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Background: This study aims to evaluate the mental health status of children, adolescents and their parents during the first year of COVID-19 pandemic in Belgium. Method(s): Analysis compared results before and during the second national lockdown, which started on November 2nd 2020. A cross-sectional online survey was conducted between May 2020 and April 2021. Result(s): Two hundred and eighteen adults and 273 children fully completed the survey. Almost one in five children (17.9%) presented moderate-to-severe scores of depression. Adolescents presented a higher level of depression than children (p = 0.007). The rate of moderate-to-severe depression scores (10.8% to 21%, p = 0.007) and internalized symptoms increased during the second lockdown (p < 0.001). Parents' depression (p < 0.001) and anxiety (p = 0.027) levels also increased during the second lockdown. Logistic regression showed that the use of psychotropic medication in parents and parents' depression scores were risk factors for children to have worse depression scores. Conclusion(s): The second lockdown appears to worsen the effects of the pandemic on children's and parents' mental health. There is a need to implement specific interventions targeting both children/adolescents and their parents to support them during lockdown periods and improve mental health outcomes.Copyright © 2022, The Author(s).
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Background: Although research on mathematics learning programs has taken off in recent years, little is known about how different person characteristics are related to practice behaviour with such programs. When implementing a mathematics learning program in the classroom, it might be important to know whether students with specific characteristics need more encouragement to make use of this learning opportunity. Objectives: Using a supply‐use model, we analysed the predictive power of students' cognitive characteristics (prior mathematics knowledge), personality traits (conscientiousness), motivational‐affective characteristics (mathematics self‐concept and mathematics anxiety), and family background characteristics (socioeconomic status and migration background) for practising with an adaptive arithmetic learning program. Methods: We used longitudinal data from 203 fifth graders from seven non‐academic‐track schools in Germany. Practice behaviour, measured by completed tasks in the learning program, was recorded weekly for every student over a period of 22 weeks. Results and Conclusions: The results of our multilevel analyses showed that mathematics anxious students practised less with the program. We did not find any relationship with the other characteristics. Takeaways: Our results suggest that mathematics anxious students need more encouragement when practising with a mathematics learning program;otherwise, they do not get the chance to benefit from the use. Lay Description: What is already known about this topic: The use of mathematics learning programmes in mathematics education has recently intensified.It is important that students practice with such learning programmes regularly over a longer period of time in order for them to achieve learning success.Students differ in their mathematics learning behaviour. What this paper adds: Little is known about how person characteristics are related to practice behaviour with mathematics learning programmes.Students may differ in their use of a mathematics learning programme, which is why cognitive characteristics, personality traits, motivational‐affective characteristics, and family background characteristics may affect students' practice behaviour. Implications for practice: Mathematics anxious students practiced less with a mathematics learning program, and need more encouragement to benefit equally from the implementation in school.Teachers should keep in mind that after the initial enthusiasm, practice with a programme may decrease over time, especially after school holidays.
