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1.
African Journal of Nursing and Midwifery ; 24(3), 2022.
Article in English | Web of Science | ID: covidwho-20231215

ABSTRACT

Healthcare workers have been under tremendous psychosocial strain since the advent of the COVID-19 pandemic, particularly those on the frontline such as nurses. This is especially true in low and middle-income countries such as South Africa, where lack of resources and support exacerbate challenges. Five focus group discussions were conducted with frontline nurses at primary, secondary, and tertiary healthcare institutions in Cape Town, South Africa. Participants reported significant stress emanating from all spheres of their life, with the acute stressors of their work having largely adverse consequences on their lives in their homes and communities. A lack of organisational support was evident, with participants highlighting various ways in which the psychosocial strain they were under may be alleviated. Healthcare facilities should investigate both individual and organisational interventions aimed at better supporting their invaluable frontline teams. These include tailored psychological support services, sufficient time for rest, adequate staffing and medical supplies, effective leadership, COVID-19 specific training, and the promotion of teamwork. However, facilities should also extend their concern to the families of staff by reducing potential risk of exposure through a variety of measures including providing transport and voluntary isolation accommodation. Such interventions are important not only for the healthcare workers and their families, but also for the smooth functioning of healthcare institutions as the pandemic draws on into an uncertain future.

2.
Children (Basel) ; 10(4)2023 Mar 29.
Article in English | MEDLINE | ID: covidwho-2305049

ABSTRACT

Although the family stress model theoretically focuses on the roles of both mothers and fathers as predictors of children's outcomes, studies generally have focused on mothers. The pandemic has brought additional burdens to parents' daily functioning, including fathers' involvement in childcare. The current study aimed to examine the contributions of fathers' parenting stress and parenting approaches to their children's behavior problems during the COVID-19 pandemic. Particularly, we examined the indirect effects of parenting stress on children's behavior problems via parenting practices. The participants were 155 fathers (Mage = 36.87, SD = 5.11) and their children (71 girls, 84 boys; Mage = 59.52, SD = 14.98) from Turkish contexts. The fathers reported their parenting stress, approaches, and children's behavioral problems. The results from the path analysis showed that parenting stress predicted children's internalizing and externalizing behaviors. Parenting stress also predicted severe punishment and obedience as parts of the parenting approach. Finally, parenting stress was indirectly related to children's externalizing behaviors via the punishment-based parenting approach of fathers. The findings of the current study highlighted the importance of examining the roles of fathers during the COVID-19 pandemic. Intervention programs targeting reducing fathers' parenting stress and negative parenting approaches would also be beneficial for reducing children's behavioral problems.

3.
Family Relations ; 2023.
Article in English | Scopus | ID: covidwho-2275367

ABSTRACT

Objective: This mixed methods study sought to explore the lived experience of stress for parents of young dependent children during COVID-19 lockdowns in Australia. Background: Public health restrictions implemented during the COVID-19 pandemic disproportionately burdened parents as they balanced novel and competing role demands. Despite growing research on impacts to parent mental health, much less is known about parenting at the experiential level during this period. Method: Data were derived from free-text survey responses collected during 2020 in an Australian population cohort study and analyzed in a mixed methods approach focusing on descriptive phenomenology. Twenty-eight parent accounts of either ‘extreme' or ‘minimal' stress experiences were subject to phenomenological analysis of the individual, interpersonal, and contextual factors associated with each stress category. Results: Three themes defined ‘extreme' stress experiences: inadequacy of resources to cope, perceived lack of control, and compounding stressors. Two themes characterized ‘minimal' stress experiences: feeling well resourced to cope and the absence of significant disruption to everyday life. Conclusion: Findings highlight three targets in particular: compounding stressors, family relationships, and gendered differences in parental stress. Implications: Intervention efforts should focus on better resourcing parents experiencing accumulating stressors through provision of individual and relational support and by addressing the higher burden experienced by mothers compared with fathers across pandemic related lockdowns. © 2023 The Authors. Family Relations published by Wiley Periodicals LLC on behalf of National Council on Family Relations.

