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Child Well-Being and Family Quality of Life During the COVID-19 Pandemic

Conné Lategan1, Amanda S Newton2, Jennifer Thull-Freedman3

  • 1Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada.

Child: Care, Health and Development
|March 14, 2025
PubMed

Insights

Child mental health well-being remained stable during the pandemic, but family quality of life (QoL) declined. This suggests increased caregiver stress and highlights the need for family-centered mental health support.

Area of Science:

  • Pediatric Emergency Medicine
  • Child and Adolescent Psychiatry
  • Public Health

Background:

  • Limited understanding of child well-being and family quality of life (QoL) changes during the pandemic.
  • Focus on children presenting to emergency departments (EDs) for mental health concerns.

Purpose of the Study:

  • To examine changes in child well-being and family QoL in pediatric ED patients during the COVID-19 pandemic.
  • To compare outcomes between early and late pandemic periods.

Main Methods:

  • Prospective cohort study of children under 18 in two Canadian pediatric EDs.
  • Data collected during two pandemic periods: March 2020-March 2021 (early) and July 2021-June 2022 (late).
  • Utilized Stirling Children's Well-being, Warwick-Edinburgh Mental Well-being, and Family Quality of Life scales; analyzed using linear regression.

Main Results:

  • 1404 children enrolled; well-being remained stable between early and late pandemic periods.
  • Family QoL was significantly lower in the late pandemic period compared to the early period (p=0.01).
  • Factors negatively associated with well-being included prior mental health care and inpatient admission for younger children, and autism diagnosis/comprehensive ED evaluation for older children.

Conclusions:

  • Declines in family QoL may indicate caregiver stress and pandemic-related challenges.
  • There is a need for resources supporting child well-being and family units to improve pediatric mental health outcomes.
Abstract

Keywords:
COVID‐19SARS‐CoV‐2childemergenciesmental healthpandemicsquality of lifewell‐being

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