| Literature DB >> 35942046 |
Abigail Fiske1, Gaia Scerif1, Karla Holmboe1,2.
Abstract
The COVID-19 pandemic is an unexpected and major global event, with the potential to have many and varied impacts on child development. However, the implications of the pandemic for maternal depressive symptoms, early childhood temperament dimensions, and their associations, remain largely unknown. To investigate this, questionnaires were completed by mothers (N = 175) before and during the pandemic when their child was 10- and 16-months old (Study 1), and by an extended group of mothers with young children (6-48 months; 66 additional mothers) during the first and second national lockdowns in the United Kingdom in 2020 (Study 2). Results indicated that while maternal pandemic-related stress decreased over the first 6 months of the pandemic, there was an increase in mothers who reported feeling some level of pandemic-specific depression. Despite this, we did not observe an increase in the severity of global maternal depressive symptoms, or any negative impact of the pandemic on the development of temperament in infancy and early childhood.Entities:
Keywords: COVID‐19 pandemic; infants; maternal depressive symptoms; temperament; young children
Year: 2022 PMID: 35942046 PMCID: PMC9349650 DOI: 10.1002/icd.2354
Source DB: PubMed Journal: Infant Child Dev ISSN: 1522-7219
FIGURE 1Timeline of data collection. Calendar years have been divided into quarters (e.g., Q1 which refers to the first quarter of the year; January–March) and are plotted on the x‐axis. Individual data points in Study 1 were collected at different points in time over the course of a year, but children were all the same age when data were collected (10‐ and 16‐months). Study 2 data were collected in response to the COVID‐19 pandemic. This data were collected at the same points in time (first and second national lockdowns) and so the age of children at each data collection point varied. T1 refers to Time 1 which took place during the first national lockdown in April 2020, and T2 refers to Time 2 which took place during the second national lockdown in November 2020
Questionnaire response rate by assessment point
| Time 1: 10‐months | Time 2: 16‐months | |
|---|---|---|
|
| 181 | 168 |
|
| 156 | 129 |
| Complete response rate | 86.2% | 73.3% |
|
| 17 | 15 |
| Total | 173 | 144 |
| Total response rate (partial or complete) | 95.6% | 85.7% |
Note: Partial Responses refer to the receipt of questionnaire packs in which some, but not all questionnaires had been completed. Further information regarding the reasons why questionnaires were not sent to some participants at each assessment point are detailed in Supporting Information 2.1.
Participant sub‐samples
| Sub‐sample | Total | Details |
|---|---|---|
| Pre‐pandemic | 84 | All data collected before the pandemic. This sub‐sample acts as a control group for which changes in MDS and infant temperament from 10‐months to 16‐months can be assessed in the absence of a pandemic |
| Pre‐ to during pandemic | 70 | Provided 10‐month data |
| During pandemic | 21 | Contributed both 10‐ and 16‐month data |
Note: The full sample of participants (N = 175) were divided into three sub‐samples based on whether their data were collected entirely before the pandemic, in part before and in part during the pandemic or entirely during the pandemic.
Descriptive statistics for ratings of maternal depressive symptoms and infant temperament
|
| Maternal depressive symptoms |
| Negative affect | Effortful control | |
|---|---|---|---|---|---|
| Pre‐pandemic | |||||
| Time 1: 10‐months | 72 | 10.64 (9.31) | 78 | 4.22 (0.95) | 4.70 (0.69) |
| Time 2: 16‐months | 62 | 9.90 (10.12) | 71 | 4.28 (0.75) | 5.01 (0.64) |
| Pre‐ to during pandemic | |||||
| Time 1: 10‐months | 81 | 9.54 (9.00) | 89 | 4.13 (0.88) | 4.84 (0.67) |
| Time 2: 16‐months | 61 | 8.57 (8.77) | 67 | 4.12 (0.84) | 5.16 (0.60) |
Note: Data in table represent mean, brackets contain standard deviation. N represents the number of questionnaire responses that contribute to each statistic.