4.
Family Journal ; : 1, 2023.
Article in English | Academic Search Complete | ID: covidwho-2271007

ABSTRACT

The rapid transition to virtual learning due to the COVID-19 pandemic created unprecedented challenges that significantly impacted caregivers of young children, particularly those with developmental delays and children from non-English speaking households (Valicenti-McDermott et al., 2022). The current study aims to describe caregivers' concerns regarding the COVID-19 pandemic in general and specific educational concerns following school closures, and to determine whether their concerns varied as a function of whether the child had a developmental delay or the parent's ethnicity. Results revealed that caregivers of children with DD endorsed a greater number of general and education-specific COVID-19 concerns compared to caregivers of TD children, and non-Latinx caregivers of children with DD reported more general COVID-19 concerns compared to Latinx caregivers of children with DD. With respect to education-specific concerns, caregivers of children with DD reported a greater impact from the loss and/or delay of services and reported feeling significantly less capable of conducting educational activities in the home compared to caregivers of TD children. However, almost all caregivers in the study endorsed some level of stress from remote instruction. These findings suggest there is a specific need for attention to caregiver mental health and an examination of long-term educational outcomes resulting from extended school closures during the COVID-19 pandemic. [ABSTRACT FROM AUTHOR] Copyright of Family Journal is the property of Sage 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 abstract 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 abstract. (Copyright applies to all Abstracts.)

5.
RSF: The Russell Sage Foundation Journal of the Social Sciences ; 8(5):24-44, 2022.
Article in English | ProQuest Central | ID: covidwho-2269903

ABSTRACT

Against the backdrop of dramatic changes in work and family life, this article draws on survey data from 2,971 mothers working in the service sector to examine how unpredictable schedules are associated with three dimensions of parenting: difficulty arranging childcare, work-life conflict, and parenting stress. Results demonstrate that on-call shifts, shift timing changes, work hour volatility, and short advance notice of work schedules are positively associated with difficulty arranging childcare and work-life conflict. Mothers working these schedules are more likely to miss work. We consider how family structure and race moderate the relationship between schedule instability and these dimensions of parenting. Unstable work schedules, we argue, have important consequences for mothers working in the service industry.

6.
Dissertation Abstracts International: Section B: The Sciences and Engineering ; 83(12-B):No Pagination Specified, 2022.
Article in English | APA PsycInfo | ID: covidwho-2253437

ABSTRACT

Currently, there is minimal research regarding the impact of the current Covid-19 health crisis on Latinx immigrant families. This study explores overall parenting stress and parenting stress directly related to the current Covid-19 health crisis in Latinx immigrant mothers with children currently receiving mental health services. Additionally, it examines how Immigrant Latinx families are being impacted and their needs during the Covid-19 health crisis. Semi-structured interviews were conducted on twenty Latinx immigrant mothers currently experiencing parenting stress and have children currently receiving mental health services. Participant responses were considered using the Interpretive Phenomenological Analysis method. An analysis showed themes such as overall negative impact of the Covid-19 Pandemic, negative impact on mental/emotional health, and overall need during the Covid-19 Pandemic. The findings showed that Latinx immigrant families currently receiving mental health services experienced an overall negative impact on their lives. The principal findings also demonstrated that Latinx immigrant families' mental/ emotional health was negatively impacted and had significantly experienced higher levels of parenting stress. Findings further revealed a need for basic needs, more mental health support/ professional help, and school support to help address areas of impact in the lives of Latinx immigrant families. Clinical implications include providing culturally sensitive care to Latinx immigrant families and a better sense of how the Covid-19 health crisis affected Latinx families, including their overall experiences and needs related to the pandemic that mental health clinicians are serving. Further research is needed to study the experiences of all immigrant Latinx family members, Latinx immigrant families who only have one parent, Latinx immigrant mothers from various Latin American countries, and Latinx immigrant families with diverse acculturation levels and coping practices. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

