Child protection concern in patients during the COVID-19 lockdown.

During the COVID-19 lockdown, social isolation from school closures and home visitation restrictions compounded known risk factors for child maltreatment. The aim of our study was to determine the incidence and types of child protection concern (CPC) among inpatients during the COVID-19 lockdown compared to the matched timeframe in 2019. We retrospectively reviewed the CPC assessments performed at Children's Health Ireland at Crumlin and Tallaght from March 13 to August 31, 2020, and the same period in 2019. Eighty-six versus 163 inpatients were assessed for CPC in 2020 versus 2019. Higher proportions of physical abuse concerns (52.3% versus 11% (p < 0.001)) and emotional abuse concerns (7.0% versus 1.2% (p = 0.015)) were observed in 2020. Case complexity, defined as involving two or more types of CPC, increased with 48.8% in 2020 versus 13.5% in 2019 (p < 0.001). In conclusion, there were fewer assessments for CPC during the 2020 lockdown. However, the complexity of the CPC cases was significantly increased in 2020.

Identifying the Challenges of Child Abuse Detection Among Emergency, Pediatrics, and Family Medicine Practitioners in Saudi Arabia.

BACKGROUND: Child abuse is a significant issue across many countries. Despite the situation's innate understanding, many children are not reported to authorities and continue to experience abuse, sometimes even death. Healthcare professionals must be alert for abuse in any child who appears with injuries that are out of the ordinary because it is easy for indicators of child abuse to go unnoticed in a busy emergency department. The current study aims to evaluate and detect the challenges in diagnosing and reporting cases of child abuse among healthcare practitioners in emergency, pediatrics, and family medicine. METHODS: A self-administered online disseminated questionnaire was used for data collection during the period from October 1 to December 30, 2022. A cross-sectional study was conducted on emergency, pediatrics, and family medicine healthcare practitioners working in hospitals in healthcare centers in Riyadh, Saudi Arabia. All data were collected, tabulated, and statistically analyzed using SPSS 23.0 for (IBM Corp., Armonk, NY) Windows. RESULTS: The study sample constituted 200 physicians working in the front lines of healthcare like emergency, pediatrics, and family medicine primary care services, 50.5% were males and 49.5% were females. 36.5% of participants were 31-39 years old. 42% were family medicine physicians, 36.5% were pediatricians, and 21.5% were emergency medicine. About 43% of participants attended an educational workshop on child abuse. Nineteen percent of participants are very familiar with the diagnosis of child abuse and 36% of participants reported one to three cases of child abuse in the emergency department in the last year, 5% reported four to six cases and 56.5% reported none. Forty-seven percent of participants reported diagnosing one to five cases of child abuse throughout their whole career, 13% reported 11-15 cases, 6.5% reported six to 10 cases and 28.5% reported none. Causes of underdiagnosis of child abuse by healthcare providers were reported as 63% inexperience, 59% inadequate time for physical examination, 59% lack of diagnosis protocol, 51% lack of confidence in communicating with parents, 36% physicians' cultural background, and 38% lack of confidence in the diagnosis. 93.5% of participants think that healthcare practices need further education for child abuse. CONCLUSION: In conclusion, physicians in Saudi Arabia who participated in the study had good knowledge to diagnose a case of child abuse. Inexperience, inadequate time for physical examination, lack of diagnosis protocol, lack of confidence in communicating with parents, and physicians' cultural background were the main identified challenges for diagnosing child abuse. Familiarity with cases of child abuse was significantly associated with physicians' age, specialty, and level of training.

Highlights from this issue

The final act of Philip Roth's achingly poignant novel, Nemesis, based on the 1944 polio epidemic condenses the trajectories of each of the main protagonists' lives as a result of events that sultry summer, Bucky Cantor, swapping life stories with a former pupil at his school. [...]the implications for long term (psychological and physical) health are arguably worse: late presentation for other febrile illness (EDs have never been so empty—something is wrong);fear of infection by dint of ‘exposure' to a health facility;interruption of standard health surveillance particularly vaccination;mental health;child abuse as a result of prolonged internment and loss of, at least the social side of, education. The reasons for less aggressive disease are still not completely understood, though there are a number of candidate explanators: host-response factors;lower infective dose (as most often from an adult household member);age related ACE receptor differences and more recent exposure to antigenically similar coronaviruses conferring relative immunity.