Longitudinal and within‐age associations between ratings of MDS and infant temperament from 10‐ to 16‐months of age
| 10‐month MDS | 10‐month NA | 10‐month EC | 16‐month MDS | 16‐month NA | 16‐month EC | |
|---|---|---|---|---|---|---|
| 10‐month Maternal Depressive Symptoms (MDS) | – |
0.353 [0.183, 0.527]
|
−0.046, [−0.227, 0.121]
|
0.861 [0.661, 0.948]
|
−0.001 [−0.202, 0.224]
|
0.129 [−0.148, 0.328]
|
| 10‐month Negative Affect (NA) |
0.170 [−0.037, 0.345]
| – |
0.213 [0.015, 0.397]
|
0.338 [0.109, 0.549]
| ||
| 10‐month Effortful Control (EC) |
−0.216 [−0.375, −0.065]
| – |
−0.132 [−0.323, 0.049]
|
0.633 [0.469, 0.766]
| ||
| 16‐month Maternal Depressive Symptoms (MDS) |
0.872 [0.734, 0.937]
|
−0.041 [−285, 193]
|
−0.244 [−0.452, −0.069]
| – |
−0.133 [−0.359, 0.101]
|
−0.012 [−0.332, 0.248]
|
| 16‐month Negative Affect (NA) |
0.094 [−0.160, 0.363]
|
0.376 [0.170, 0.558]
|
−0.133 [−0.385, 0.192]
| – | ||
| 16‐month Effortful Control (EC) |
−0.151 [−0.345, 0.064]
|
0.506 [0.250, 0.685]
|
−0.080 [−0.279, 0.136]
| – |
Note: Correlations for the pre‐pandemic group are to the left of and below the diagonal (shaded), the pre‐to‐during group are to the right of and above the diagonal (not shaded). Cells show the correlation coefficient, 95% confidence intervals in square brackets and N in italics. Blank cells indicate correlations that were not run. Note that pairwise deletion was used such that only participants who contributed data to both variables in the correlation pair were included in analyses.
Remained significant following the procedure for controlling the false discovery rate.
p < 0.05;
p < 0.01;
p < 0.001.
Model 1: Type III fixed effects and estimated marginal means
| MDS | Negative affect | Effortful control | |
|---|---|---|---|
| Assessment point |
|
|
|
| Sub‐sample |
|
|
|
| Assessment point × Sub‐sample |
|
|
|
| Assessment point | |||
| 10‐months | 10.03 (0.719) | 4.18 (0.070) | 4.77 (0.053) |
| 16‐months | 9.40 (0.763) | 4.22 (0.066) | 5.08 (0.051) |
| Mean difference | 0.694 (0.444) | 0.037 (0.080) | 0.306 (0.050) |
| Sub‐sample | |||
| Pre‐pandemic | 10.44 (1.02) | 4.27 (0.079) | 4.86 (0.065) |
| Pre‐ to during pandemic | 8.93 (0.981) | 4.13 (0.077) | 4.99 (0.063) |
| Mean difference | 1.514 (1.42) | 0.137 (0.111) | 0.132 (0.090) |
Note: Mean (standard error) are reported. Note that maximum likelihood estimation was used to account for missing data, so all participants who contributed at least some data at either assessment point were included in these analyses.
Bold text indicates significant effects (p < .05).
Model 2 (MDS as fixed covariate): Estimated marginal means and type III fixed effects
| Negative affect | Effortful control | |
|---|---|---|
| Assessment point |
|
|
| MDS |
|
|
| Assessment point × MDS |
|
|
| Sub‐sample |
|
|
| Assessment point × Sub‐sample |
|
|
| Sub‐sample × MDS |
|
|
| Assessment point × Sub‐sample × MDS |
|
|
| Assessment point | ||
| 10‐months | 4.15 (0.071) | 4.76 (0.053) |
| 16‐months | 4.21 (0.070) | 5.04 (0.053) |
| Mean difference | 0.060 (0.084) | 0.283 (0.054) |
| Sub‐sample | ||
| Pre‐pandemic | 4.24 (0.081) | 4.84 (0.066) |
| Pre‐ to during pandemic | 4.11 (0.079) | 4.97 (0.064) |
| Mean difference | 0.128 (0.113) | 0.135 (0.091) |
Note: Mean (standard error) are reported. MDS covariate is entered into the model as 9.6957. Note that maximum likelihood estimation was used to account for missing data in this model, so all participants who contributed at least some data at either assessment point were included in these analyses.