7.
Family Relations ; 2023.
Article in English | Scopus | ID: covidwho-2285340

ABSTRACT

Objective: In this study, we examine the impact of the COVID-19 pandemic on parenting during the second year of the pandemic. Background: Many families experienced abrupt and prolonged changes in their daily routines. Due to the influence of long-term stress on parenting quality and parenting behaviors, the current study focused on understanding the potential impact of the ongoing pandemic on parents. Method: Twenty parents (Mage = 38.25, SD = 7.77), living in the United States, with at least one child (newborn to 18 years of age) participated in an online interview. The majority of participants identified as White/European (80%), married (95%), and female (80%), with an undergraduate degree or higher (95%). All participants were fluent in English. Thematic analysis was used to identify themes based on parents' answers to questions about their parenting and family routines during the pandemic. Results: Four themes and three subthemes were produced from the data: experiences as a parent (subthemes included negative experiences, positive experiences, and sources of social support), stressors impacting parenting, concerns for child(ren), and changes in child(ren)'s daily lives. Conclusion: Parents reported experiencing some of the same stressors that were identified at the beginning of the pandemic. The majority had positive and negative experiences parenting, and a few participants reported similarities in their parenting. Many parents utilized their social supports, but some lost social relationships. Finally, potential patterns emerged based on parent gender, household size, and household income. Implications: Supporting healthy child development during stressful periods may involve providing support for parents and assistance managing parental stress. © 2023 National Council on Family Relations.

8.
Clinical Case Studies ; 22(2):192-208, 2023.
Article in English | EMBASE | ID: covidwho-2248177

ABSTRACT

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.

9.
Int J Environ Res Public Health ; 20(5)2023 03 02.
Article in English | MEDLINE | ID: covidwho-2282682

ABSTRACT

As a multidimensional and universal stressor, the COVID-19 pandemic negatively affected the mental health of children, adolescents, and adults worldwide. In particular, families faced numerous restrictions and challenges. From the literature, it is well known that parental mental health problems and child mental health outcomes are associated. Hence, this review aims to summarize the current research on the associations of parental mental health symptoms and child mental health outcomes during the COVID-19 pandemic. We conducted a systematic literature search in Web of Science (all databases) and identified 431 records, of which 83 articles with data of over 80,000 families were included in 38 meta-analyses. A total of 25 meta-analyses resulted in significant small to medium associations between parental mental health symptoms and child mental health outcomes (r = 0.19 to 0.46, p < 0.05). The largest effects were observed for the associations of parenting stress and child mental health outcomes. A dysfunctional parent-child interaction has been identified as a key mechanism for the transmission of mental disorders. Thus, specific parenting interventions are needed to foster healthy parent-child interactions, to promote the mental health of families, and to reduce the negative impacts of the COVID-19 pandemic.


Subject(s)
COVID-19 , Mental Disorders , Mental Health , Adolescent , Adult , Humans , Mental Disorders/epidemiology , Mental Health/statistics & numerical data , Pandemics , Parenting/psychology , Child , Parents/psychology
10.
Curr Psychol ; : 1-12, 2022 Oct 19.
Article in English | MEDLINE | ID: covidwho-2286545

ABSTRACT

The positive predictive effect of children's problem behaviors on parenting stress has been verified to some extent, but research on parents of children with special needs remains insufficient. Moreover, the role of parental personality traits in the relationship between children's problem behaviors and parenting stress, and whether it differs from before the COVID-19 pandemic, remains unclear. Accordingly, in this study, online questionnaires were used to survey parents of children with autism and intellectual disabilities in China - 337 parents before and 604 during the COVID-19 pandemic - to explore the relationship between problem behaviors in the children and parenting stress as well as the moderating effect of parents' personality. The results showed that problem behaviors of children with autism and intellectual disabilities had a positive predictive effect on parenting stress. However, there was no significant difference in this effect before and during the pandemic. In addition, the relationship between children's problem behaviors and parenting stress was moderated by the Agreeableness and Neuroticism of the parents, but only during COVID-19 pandemic. The research results suggest that, during the pandemic when facing problem behaviors of children with autism or intellectual disabilities, positive personality characteristics such as Agreeableness have a protective effect on parenting stress. By contrast, negative personality characteristics such as Neuroticism are risk factors. The study results provide evidence from special groups regarding the role of parents' personalities in the parent - child interaction and the parenting stress models.