Behavioral Reactions to Job Insecurity Climate Perceptions: Exit, Voice, Loyalty, and Neglect.

Past work has extensively documented that job insecurity predicts various work- and health-related outcomes. However, limited research has focused on the potential consequences of perceived job insecurity climate. Our objective was to investigate how the psychological climate about losing a job and valuable job features (quantitative and qualitative job insecurity climate, respectively) relate to employees' exit, voice, loyalty, and neglect behaviors, and whether such climate perceptions explain additional variance in these behaviors over individual job insecurity. Data were collected through an online survey using a convenience sample of employees working in different organizations in Türkiye (N = 245). Hierarchical multiple regression analyses showed that quantitative job insecurity climate was associated with higher levels of loyalty and neglect, while qualitative job insecurity climate was related to higher levels of exit and lower levels of loyalty. Importantly, job insecurity climate explained additional variance over individual job insecurity in exit and loyalty. Our findings underscore the importance of addressing job insecurity in a broader context regarding one's situation and the psychological collective climate. This study contributes to addressing the knowledge gap concerning job insecurity climate, an emerging construct in the organizational behavior literature, and its incremental impact beyond individual job insecurity. The foremost implication is that organizations need to pay attention to the evolving climate perceptions about the future of jobs in the work environment, because such perceptions are related to critical employee behaviors.

Self-care Neglect Of Heart Failure Caregivers Before And Early After The Pandemic Began

Behavioral benefits of the COVID lockdown have been suggested for patients with heart failure (HF) but little is known about the effects of the pandemic on the family and loved ones who care for these patients. The purpose of this study was to compare self-reported self-care neglect among HF caregivers in the months preceding the pandemic (August 2019 through March 2020) to the self-care neglect reported by HF caregivers in the early months of the pandemic (May 2020 through December 2020). Method(s): Baseline data from an ongoing study with HF caregivers were used for this analysis. All potentially eligible caregivers are screened for self-care neglect;those who score >=2 on the 10-item Health Self-Care Neglect scale (construct validity, alpha reliability.90) are eligible for study enrollment. Possible scores range from 0-10;lower is better. Baseline data before randomization were used for this analysis. Before the pandemic, 40 caregivers were enrolled. In the early months after the pandemic began, we enrolled another 55 caregivers. Participants' demographic and clinical characteristics were compared between groups. Regression analysis was used to identify group differences in self-care neglect, adjusting for group differences at baseline. Result(s): The sample of 95 HF caregivers was predominately White (64%), female (89.5%), spouses (66%), age 54.7 +/- 13.5 years, and caregiving 9.2 +/- 8 hours/day. Only sex differed significantly between the groups;pre-pandemic the sample was 97.5% female but during the early months of the pandemic it was 83.6% female. Health Self-Care Neglect scores were higher (worse) pre-pandemic compared to the early months of the pandemic after accounting for sex (5.3 +/- 0.5 vs. 4.3 +/- 0.4, p=0.04). When individual items on the scale were analyzed, only the proportion of caregivers who put off going to the doctor significantly differed between pre-pandemic (62.5%) and early-pandemic (40%, p=0.03) groups. Conclusion(s): Health Self-care Neglect was higher in HF caregivers before the pandemic began. It may be that the pandemic encouraged caregivers to focus on their health.Copyright © 2022

Adult Protective Services Perspectives on Responding to Elder Abuse and Serving Clients During the COVID-19 Pandemic.

The initial COVID-19 pandemic and subsequent public health measures dramatically impacted Adult Protective Services (APS), requiring rapid adjustments. Our goal was to describe challenges for APS and strategies developed to respond. We conducted six focus groups and seven interviews during March-April 2021 using a semi-structured topic guide, with 31 participants from APS leadership, supervisors, and caseworkers in New York City, a community hard hit by the initial COVID surge. Data from transcripts were analyzed to identify themes. Participants identified challenges faced by APS (e.g., clients less willing to engage with APS, inability to perform necessary job tasks remotely, and low staffing levels) as well as strategies APS used in response (e.g., increasing collaboration with other community-based programs and service providers, enabling remote court hearings through technology and in-person facilitation, and ensuring staff had access to personal protective equipment). These findings may inform APS planning for future large-scale societal disruptions.

