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Published on: March 1, 2019
Changes in Children's Behavioral Health and Family Well-Being During the COVID-19 Pandemic
Emily C Hanno1, Jorge Cuartas, Luke W Miratrix
1Harvard Graduate School of Education, Harvard University, Cambridge, MA.
Insights
The COVID-19 pandemic negatively impacted child behavioral health and family well-being. Public health measures led to increased behavioral issues and stress for children and families.
Area of Science:
- Child and family psychology
- Public health impacts of pandemics
- Behavioral health research
Background:
- The COVID-19 pandemic and associated public health measures significantly altered daily life for children and families.
- Understanding the immediate effects on child behavioral health and family well-being is crucial for developing supportive interventions.
Purpose of the Study:
- To examine changes in children's behavioral health and families' well-being at the onset of the COVID-19 pandemic.
- To compare child and family outcomes before and after a state-wide stay-at-home advisory.
Main Methods:
- Longitudinal data from 2880 children across 3 waves were analyzed.
- Fixed effects regression models were used to assess changes in child behaviors (externalizing, internalizing, adaptive, dysregulated) and family well-being (parental mental health, stress, relationship conflict, household chaos).
Main Results:
- Children exhibited increased externalizing, internalizing, and dysregulated behaviors, alongside a decline in adaptive behaviors.
- Families reported increased parental mental health issues, stress, parent-child conflict, and household chaos post-shutdown.
Conclusions:
- The early months of the pandemic saw widespread declines in child behavioral health and family well-being.
- Findings highlight the necessity for targeted family-focused and child-focused policies to mitigate adverse effects.
Objective:
The coronavirus disease 2019 pandemic and associated public health measures have influenced all aspects of life for children and families. In this study, we examine changes in children's behavioral health and families' well-being at the start of the pandemic.
Method:
We used longitudinal data on 2880 children from 1 US state collected over 3 waves to compare family and child well-being before and after a state-wide stay-at-home advisory set in March 2020. We descriptively examined levels and changes in 4 child behavioral health outcomes (externalizing, internalizing, adaptive, and dysregulated behaviors) and 4 family well-being outcomes (parental mental health, parental stress, parent-child relationship conflict, and household chaos) across the preshutdown and postshutdown periods. Fixed effects regression models were used to predict within-child and within-family differences in preshutdown and postshutdown outcomes.
Results:
Fixed effects analyses showed children's externalizing (0.09 points; 95% confidence interval [CI] 0.05-0.13), internalizing (0.04 points; 95% CI, 0.01-0.08), and dysregulated (0.11 points; 95% CI, 0.06-0.16) behaviors increased after the shutdown, whereas children's adaptive behaviors declined (-0.10 points; 95% CI, -0.15 to -0.05). Parental mental health issues (0.22 points; 95% CI, 0.17-0.27), parental stress (0.08 points; 95% CI, 0.03-0.12), parent-child relationship conflict (0.10 points; 95% CI, 0.04-0.16), and household chaos (0.10 points; 95% CI, 0.05-0.14) all increased relative to preshutdown levels.
Conclusion:
Many children experienced declines in behavioral health and many families experienced declines in well-being in the early months of the public health crisis, suggesting the need for family-focused and child-focused policies to mitigate these changes.
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