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Journal of Autism and Developmental Disorders

Gepubliceerd in:

28-04-2021 | Original Paper

Elevated Levels of COVID-19-Related Stress and Mental Health Problems Among Parents of Children with Developmental Disorders During the Pandemic

Auteurs: Randolph C. H. Chan, Suk Chun Fung

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 3/2022

Abstract

COVID-19 not only threatens people’s physical health, but also creates disruption in work and social relationships. Parents may even experience additional strain resulting from childcare responsibilities. A total of 129 parents participated in this study. Parents of children with developmental disorders showed higher levels of parenting stress, depressive symptoms, and anxiety symptoms than did parents of children with typical development. Parenting stress and health worries were positively related to mental health symptoms. The association between having a child with developmental disorders and mental health symptoms was mediated by parenting stress. This study provides a timely investigation into the stress and mental health of parents during the COVID-19 pandemic. Implications on web-based parenting skills interventions, online psychological support services, and family-friendly policy initiatives are discussed.

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Aishworiya, R., & Kang, Y. Q. (2020). Including children with developmental disabilities in the equation during this COVID-19 pandemic. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-020-04670-6.CrossRefPubMedCentral

Asbury, K., Fox, L., Deniz, E., Code, A., & Toseeb, U. (2020). How is COVID-19 affecting the mental health of children with special educational needs and disabilities and their families? Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-020-04577-2.CrossRefPubMedCentral

Asmundson, G. J. G., & Taylor, S. (2020). How health anxiety influences responses to viral outbreaks like COVID-19: What all decision-makers, health authorities, and health care professionals need to know. Journal of Anxiety Disorders, 71, 102211. https://doi.org/10.1016/j.janxdis.2020.102211.CrossRefPubMedPubMedCentral

Bent, S., Hossain, B., Chen, Y., Widjaja, F., Breard, M., & Hendren, R. (2020). The experience of parents of children with autism spectrum disorder during the COVID-19 pandemic: A qualitative analysis. https://doi.org/10.21203/rs.3.rs-46426/v1

Chan, R. C. H., Yi, H., & Siu, Q. K. Y. (2020). Polymorbidity of developmental disabilities: Additive effects on child psychosocial functioning and parental distress. Research in Developmental Disabilities, 99, 103579. https://doi.org/10.1016/j.ridd.2020.103579.CrossRefPubMed

Chung, G., Lanier, P., & Ju, P. W. Y. (2020). Mediating effects of parental stress on harsh parenting and parent-child relationship during coronavirus (COVID-19) pandemic in Singapore. Open Science Framework.

Colizzi, M., Sironi, E., Antonini, F., Ciceri, M. L., Bovo, C., & Zoccante, L. (2020). Psychosocial and behavioral impact of COVID-19 in Autism spectrum disorder: An online parent survey. Brain Sciences, 10(6), 341. https://doi.org/10.3390/brainsci10060341.CrossRefPubMedCentral

Courtemanche, C., Garuccio, J., Le, A., Pinkston, J., & Yelowitz, A. (2020). Strong social distancing measures in the United States reduced the COVID-19 growth rate: Study evaluates the impact of social distancing measures on the growth rate of confirmed COVID-19 cases across the United States. Health Affairs, 39(7), 1237–1246. https://doi.org/10.1377/hlthaff.2020.00608.CrossRefPubMed

Ersoy, K., Altin, B., Sarikaya, B., & Ozkardas, O. (2020). The comparison of impact of health anxiety on dispositional hope and psychological well-being of mothers who have children diagnosed with autism and mothers who have normal children, in Covid-19 Pandemic. Social Sciences Research Journal, 9(2), 117–126.

Eyberg, S. (1988). Parent–child interaction therapy: Integration of traditional and behavioral concerns. Child & Family Behavior Therapy, 10(1), 33–46. https://doi.org/10.1300/J019v10n01_04.CrossRef

Galea, S., Merchant, R. M., & Lurie, N. (2020). The mental health consequences of COVID-19 and physical distancing: The need for prevention and early intervention. JAMA Internal Medicine, 180(6), 817–818. https://doi.org/10.1001/jamainternmed.2020.1562.CrossRefPubMed

Grover, S. L., & Crooker, K. J. (1995). Who appreciates family-responsive human resource policies: The impact of family-friendly policies on the organizational attachment of parents and non-parents. Personnel Psychology, 48(2), 271–288. https://doi.org/10.1111/j.1744-6570.1995.tb01757.x.CrossRef

Hayes, S. A., & Watson, S. L. (2013). The impact of parenting stress: A meta-analysis of studies comparing the experience of parenting stress in parents of children with and without autism spectrum disorder. Journal of Autism and Developmental Disorders, 43(3), 629–642. https://doi.org/10.1007/s10803-012-1604-y.CrossRefPubMed

He, X. Y., Li, C., Qian, J., Cui, H. S., & Wu, W. (2010). Reliability and validity of a generalized anxiety disorder scale in general hospital outpatients. Shanghai Archives of Psychiatry, 22(4), 200–203.

Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/10.1080/10705519909540118.CrossRef

Huang, Y., & Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: A web-based cross-sectional survey. Psychiatry Research, 288, 112954. https://doi.org/10.1016/j.psychres.2020.112954.CrossRefPubMedPubMedCentral

James Riegler, L., Raj, S. P., Moscato, E. L., Narad, M. E., Kincaid, A., & Wade, S. L. (2020). Pilot trial of a telepsychotherapy parenting skills intervention for veteran families: Implications for managing parenting stress during COVID-19. Journal of Psychotherapy Integration, 30(2), 290–303. https://doi.org/10.1037/int0000220.CrossRef

Jang, S. J. (2009). The relationships of flexible work schedules, workplace support, supervisory support, work-life balance, and the well-being of working parents. Journal of Social Service Research, 35(2), 93–104. https://doi.org/10.1080/01488370802678561.CrossRef

Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x.CrossRefPubMedPubMedCentral

Lee, V., Albaum, C., Tablon Modica, P., Ahmad, F., Gorter, J. W., Khanlou, N., et al. (2020). Impact of COVID-19 on the mental health and wellbeing of caregivers and families of autistic people: A rapid synthesis review. (p. 39). The Canadian Institutes of Health Research.

Liu, C. H., Zhang, E., Wong, G. T. F., Hyun, S., & Hahm, H. (2020). Factors associated with depression, anxiety, and PTSD symptomatology during the COVID-19 pandemic: Clinical implications for U.S. young adult mental health. Psychiatry Research, 290, 113172. https://doi.org/10.1016/j.psychres.2020.113172.CrossRefPubMedPubMedCentral

Masi, A., Mendoza Diaz, A., Tully, L., Azim, S. I., Woolfenden, S., Efron, D., et al. (2020). Impact of the COVID-19 pandemic on the well-being of children with neurodevelopmental disabilities and their parents. Journal of Paediatrics and Child Health. https://doi.org/10.1111/jpc.15285.CrossRefPubMed

Mutluer, T., Doenyas, C., & Genc, H. A. (2020). Behavioral implications of the COVID-19 process for autism spectrum disorder, and individuals’ comprehension of and reactions to the pandemic conditions. Frontiers in Psychiatry, 11, 561882. https://doi.org/10.3389/fpsyt.2020.561882.CrossRefPubMedPubMedCentral

Nicola, M., Alsafi, Z., Sohrabi, C., Kerwan, A., Al-Jabir, A., Iosifidis, C., et al. (2020). The socio-economic implications of the coronavirus pandemic (COVID-19): A review. International Journal of Surgery, 78, 185–193. https://doi.org/10.1016/j.ijsu.2020.04.018.CrossRefPubMed

Palgi, Y., Shrira, A., Ring, L., Bodner, E., Avidor, S., Bergman, Y., et al. (2020). The loneliness pandemic: Loneliness and other concomitants of depression, anxiety and their comorbidity during the COVID-19 outbreak. Journal of Affective Disorders, 275, 109–111. https://doi.org/10.1016/j.jad.2020.06.036.CrossRefPubMedPubMedCentral

Patterson, J. M. (1988). Families experiencing stress: I. The family adjustment and adaptation response model: II. Applying the FAAR model to health-related issues for intervention and research. Family Systems Medicine, 6(2), 202–237. https://doi.org/10.1037/h0089739.CrossRef

Patterson, J. M. (2002). Integrating family resilience and family stress theory. Journal of Marriage and Family, 64(2), 349–360. https://doi.org/10.1111/j.1741-3737.2002.00349.x.CrossRef

Patterson, J. M., & Garwick, A. W. (1994). The impact of chronic illness on families: A family systems perspective. Annals of Behavioral Medicine, 16(2), 131–142. https://doi.org/10.1093/abm/16.2.131.CrossRef

Pavlopoulou, G., Wood, R., & Papadopoulos, C. (2020). Impact of Covid-19 on the experiences of parents and family carers of autistic children and young people in the UK. UCL Institute of Education.

Pfefferbaum, B., & North, C. S. (2020). Mental health and the Covid-19 pandemic. New England Journal of Medicine, 383(6), 510–512. https://doi.org/10.1056/NEJMp2008017.CrossRefPubMed

Ran, L., Wang, W., Ai, M., Kong, Y., Chen, J., & Kuang, L. (2020). Psychological resilience, depression, anxiety, and somatization symptoms in response to COVID-19: A study of the general population in China at the peak of its epidemic. Social Science & Medicine, 262, 113261. https://doi.org/10.1016/j.socscimed.2020.113261.CrossRef

Roberts, A. R. (2005). Crisis intervention handbook: Assessment, treatment, and research. Oxford University Press.

