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Published on: June 13, 2021
Parental Mental Health and Hostility Are Associated With Longitudinal Increases in Child Internalizing and
Jennifer E Khoury1, Hargun Kaur2, Andrea Gonzalez2,3
1Department of Psychology, Mount Saint Vincent University, Halifax, NS, Canada.
Insights
Children experienced more internalizing and externalizing problems during COVID-19. Parental hostility and maternal anxiety were linked to increased child behavior issues, highlighting the need for family mental health support.
Area of Science:
- Child Psychology
- Developmental Psychology
- Public Health
Background:
- Children faced increased risks for negative outcomes due to the COVID-19 pandemic.
- Parental mental health and behaviors are potential moderators of child adjustment during crises.
Purpose of the Study:
- To assess changes in child internalizing and externalizing problems from pre-pandemic to during the pandemic.
- To examine associations between parent mental health (depression, anxiety, stress) and parenting behavior with changes in child mental health problems during COVID-19.
Main Methods:
- Longitudinal study of 68 mother-child dyads.
- Children aged 7-9 years at follow-up.
- Validated questionnaires measured parenting behavior, parental mental health, and child behavior problems.
Main Results:
- Children showed significantly greater internalizing and externalizing problems during the pandemic compared to before.
- Parental hostility uniquely predicted increased externalizing problems.
- Maternal anxiety was associated with greater increases in internalizing problems, even after accounting for child gender and COVID-related stressors.
Conclusions:
- The COVID-19 pandemic negatively impacted child mental health, increasing both internalizing and externalizing problems.
- Parental factors, specifically hostility and anxiety, play a significant role in exacerbating these child mental health challenges.
- Interventions supporting family mental health are crucial to mitigate the pandemic's adverse effects on children.
Abstract:
Children are at high risk for negative COVID-19 related outcomes. The present longitudinal study assessed (1) changes in child internalizing and externalizing problems from before to during the pandemic and (2) whether parent mental health (depression, anxiety, stress) or parenting behavior during COVID-19 were associated with changes in child mental health problems. Sixty eight mother-child dyads participated in this study. Children were approximately five years-old at the time of enrollment and were between the ages of 7-9 years old at the time of the follow-up survey. Parenting behavior, parental depression, anxiety, perceived stress and child internalizing and externalizing problems were measured using validated questionnaires. Children experienced greater internalizing (t = 6.46, p < 0.001) and externalizing (t = 6.13, p < 0.001) problems during the pandemic compared to before the pandemic. After taking into account child gender and COVID-related stressors, parental hostility was uniquely associated with greater changes in externalizing problems (β = 0.355, SE = 0.178, p < 0.05), while maternal anxiety was associated with greater increases in internalizing problems (β = 0.513, SE = 0.208, p < 0.05). Findings highlight the need for mental health supports for families to limit the impact of the COVID-19 pandemic on child and parent mental health.
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