Bold text indicates significant effects (p < .05).
Model 3 (effortful control; length of pandemic exposure as fixed covariate): Estimated marginal means and type III fixed effects
| Assessment point |
|
| Sub‐sample |
|
| Assessment point × Sub‐sample |
|
| Pandemic exposure |
|
| Assessment point × Pandemic exposure |
|
| Assessment point | |
| 10‐months | 4.77 (0.062) |
| 16‐months | 5.08 (0.056) |
| Mean difference | 0.304 (0.056) |
| Sub‐sample | |
| Pre‐pandemic | 4.95 (0.092) |
| Pre‐ to during pandemic | 4.90 (0.118) |
| Mean difference | 0.050 (0.184) |
Note: Mean (standard error) are reported. The length of pandemic exposure (days) covariate is entered into the model as 41.2283. Note that maximum likelihood estimation was used to account for missing data in this model, so all participants who contributed at least some data at either assessment point were included in these analyses.
Bold text indicates significant effects (p < .05).
Questionnaire response rate by assessment point
| Time 1: April 2020 | Time 2: November 2020 | |
|---|---|---|
|
| 286 | 281 |
|
| 203 | 175 |
| Complete response rate | 72.4% | 62.3% |
|
| 14 | 0 |
| Total | 217 | 175 |
| Total response rate (partial or complete) | 75.9% | 62.3% |
Note: Partial Responses refer to the receipt of questionnaire packs in which some, but not all questionnaires had been completed. Further information regarding the reasons why questionnaires were not sent to some participants at each assessment point are detailed in Supporting Information 2.1.
Longitudinal and concurrent associations between MDS and COVID‐19 stress
| April COVID‐19 stress | April MDS | November COVID‐19 stress | November MDS | |
|---|---|---|---|---|
| April COVID‐19 stress | – | |||
| April MDS |
0.505 [0.373, 0.612]
| – | ||
| November COVID‐19 Stress |
0.612 [0.515, 0.710]
|
366 [0.241, 0.495]
| – | |
| November MDS |
0.377 [0.233, 0.507]
|
0.750 [0.624, 0.845]
|
0.446 [0.316, 0.569]
| – |
Note: MDS was measured using the BDI‐II. COVID‐19 Stress refers to scores on the COVID‐19 Stress scale (see Table 9 in Section 3.2). Cells show the correlation coefficient, 95% confidence intervals are reported in square brackets, and N in italics. Note that pairwise deletion was used such that only participants who contributed data to both variables in the correlation pair were included in analyses. All associations remained significant when controlling the false discovery rate.
p < 0.001.