Intersectionality of race, ethnicity, and culture in neglect, abuse, and violence against older persons: Human rights, global health, and systems approaches in pandemics

Although prevalent in the 1990s, research on social and economic determinants of elder abuse, including race, ethnicity, and culture, has lagged in recent years, compromising understanding of elder abuse as a public health problem calling for systems responses. The COVID-19 pandemic has highlighted the tragic impact of substantial disruptions in access to care across fragmented health systems and community-based settings on vulnerable older adults and, in such crisis conditions, the persistence of both violations of older adults' human rights and historical inequities in their treatment. Older adults have been disproportionately affected by COVID-19, particularly older Black/African Americans and Latinx and those living in congregate settings such as nursing homes, assisted living facilities, and prisons, as reflected in reporting of cases, hospitalizations, and deaths. American Indian reservations and indigenous and tribal communities are also struggling with the effects of the pandemic on the health and economic security of their members. The pandemic is exposing challenges that have heretofore been ignored or covered up, or have remained otherwise invisible, such as institutional neglect, poverty, deprivation, and isolation, yet have deepened suffering of older adults. However, little is yet known about older persons' experience of abuse, neglect, and violence during pandemic crisis conditions, such as sheltering-in-place, quarantines or lockdowns, or situations of scarce resources including intensive care unit beds, medical equipment, and personal protective equipment. The risks created by these conditions and their palpable urgency call for critical examination of the contribution of structural inequities to older adults' heightened risk in disaster and post-disaster environments and the disproportionate impact of crisis conditions (Institute of Medicine [IOM], Crisis standards of care: A systems framework for catastrophic disaster response: Volume 1: Introduction and CSC framework. The National Academies Press, Washington, DC, 2012. https://doi.org/10.17226/13351) upon the human rights of diverse older adult populations and communities. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Hidden children: Child maltreatment in the COVID-19 pandemic

The purpose of this dissertation was to assess the impact of the COVID-19 pandemic on the occurrence and identification of child abuse and neglect. The first study concurrently examined changes in identification and medical evaluations of maltreatment allegations from before to during COVID-19. Reports to social services and child maltreatment evaluation center medical evaluations were collected from two counties and compared across the months of March-December 2019 and 2020. Findings showed divergent trends in reporting and evaluation of suspected maltreatment cases from before to during COVID-19. Specifically, while reports of suspected maltreatment were lower in 2020 than in 2019, the proportion of children reported to the county that received medical evaluations was higher in 2020 compared to 2019. Studies 2A and 2B took a different approach, assessing the impact of COVID-19 on laypersons' ability to identify the most common form of maltreatment, child neglect. To do so, adults read vignettes about a mother's care of her daughter and responded to questions about the mother's neglectfulness, their reporting likelihood, and their attributions of blame for the situation. Though most adults were able to distinguish situations with versus without neglect, some conflated poverty and neglect when making identification and reporting decisions. COVID-19 had an indirect, rather than direct, impact on these decisions. Moreover, attributions of blame partially explained laypersons' perceptions and reporting decisions. Together these studies can help the developing public education efforts or alternative methods of identifying vulnerable children and intervening in situations of harm. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

REDUCING FAMILY SEPARATIONS IN NEW YORK CITY: THE COVID-19 EXPERIMENT AND A CALL FOR CHANGE

Child welfare agencies and family courts have long removed children from allegedly abusive or neglectful parents as an ultimate means of ensuring a child's safety. The theory that high numbers of removals are necessary to keep children safe, however, had never been tested-there was no mechanism or political will to do so until the onset of the COVID-19 pandemic in March 2020. With the near-complete shutdown of New York City, the child welfare apparatus had no choice but to remove fewer children from their homes. Catastrophe did not ensue. Rather, the numbers tell a different story. Children remained safe across a range of metrics, avoided the trauma of removal from their homes during a global pandemic, and experienced sustained safety as the City began to reopen. This Piece argues that New York's child welfare system must learn from COVID-19 and significantly curtail its drastic measure of removing children from their families, which can cause substantial, often irreparable trauma to children. It uses the COVID-19 pandemic as a case study to demonstrate the safety and soundness of reserving removals (also known as remands) for only the most extreme circumstances. This Piece focuses on the dramatic reduction of removals specifically during the pandemic;examines the traumatic, racially biased, and overused practice of family separation from a child's perspective;and calls for specific reforms within the existing system to reduce remands while protecting children's safety.

