A muti-informant national survey on the impact of COVID-19 on mental health symptoms of parent–child dyads in Canada

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Abstract

The COVID-19 pandemic negatively impacted the mental health of children, youth, and their families which must be addressed and prevented in future public health crises. Our objective was to measure how self-reported mental health symptoms of children/youth and their parents evolved during COVID-19 and to identify associated factors for children/youth and their parents including sources accessed for information on mental health. We conducted a nationally representative, multi-informant cross-sectional survey administered online to collect data from April to May 2022 across 10 Canadian provinces among dyads of children (11–14 years) or youth (15–18 years) and a parent (> 18 years). Self-report questions on mental health were based on The Partnership for Maternal, Newborn & Child Health and the World Health Organization of the United Nations H6+ Technical Working Group on Adolescent Health and Well-Being consensus framework and the Coronavirus Health and Impact Survey. McNemar’s test and the test of homogeneity of stratum effects were used to assess differences between children-parent and youth-parent dyads, and interaction by stratification factors, respectively. Among 933 dyads (N = 1866), 349 (37.4%) parents were aged 35–44 years and 485 (52.0%) parents were women; 227 (47.0%) children and 204 (45.3%) youth were girls; 174 (18.6%) dyads had resided in Canada < 10 years. Anxiety and irritability were reported most frequently among child (44, 9.1%; 37, 7.7%) and parent (82, 17.0%; 67, 13.9%) dyads, as well as among youth (44, 9.8%; 35, 7.8%) and parent (68, 15.1%; 49, 10.9%) dyads; children and youth were significantly less likely to report worsened anxiety ( p < 0.001, p = 0.006, respectively) or inattention ( p < 0.001, p = 0.028, respectively) compared to parents. Dyads who reported financial or housing instability or identified as living with a disability more frequently reported worsened mental health. Children (96, 57.1%), youth (113, 62.5%), and their parents (253, 62.5%; 239, 62.6%, respectively) most frequently accessed the internet for mental health information. This cross-national survey contextualizes pandemic-related changes to self-reported mental health symptoms of children, youth, and families.

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Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science

Emily A. Holmes, Rory C O'Connor, V. Perry … (2020)

Summary The coronavirus disease 2019 (COVID-19) pandemic is having a profound effect on all aspects of society, including mental health and physical health. We explore the psychological, social, and neuroscientific effects of COVID-19 and set out the immediate priorities and longer-term strategies for mental health science research. These priorities were informed by surveys of the public and an expert panel convened by the UK Academy of Medical Sciences and the mental health research charity, MQ: Transforming Mental Health, in the first weeks of the pandemic in the UK in March, 2020. We urge UK research funding agencies to work with researchers, people with lived experience, and others to establish a high level coordination group to ensure that these research priorities are addressed, and to allow new ones to be identified over time. The need to maintain high-quality research standards is imperative. International collaboration and a global perspective will be beneficial. An immediate priority is collecting high-quality data on the mental health effects of the COVID-19 pandemic across the whole population and vulnerable groups, and on brain function, cognition, and mental health of patients with COVID-19. There is an urgent need for research to address how mental health consequences for vulnerable groups can be mitigated under pandemic conditions, and on the impact of repeated media consumption and health messaging around COVID-19. Discovery, evaluation, and refinement of mechanistically driven interventions to address the psychological, social, and neuroscientific aspects of the pandemic are required. Rising to this challenge will require integration across disciplines and sectors, and should be done together with people with lived experience. New funding will be required to meet these priorities, and it can be efficiently leveraged by the UK's world-leading infrastructure. This Position Paper provides a strategy that may be both adapted for, and integrated with, research efforts in other countries.

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Improving the Quality of Web Surveys: The Checklist for Reporting Results of Internet E-Surveys (CHERRIES)

Gunther Eysenbach (2004)

Analogous to checklists of recommendations such as the CONSORT statement (for randomized trials), or the QUORUM statement (for systematic reviews), which are designed to ensure the quality of reports in the medical literature, a checklist of recommendations for authors is being presented by the Journal of Medical Internet Research (JMIR) in an effort to ensure complete descriptions of Web-based surveys. Papers on Web-based surveys reported according to the CHERRIES statement will give readers a better understanding of the sample (self-)selection and its possible differences from a “representative” sample. It is hoped that author adherence to the checklist will increase the usefulness of such reports.