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Introduction: Pediatric mental problems have been increasing, especially after COVID-19, which led to reduced active play. In childhood and adolescence, active play has been recognized as a protective factor against psychopathology. Objective(s): To determine the association between gambling and internalizing or externalizing symptoms in children and adolescents. Material(s) and Method(s): Cross-sectional analytical observational study, with a sample of 1533 children and adolescents, between six and 18 years of age in the city of Manizales, during the second semester of 2021. The Child Behavior Checklist 6-18 (CBCL/6-18) and inquired about hobbies and active play, where bivariate analyzes were performed. Result(s): 69.4% of those surveyed are fond of art and 12.0% of sports. 46.37% presented significant symptoms in the CBCL. Statistically significant negative correlations were found between active gaming and the presence of symptoms in all CBCL domains, as well as a positive correlation between alterations in mental health and the use of video games. Conclusion(s): Active play is a behavior related to child and adolescent mental health, which is why it should be investigated and promoted from the first levels of health care.Copyright © 2023 Asociacion Colombiana de Psiquiatria
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Resumen Introducción Los problemas mentales pediátricos han venido en aumento, especialmente después de la COVID-19, que llevó a que el juego activo fuera reducido. En la niñez y la adolescencia, el juego activo se ha reconocido como un factor protector frente a la psicopatología. Objetivo Determinar la asociación entre el juego y los síntomas internalizantes o externalizantes en niños, niñas y adolescentes. Material y métodos Estudio observacional analítico transversal, con una muestra de 1.533 niños, niñas y adolescentes, entre 6 y 18años, en la ciudad de Manizales, durante el segundo semestre de 2021. Se aplicó el Child Behavior Checklist 6-18 (CBCL/6-18) y se indagó por aficiones y juego activo, donde se realizaron análisis bivariados. Resultados El 69,4% de los encuestados es aficionado al arte y el 12,0% al deporte. El 46,37% presentó síntomas significativos en el CBCL. Se encontraron correlaciones negativas estadísticamente significativas entre el juego activo y la presencia de síntomas en todos los dominios del CBCL, además de una correlación positiva entre alteraciones en la salud mental y el uso de videojuegos. Conclusiones El juego activo constituye un comportamiento relacionado con la salud mental infanto-juvenil, por lo que debe ser indagado y promovido desde los primeros niveles de atención en salud. Introduction Pediatric mental problems have been increasing, especially after COVID-19, which led to reduced active play. In childhood and adolescence, active play has been recognized as a protective factor against psychopathology. Objective To determine the association between gambling and internalizing or externalizing symptoms in children and adolescents. Material and methods Cross-sectional analytical observational study, with a sample of 1533 children and adolescents, between six and 18years of age in the city of Manizales, during the second semester of 2021. The Child Behavior Checklist 6-18 (CBCL/6-18) and inquired about hobbies and active play, where bivariate analyzes were performed. Results 69.4% of those surveyed are fond of art and 12.0% of sports. 46.37% presented significant symptoms in the CBCL. Statistically significant negative correlations were found between active gaming and the presence of symptoms in all CBCL domains, as well as a positive correlation between alterations in mental health and the use of video games. Conclusions Active play is a behavior related to child and adolescent mental health, which is why it should be investigated and promoted from the first levels of health care.
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Introduction: During the COVID-19 pandemic, many governments enacted strict measures to stop the spread of the virus. Among these was the recommendation that children with suspected or confirmed COVID-19 be isolated in a room at home. Methods: Through a longitudinal study with three waves and using the Symptom Checklist-90-Revised, the Child Behavior Checklist 1,5-5, and the Parenting Stress Index-Short Form, we intended to verify whether young children and their mothers showed psychopathological symptoms and distress as a result of quarantine separation. Results: Our results showed that mothers' symptoms significantly increased from Time 1 to Time 2 and remained stable at Time 3, except for the anxious and depressive symptoms, which increased also at Time 3. Similarly, children's problems significantly increased from Time 1 to Time 2 and remained stable and high at Time 3. Discussion: This descriptive study may help policy makers to consider the negative outcomes of quarantine separation for children's and mothers' psychological well-being in case of future pandemics. [ FROM AUTHOR] Copyright of Journal of Social & Clinical Psychology is the property of Guilford Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
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The article is about topical issues of the psychological features of the long-term consequences of post-COVID syndrome in children and adolescents. We have described the most frequent residual manifestations of SARS-CoV-2 infection alongside with an analysis of the characteristics of the emotional and behavioral health of children and adolescents. The authors of article have analyzed modern approaches and recommendations for changing the lifestyle, psychological support of patients with the elimination of stress factors and body stress resistance increase. Also in article are presented main symptoms and signs associated with emotional and behavioral responses to stress in children and adolescents. The necessity of early detection and psychological correction of the symptoms of post-COVID syndrome and its inherent stress manifestations is substantiated as well as the stress resistance increase using physiological approaches of micronutrient correction with bioorganic magnesium substances.Copyright © 2022, Professionalnye Izdaniya. All rights reserved.