11.
Research in Autism Spectrum Disorders ; 101, 2023.
Article in English | EMBASE | ID: covidwho-2241131

ABSTRACT

Background: There is growing interest in parent-delivered interventions (PDI) for children with autism. Treatment fidelity has been associated with child outcomes in PDI but little is known about what impacts fidelity. One factor not previously examined is parents' resolution to the autism diagnosis which involves adjusting expectations about the child and sensitively responding to their cues, strengths and needs. Relatively little is known about resolution in the context of autism but there is evidence of an association between resolution and parent wellbeing. Method: The study adopted a mixed methods approach to examine whether there is an association between PDI fidelity and parent resolution to diagnosis, and whether resolution is associated with parent wellbeing. Parents of 31 preschool children diagnosed with autism who attended up to 12 Parent-delivered Early Start Denver Model (P-ESDM) coaching sessions participated in the study. A thematic analysis of parent interviews was also undertaken to identify themes raised by resolved and unresolved parents in interviews. Results: There was no difference in overall mean fidelity scores between resolved and unresolved parents. Those classified as resolved had lower depression scores and parenting stress scores than parents classified as unresolved. The qualitative analysis revealed that parents' perceptions of their child's progress and their hopes for the future appeared to distinguish resolved and unresolved parents. Conclusions: Findings suggest that parent wellbeing and child progress may predict resolution which was not related to parent treatment fidelity in this study. Parent wellbeing and resolution status should be assessed at entry to PDI.

12.
J Child Fam Stud ; : 1-13, 2022 Nov 12.
Article in English | MEDLINE | ID: covidwho-2239823

ABSTRACT

As part of the "Circuit-breaker" social distancing measure to address COVID-19, the government of Singapore closed schools and workplaces from April to May 2020. Although this helped reduce transmission rates, for working parents, this period had been a challenging experience of working from home while providing care for children full-time. Problems in the work-home interface can have a significant impact on parenting and marital harmony. We analyzed data from 201 married and employed parents in Singapore using online surveys. Latent profile analysis was used to identify profiles of parents' work-family balance (WFB) and spousal and employer support. Linear regression was used to examine links between profiles with parenting stress and marital conflicts. Results indicated three distinct profiles of WFB and social support levels: (a) Strong (43%), (b) Moderate (38%), and (c) Poor (19%). Mothers were more likely than fathers to be in the Moderate and Poor profiles. One key finding is that profiles characterized by poorer WFB were found to be linked with higher parenting stress and increased marital conflicts. There are important variations in parents' abilities to balance work and family and levels of social support received. Lock-downs can affect parenting and marital harmony especially for parents with poor WFB and weak social support. Any attention given to supporting working parents is vital and urgent to counter any problems in the work-family interface during a lockdown.

13.
Child Psychiatry Hum Dev ; 2021 Aug 21.
Article in English | MEDLINE | ID: covidwho-2227799

ABSTRACT

The present study, carried out during the first peak of the COVID-19 outbreak in Italy, aimed at investigating the mental health of mothers and children during the nationwide lockdown. More specifically, the study investigated children's depression and mothers' individual distress and parenting stress, in comparison with normative samples. The mediating effect of mothers' parenting stress on the relationship between mothers' individual distress and children's depression was also explored. Finally, the study analyzed whether children's biological sex and age moderated the structural paths of the proposed model. A sample of 206 Italian mothers and their children completed an online survey. Mothers were administered self-report questionnaires investigating individual distress and parenting stress; children completed a standardized measure of depression. Mothers' individual distress and parenting stress and children's depression were higher than those recorded for the normative samples. Mothers' parenting stress was found to mediate the association between mothers' individual distress and children's depression. With respect to children, neither biological sex nor age emerged as significant moderators of this association, highlighting that the proposed model was robust and invariant. During the current and future pandemics, public health services should support parents-and particularly mothers-in reducing individual distress and parenting stress, as these are associated with children's depression.