Items in the COVID‐19 stress scale
| Question | Rating |
|---|---|
| How worried are you feeling about the COVID‐19 pandemic? | |
| How low/depressed are you feeling about the COVID‐19 pandemic? | |
| How stressed are you feeling about the COVID‐19 pandemic? | |
| Have your feelings of anxiety increased due to the COVID‐19 pandemic? | 0—I am not feeling… A ittle Somewhat Very Extremely |
| How worried are you feeling about your own physical health in the current situation? | |
| How worried are you feeling about your own mental health in the current situation? | |
| How worried are you feeling about a loved one's (family or close friend) physical health in the current situation? | |
| How worried are you feeling about a loved one's (family or close friend) mental health in the current situation? | |
| How much do you think about the negative outcomes/impact of the COVID‐19 pandemic on people's lives? | 0—I do not think about… Occasionally Some of the time Most of the time Constantly |
| How badly do you think that you will be affected by the global effects of the COVID‐19 pandemic (e.g., reduced capacity of health care systems and global financial issues)? | 0—Not at all affected Mildly affected Somewhat affected Moderately affected Severely affected |
Information on COVID‐19 pandemic data collection waves
| Time 1: First national lockdown (April 2020) | Time 2: Second national lockdown (November 2020) | |
|---|---|---|
| Child's age when questionnaire sent | 6–41 months | 13–48 months |
| Child's sex | 149 male, 137 female | 149 male, 132 female |
| Data collection window | 9th April–29th May 2020 | 23rd November 2020–11th January 2021 |
| Data collection: | 51 days | 50 days |
|
| 286 (153 male children) | 281 (149 male children) |
| Complete responses | 217 (111 male children) | 175 (85 male children) |
| Partial responses | 14 (4 male children) | 0 |
| Total response rate | 75.9% (of 286 sent) | 62.3% (of 281 sent) |
FIGURE 2Maternal pandemic‐related worry, stress, depression and anxiety during the 2020 UK National Lockdowns. Each graph represents the score on a single item in the COVID‐19 Stress scale at both assessment points
Descriptive statistics for ratings of temperament by questionnaire
|
| IBQ‐R‐VSF |
| ECBQ‐VSF |
| IBQ‐R‐VSF (time 1) and ECBQ‐VSF (time 2) | |
|---|---|---|---|---|---|---|
| Age of child (months) | ||||||
| Time 1: April | 21 | 8.95 (1.75) | 119 | 25.75 (6.95) | 71 | 14.31 (2.09) |
| Time 2: November | 17 | 16.24 (1.72) | 96 | 31.94 (6.19) | 60 | 21.82 (2.03) |
| Surgency | ||||||
| Time 1: April | – | – | 119 | 5.23 (0.57) | 71 | – |
| Time 2: November | – | – | 96 | 5.32 (0.62) | 60 | 5.23 (0.62) |
| Negative affect | ||||||
| Time 1: April | 21 | 3.99 (0.82) | 119 | 2.72 (0.71) | 71 | 4.03 (0.93) |
| Time 2: November | 17 | 3.98 (0.70) | 96 | 2.76 (0.63) | 60 | 2.85 (0.62) |
| Effortful control | ||||||
| Time 1: April | 21 | 4.78 (0.61) | 119 | 4.55 (0.68) | 71 | 5.12 (0.62) |
| Time 2: November | 17 | 4.89 (0.68) | 96 | 4.80 (0.61) | 60 | 4.48 (0.72) |
Note: Data in table represent the mean (standard deviation). For the group that completed a different questionnaire at each assessment point, the temperament means are not comparable across assessment points due to the change in scale.
Abbreviations: ECBQ‐VSF, Early Childhood Behaviour Questionnaire—Very Short Form; IBQ‐R‐VSF, Infant Behaviour Questionnaire—Revised, Very Short Form.
Data pertaining to the Surgency scale of the IBQ‐R‐VSF are not reported here due to the poor internal consistency of this scale; see Supporting Information 10 for these results.
Longitudinal and concurrent associations between ratings of MDS and child temperament from time 1 (April 2020) to time 2 (November 2020)
| April MDS | April Surgency | April NA | April EC | Nov MDS | Nov Surgency | Nov NA | Nov EC | |
|---|---|---|---|---|---|---|---|---|
| April: MDS | – | |||||||
| April: Surgency |
[0.003, 0.362)
|
| ||||||
| April: Negative Affect (NA) |
[−0.073, 0.312]
| – | ||||||
| April: Effortful Control (EC) |
[−0.359, −0.015]
| – | ||||||
| November MDS |
0.768 [0.650, 0.844]
|
[0.039, 0.411]
|
[0.025, 0.430]
|
[−0.444, −0.062]
| – | |||
| November Surgency |
[−0.094, 0.232]
|
[0.372, 0.679]
|
[−0.164, 0.170]
|
| ||||
| November NA |
[−0.111, 0.222]
|
[0.502, 0.742]
|
[−0.025, 0.315]
| – | ||||
| November EC |
[−0.331, −0.047]
|
[0.448, 0.735]
|
[−0.374, −0.075]
| – |
Note: Cells show the correlation coefficient, 95% confidence intervals in square brackets, and N in italics. Blank cells indicate correlations that were not run. Underlined coefficients are partial correlations controlling for age (days) in April 2020. Note that pairwise deletion was used such that only participants who contributed data to both variables in the correlation pair were included in analyses. Temperament data are from participants who completed the ECBQ‐VSF at both assessment points.