Child safety, welfare and well-being: Issues and challenges., 2nd ed

This book provides a focused and comprehensive overview of the status of children across society, with special reference to emerging features and measures of child safety, welfare, and overall well-being. The book is arranged into four parts covering various dimensions of child welfare and well-being. In this second edition, highly experienced academics, researchers, child rights activities, and policymakers from both developed and developing countries have contributed chapters on topics such as status of children living under institutional care, sexual abuse of male children and tribal girl children, issues and challenges faced by children living in conflict zones, children living on the streets, COVID-19 and its impact on the education of children. The status of marginalized children gets special importance in the second edition. The new chapters include field-based experiences of researchers in protecting child rights and preventing child abuse. It also considers the promising strategies and promising future directions in enhancing effective prevention, intervention and responses to child abuse and neglect. This volume is essential for a wide range of professionals and researchers from the social sciences, law, medicine, and behavioral sciences. It is also beneficial for policymakers and law enforcement agencies working with children. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Introduction-Child safety, welfare, and well-being: Need of the hour

Globally, public health policy makers are very much concerned about the child's safety from all adversities. In this regard, various policies and programs are taken in different countries following the broad guidelines of the UN Convention on the Rights of the Child (1989) to ensure protection of children and creating a child-friendly environment. Social distancing caused by COVID-19 created additional problems for children across the world. It did not affect children emotionally;it adversely impacted their learning process and created a big division between urban and rural children. Rural children in India were deprived of education in the last 19 months. In this chapter, emphasis is given on discussing the child safety and overall welfare and well-being of children in different social strata in the developing countries like India. Further, the chapter discusses the international efforts for child safety and protection with special emphasis on various initiatives taken by the Government of India. Poor reporting of child abuse and neglect cases is one of the main challenges for improving the situation. Therefore, the chapter also narrates various strategies for encouraging the parents and victim children for reporting incidents of abuse to the appropriate authorities. There is a need to review the legislative measures and programs from time to time which is highlighted in the chapter in addition to discussing the importance of the documentation system. At the end of the chapter, preventive measures and intervention strategies and related challenges are elaborated. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Acute ischemic stroke due to floating thrombus of ascending aorta: An acute and subacute complication of SARS-CoV-2 infection

Objective: To describe ischemic stroke due to floating thrombus of ascending aorta occurring as acute and subacute complication of SARS-CoV-2 infection. Material(s) and Method(s): consecutive identification in clinical practice of ischemic strokes secondary to aortic arch thrombosis and history of acute or recent Covid-19 infection. Result(s): two patients had ischemic stroke with evidence of aortic arch thrombosis. The first case had concomitant acute Covid-19 infection, the second had recent Covid-19 infection. Both patients underwent intravenous thrombolysis, and subsequent anticoagulation. One patient died due to cerebral hemorrhage. Discussion and Conclusion(s): aortic arch thrombosis can be an incidental finding in acute ischemic stroke in patients with concomitant and recent COVID-19 disease. However, the infection may lead to thrombosis in non-atherosclerotic vessels and to cerebral embolism. Our findings support active radiological search for aortic thrombosis during acute stroke in patients with acute or recent COVID-19 disease.Copyright © 2022

Perfil e características da violência contra a pessoa idosa durante a pandemia COVID-19

Objetivo: identificar o perfil sociodemográfico e as características da violência interpessoal contra a pessoa idosa no primeiro ano da pandemia COVID-19 em uma capital da região sudeste do Brasil. Método: pesquisa descritiva, exploratória, com delineamento transversal a partir da análise das notificações de casos suspeitos ou confirmados de violência contra a pessoa idosa, ocorridas entre março de 2020 e março de 2021. Foi realizada a análise estatística univariada e teste exato de Fisher (p<0,05). Resultados: houve 2681 notificações no período. As principais vítimas foram pessoas com idade entre 60 e 64 anos, do sexo feminino, brancas e com baixa escolaridade. As ocorrências tiveram maior frequência nos domicílios. As violências físicas e psicológicas foram as mais comuns, com uso de força física/espancamento e ameaça, respectivamente. O agressor era, em sua maioria, do sexo masculino, mais jovem do que a vítima, geralmente filho ou parceiro íntimo. As agressões ocorreram mais de uma vez e foram motivadas por conflitos geracionais. Houve baixo encaminhamento para órgãos de proteção a pessoa idosa. Conclusão: o perfil sociodemográfico encontrado evidencia vítimas vulneráveis, sujeitas a muitas formas de violência e com potenciais riscos à integralidade de sua saúde.Alternate :Goal:to identify the sociodemographic profile and characteristics of interpersonal violence against the elderly in the first year of the COVID-19 pandemic in a capital city in the southeastern region of Brazil. Method:descriptive, exploratory research, with a cross-sectional design based on the analysis of notifications of suspected or confirmed cases of violence against the elderly, which occurred between March 2020 and March 2021. Univariate statistical analysis and Fisher's exact test (p< 0.05). Results:there were 2681 notifications in the period. The main victims were people aged between 60 and 64, female, white and with low education. Occurrences were more frequent in households. Physical and psychological violence were the most common, with the use of physical force/beating and threat, respectively. The aggressor was mostly male, younger than the victim, usually a child or an intimate partner. The attacks occurred more than once and were motivated by generational conflicts. There was low referral to elderly protection agencies. Conclusion:the sociodemographic profile found shows vulnerable victims, subject to many forms of violence and with potential risks to their health as a whole.

