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Updated: Jun 18, 2025

Experimental Paradigm for Measuring the Effects of Self-distancing in Young Children
Published on: March 1, 2019
The Coronavirus Pandemic and Mental Health Presentations of Young Children
Sarah L Adam1, Abigail Withers2, Jo Ann M Iantosca3
1Faculty of Education, Western University, London, ON, Canada. sadam5@uwo.ca.
Insights
The COVID-19 pandemic negatively impacted young children's mental health, increasing emotional dysregulation. Caregiver distress and behavioral issues remained unchanged, highlighting a need for targeted support for early childhood emotional well-being.
Area of Science:
- Child Psychology
- Developmental Psychology
- Public Health
Background:
- Young children (under 4) are vulnerable to global disasters like pandemics due to limited socialization and coping skills.
- Caregiver stress can exacerbate mental health challenges in young children.
- The pandemic's specific impact on the mental health of clinically referred young children remains largely unknown.
Purpose of the Study:
- To evaluate the impact of the COVID-19 pandemic on the mental health outcomes of clinically referred young children.
- To compare pre-pandemic and pandemic mental health indicators in early childhood.
Main Methods:
- Utilized interRAI Early Years assessments from 1343 children across 11 Ontario agencies.
- Compared data from pre-pandemic and pandemic timepoints.
- Analyzed changes in emotional concerns, caregiver distress, parenting strengths, and child behavioral issues.
Main Results:
- A decline in completed assessments was observed during the pandemic.
- Children exhibited increased emotional dysregulation during the pandemic compared to pre-pandemic.
- No significant differences were found in caregiver distress, parenting strengths, distractibility/inattention, or behavioral issues.
Conclusions:
- The COVID-19 pandemic significantly affected young children's emotional regulation, indicating a need for mental health interventions.
- While caregiver and behavioral outcomes were stable, the rise in emotional dysregulation requires attention from clinicians and policymakers.
- Further research and support systems are crucial for mitigating pandemic-related mental health impacts on vulnerable young children.
Abstract:
Children under the age of four are emotionally vulnerable to global disasters, such as the COVID-19 pandemic given the lack of socialization opportunities and coping mechanisms, and susceptibility to heightened caregiver stress. Currently, the extent to which the pandemic impacted the mental health of clinically referred young children is unknown. To evaluate how children's mental health outcomes were impacted during the pandemic, interRAI Early Years assessments (N = 1343) were obtained from 11 agencies across the Province of Ontario, during pre-pandemic and pandemic timepoints. Findings demonstrated that the number of completed assessments declined during the pandemic. Further, children's emotional concerns differed before and during the pandemic, whereby children exhibited greater emotional dysregulation during the pandemic. However, there were no significant differences when examining caregiver distress, parenting strengths, child distractibility/inattention or behavioural issues. Implications for young children and their families, clinicians, and policy makers are discussed.
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