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Healthy parent-child relationships are clearly critical to healthy child development. Parenting programs develop caregivers' skills to support the health and well-being of children. Rigorous evidence has demonstrated the efficacy of these programs. Rising rates of child and youth depression, anxiety, grief, and suicide, both prior to and compounded by the COVID-19 pandemic, provide further reasons to implement parenting programs that support all parents in their essential roles. Parents can act as a buffer to stressors and support for children's well-being when they have the knowledge and skills to do so. Pediatric primary care practices are a natural setting for parenting programs, but challenges, including stigma, technology, workflow issues, and funding, have prevented their broad dissemination, implementation, and sustainability. In this article, we develop a framework for implementing parenting programs in primary care and present key considerations for selecting programs that fit the needs of parents, providers, patients, and the practice. We offer lessons from our experiences in overcoming these challenges, using the updated Consolidated Framework for Implementation Research to structure our discussion. We also provide an initial stepwise process which readers may use to plan their own parenting program implementation. Pediatric clinicians and practices can use this article and associated resources to plan, implement, and evaluate parenting programs in their practices as a strategy to help address the growing youth mental health crisis. Improving parenting behaviors can reduce the need for current or future mental health interventions by supporting optimal child development, emotional regulation, and parent-child relationships.
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Many parents experience elevated levels of stress, or the perceived inability to cope with one's situational demands. Parents of children with externalizing behavioral concerns tend to experience even higher levels of stress than parents of children without significant behavior concerns due to the transactional and bidirectional nature of child behavior and parent stress. The Family Adjustment and Adaptation Response (FAAR) model suggests that families work to balance demands with capabilities, which interact with family meanings, to achieve adjustment or adaptation. Thus, increasing capabilities is an important task for families experiencing stress. Mindfulness-based stress reduction (MBSR), rooted in mindfulness theory, is an increasingly popular framework for reducing stress, anxiety, and depression. MBSR has been successfully used in many populations including parents to reduce parent stress and even help to improve child outcomes. However, there is a dearth of research on MBSR for parents of children with externalizing behavior concerns. One accessible, research-supported, online-delivered MBSR program is called Be Mindful. Currently, there is no extant research on the effects of this program for parent stress and child behavior outcomes. This hybrid effectiveness-implementation intervention study sought to evaluate the effectiveness of this publicly accessible, online, self-mediated MBSR program (Be Mindful) for reducing parent stress and decreasing child externalizing behavior immediately following completion of the program and at one-month follow-up. Other major aims of the study were to determine whether the online-delivered MBSR intervention was acceptable to parents and to characterize how parents engaged with the MBSR program. Participants included a 38 mothers, fathers, and other primary caretakers of children ages two to ten years with behavioral concerns living across the United States. Children were a community sample presenting with externalizing behavior concerns at or above the at-risk range (raw score >= 115) based on the Eyberg Child Behavior Inventory whose parents had stress levels at or above the 60th percentile on any domain of the Parenting Stress Index, Fourth Edition. Parents engaged in the 4-module Be Mindful (MBSR) program for between 4 and 10 weeks and completed pre-, post-, and follow-up adult stress and child behavior measures. Parents also completed usage and satisfaction reports throughout the study. Results of the study provided promising support for the Be Mindful intervention within this particular population: there were robust, statistically significant and clinically meaningful reductions in both parent stress and externalizing child behavior problems following completion of the intervention that maintained through one-month follow-up. Additionally, participants generally found the intervention to be acceptable and practiced the skills a moderate amount during the intervention phase. Open-ended and quantitative feedback provides information regarding barriers and facilitators to intervention use. These results are important within the context of the global COVID-19 pandemic, provide further support for the increasingly popular MBSR framework in an online format, and uniquely examine effects on both parent stress and child behavior in a real-world sample. Limitations, directions for future research, and implications for practice are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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The current study focuses on a sample of low- to middle-income school-age Latina girls and their parents and examines how children's distress proneness interacts with parental empathic accuracy and posttraumatic growth in the wake of the COVID-19 pandemic to predict children's empathy and prosocial behavior toward unknown others. Approximately 2-3 months into state-mandated stay-at-home orders, 55 parent-daughter dyads were recruited to participate in this four-session longitudinal study. To assess