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Published on: June 13, 2021
Vulnerability pathways to mental health outcomes in children and parents during COVID-19
Jala Rizeq1, Daphne J Korczak1,2, Katherine Tombeau Cost1
1Department of Psychiatry, The Hospital for Sick Children (SickKids), 555 University Ave, Psychiatry Research, 4th Floor, Black Wing, Toronto, ON M5G 1X8 Canada.
Insights
Pre-existing vulnerability increased material deprivation during COVID-19, leading to parent and child stress and mental health issues. These effects were reciprocal over time, impacting family functioning.
Area of Science:
- Psychology
- Sociology
- Public Health
Background:
- The COVID-19 pandemic presented unprecedented challenges to family well-being.
- Pre-existing socioeconomic and psychosocial factors may exacerbate pandemic-related stress.
Purpose of the Study:
- To investigate the pathways from pre-existing vulnerability to mental health and stress in families during the COVID-19 pandemic.
- To examine the reciprocal effects of stress and mental health difficulties over time within families.
Main Methods:
- Utilized data from a multi-cohort study with two time points during the COVID-19 pandemic.
- Employed structural equation modeling to analyze pathways.
- Collected parent and youth self-report data on socioeconomic factors, material deprivation, stress, mental health, and family functioning.
Main Results:
- Pre-existing vulnerability predicted increased material deprivation due to COVID-19 restrictions.
- Material deprivation was associated with heightened parent and child stress and mental health difficulties.
- Significant reciprocal effects were found between parent and child stress and mental health difficulties over time.
- Parent and child mental health and stress at Time 1 negatively impacted family functioning at Time 2.
Conclusions:
- Psychosocial and economic vulnerability are significant risk factors for material deprivation during the pandemic.
- These factors increase the risk of mental health difficulties and stress, with reciprocal effects over time.
- Findings highlight the need for targeted prevention policies and mental health services for families.
Abstract:
We examined pathways from pre-existing psychosocial and economic vulnerability to mental health difficulties and stress in families during the COVID-19 pandemic. Data from two time points from a multi-cohort study initiated during the COVID-19 pandemic were used. Parents of children 6-18 years completed questionnaires on pre-COVID-19 socioeconomic and demographic factors in addition to material deprivation and stress due to COVID-19 restrictions, mental health, and family functioning. Youth 10 years and older also completed their own measures of mental health and stress. Using structural equation modelling, pathways from pre-existing vulnerability to material deprivation and stress due to COVID-19 restrictions, mental health, and family functioning, including reciprocal pathways, were estimated. Pre-existing psychosocial and economic vulnerability predicted higher material deprivation due to COVID-19 restrictions which in turn was associated with parent and child stress due to restrictions and mental health difficulties. The reciprocal effects between increased child and parent stress and greater mental health difficulties at Time 1 and 2 were significant. Reciprocal effects between parent and child mental health were also significant. Finally, family functioning at Time 2 was negatively impacted by child and parent mental health and stress due to COVID-19 restrictions at Time 1. Psychosocial and economic vulnerability is a risk factor for material deprivation during COVID-19, increasing the risk of mental health difficulties and stress, and their reciprocal effects over time within families. Implications for prevention policy and parent and child mental health services are discussed.
Supplementary Information:
The online version contains supplementary material available at 10.1007/s12144-021-02459-z.
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