Perfil y características de la violencia contra los adultos mayores durante la pandemia de COVID-19

Objetivo: identificar el perfil sociodemográfico y las características de la violencia interpersonal contra los adultos mayores en el primer año de la pandemia de COVID-19 en una ciudad capital de la región sureste de Brasil. Método: investigación descriptiva, exploratoria con diseño transversal a partir del análisis de las notificaciones de casos sospechosos o confirmados de violencia contra el adulto mayor, ocurridos entre marzo de 2020 y marzo de 2021. Se realizó un análisis estadístico univariado y la prueba exacta de Fisher (p< 0,05). Resultados: hubo 2681 notificaciones en el período. Las principales víctimas fueron personas entre 60 y 64 años, de sexo femenino, blancas y con baja escolaridad. La mayoría de los casos se registró en el hogar. La violencia física y psicológica fueron las más comunes, con uso de fuerza física/golpes y amenaza, respectivamente. El agresor era generalmente del sexo masculino, más joven que la víctima, hijo o pareja. Las agresiones se produjeron más de una vez y fueron motivadas por conflictos generacionales. Hubo baja derivación a organismos de protección de adultos mayores. Conclusión: el perfil sociodemográfico obtenido revela que son víctimas vulnerables, sujetas a múltiples formas de violencia y que la integridad de su salud está en riesgo potencial. Alternate :Objective: to identify the sociodemographic profile and the characteristics of interpersonal violence against older adults in the first year of the COVID-19 pandemic in a capital city of the region southeast of Brazil. Method: descriptive, exploratory research with a cross-sectional design based on the analysis of the notifications of suspected or confirmed cases of violence against the elderly, occurred between March 2020 and March 2021. A univariate statistical analysis and Fisher's exact test (p< 0.05). Results: there were 2681 notifications in the period. The main victims were people between 60 and 64 years old, female, White and with low education. Most of the cases were registered in home. Physical and psychological violence were the most common, with use of physical force/blows and threats, respectively. The aggressor was generally male, younger than the victim, son or couple. The attacks occurred more than once and were motivated by generational conflicts. There was low referral to organizations for the protection of the elderly. Conclusion: the profile obtained sociodemographic reveals that they are vulnerable victims, subject to multiple forms of violence and that the integrity of their health is at potential risk.

The Potential Impact of The COVID-19 Pandemic On Children: The Dimension of Abuse and Neglect

COVID-19 is a novel viral respiratory disease that is transmitted with droplets and physical contact and is identified with high fever and shortness of breath. The disease is defined as pandemic because of the global pandemic affecting the health of individuals, families, and society. In addition to the loss of lives caused by this pandemic, it also continues to have its effects with the social and economic problems it causes. Children have been the group most affected by the social and economic outcomes of the outbreak, which is the case in global outbreaks throughout history. Although children are not directly included in the risk group for this disease, they are affected in four dimensions by the pandemic;impoverishment, education, health and survival, and safety. In this process, problems like poverty, domestic violence, abuse and neglect, fear, stress, anxiety, and mental problems emerged in children. Many factors like the lock-down of schools, home-stay measures, social distance limitations, alcohol consumption, and increased domestic violence also increased the risk of child abuse and neglect in this period, especially due to the pandemic. The purpose of this review was to examine the effects of the COVID-19 pandemic on children in line with the literature data on child abuse and neglect. © 2022, Dokuz Eylul University. All rights reserved.