distress proneness, daughters (ages 8-13 years, 100% Latina) identified their degree of distress in response to pandemic-related stressors. Concurrently, their parents reported how they thought their children would respond to these same pandemic-related stressors, which assessed parental empathic accuracy. Parents also completed an adapted version of the Posttraumatic Growth Inventory, which assessed perceived positive outcomes of the COVID-19 pandemic. Upon study completion, a behavioral measure of children's empathic and prosocial behaviors was collected. Parental empathic accuracy interacted with children's distress proneness to positively predict children's affective empathy, such that children's distress proneness predicted affective empathy at high and mean, but not low, levels of parental empathic accuracy. In a separate analysis, parental posttraumatic growth interacted with children's distress proneness to positively predict children's altruistic sharing behavior, such that children's distress proneness predicted altruistic sharing behavior only at high, but not mean or low, levels of parental posttraumatic growth. The results of this study highlight how positive parental socialization and understanding of children's tendencies toward distress are associated with children's empathic and prosocial behaviors, particularly during major global crises. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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Background: The children and adolescents with ASD around the world have experienced a major disruption of their everyday lives due to the COVID-19 pandemic. Social isolation has inflicted a negative impact on the psychological well-being of these children and adolescents. Aim(s): To investigate the impact of COVID-19 pandemic in children and adolescents with ASD in terms of comprehension and adherence to implemented measures and changes in their behavioural problem. Methodology: A retrospective cross-sectional (descriptive) study was done involving 16 ASD children and adolescents attending OPD of a tertiary care institute within a time period of 12 months for various behavioural problems using ISAA scale and Nisonger CBRF. Each subject was assessed on a single occasion for 3 different timelines-Pre-COVID (before March 2020), during full Lockdown (March-May 2020) and Post-Lockdown (January 2021-January 2022). Result(s): The ISAA scoring revealed significant increase in ASDrelated behaviours (i.e. inappropriate emotional response, difficulty in communication etc.) from before pandemic to during pandemic and Post-Lockdown (p value<0.05).The Nisonger Child Behaviour Rating Form revealed deterioration in Positive Social behaviour (p value<0.05).Significant increase in problem behaviour was seen in all the six domains (Conduct problem, Insecure/Anxious, Hyperactive, Self-injury/Stereotype, Self-isolated/Ritualistic and Overtly Sensitive) (p value<0.05). Conclusion(s): Disruption of daily routine and social distancing have led to increase in problem behaviours of the children and adolescents with ASD as well as an increase in deficits of positive behaviours.
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Young children's use of digital technologies has presented challenges for parents, particularly in response to an increased reliance on digital resources during the COVID-19 pandemic. This mixed-methods study explored young children's digital practices within the context of their families and homes. Although this study was originally planned, the timing of data collection meant that it was uniquely positioned to capture parent perspectives as the pandemic and first lockdown was unfolding in Australia. Data was collected through questionnaire (N = 101) and semistructured interview (n = 20) about status and change in children's digital practices, and parents' rules and flexibility in governing these experiences. Quantitative findings suggested children's frequency and duration of digital device use trended upwards during lockdown, and parents were more flexible in their rules about the amount of screen time, as well as when and where children could use digital devices. Qualitative results suggested that, more than a temporary and situational change, for many parents, exposure to new ways of engaging with digital technologies facilitated a shift in their perceptions, leading to greater consideration of quality in their choices for their children. This study highlights the influential role of parents in shaping children's digital experiences. Understanding their perceptions, as well as children's current and shifting digital practices in the home, is important for informing efforts and guidance for supporting young children's safe and effective use of digital technologies.
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This study aimed to understand the strategies families used to cope with the COVID-19 pandemic, and their effects on family, parent, child, and couple functioning and well-being. In April and May 2020, and again one month later, 277 parents from 174 families who previously participated in a trial of a family preventive intervention were invited to participate in an online survey regarding the pandemic. Parents completed measures regarding family cohesion, couple coparenting and relationship quality, parenting quality, and parent and child mental health and well-being. Parents were asked to share the coping strategies they found most effective, and responses were coded into four groups: Family Unity, Healthy Habits, Adaptability, and Child-Focused. Adaptability was associated with increases in couple relationship quality but also in child internalizing and externalizing behaviors from Month 1 to Month 2. The results suggest that the strategies parents use may have differing effects on parents and children. © The Author(s) 2023.
