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      Short-term and long-term effects of the COVID-19 pandemic on child psychological well-being: a four-wave longitudinal study

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          Abstract

          As the COVID-19 pandemic further unfolds, it becomes a key theoretical and practical question to identify trajectories of child psychological well-being and to explore risk and resilience factors for developmental adjustment. The current study addressed this research gap by means of an ecological design: A (lockdown)–B (relaxation)–B (relaxation)–A (lockdown). We collected parental reports via online questionnaires over four measurement occasions during the COVID-19 pandemic in Germany (non-probabilistic sample): from the first lockdown (T1—spring 2020, N = 1769) to the following period of relaxation (T2—summer 2020, n = 873; T3—fall 2020, n = 729) on to the second lockdown (T4—winter 2020/21, n = 748). Key measures at T1–T4 were child emotional and behavioral problems as well as hyperactivity, child emotional and family-related well-being, parental strain, and parent–child relationship quality. We found evidence for quadratic growth models. While child problem behaviors ( b = 0.32, p < 0.001) and emotional well-being ( b = − 0.33, p < 0.001) improved after the first lockdown during subsequent periods of relaxation before worsening again in the second lockdown, child family-related well-being steadily decreased over all four measurement points (T1–T2: p < 0.001; T2–T3: p = 0.045; T3–T4: p = 0.030). Importantly, parental stress emerged as a strong risk factor ( ps < 0.11) and the parent–child relationship quality constituted a resilience factor ( p = 0.049) for child psychological well-being. These findings have major implications for policies aiming to further child health during the COVID-19 pandemic.

          Supplementary Information

          The online version contains supplementary material available at 10.1007/s00787-023-02215-7.

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          Global Prevalence of Depressive and Anxiety Symptoms in Children and Adolescents During COVID-19 : A Meta-analysis

          Emerging research suggests that the global prevalence of child and adolescent mental illness has increased considerably during COVID-19. However, substantial variability in prevalence rates have been reported across the literature.
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            Risk and resilience in family well-being during the COVID-19 pandemic.

            The COVID-19 pandemic poses an acute threat to the well-being of children and families due to challenges related to social disruption such as financial insecurity, caregiving burden, and confinement-related stress (e.g., crowding, changes to structure, and routine). The consequences of these difficulties are likely to be longstanding, in part because of the ways in which contextual risk permeates the structures and processes of family systems. The current article draws from pertinent literature across topic areas of acute crises and long-term, cumulative risk to illustrate the multitude of ways in which the well-being of children and families may be at risk during COVID-19. The presented conceptual framework is based on systemic models of human development and family functioning and links social disruption due to COVID-19 to child adjustment through a cascading process involving caregiver well-being and family processes (i.e., organization, communication, and beliefs). An illustration of the centrality of family processes in buffering against risk in the context of COVID-19, as well as promoting resilience through shared family beliefs and close relationships, is provided. Finally, clinical and research implications are discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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              The Strengths and Difficulties Questionnaire: a research note.

              R. Goodman (1997)
              A novel behavioural screening questionnaire, the Strengths and Difficulties Questionnaire (SDQ), was administered along with Rutter questionnaires to parents and teachers of 403 children drawn from dental and psychiatric clinics. Scores derived from the SDQ and Rutter questionnaires were highly correlated; parent-teacher correlations for the two sets of measures were comparable or favoured the SDQ. The two sets of measures did not differ in their ability to discriminate between psychiatric and dental clinic attenders. These preliminary findings suggest that the SDQ functions as well as the Rutter questionnaires while offering the following additional advantages: a focus on strengths as well as difficulties; better coverage of inattention, peer relationships, and prosocial behaviour; a shorter format; and a single form suitable for both parents and teachers, perhaps thereby increasing parent-teacher correlations.
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                Author and article information

                Contributors
                samuel.essler@psy.lmu.de
                Journal
                Eur Child Adolesc Psychiatry
                Eur Child Adolesc Psychiatry
                European Child & Adolescent Psychiatry
                Springer Berlin Heidelberg (Berlin/Heidelberg )
                1018-8827
                1435-165X
                29 April 2023
                29 April 2023
                : 1-14
                Affiliations
                [1 ]GRID grid.5252.0, ISNI 0000 0004 1936 973X, Developmental Psychology, , Ludwig-Maximilians-Universität München, ; Leopoldstr. 13, 80802 Munich, Germany
                [2 ]GRID grid.448793.5, ISNI 0000 0004 0382 2632, FOM University of Applied Sciences, ; Essen, Germany
                Article
                2215
                10.1007/s00787-023-02215-7
                10148581
                37119393
                06ab375d-2e31-417d-9554-f31534798e21
                © The Author(s) 2023

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 8 August 2022
                : 15 April 2023
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/100007570, Claussen-Simon-Stiftung;
                Funded by: Ludwig-Maximilians-Universität München (1024)
                Categories
                Original Contribution

                Clinical Psychology & Psychiatry
                covid-19,natural experiment,parent–child relationship quality,parental stress,child well-being,child problem behavior

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