14.
Child Abuse Negl ; 138: 106060, 2023 04.
Article in English | MEDLINE | ID: covidwho-2220531

ABSTRACT

BACKGROUND: To date, several studies have shown that parenting stress, a kind of role strain, is related to child maltreatment. However, few studies have examined how the effects of crises, such as negative pandemic-related events on the household, may be related to parenting stress and maltreatment-related behavior. OBJECTIVE: This study examines the impact of negative Covid-related events on parenting stress and parenting behaviors during a period that was likely to have been a peak point of stress for many parents during the Covid-19 pandemic. PARTICIPANTS: Respondents were female caregivers (N = 720) of children under the age of six located in the Midwestern United States. RESULTS: Three or more Covid-related impacts on the household were positively associated with parenting stress (B = 0.177, p < 0.05). Parenting stress fully mediated the weak relationship between these impacts and maltreatment-related behavior. Mothers of different employment statuses, including those who were recently laid off or who chose to stay at home, did not have significantly different probabilities of parenting stress or maltreatment-related behaviors. Contrary to theory, similar null results were found across other socio-demographic variables. CONCLUSIONS: These null findings suggest that crises have effects that encompass family systems, potentially raising parenting stress levels in many groups that are typically considered low-risk for child maltreatment. Results have implications for scholarship on parenting stress, the targeting of social supports to mothers of young children, and rapid interventions to reduce stress, such as the stimulus check relief program.


Subject(s)
COVID-19 , Child Abuse , Child , Humans , Female , Child, Preschool , Male , Parenting , Pandemics , COVID-19/epidemiology , Communicable Disease Control , Mothers
15.
Psychol Rep ; : 332941221149183, 2023 Jan 27.
Article in English | MEDLINE | ID: covidwho-2223953

ABSTRACT

The study examined whether caregiver worry of COVID-19 infection and co-existence difficulty differentially predicted child mental health and wellbeing during the lockdown in two culturally different countries that were severely affected by the pandemic: the UK and Turkey. Co-existence difficulty is the hardship experienced by family members living all together in the same house at the same time during the lockdown period. Participants were 1849 caregivers of children between 5- and 12-years old living in the UK (n = 995) and Turkey (n = 854), who completed an electronic survey distributed via social networks during the initial phase of the COVID-19 lockdown (July and August 2020). Caregivers completed a set of questionnaires on child and family wellbeing and on whether the child's internalizing and externalizing symptoms changed during the lockdown as compared to before. Worry of COVID-19 infection was higher amongst caregivers in the Turkish sample and was associated with higher levels of child internalizing symptoms during the lockdown in the Turkish sample, however there were no statistically significant differences in the size of the impact of worry of infection on the children's internalizing symptoms between the two countries. Co-existence difficulty independently predicted increase in children's internalizing and externalizing symptoms during the lockdown in both samples. Families in the UK experienced a higher level of difficulty with co-existence compared to the families living in Turkey but the magnitude of the impact of co-existence difficulty on children's outcomes between the two samples was not significantly different.The findings suggest that public health strategies should aim to reduce social anxiety and invest in the development of programs aimed at supporting families to overcome the challenges of co-existence during times of public health crisis.