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Introduction: This article describes the challenges and opportunities that the COVID-19 pandemic presented for providing and coordinating care for children and youth with special health care needs (CYSHCN) who rely on a diverse array of systems to promote their health, education, and well-being. Method(s): Peer-reviewed published literature and reports from the national government and nonprofit organizations that advocate for CYSHCN were examined, particularly concerning systems that impacted CYSHCN during COVID-19. Result(s): Pre-COVID-19, CYSHCN and their families faced challenges accessing and coordinating care across diverse systems. COVID-19 exacerbated these challenges because of disruptions in care and services that negatively impacted CYSHCN. COVID-19 also highlighted opportunities for positive change and care innovations. Discussion(s): Understanding the systems of care that CYSHCN rely on and the effects of COVID-19 on these systems can enhance access to and quality of care. Recommendations are made for practice, leadership, research, and policy.Copyright © 2022 National Association of Pediatric Nurse Practitioners
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The global pandemic has highlighted the importance of telehealth to access behavioral interventions. Face‐to‐face parent training improves the development and behaviors of young children at risk for autism spectrum disorder (ASD). We evaluated a telehealth parent training intervention for a child at risk for ASD. Two parents identified possible early ASD symptoms in their 30‐month‐old son (lack of imitation, pointing, and vocal manding). Both parents simultaneously received telehealth behavioral skills training on the Parent Intervention for Children at Risk for Autism program for 1 hour per week over 29 weeks. Multiple baseline designs across parent and child behaviors showed that both parents improved their parent teaching fidelity above 80% and the child improved on all trained behaviors. This study expands the utility of telehealth behavioral parent training to young children at risk for ASD to mitigate early symptoms of ASD. [ FROM AUTHOR] Copyright of Behavioral Interventions is the property of John Wiley & Sons, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
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Background: The large proportion of coronavirus disease 2019 (COVID-19) patients has been associated with a large number of neu-ropsychiatric manifestations. Despite the high prevalence of COVID-19, few studies have examined such manifestations, especially in children and adolescents. Objective(s): This study investigated neuropsychiatric manifestations in hospitalized children and adolescents admitted for COVID-19 infection in Iran. Method(s): This prospective observational study included admitted children and adolescents (4-18 years old) diagnosed with COVID-19 infection, pediatric neurologists, child and adolescent psychiatrists, and infectious disease specialists, and assessed 375 infected patients during August and December 2021. Result(s): Of the 375 patients, 176 (47%) were female, with a mean age of 9.0 +/- 3.39 years. Psychiatric and neurological manifestations were reported in 58 (15.5%) and 58 (15.5%) patients, respectively. The most prevalent psychiatric disorders were separation anxiety disorder (SAD) (5.1%), major depressive disorder (MDD) (3.5%), generalized anxiety disorder (GAD) (2.7%), insomnia (2.4%), and op-positional defiant disorder (ODD) (2.4%). Regarding neurological complications, seizures were the most prevalent (13.1%), followed by encephalitis (1.9%), transverse myelitis (0.3%), acute ischemic stroke (0.3%), and Guillain-Barre syndrome (0.3%). There was no significant relationship between the duration of COVID-19 infection (P = 0.54) and ICU admission (P = 0.44) with the emergence of psychiatric symptoms. Conclusion(s): The most prevalent neurologic and psychiatric complications among children and adolescents with COVID-19 infection were seizures and the symptoms of anxiety/mood disorders, respectively.Copyright © 2023, Author(s).
