Family lifestyle is related to low-income preschoolers' emotional well-being during COVID-19 pandemic

Jiying Ling PhD, MS, RN, FAAN, Tsui-Sui Annie Kao PhD, FNP-BC, FAANP, Lorraine B. Robbins PhD, RN, FNP-BC, FAAN, Charis Lauren Wahman PhD
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引用次数: 3

Abstract

Problem

COVID-19 has profoundly impacted children's behavioral and psychosocial development, especially young children from low-income families. This study examined how caregivers' and preschoolers' lifestyle behaviors (sleep, screen time, physical activity, eating behavior) were related to preschoolers' emotional well-being (sadness, fear, anger, and positive affect).

Methods

Using a cross-sectional design, we recruited low-income caregivers from Head Start organizations and the Qualtrics panel. Participants provided consent and completed an online survey.

Findings

A total of 408 caregivers (mean age = 31) participated: 17% Hispanic, 21% Black, 49% separated/single, 44% unemployed, and 39% with ≤high school education. After adjusting for demographics and preschoolers' lifestyle behaviors, caregivers' sleep disturbance was positively correlated with preschoolers' anger, fear, and sadness, while negatively related to positive affect. Similarly, caregivers' sleep time was positively correlated with preschoolers' sadness and negatively related to positive affect. Preschoolers' sleep time was negatively related to fear and positively related to positive affect. Likewise, preschoolers' physical activity was negatively correlated with fear, sadness, and positively correlated with positive affect. Additionally, preschoolers' fruit/vegetable intake was negatively associated with anger, fear, sadness, and positively associated with positive affect.

Conclusions

The identified behavior-emotion connection provides a foundation for developing family-based lifestyle interventions in promoting mental health among preschoolers.

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COVID-19大流行期间,家庭生活方式与低收入学龄前儿童的情绪健康有关
COVID-19严重影响了儿童的行为和心理社会发展,特别是低收入家庭的幼儿。这项研究调查了照顾者和学龄前儿童的生活方式行为(睡眠、屏幕时间、身体活动、饮食行为)与学龄前儿童的情绪健康(悲伤、恐惧、愤怒和积极影响)之间的关系。方法采用横断面设计,我们招募了来自启智组织和质量小组的低收入护理人员。参与者提供同意并完成在线调查。共有408名护理人员(平均年龄为31岁)参与:17%为西班牙裔,21%为黑人,49%分居/单身,44%失业,39%学历≤高中。在调整了人口统计学和学龄前儿童的生活方式行为后,照顾者的睡眠障碍与学龄前儿童的愤怒、恐惧和悲伤呈正相关,与积极情绪负相关。同样,照顾者的睡眠时间与学龄前儿童的悲伤情绪呈正相关,与积极情绪负相关。学龄前儿童睡眠时间与恐惧负相关,与积极情绪正相关。同样,学龄前儿童的体育活动与恐惧、悲伤呈负相关,与积极情绪呈正相关。此外,学龄前儿童的水果/蔬菜摄入量与愤怒、恐惧、悲伤呈负相关,与积极情绪呈正相关。结论行为-情绪联系为制定以家庭为基础的生活方式干预措施促进学龄前儿童心理健康提供了基础。
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来源期刊
CiteScore
2.90
自引率
6.70%
发文量
41
期刊介绍: Journal of Child and Adolescent Psychiatric Nursing (JCAPN) is the only nursing journal to focus exclusively on issues of child and adolescent mental health around the world. As a primary resource for nurses and other healthcare professionals in clinical practice, educator roles, and those conducting research in mental health and psychiatric care, the journal includes peer-reviewed, original articles from a wide range of contributors in a broad variety of settings.
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