学龄前儿童在照顾者抑郁和混乱中的自我调节和行为问题。

IF 1.8 3区 医学 Q3 BEHAVIORAL SCIENCES Journal of Developmental and Behavioral Pediatrics Pub Date : 2024-03-01 Epub Date: 2024-02-20 DOI:10.1097/DBP.0000000000001244
Alysse J Kowalski, Yan Wang, Bridget Armstrong, Angela C B Trude, Erin Hager, Maureen M Black
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引用次数: 0

摘要

目标:学龄前儿童的自我调节能力部分是通过家庭和托儿所的日常活动培养起来的。与 COVID-19 相关的托儿所关闭增加了照顾者的抑郁症状、家庭混乱和儿童行为问题。这项纵向研究考察了学龄前儿童在大流行前的自我调节能力与大流行初期的行为问题之间的关系,包括对照顾者抑郁症状和家庭混乱的不利影响的缓冲作用:264名学龄前儿童的看护人抽样报告了他们孩子在大流行前的自我调节能力(执行功能行为评定量表-学龄前版抑制性自我控制指数),以及大流行期间看护人的抑郁症状(流行病学研究中心)、家庭混乱(混乱、喧嚣和秩序量表)和儿童的行为问题(儿童行为评定量表)。我们使用线性混合模型研究了儿童行为问题的预测因素,包括大流行前的自我调节,并进一步研究了与大流行相关的照顾者抑郁症状和家庭混乱的调节作用:儿童中 64% 为非西班牙裔白人,24% 为非西班牙裔黑人,平均流行年龄为 5.9 岁。大流行前的自我调节在很大程度上预示着大流行早期的行为问题(β = -0.38 [95% 置信区间,-0.69 至 -0.07])。这种关联受到与大流行相关的照顾者抑郁症状和家庭混乱的调节;在照顾者抑郁症状或家庭混乱程度较高的情况下,保护性关联仍能保持,但当这两种情况同时出现时,这种关联就会减弱:流行前自我调节与随后的行为问题之间的保护性关联表明,学龄前儿童的抑制和情绪控制能力具有纵向益处。尽管与同时出现的照顾者和家庭挑战相关的保护作用有所减弱,但即使在大流行病期间,自我调节仍能对随后的行为问题起到保护作用。
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Preschoolers' Self-Regulation and Behavior Problems in the Midst of Caregiver Depression and Chaos.

Objectives: Preschoolers' self-regulation is partially developed through home and child care routines. COVID-19-related child care closures increased caregiver depressive symptoms, household chaos, and children's behavior problems. This longitudinal study examined how preschoolers' prepandemic self-regulation was related to behavior problems early in the pandemic, including buffering against the adverse effects of caregiver depressive symptoms and household chaos.

Methods: A sample of 264 caregivers of preschoolers reported on their children's self-regulation (Behavior Rating Inventory of Executive Function-Preschool Version Inhibitory Self Control Index) before the pandemic and caregiver depressive symptoms (Center for Epidemiological Studies), household chaos (Confusion, Hubbub, and Order Scale), and children's behavior problems (Behavior Rating Index for Children) during the pandemic. We used linear mixed models to examine predictors of children's behavior problems, including prepandemic self-regulation, and further examined moderation by pandemic-related caregiver depressive symptoms and household chaos.

Results: Children were 64% non-Hispanic White and 24% non-Hispanic Black, with mean pandemic age 5.9 years. Prepandemic self-regulation significantly predicted early pandemic behavior problems (β = -0.38 [95% confidence interval, -0.69 to -0.07]). This association was moderated by pandemic-related caregiver depressive symptoms and household chaos; the protective association was maintained at high levels of caregiver depressive symptoms or household chaos, although the association diminished when these co-occurred.

Conclusion: The protective association between prepandemic self-regulation and subsequent behavior problems suggests longitudinal benefits of preschoolers' inhibitory and emotional control. Despite reduced protection associated with co-occurring caregiver and household challenges, self-regulation continued to demonstrate protection against subsequent behavior problems, even in the midst of a pandemic.

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来源期刊
CiteScore
3.10
自引率
8.30%
发文量
155
审稿时长
6-12 weeks
期刊介绍: Journal of Developmental & Behavioral Pediatrics (JDBP) is a leading resource for clinicians, teachers, and researchers involved in pediatric healthcare and child development. This important journal covers some of the most challenging issues affecting child development and behavior.
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