Differences in traumatic stress among youth with and without chronic medical conditions during the COVID-19 pandemic.

IF 1.2 Q3 PSYCHOLOGY, CLINICAL Clinical Practice in Pediatric Psychology Pub Date : 2022-12-01 DOI:10.1037/cpp0000471

J. Paternostro, Anusha Kakolu, W. Boyd, A. Conrad, Tammy Wilgenbusch

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Abstract

Objective: The COVID-19 pandemic is the deadliest pandemic in American history. This study aims to assess the differences in youth reported traumatic stress among those with and without chronic illness, and how those reports are impacted by parental level of concern regarding the COVID-19 pandemic. Methods: Using convenience sampling, parents and their children completed a series of questionnaires focused on demographic information including questions about medical conditions, parental level of concern about COVID-19, and youth-report of posttraumatic stress symptoms. Results: Results of the anonymous survey (n = 164) found that parental reported level of concern of COVID-19 significantly predicted youth report of posttraumatic stress symptoms (F(4, 159) = 2.607, p = .038). There was no significant difference in youth-report of posttraumatic stress symptoms between youth with and without chronic medical conditions (F(1, 162) = .438, p = .509). Conclusions: Children often look to their parents for guidance during stressful life events, as confirmed by our findings. Parental emotional and behavioral responses may influence how youth make sense of highly stressful events and should be considered when determining intervention strategies in the COVID-19 era. (PsycInfo Database Record (c) 2022 APA, all rights reserved) Impact Statement This study found that youth with and without chronic health conditions did not differ in their report of posttraumatic stress 6 months after the onset of the COVID-19 pandemic. However, youth report of traumatic stress symptoms was predicted by their parents' level of concern regarding the impact of COVID-19 on their families, suggesting the need for targeted parent-based intervention. Clinical interventions to prevent chronic posttraumatic stress responses in youth regardless of medical comorbidity are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

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新冠肺炎大流行期间，患有和不患有慢性疾病的青年创伤压力的差异。

目标：新冠肺炎大流行是美国历史上最致命的大流行。本研究旨在评估患有慢性病和未患有慢性病的年轻人报告的创伤压力的差异，以及这些报告如何受到父母对新冠肺炎大流行的关注程度的影响。方法：采用方便抽样方法，父母及其子女完成了一系列以人口统计学信息为重点的问卷调查，包括医疗条件、父母对新冠肺炎的担忧程度和创伤后应激症状的青少年报告。结果：匿名调查结果（n=164）发现，父母报告的新冠肺炎担忧水平显著预测了青少年创伤后应激症状的报告（F（4，159）=2.607，p=.038）。有慢性疾病和无慢性疾病的青少年创伤后应力症状的报告没有显著差异（F（1，162）=.438，p＝.509）。结论：正如我们的研究结果所证实的那样，孩子们在紧张的生活事件中经常向父母寻求指导。父母的情绪和行为反应可能会影响青少年对高压力事件的理解，在新冠肺炎时代确定干预策略时应予以考虑。（PsycInfo数据库记录（c）2022 APA，保留所有权利）影响声明这项研究发现，在新冠肺炎大流行开始6个月后，患有和不患有慢性健康状况的青少年的创伤后应激报告没有差异。然而，根据父母对新冠肺炎对家庭影响的担忧程度预测了青少年创伤压力症状的报告，这表明需要有针对性的父母干预。讨论了预防青年慢性创伤后应激反应的临床干预措施，无论是否患有医学共病。（PsycInfo数据库记录（c）2022 APA，保留所有权利）

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来源期刊

Clinical Practice in Pediatric Psychology Psychology-Clinical Psychology

CiteScore

2.30

自引率

18.20%

发文量

期刊介绍： Clinical Practice in Pediatric Psychology® publishes articles representing the professional and applied activities of pediatric psychology. The journal comprehensively describes the breadth and richness of the field in its diverse activities;complements the scientific development of the field with information on the applied/clinical side;provides modeling that addresses the ways practicing pediatric psychologists incorporate empirical literature into day-to-day activities;emphasizes work that incorporates and cites evidence from the science base; andprovides a forum for those engaged in primarily clinical activities to report on their activities and inform future research activities. Articles include a range of formats such as commentaries, reviews, and clinical case reports in addition to more traditional empirical clinical studies. Articles address issues such as: professional and training activities in pediatric psychology and interprofessional functioning;funding/reimbursement patterns and the evaluation of the cost-effectiveness of clinical services;program development;organization of clinical services and workforce analyses;applications of evidence based interventions in "real world" settings with particular attention to potential barriers and solutions and considerations of diverse populations;critical analyses of professional practice issues;clinical innovations, e.g., emerging use of technology in clinical practice;case studies, particularly case studies that have enough detail to be replicated and that provide a basis for larger scale intervention studies; andorganizational, state and federal policies as they impact the practice of pediatric psychology, with a particular emphasis on changes due to health care reform.