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A non-concurrent multiple baseline design in conjunction with a within-subject group design was used in this extension study employing an asynchronous and synchronous model to deliver an Acceptance and Commitment Therapy (ACT) training program for parents of children with Prader Willi Syndrome (PWS) and Autism Spectrum Disorder (ASD) during the COVID-19 pandemic. There were five parents who completed a six-week online ACT parent training delivered asynchronously and synchronously followed by a two-week maintenance phase. Each session included specific topics and exercises which were: (a) values identification;(b) present moment awareness;(c) defusion;(d) the Matrix (moving toward/away);(e) committed action;and (f) self-care. Pretest and posttest measures were completed by the participants which assessed parental stress (Abidin, 1995;PSI-4-SF), psychological flexibility (Bond et al., 2011;AAQ-II), self-compassion (Neff et al., 2021;SC-SF) and child behaviors (Sparrow et al., 2016;VABS-3, Maladaptive Behavior Domain). To summarize the findings, participant data indicated improvements in parental stress, self-compassion, and psychological flexibility from pre- to post-intervention. Additionally, parent overt value directed behaviors increased from baseline through intervention and were maintained post-treatment. Child behavior outcomes varied across the children of parent participants but overall had an increasing trend for desired behavior and a decreasing trend for maladaptive behavior. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
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Young children who experience trauma and adverse experiences are at an increased risk of developing an insecure attachment style as well as negative physical and mental health problems. These can include internalizing and externalizing behavioral problems, developmental delay, emotional dysregulation, and aggression. Several evidence-based interventions exist to treat young children with symptoms related to trauma, each with different foundational theories. This article presents the case of a 4-year-old boy with posttraumatic stress disorder who was in the middle of a legal fight between caregivers and transitioning between caregivers' homes. Initially, therapy began with Child-Parent Psychotherapy to address caregivers' first concerns. Later, the therapeutical approach was switched to Parent-Child Interaction Therapy due to difficulty with treatment fidelity related to caregivers' symptoms and conflict. This case demonstrates great improvement in treatment fidelity and subsequently problem behaviors after switching to an intervention that allowed to address behavior management shortcomings in a family with ongoing conflict.Copyright © The Author(s) 2022.
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Developmental, behavioral, and mental health (DBMH) conditions among pediatric populations have increased in prevalence in primary care. Approximately 1 in 5 children have mental health conditions, but only 20% receive care. In October 2021, a national emergency in children's mental health was declared. The Pediatric Nursing Certification Board offers a pediatric primary care mental health specialist (PMHS) examination that validates the knowledge, skills, and abilities of certified nurse practitioners caring for children, adolescents, and young adults with DBMH conditions. This review describes the methodology, data analysis, and results of the job task analysis that ensures examination quality measuring preparedness to practice as a certified PMHS.
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At the start of the COVID-19 pandemic, unprecedented social distancing rules (including mass school closures) dramatically constrained children's social lives, jeopardizing human connections that foster prosocial development. This study of 2,516 families of 3-8-year-olds from six countries (China, Sweden, Australia, Italy, the USA, and the United Kingdom) examined whether children's understanding or feelings about COVID-19 regulations mediated the expected association between COVID-19-related family disruption and children's prosocial behavior, as indexed by parental ratings. For all six sites, family disruption indirectly predicted reduced prosocial behavior. Negative feelings about COVID-19 regulations mediated this association in all sites except China. Contrariwise, understanding of COVID-19 regulations was not implicated in the link between family disruption and reduced prosocial behavior. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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Objective: Child behavior, which encompasses both internalizing and externalizing behaviors, is associated with many outcomes, including concurrent and future mental health, academic success, and social well-being. Thus, understanding sources of variability in child behavior is crucial for developing strategies aimed at equipping children with necessary resources. Parental mental health (PMH) difficulties and preterm birth may be risk factors for child behavior (CB) problems. Moreover, not only are PMH difficulties more common among parents of preterm children, but preterm children might also be more sensitive than full-term children to environmental stressors. In this study, we examined how PMH and CB changed during the COVID-19 pandemic, how change in PMH related to change in CB, and whether preterm children were more susceptible than full-term children to change in PMH. Methods: Parents that participated in a study prior to the pandemic were invited to complete follow-up questionnaires during the pandemic about PMH and CB. Forty-eight parents completed follow-up questionnaires. Results: Our results suggested that parental depression symptoms, children's internalizing symptoms, and children's externalizing symptoms significantly increased, and parental well-being significantly decreased during the pandemic. Change in parental depression symptoms, but not change in parental anxiety symptoms or parental well-being, was associated with change in children's internalizing and externalizing symptoms. Prematurity did not moderate change in PMH, change in CB, or the effect of change in PMH on change in CB. Conclusion: Our findings have the potential to inform efforts aimed at equipping children with behavioral resources.