| Literature DB >> 34159498 |
Babette Renneberg1, Sibylle M Winter2, Claudia Calvano3, Lara Engelke1, Jessica Di Bella2, Jana Kindermann2.
Abstract
Entities:
Year: 2021 PMID: 34159498 PMCID: PMC8219179 DOI: 10.1007/s00787-021-01816-4
Source DB: PubMed Journal: Eur Child Adolesc Psychiatry ISSN: 1018-8827 Impact factor: 4.785
Fig. 2Comparison of PHQ-4 scores for depression, anxiety, and total score in our sample and in German normative data [21]. All between group differences were significant at p < 0.001
Correlation between the pandemic-related burden and parental outcomes
| 2 | 3 | 4 | 5 | 6 | ||
|---|---|---|---|---|---|---|
| 1 | Pandemic-related parental burden | 0.352 | 0.434 | − 0.279 | 0.340 | 0.329 |
| 2 | Parental stressa | 0.423 | − 0.336 | 0.406 | 0.441 | |
| 3 | General stress | − 0.461 | 0.583 | 0.571 | ||
| 4 | Subjective health | − 0.444 | − 0.433 | |||
| 5 | Anxiety | 0.707 | ||||
| 6 | Depression | – |
aParental stress at time of the highest burden; for the subjective health rating, higher scores indicate better health, for the other outcomes, higher scores indicate higher burden, stress and symptoms. All correlations are significant with p < 0.001
Fig. 4Comparison of outcome measures in cases where frequency of witnessing domestic violence increased vs. decreased/did not change during the pandemic for a pandemic-related stress and parental stress, b general stress and subjective health, and c anxiety and depression. Cohen’s d for effect size (d = 0.20: small, d = 0.50: medium, d = 0.80 large); *p < 0.05, **p < 0.01, ***p < 0.001
Fig. 5Comparison of outcome measures in cases where frequency of verbal emotional abuse increased vs. decreased/did not change during the pandemic for a pandemic-related stress and parental stress, b general stress and subjective health, and c anxiety and depression. Cohen’s d for effect size (d = 0.20: small, d = 0.50: medium, d = 0.80: large); *p < 0.05, **p < 0.01, ***p < 0.001
Bivariate correlations between the specific areas of pandemic-related stress and the outcomes on parent level
| Overall burden | Childcare closures | School closures | Home-work online | Work-place closures | Working from home | Maintain daily structure | Social distancing | Restrict. outside activ | Worries own health | Worries others’ health | Restrict. medical treatment | Restrict. psychoth. treatment | Restrict. child services | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PS | 0.229*** | 0.235*** | 0.284*** | 0.338*** | 0.138* | 0.251*** | 0.314*** | 0.104** | 0.153*** | 0.162*** | 0.090** | 0.177*** | 0.289*** | 0.393*** |
| GS | 0.300*** | 0.089* | 0.290*** | 0.317*** | 0.261*** | 0.292*** | 0.362*** | 0.247*** | 232*** | 0.323*** | 0.299*** | 0.297*** | 0.339*** | 0.298*** |
| SH | -0.137*** | 0.002 | -0.150*** | -0.191*** | -0.102 | -0.199*** | -0.153*** | -0.077* | -0.097** | -0.293*** | -0.201*** | -0.236*** | -0.273*** | -0.265*** |
| ANX | 0.266*** | 0.077 | 0.227*** | 0.221*** | 0.259*** | 0.215*** | 0.240*** | 0.193*** | 0.172*** | 0.311*** | 0.288*** | 0.256** | 0.371*** | 0.323*** |
| DEPR | 0.283*** | 0.119** | 0.208*** | 0.244*** | 0.175* | 0.228** | 0.303*** | 0.222*** | 0.226*** | 0.236*** | 0.238*** | 0.228*** | 0.317*** | 0.236*** |
Notes. PS = Parental stress; GS = general stress; SH = subjective health rating; ANX = anxiety; DEPR = Depression; for the subjective health rating, higher scores indicate better health, for the other outcomes, higher scores indicate higher burden, stress and symptoms; all parental outcomes with respect to the time of the subjectively highest burden; *p < 0.05. **p < 0.01. ***p < 0.001.