Remained significant following the procedure for controlling the false discovery rate.
p < 0.05;
p < 0.01;
p < 0.001.
Model 1: Type III fixed effects and estimated marginal means
| MDS | Surgency | Negative affect | Effortful control | |
|---|---|---|---|---|
| Assessment point |
|
|
|
|
| Age | – |
|
|
|
| Assessment point × Age | – |
|
|
|
| April estimated marginal mean | 9.45 (0.571) | 5.24 (0.052) | 2.72 (0.063) | 4.54 (0.062) |
| November estimated marginal mean | 9.87 (0.611) | 5.31 (0.063) | 2.79 (0.066) | 4.81 (0.062) |
| Mean difference | 0.418 (0.461) | 0.070 (0.058) | 0.068 (0.057) | 0.275 (0.059) |
Note: Mean (standard error) are reported. Temperament data in table are only from the ECBQ‐VSF. Covariates entered into the temperament models: Age (days) = 786.86. Note that maximum likelihood estimation was used to account for missing data in this model, so all participants who contributed at least some data at either assessment point were included in these analyses.
Bold text indicates significant effects (p < .05).
Model 2: Type III fixed effects and estimated marginal means
| Surgency | Negative affect | Effortful control | |
|---|---|---|---|
| Assessment point |
|
|
|
| MDS |
|
|
|
| Age |
|
|
|
| Assessment point × MDS |
|
|
|
| Assessment point × Age |
|
|
|
| MDS × Age |
|
|
|
| Assessment point × MDS × Age |
|
|
|
| April estimated marginal mean | 5.23 (0.051) | 2.71 (0.062) | 4.53 (0.062) |
| November estimated marginal mean | 5.30 (0.064) | 2.79 (0.065) | 4.81 (0.060) |
| Mean difference | 0.071 (0.059) | 0.079 (0.057) | 0.278 (0.059) |
Note: Mean (standard error) are reported for each of the estimated marginal means. Data in table are only from the ECBQ‐VSF. Covariates entered into the model: MDS = 9.71, Age (days) = 783.21. Note that maximum likelihood estimation was used to account for missing data in this model, so all participants who contributed at least some data at either assessment point were included in these analyses.
Bold text indicates significant effects (p < .05).
Model 3: Type III fixed effects and estimated marginal means
| Surgency | Negative affect | Effortful control | |
|---|---|---|---|
| Assessment point |
|
|
|
| COVID‐19 stress |
|
|
|
| Age |
|
|
|
| Assessment point × COVID‐19 stress |
|
|
|
| Assessment point × Age |
|
|
|
| COVID‐19 stress × Age |
|
|
|
| Assessment point × COVID‐19 stress × Age |
|
|
|
| April estimated marginal mean | 5.21 (0.052) | 2.69 (0.065) | 4.53 (0.062) |
| November estimated marginal mean | 5.32 (0.063) | 2.78 (0.064) | 4.79 (0.062) |
| Mean difference | 0.107 (0.062) | 0.084 (0.060) | 0.264 (0.060) |
Note: Mean (standard error) are reported for each of the estimated marginal means. Data in table are only from the ECBQ‐VSF. Covariates entered into the model: COVID‐19 stress = 14.53, Age (days) = 775.24. Note that maximum likelihood estimation was used to account for missing data in this model, so all participants who contributed at least some data at either assessment point were included in these analyses.
Bold text indicates significant effects (p < .05).