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

IF 1.8 4区 医学 Q2 PEDIATRICS Child Care Health and Development Pub Date : 2025-03-14 DOI:10.1111/cch.70063
Conné Lategan, Amanda S. Newton, Jennifer Thull-Freedman, Jianling Xie, Kathleen Winston, Bruce Wright, Michael Stubbs, Stephen B. Freedman
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Abstract

Background

Little is known about changes in child well-being and family quality of life (QoL) among children seeking emergency department care because of mental health concerns over the course of the pandemic.

Methods

Prospective cohort study of children < 18 who visited two paediatric EDs in Alberta, Canada, for an acute mental health concern. Early and late pandemic time periods were defined as 15 March 2020–14 March 2021 and 1 July 2021–30 June 2022, respectively. The Stirling Children's Well-being and Warwick–Edinburgh Mental Well-being scales quantified well-being; the Family Quality of Life Scale assessed family QoL. These scales were completed as soon as possible following the ED visit. Linear regression models assessed the association between pandemic period and the change in well-being and family QoL.

Results

One thousand four hundred four children were enrolled during the study time periods (50.4% early, 49.6% late). Seventy-two percent (1009/1404) of participants were White, 53.8% (744/1404) were female, and the median age was 13 (IQR, 11–15) years. Well-being remained unchanged between time periods, whereas family QoL was lower in the late pandemic time period than in the early period (mean difference: −2.16, 95% CI: −3.79, −0.53; p = 0.01). Among children < 13 years, previous mental health care and requiring inpatient admission were negatively associated with well-being. Having an autism diagnosis and a comprehensive ED mental health evaluation were negatively associated with well-being in older children.

Conclusions

Reduced family QoL may signal stressors experienced by caregivers and the lingering consequences of the pandemic. Resources that address well-being and support the family unit are needed to improve the mental health of children.

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背景 人们对大流行病期间因精神健康问题而到急诊室就诊的儿童在儿童福祉和家庭生活质量(QoL)方面的变化知之甚少。 方法 对加拿大艾伯塔省两家儿科急诊室因急性精神健康问题就诊的 18 岁儿童进行前瞻性队列研究。大流行早期和晚期分别定义为 2020 年 3 月 15 日至 2021 年 3 月 14 日和 2021 年 7 月 1 日至 2022 年 6 月 30 日。斯特林儿童幸福感量表和沃里克-爱丁堡精神幸福感量表对幸福感进行量化;家庭生活质量量表对家庭生活质量进行评估。这些量表在急诊室就诊后尽快完成。线性回归模型评估了大流行期间与幸福感和家庭生活质量变化之间的关系。 结果 14004 名儿童在研究期间注册(50.4% 在早期,49.6% 在晚期)。72%的参与者(1009/1404)为白人,53.8%(744/1404)为女性,年龄中位数为 13(IQR,11-15)岁。不同时期的幸福感保持不变,而大流行后期的家庭生活质量低于早期(平均差异:-2.16,95% CI:-3.79,-0.53;P = 0.01)。在 13 岁儿童中,曾接受过心理健康护理和需要住院治疗与幸福感呈负相关。在年龄较大的儿童中,自闭症诊断和 ED 心理健康综合评估与幸福感呈负相关。 结论 家庭生活质量的降低可能预示着照顾者所承受的压力以及大流行病的遗留后果。为改善儿童的心理健康,需要提供资源来解决幸福感问题并为家庭单位提供支持。
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来源期刊
CiteScore
3.40
自引率
5.30%
发文量
136
审稿时长
4-8 weeks
期刊介绍: Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.
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