16.
Front Glob Womens Health ; 3: 975683, 2022.
Article in English | MEDLINE | ID: covidwho-2215263

ABSTRACT

Introduction: With the global crisis of COVID-19 continuing, Indian mothers have not received adequate attention with respect to their challenges and mothering experiences. The current study explored mindful parenting practices in a cohort of Indian mothers of children aged 10 years and below that emerged in response to the challenges posed by COVID-19. Methods: In-depth virtual interviews were conducted with 31 urban Indian mothers to explore their lived experiences of mothering during the global crisis and their engagements with mindful parenting practices. The data were thematically analyzed. Results and Discussion: The study identified two overarching themes and nine subthemes. The first theme, pandemic-induced stress, included the sub-themes of increased workload, poor support system, lack of time for self, and emotional and physical distress. The second theme of mindful parenting included the sub-themes of awareness as a mother and around the child, acceptance toward self and the child, empathic understanding of self and the child, active engagement with the child, and emotional regulation. Increased workload on all fronts coupled with poor support and a lack of time for self-contributed to exacerbated emotional and physical stress in mothers. They addressed these concerns posed by their lived experiences by engaging in mindful parenting processes in their mothering practices. Mindfulness-based cognitive therapy, mindfulness-based stress reduction, and mindfulness-based parenting techniques could be explored as possible interventions for mothers to alleviate their distress while drawing attention to larger structural changes and policy-level interventions addressing social issues such as gender inequality and childcare concerns.

17.
Dissertation Abstracts International: Section B: The Sciences and Engineering ; 83(12-B):No Pagination Specified, 2022.
Article in English | APA PsycInfo | ID: covidwho-2101705

ABSTRACT

Currently, there is minimal research regarding the impact of the current Covid-19 health crisis on Latinx immigrant families. This study explores overall parenting stress and parenting stress directly related to the current Covid-19 health crisis in Latinx immigrant mothers with children currently receiving mental health services. Additionally, it examines how Immigrant Latinx families are being impacted and their needs during the Covid-19 health crisis. Semi-structured interviews were conducted on twenty Latinx immigrant mothers currently experiencing parenting stress and have children currently receiving mental health services. Participant responses were considered using the Interpretive Phenomenological Analysis method. An analysis showed themes such as overall negative impact of the Covid-19 Pandemic, negative impact on mental/emotional health, and overall need during the Covid-19 Pandemic. The findings showed that Latinx immigrant families currently receiving mental health services experienced an overall negative impact on their lives. The principal findings also demonstrated that Latinx immigrant families' mental/ emotional health was negatively impacted and had significantly experienced higher levels of parenting stress. Findings further revealed a need for basic needs, more mental health support/ professional help, and school support to help address areas of impact in the lives of Latinx immigrant families. Clinical implications include providing culturally sensitive care to Latinx immigrant families and a better sense of how the Covid-19 health crisis affected Latinx families, including their overall experiences and needs related to the pandemic that mental health clinicians are serving. Further research is needed to study the experiences of all immigrant Latinx family members, Latinx immigrant families who only have one parent, Latinx immigrant mothers from various Latin American countries, and Latinx immigrant families with diverse acculturation levels and coping practices. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

18.
Bali Medical Journal ; 11(3):1189-1194, 2022.
Article in English | Web of Science | ID: covidwho-2100516

ABSTRACT

Introduction: The COVID-19 pandemic creates parenting stress for parents. When parents experience parenting stress, the solution that can be done is to give the gadgets to make children calm at home so they don't interfere with their parents' daily activities. This study aims to analyze the effect of parenting stress on symptoms of gadget addiction in elementary school -aged children.Methods: The research design used the quantitative correlation method. The research was carried out in July -August 2021. The subjects of this study were parents whose children were in elementary school in Surabaya involving 130 respondents who were taken by random sampling technique. Determination of the parenting stress scale and gadget addiction symptoms using the Parental Stress Scale (PSS) and Internet Addiction Test (IAT) questionnaires. Data analysis used a simple linear regression test with a significance value of p <0.05.Result: The results of the analysis show that parental stress has an effect on symptoms of gadget addiction in elementary school-aged children (F=6,821, sig.=0,000, R2= 0,554) with the regression equation Y=-17,198 + 1,360 X.Conclusion: The higher the stress level of parenting, the higher the symptoms of gadget addiction in elementary school-age children. The need to overcome the stress of parenting to prevent early symptoms of gadget addiction in children. Family and professional support is needed to overcome the stress of parenting and how to prevent gadget addiction in elementary school-aged children.