Group differences in change of ACEs on parent outcomes
| Increase | Pandemic-related stress | Parental stress | General stress | Subjective health | Anxiety | Depression | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| M (SD) | d | M (SD) | d | M (SD) | d | M (SD) | d | M (SD) | d | M (SD) | d | ||
| WDV | no (n = 236) | 31.98 (9.12) | 0.46*** | 37.64 (9.35) | 0.72*** | 6.33 (4.29) | 0.66*** | 6.59 (2.13) | 0.50*** | 1.38 (1.45) | 0.53*** | 1.61 (1.47) | 0.55*** |
| yes (n = 97) | 36.41 (10.65) | 44.51 (10.03) | 9.03 (3.62) | 5.53 (2.14) | 2.19 (1.74) | 2.44 (1.57) | |||||||
| VEA | no (n = 192) | 31.16 (9.79) | 0.45*** | 37.22 (9.03) | 0.88*** | 5.46 (3.91) | 0.54*** | 6.76 (2.03) | 0.35** | 1.24 (1.45) | 0.36** | 1.40 (1.42) | 0.55*** |
| yes (n = 140) | 35.69 (10.48) | 45.22 (9.12) | 7.66 (4.23) | 5.99 (2.43) | 1.79 (1.68) | 2.22 (1.61) | |||||||
| NEA | no (n = 37) | 34.30 (12.99) | 0.32 | 35.05 (9.25) | 0.88*** | 6.93 (4.78) | 0.31 | 6.13 (2.24) | 0.16 | 1.48 (1.52) | 0.32 | 1.80 (1.29) | 0.29 |
| yes (n = 45) | 37.91 (9.45) | 45.17 (11.12) | 8.26 (3.98) | 5.74 (2.53) | 1.98 (1.60) | 2.21 (1.51) | |||||||
| EN | no (n = 94) | 35.81 (9.90) | 0.30 | 39.00 (11.60) | 0.35* | 6.35 (4.51) | 0.24 | 6.43 (2.22) | 0.16 | 1.57 (1.65) | 0.12 | 1.66 (1.56) | 0.27 |
| yes (n = 65) | 39.14 (12.47) | 43.26 (12.88) | 7.46 (4.93) | 6.04 (2.70) | 1.77 (1.87) | 2.10 (1.74) | |||||||
| PA | no (n = 40) | 30.87 (8.19) | 0.63* | 44.49 (10.05) | 1.04*** | 7.47 (3.67) | 0.46 | 5.67 (2.22) | 0.34 | 1.53 (1.34) | 0.80* | 2.11 (1.34) | 0.68* |
| yes(n = 17) | 37.00 (12.68) | 54.21 (7.44) | 9.42 (5.41) | 4.89 (2.40) | 2.63 (1.46) | 3.05 (1.47) | |||||||
| SN | no (n = 57) | 34.79 (9.27) | 0.45* | 41.08 (11.23) | 0.09 | 7.35 (4.39) | 0.30 | 6.35 (2.58) | 0.36 | 1.44 (1.43) | 0.40* | 1.91 (1.44) | 0.23 |
| yes (n = 39) | 39.14 (10.13) | 42.00 (9.08) | 8.81 (5.39) | 5.45 (2.30) | 2.09 (1.87) | 2.27 (1.76) | |||||||
| MI | no (n = 101) | 31.91 (8.95) | 0.81*** | 38.52 (9.64) | 1.04*** | 7.79 (3.96) | 0.65*** | 5.79 (2.21) | 0.61** | 1.71 (1.53) | 0.96*** | 2.03 (1.36) | 0.87*** |
| yes (n = 41) | 39.78 (11.33) | 47.67 (10.06) | 10.35 (3.82) | 4.37 (2.57) | 3.23 (1.69) | 3.30 (1.71) | |||||||
| AS | no ( n = 31) | 37.23 (10.88) | 0.59 | 43.12 (10.56) | 0.89* | 8.15 (4.35) | 0.45 | 6.32 (2.36) | 0.64 | 1.97 (1.88) | 0.66 | 2.29 (1.85) | 0.16 |
| yes (n = 6) | 31.00 (7.96) | 52.86 (13.33) | 10.00 (2.45) | 4.86 (1.68) | 3.14 (0.90) | 2.57 (1.13) | |||||||
| SEV | no (n = 43) | 35.49 (10.60) | 0.44 | 42.58 (11.48) | 0.64* | 8.38 (4.07) | 0.11 | 6.18 (2.10) | 0.48 | 1.89 (1.75) | 0.44 | 2.04 (1.62) | 0.31 |
| yes n = (23) | 40. 35 (11.85) | 49.54 (9.80) | 8.85 (4.99) | 5.08 (2.67) | 2.65 (1.72) | 2.54 (1.61) | |||||||
Notes. WDV = witnessing domestic violence, VEA = verbal emotional abuse, NEA = nonverbal emotional abuse, EN = emotional neglect, PA = physical abuse, SN = supervisory neglect, MI = mental illness in the household, AS = alcohol or substance abuse in the household; SEV = severe forms of ACEs like maltreatment, neglect, violence; d = Cohen’s d for effect size (d = 0.2 small, d = 0.5 medium, d = 0.08 large); * p < 0.05, ** p < 0.01, *** p = 0.001.