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Risk and resilience in family well-being during the COVID-19 pandemic.

Heather Prime, Mark Wade, Dillon T. Browne (2020)

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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Author and article information

Contributors

Jeanna Parsons Leigh: J.ParsonsLeigh@dal.ca

Journal

Journal ID (nlm-ta): Sci Rep

Journal ID (iso-abbrev): Sci Rep

Title: Scientific Reports

Publisher: Nature Publishing Group UK (London )

ISSN (Electronic): 2045-2322

Publication date (Electronic): 17 May 2023

Publication date PMC-release: 17 May 2023

Publication date Collection: 2023

Volume: 13

Electronic Location Identifier: 7972

Affiliations

[1 ]GRID grid.55602.34, ISNI 0000 0004 1936 8200, Faculty of Health, , Dalhousie University, ; Halifax, NS Canada

[2 ]GRID grid.412745.1, ISNI 0000 0000 9132 1600, London Health Sciences Centre, ; London, ON Canada

[3 ]GRID grid.22072.35, ISNI 0000 0004 1936 7697, Department of Medicine, , University of Calgary, ; Calgary, AB Canada

[4 ]Department of Anesthesiology, Perioperative, and Pain Medicine, Calgary, Canada

[5 ]GRID grid.22072.35, ISNI 0000 0004 1936 7697, Department of Community Health Sciences, , University of Calgary, ; Calgary, AB Canada

[6 ]GRID grid.264060.6, ISNI 0000 0004 1936 7363, Rankin School of Nursing, , St. Francis Xavier University, ; Antigonish, NS Canada

[7 ]GRID grid.55602.34, ISNI 0000 0004 1936 8200, Faculty of Medicine, , Dalhousie University, ; Halifax, NS Canada

[8 ]Frayme, Cornwall, ON Canada

[9 ]GRID grid.410445.0, ISNI 0000 0001 2188 0957, Department of Surgery, , University of Hawaii John A Burns School of Medicine, ; Honolulu, HI Canada

[10 ]GRID grid.28046.38, ISNI 0000 0001 2182 2255, Faculty of Social Sciences, , University of Ottawa, ; Ottawa, ON Canada

[11 ]Sepsis Canada, Hamilton, ON Canada

[12 ]Young Canadian Roundtable On Health, Toronto, ON Canada

[13 ]GRID grid.22072.35, ISNI 0000 0004 1936 7697, Department of Oncology, , University of Calgary, ; Calgary, Canada

[14 ]Department of Critical Care Medicine, Calgary, Canada

[15 ]GRID grid.22072.35, ISNI 0000 0004 1936 7697, O’Brien Institute for Public Health, , University of Calgary, ; Calgary, Canada

Article

Publisher ID: 34544

DOI: 10.1038/s41598-023-34544-7

PMC ID: 10189235

PubMed ID: 37198202

SO-VID: 9cd0fddb-000a-4907-b078-b12b29d904bd

License:

Open Access This 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

Date received : 12 January 2023

Date accepted : 3 May 2023

Funding

Funded by: FundRef http://dx.doi.org/10.13039/501100000024, Canadian Institutes of Health Research;

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ScienceOpen disciplines: Uncategorized

Keywords: health care,risk factors

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ScienceOpen disciplines: Uncategorized

Keywords: health care, risk factors

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A muti-informant national survey on the impact of COVID-19 on mental health symptoms of parent–child dyads in Canada

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Novel Coronavirus Disease COVID-19

Most cited references 78

Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science

Improving the Quality of Web Surveys: The Checklist for Reporting Results of Internet E-Surveys (CHERRIES)

Risk and resilience in family well-being during the COVID-19 pandemic.

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