Maternal distress and parenting during COVID-19: differential effects related to pre-pandemic distress?

被引:2
作者
Low, Ann [1 ]
Yu, Yue [1 ]
Sim, Lit Wee [1 ]
Bureau, Jean Francois [2 ]
Tan, Ngiap Chuan [3 ,4 ]
Chen, Helen [3 ,5 ]
Yang, Yang [1 ]
Cheon, Bobby [6 ]
Lee, Kerry [7 ]
Bakermans-Kranenburg, Marian [8 ]
Tsotsi, Stella [9 ]
Rifkin-Graboi, Anne [1 ]
机构
[1] Nanyang Technol Univ, Natl Inst Educ, Ctr Res Child Dev, Block 5,Level B3, Singapore 637616, Singapore
[2] Univ Ottawa, Fac Social Sci, Sch Psychol, 136 Jean Jacques Lussier,Vanier Hall,Room 6005, Ottawa, ON K1N 6N5, Canada
[3] Duke Natl Univ Singapore, 8 Coll Rd, Singapore 169857, Singapore
[4] SingHealth Polyclin, Connect One,167 Jalan Bukit Merah,Tower 5,15-10, Singapore 150167, Singapore
[5] KK Women & Childrens Hosp, Dept Psychol Med, 100 Bukit Timah,17 Rd, Singapore 229899, Singapore
[6] Eunice Kennedy Shriver Natl Inst Child Hlth & Huma, NIH, Bethesda, MD USA
[7] Educ Univ Hong Kong, Dept Early Childhood Educ, Tai Po, 10 Lo Ping Rd, Hong Kong, Peoples R China
[8] ISPA Univ Inst Psychol Social & Life Sci, Rua Jardim Tabaco 34, P-1149041 Lisbon, Portugal
[9] Univ Oslo, PROMENTA Res Ctr, Dept Psychol, Postboks 1094 Blindern, N-1094 Oslo, Norway
基金
新加坡国家研究基金会;
关键词
Risk factors; Mental health; Maternal sensitivity; COVID-19; Stress; Adversity; Pre-existing conditions; MENTAL-HEALTH; SENSITIVITY; STRESS; ANXIETY; CHILD; ATTACHMENT; IMPACT; RISK;
D O I
10.1186/s12888-023-04867-w
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
BackgroundDistinguishing whether and how pre-existing characteristics impact maternal responses to adversity is difficult: Does prior well-being decrease the likelihood of encountering stressful experiences? Does it protect against adversity's negative effects? We examine whether the interaction between relatively uniformly experienced adversity (due to COVID-19 experience) and individual variation in pre-existing (i.e., pre-pandemic onset) distress predicted mothers' pandemic levels of distress and insensitive caregiving within a country reporting low COVID-19 death rates, and strict nationwide regulations.MethodFifty-one Singaporean mothers and their preschool-aged children provided data across two waves. Pre- pandemic onset maternal distress (i.e., psychological distress, anxiety, and parenting stress) was captured via self-reports and maternal sensitivity was coded from videos. Measures were repeated after the pandemic's onset along with questionnaires concerning perceived COVID-19 adversity (e.g., COVID-19's impact upon stress caring for children, housework, job demands, etc.) and pandemic-related objective experiences (e.g., income, COVID-19 diagnoses, etc.). Regression analyses (SPSS v28) considered pre-pandemic onset maternal distress, COVID-19 stress, and their interaction upon post-pandemic onset maternal distress. Models were re-run with appropriate covariates (e.g., objective experience) when significant findings were observed. To rule out alternative models, follow up analyses (PROCESS Model) considered whether COVID-19 stress mediated pre- and post-pandemic onset associations. Models involving maternal sensitivity followed a similar data analytic plan.ResultsPre-pandemic maternal distress moderated the association between COVID-19 perceived stress and pandemic levels of maternal distress (beta = 0.22, p < 0.01) but not pandemic assessed maternal sensitivity. Perceived COVID-19 stress significantly contributed to post-pandemic onset maternal distress for mothers with pre-pandemic onset distress scores above (beta = 0.30, p = 0.05), but not below (beta = 0.25, p = 0.24), the median. Objective COVID-19 adversity did not account for findings. Post-hoc analyses did not suggest mediation via COVID-19 stress from pre-pandemic to pandemic maternal distress.ConclusionsPre-existing risk may interact with subsequent perceptions of adversity to impact well-being. In combination with existing research, this small study suggests prevention programs should focus upon managing concurrent mental health and may highlight the importance of enhanced screening and proactive coping programs for people entering high stress fields and/or phases of life.
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页数:15
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[21]   A Nationwide Survey of Psychological Distress among Italian People during the COVID-19 Pandemic: Immediate Psychological Responses and Associated Factors [J].
Mazza, Cristina ;
Ricci, Eleonora ;
Biondi, Silvia ;
Colasanti, Marco ;
Ferracuti, Stefano ;
Napoli, Christian ;
Roma, Paolo .
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2020, 17 (09)
[22]   Unequal in Opportunity, Equal in Process: Parental Sensitivity Promotes Positive Child Development in Ethnic Minority Families [J].
Mesman, Judi ;
van IJzendoorn, Marinus H. ;
Bakermans-Kranenburg, Marian J. .
CHILD DEVELOPMENT PERSPECTIVES, 2012, 6 (03) :239-250
[23]   Prospective Risk Factors for Adolescent PTSD: Sources of Differential Exposure and Differential Vulnerability [J].
Milan, Stephanie ;
Zona, Kate ;
Acker, Jenna ;
Turcios-Cotto, Viana .
JOURNAL OF ABNORMAL CHILD PSYCHOLOGY, 2013, 41 (02) :339-353
[24]  
Ministry of Health Singapore, 2021, COVID 19 SIT REP
[25]  
moh.gov, RISK ASSESSMENT RAIS
[26]   A Little Autonomy Support Goes a Long Way: Daily Autonomy-Supportive Parenting, Child Well-Being, Parental Need Fulfillment, and Change in Child, Family, and Parent Adjustment Across the Adaptation to the COVID-19 Pandemic [J].
Neubauer, Andreas B. ;
Schmidt, Andrea ;
Kramer, Andrea C. ;
Schmiedek, Florian .
CHILD DEVELOPMENT, 2021, 92 (05) :1679-1697
[27]   Heterogeneity in COVID-19 pandemic-induced lifestyle stressors predicts future mental health in adults and children in the US and UK [J].
Nikolaidis, Aki ;
DeRosa, Jacob ;
Kass, Mirelle ;
Droney, Irene ;
Alexander, Lindsay ;
Di Martino, Adriana ;
Bromet, Evelyn ;
Merikangas, Kathleen ;
Milham, Michael Peter ;
Paksarian, Diana .
JOURNAL OF PSYCHIATRIC RESEARCH, 2022, 147 :291-300
[28]   The passage of time during the UK Covid-19 lockdown [J].
Ogden, Ruth S. .
PLOS ONE, 2020, 15 (07)
[29]  
Pederson DR., 2004, PRESCHOOL MATERNAL S
[30]   The Enduring Predictive Significance of Early Maternal Sensitivity: Social and Academic Competence Through Age 32Years [J].
Raby, K. Lee ;
Roisman, Glenn I. ;
Fraley, R. Chris ;
Simpson, Jeffry A. .
CHILD DEVELOPMENT, 2015, 86 (03) :695-708