Entrepreneurs' Behaviors in Politically Unstable Countries: An Entrepreneurial Effectuation Theory Perspective

Political instability is highly prevalent in today's world. This has become especially remarkable following the COVID-19 pandemic. Yet political instability as a context remains markedly underresearched in the management literature, especially in relation to entrepreneurship, a significant contributor to a country's economic activity. This conceptual article refers to four principles of entrepreneurial effectuation theory (the Lemonade principle, the Crazy Quilt principle, the Bird in Hand principle, and the Affordable Loss principle) to offer a typology of entrepreneurs' behaviors in contexts of political instability. This typology draws from and extends the exit–voice–loyalty–neglect (EVLN) framework to the microlevel entrepreneurship literature. Theoretical and practical implications are discussed.

Child Maltreatment and Long-Term Physical and Mental Health Outcomes: An Exploration of Biopsychosocial Determinants and Implications for Prevention.

Child maltreatment rates remain unacceptably high and rates are likely to escalate as COVID-related economic problems continue. A comprehensive and evidence-building approach is needed to prevent, detect and intervene where child maltreatment occurs. This review identifies key challenges in definitions, overviews the latest data on prevalence rates, reviews risk and protective factors, and examines common long-term mental health outcomes for children who experience maltreatment. The review takes a systems approach to child maltreatment outcomes through its focus on the overall burden of disease, gene-environment interactions, neurobiological mechanisms and social ecologies linking maltreatment to mental ill-health. Five recommendations relating to the accurate measurement of trends, research on brain structures and processes, improving the reach and impact of teleservices for detecting, preventing and treating child maladjustment, community-based approaches, and building population-focused multidisciplinary alliances and think tanks are presented.

Understanding the epidemiology and impact of the COVID-19 pandemic on domestic violence and child abuse in Saudi Arabia: A cross-sectional study.

Objectives: The purpose of this paper is to highlight the impact of a pandemic on the lives of vulnerable members of the community who have experienced or are 'at risk' of experiencing intimate family violence and child abuse in Saudi Arabia. By reviewing the experience in Saudi Arabia in the context of the international literature, the study explores similarities and differences in the impact of the pandemic on family violence. Methods: The study investigated the impact of the COVID-19 pandemic on family violence and child abuse in Saudi Arabia by conducting a comparative analysis of the prevalence of cases, types of abuse, and geographical location of those experiencing violence between the years 2019 and 2020. Data were obtained from the Family Violence Reporting Center 1919 in Saudi Arabia. Results: The study found that the risk of family violence and child abuse increased during the COVID-19 pandemic in Saudi Arabia, similar to findings in other countries. Conversely, there was a decrease in the number of reports due to factors associated with COVID-19. Conclusions: The study highlighted the importance of ensuring that existing policies and services are sufficient to ensure the risks arising from the impact of COVID-19 responses and minimize the negative consequences.

History of childhood mistreatment and the psychological health consequences of COVID-19 for older adults.

OBJECTIVES: We examine the associations between childhood mistreatment (emotional abuse, physical abuse, sexual abuse, and emotional neglect) and older adults' changes in depressive symptoms from before to during the COVID-19 pandemic (September 2018-June 2020). METHODS: Using a community-based sample of older adults in North Florida (N = 581), we used ordinary least-squares regression to estimate associations between childhood mistreatments and depressive symptoms in June 2020, controlling for baseline symptoms and demographic characteristics. Additional models tested whether emotion regulation and social support attenuated associations between childhood mistreatments and depressive symptoms. RESULTS: Older adults exposed to emotional neglect in childhood saw a greater increase in depressive symptoms than those who did not experience childhood mistreatment. Those reporting childhood physical abuse had higher baseline depressive symptoms, but they did not increase during the pandemic. These associations remained stable after controlling for emotion regulation and social support, coping resources thought to contribute to linkages between childhood mistreatment and psychological health in adulthood. CONCLUSION: Childhood mistreatment might inform the psychological consequences of major stressors in later life. Thus, early life interventions for children experiencing mistreatment could be especially important for long-term psychological health outcomes and responses to major stressful events. Identifying older people with histories of childhood mistreatment could also help clinicians gauge patients' risk of psychological decline during times such as the COVID-19 pandemic and tailor psychological health interventions.