Serlachius, A., Badawy, S. M., & Thabrew, H. (2020). Psychosocial challenges and opportunities for youth with chronic health conditions during the COVID-19 pandemic. JMIR Pediatrics and Parenting, 3(2), e23057. https://doi.org/10.2196/23057.CrossRefPubMedPubMedCentral

Siu, Q. K. Y., Yi, H., Chan, R. C. H., Chio, F. H. N., Chan, D. F. Y., & Mak, W. W. S. (2019). The role of child problem behaviors in autism spectrum symptoms and parenting stress: A primary school-based study. Journal of Autism and Developmental Disorders, 49(3), 857–870. https://doi.org/10.1007/s10803-018-3791-7.CrossRefPubMed

Spinelli, M., Lionetti, F., Pastore, M., & Fasolo, M. (2020). Parents’ stress and children’s psychological problems in families facing the covid-19 outbreak in Italy. Frontiers in Psychology, 11, 1713. https://doi.org/10.3389/fpsyg.2020.01713.CrossRefPubMedPubMedCentral

Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097. https://doi.org/10.1001/archinte.166.10.1092.CrossRefPubMed

Stankovic, M., Jelena, S., Stankovic, M., Shih, A., Stojanovic, A., & Stankovic, S. (2020). The Serbian experience of challenges of parenting children with autism spectrum disorders during the COVID-19 pandemic and the state of emergency with the police lockdown. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.3582788.CrossRef

Suen, Y., Chan, R. C. H., & Wong, E. M. Y. (2020). Effects of general and sexual minority-specific COVID-19-related stressors on the mental health of lesbian, gay and bisexual people in Hong Kong. Psychiatry Research. https://doi.org/10.1016/j.psychres.2020.113365.CrossRefPubMedPubMedCentral

Swinson, R. P. (2006). The GAD-7 scale was accurate for diagnosing generalised anxiety disorder. Evidence-Based Medicine, 11(6), 184. https://doi.org/10.1136/ebm.11.6.184.CrossRefPubMed

Taylor, S., Landry, C. A., Paluszek, M. M., & Asmundson, G. J. G. (2020). Reactions to COVID-19: Differential predictors of distress, avoidance, and disregard for social distancing. Journal of Affective Disorders, 277, 94–98. https://doi.org/10.1016/j.jad.2020.08.002.CrossRefPubMedPubMedCentral

Wang, W., Bian, Q., Zhao, Y., Li, X., Wang, W., Du, J., et al. (2014). Reliability and validity of the Chinese version of the Patient Health Questionnaire (PHQ-9) in the general population. General Hospital Psychiatry, 36(5), 539–544. https://doi.org/10.1016/j.genhosppsych.2014.05.021.CrossRefPubMed

Weston, R., & Gore, P. A. (2006). A brief guide to structural equation modeling. The Counseling Psychologist, 34(5), 719–751. https://doi.org/10.1177/0011000006286345.CrossRef

Wiggins, T. L., Sofronoff, K., & Sanders, M. R. (2009). Pathways triple P-positive parenting program: Effects on parent-child relationships and child behavior problems. Family Process, 48(4), 517–530. https://doi.org/10.1111/j.1545-5300.2009.01299.x.CrossRefPubMed

World Health Organization. (2013). Meeting report: Autism spectrum disorders and other developmental disorders: From raising awareness to building capacity: World Health Organization, Geneva, Switzerland 16–18 September 2013. World Health Organization.

Wright, L., Steptoe, A., & Fancourt, D. (2020). How are adversities during COVID-19 affecting mental health? Differential associations for worries and experiences and implications for policy. Psychiatry and Clinical Psychology. https://doi.org/10.1101/2020.05.14.20101717.CrossRef

Yorke, I., White, P., Weston, A., Rafla, M., Charman, T., & Simonoff, E. (2018). The association between emotional and behavioral problems in children with autism spectrum disorder and psychological distress in their parents: A systematic review and meta-analysis. Journal of Autism and Developmental Disorders, 48(10), 3416–3416. https://doi.org/10.1007/s10803-018-3656-0.CrossRefPubMedPubMedCentral

Titel: Elevated Levels of COVID-19-Related Stress and Mental Health Problems Among Parents of Children with Developmental Disorders During the Pandemic
Auteurs: Randolph C. H. Chan
Suk Chun Fung
Publicatiedatum: 28-04-2021
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 3/2022
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-021-05004-w

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