Literature DB >> 34159498

Correction to: Families in the COVID‑19 pandemic: parental stress, parent mental health and the occurrence of adverse childhood experiences-results of a representative survey in Germany.

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


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Correction to: European Child & Adolescent Psychiatry 10.1007/s00787-021-01739-0

Due to a syntax error, the PHQ4-scores for parent mental health need to be corrected as follows: For the total PHQ scores, the sample mean is M = 2.52 (SD = 2.63), for anxiety M = 1.14 (SD = 1.42) and for depression M = 1.38 (SD = 1.43). Accordingly, n = 134 (13.1%) of the sample scored above the 95th percentile for the total score, n = 149 (14.6%) for anxiety and 178 (17.4%) for depression. These scores are higher than reported in the original manuscript. The conclusions of the paper do not change, as these are still lower than reported in other studies. The comparison with German reference scores is depicted in Fig. 2. The effect sizes of the comparison remain small (depression d = 0.31; anxiety, d = 0.23; total score d = 0.29).
Fig. 2

Comparison 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

Comparison 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 Furthermore, the correlations show minor changes (Table 3). Please find a revised Table 3 below.
Table 3

Correlation between the pandemic-related burden and parental outcomes

23456
1Pandemic-related parental burden0.3520.434− 0.2790.3400.329
2Parental stressa0.423− 0.3360.4060.441
3General stress− 0.4610.5830.571
4Subjective health− 0.444− 0.433
5Anxiety0.707
6Depression

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

Correlation between the pandemic-related burden and parental outcomes 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 Comparisons of the subgroups with an increase in ACES vs. decrease/no change do not change on the main result; effect sizes of the comparisons slightly increase. Please find the revised Figs. 4c and 5c below:
Fig. 4

Comparison 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. 5

Comparison 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

Comparison 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 Comparison 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 Supplementary Materials For the supplementary materials, the revised tables are as follows: Bivariate correlations between the specific areas of pandemic-related stress and the outcomes on parent level 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.

Supplementary Material 4

Group differences in change of ACEs on parent outcomes 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.
Table S3

Bivariate correlations between the specific areas of pandemic-related stress and the outcomes on parent level

Overall burdenChildcare closuresSchool closuresHome-work onlineWork-place closuresWorking from homeMaintain daily structureSocial distancingRestrict. outside activWorries own healthWorries others’ healthRestrict. medical treatmentRestrict. psychoth. treatmentRestrict. child services
PS0.229***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***
GS0.300***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***
ANX0.266***0.0770.227***0.221***0.259***0.215***0.240***0.193***0.172***0.311***0.288***0.256**0.371***0.323***
DEPR0.283***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.

Table S4

Group differences in change of ACEs on parent outcomes

IncreasePandemic-related stressParental stressGeneral stressSubjective healthAnxietyDepression
M (SD)dM (SD)dM (SD)dM (SD)dM (SD)dM (SD)d
WDVno (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)
VEAno (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)
NEAno (n = 37)34.30 (12.99)0.3235.05 (9.25)0.88***6.93 (4.78)0.316.13 (2.24)0.161.48 (1.52)0.321.80 (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)
ENno (n = 94)35.81 (9.90)0.3039.00 (11.60)0.35*6.35 (4.51)0.246.43 (2.22)0.161.57 (1.65)0.121.66 (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)
PAno (n = 40)30.87 (8.19)0.63*44.49 (10.05)1.04***7.47 (3.67)0.465.67 (2.22)0.341.53 (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)
SNno (n = 57)34.79 (9.27)0.45*41.08 (11.23)0.097.35 (4.39)0.306.35 (2.58)0.361.44 (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)
MIno (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)
ASno ( n = 31)37.23 (10.88)0.5943.12 (10.56)0.89*8.15 (4.35)0.456.32 (2.36)0.641.97 (1.88)0.662.29 (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)
SEVno (n = 43)35.49 (10.60)0.4442.58 (11.48)0.64*8.38 (4.07)0.116.18 (2.10)0.481.89 (1.75)0.442.04 (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.

  7 in total

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