) pandemic is having a profound impact on the health and development of children worldwide. There is limited evidence on the impact of COVID-19 and its related school closures and disease-containment measures on the psychosocial wellbeing of children; little research has been done on the characteristics of vulnerable groups and factors that promote resilience.
Methods:
We conducted a large-scale cross-sectional population study of Hong Kong families with children aged 2-12 years. Parents completed an online survey on family demographics, child psychosocial wellbeing, functioning and lifestyle habits, parent-child interactions, and parental stress during school closures due to COVID-19. We used simple and multiple linear regression analyses to explore factors associated with child psychosocial problems and parental stress during the pandemic.
Results:
The study included 29,202 individual families; of which 12,163 had children aged 2-5 years and 17,029 had children aged 6-12 years. The risk of child psychosocial problems was higher in children with special educational needs, and/or acute or chronic disease, mothers with mental illness, single-parent families, and low-income families. Delayed bedtime and/or inadequate sleep or exercise duration, extended use of electronic devices were associated with significantly higher parental stress and more psychosocial problems among pre-schoolers.
Conclusions:
This study identifies vulnerable groups of children and highlights the importance of strengthening family coherence, adequate sleep and exercise, and responsible use of electronic devices in promoting psychosocial wellbeing during the COVID-19 pandemic.
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