ABSTRACT
There is little evidence on cognitions that are associated with emotional and behavioral problems in preschoolers during stressful events such as the COVID-19 pandemic. This article presents the initial development and validation of a caregiver-report instrument, the Preschooler Stressor-related Thoughts and Worries (PSTW) scale, developed during the COVID-19 pandemic. In 2020, caregivers from two countries reported on their child's cognitions at baseline (T0) and three months later (T1;age 3-5 years;Australia: N = 559;United States: N = 346). Exploratory factor analysis (EFA) was conducted with the Australian sample at T0 and confirmed with the U.S. sample at T0. Exploratory factor analysis suggested a one-factor model including 10 items. Results of the confirmatory factor analysis failed to clearly support this structure (comparative fit index = .91, root mean square error of approximation = .11). Construct validity was supported by positive associations between PSTW scores and emotional and behavioral problems. Although the PSTW is a promising instrument to assess preschooler cognitions related to COVID-19, further investigation of its performance in other contexts (e.g., other countries, other stressful or traumatic events) is needed. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
The COVID-19 syndemic, with a disproportionately higher adverse impact on communities of color (i.e., COVID-19 infection and death), will likely exacerbate the existing health disparities in trauma-related symptoms between people of color (POC) and White Americans. However, no studies have examined the racial disparity in posttraumatic stress symptoms (PTSS) during COVID-19. Grounded in ecological theory and racial trauma framework, we investigated racial disparity in PTSS and three possible mechanisms, 1) COVID stress, 2) direct racism, and 3) indirect racism, for these disparities using a large U.S. national sample. Results indicated that POC reported higher levels of PTSS than White Americans. The PTSS racial disparity was accounted more by direct and indirect racism than by the COVID-19-specific stressors, after controlling for age, gender, education, income, parent status, adverse childhood experiences (ACEs), and intimate partner violence (IPV). Additional fine-grained analyses for Hispanic/Latinx Americans, Black/African Americans, and Asian American and Pacific Islanders by and large corroborated the above findings. Our findings highlighted the deleterious impact of the ongoing racism pandemic on the POC community as a public health crisis in addition to the COVID-19 pandemic.Supplemental data for this article is available online at at http://doi:10.1080/08964289.2021.2006131.
Subject(s)
COVID-19 , Racism , Stress Disorders, Post-Traumatic , Humans , Pandemics , Stress Disorders, Post-Traumatic/diagnosis , SyndemicABSTRACT
Many parents of children under age 18 are faced with additional COVID-19 parenting-related stressors and may be experiencing increases in psychological difficulties;however, we have yet to investigate parent's levels of posttraumatic stress symptoms (PTSS) and adjustment disorder. Further, COVID-19 has served as a sobering reminder of the significant public health disparities in our society and it is critical to identify risk factors for poorer clinical outcomes. The primary objectives of the present study were to: (a) determine whether parents are reporting higher levels of pandemic-related stress, PTSS, and adjustment disorder than controls, (b) identify specific individual-level factors (e.g., age, gender, race, number of children, age of children) that may be related to higher levels of stress and symptoms among parents, and (c) report parents' utilization of, and perceived efficacy of, psychological interventions during COVID-19. A U.S. nationally representative sample (N = 2,019) from Qualtrics Data panels was recruited in July-August 2020. Parents endorsed higher levels of stress, PTSS, and adjustment disorder, particularly younger parents. Further, 38.3% of parents reported PTSS above clinical cutoff. Younger participants and persons of color reported higher levels of pandemic-related stress. One-third of parents (33.1%) reported using online mental health services. Taken together, parents may be at greater risk for pandemic stress, PTSS, and adjustment disorder symptoms. Individual-level risk factors, such as age and minority status, are important to consider when understanding COVID-19 stress. Clinical intervention efforts should prioritize trauma-focused treatments for parents, especially those who are younger and identify as a person of color. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
ABSTRACT
We are honored to introduce this special section on the coronavirus disease (COVID-19) in Psychological Trauma: Theory, Research, Practice, and Policy. Beginning with the first confirmed case in late 2019, COVID-19 has become a global pandemic. This special section aims to serve as a platform for researchers, practitioners, educators, and policymakers around the world to exchange experiences, challenges, lessons learned, and successes during this unprecedented period. Commentaries were encouraged to address the following guiding questions specific to the author's country: (a) how is the situation in your country regarding the COVID-19 pandemic?;(b) how do you think the pandemic is affecting the population from a mental health perspective?;(c) how do people respond to the situation in your country?;(d) what is helpful and what is less helpful in dealing with the situation?;and (e) how is health care currently organized? (PsycInfo Database Record (c) 2020 APA, all rights reserved)