19.
Children & Youth Services Review ; 142:N.PAG-N.PAG, 2022.
Article in English | Academic Search Complete | ID: covidwho-2060989

ABSTRACT

• A parenting program established in a developed country could be transferred to a developing country with minimal adaptation, despite minimum resources and engagement barriers. • With some modifications, it is still feasible to deliver a group-based parenting program during a pandemic period. • A modified version of School Age BASIC Incredible Years parenting program was effective in improving both children and parental outcomes among children with clinical levels of behavioral problems. Although parenting programs have been supported as an effective family-based intervention for children's behavioral problems, they are underutilized in developing countries. This randomized controlled study aims to determine the effectiveness of the Incredible Years parenting program (IYPP) in improving behavioral problems in children, parenting stress, and parental mental health. Seventy mother–child dyads from three tertiary hospitals in Malaysia were divided into the IYPP and waitlist control groups. Weekly parent training sessions were adjusted during the pandemic period. Child's total difficulty scores of the Strength and Difficulty Questionnaire (SDQ-TDS), Parental Stress Scale (PSS) scores, and parental DASS-21 scores were measured at pre- and post-intervention, and follow-up, and analyzed using generalized estimating equation (GEE). Compared to the control group at baseline, the intervention group showed a 4.2- and a 3.5-point significantly lower SDQ-TDS at 2 weeks post-intervention and 3 months follow-up, respectively (B = -4.20, 95 % CI: −6.68, −1.72, p = 0.001;B = -3.51, 95 % CI:-6.37, −0.66, p = 0.016), a 5.0-point significantly lower PSS at 3 months follow-up (B = -5.03, 95 % CI: −9.16, −0.90, p = 0.017), and a 4.1-point significantly lower general stress scores at 2 weeks post-intervention (B = -4.06, 95 % CI: −7.20, −0.92, p = 0.011). Effect sizes were small (d s = 0.28–0.40). There was no significant intervention effect on maternal anxiety and depression scores. The modified parenting program was effective in improving children's behavior, parenting stress, and general stress among mothers of children aged 6–12 years presented with borderline and abnormal levels of behavioral problems, with sustained effects demonstrated for child behavior. However, the interpretation of these findings requires careful consideration of potential pandemic-instigated challenges and implications. [ FROM AUTHOR] Copyright of Children & Youth Services Review is the property of Pergamon Press - An Imprint of Elsevier Science 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.)

20.
Matern Child Health J ; 26(11): 2308-2317, 2022 Nov.
Article in English | MEDLINE | ID: covidwho-2041303

ABSTRACT

OBJECTIVES: The COVID-19 pandemic resulted in a particularly adverse and stressful environment for expecting mothers, possibly enhancing feelings of anxiety and parenting stress. The present work assesses mothers' anxiety levels at delivery and parenting stress after 3 months as moderated by home-visiting sessions. METHODS: Women (n = 177) in their second or third trimester of pregnancy during the COVID-19 lockdown were enrolled in northern Italy and split into those who did and did not receive home visits. After 3 months, the association between anxiety at delivery and parenting stress was assessed with bivariate correlations in the whole sample and comparing the two groups. RESULTS: Higher anxiety at birth correlated with greater perceived stress after 3 months. Mothers who received at least one home-visiting session reported lower parenting stress at 3 months than counterparts who did not receive home visits. CONCLUSIONS FOR PRACTICE: The perinatal period is a sensitive time window for mother-infant health, especially during a critical time like the COVID-19 pandemic. We suggest that home-visiting programs could be beneficial during global healthcare emergencies to promote maternal well-being after delivery.


Subject(s)
COVID-19 , Child Abuse , Infant , Infant, Newborn , Child , Pregnancy , Female , Humans , House Calls , Parenting , COVID-19/epidemiology , Pandemics/prevention & control , Communicable Disease Control , Mothers , Anxiety/epidemiology , Postpartum Period
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