Parental Support during the COVID-19 Pandemic: Friend or Foe? A Moderation Analysis of the Association between Maternal Anxiety and Children’s Stress in Italian Dyads
Abstract
:1. Introduction
1.1. The Relation between Parents’ Psychological Response to the Pandemic and Children’s Stress
1.2. Parental Support during the Pandemic
1.3. The Present Research
2. Materials and Methods
2.1. Participants
2.2. Procedure
2.3. Measures
3. Data Analysis and Results
3.1. Data Analysis
3.2. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Nicol-Harper, R.; Harvey, A.G.; Stein, A. Interactions between mothers and infants: Impact of maternal anxiety. Infant Behav. Dev. 2007, 30, 161–167. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Weijers, D.; van Steensel, F.J.A.; Bögels, S.M. Associations between Psychopathology in Mothers, Fathers and Their Children: A Structural Modeling Approach. J. Child Fam. Stud. 2018, 27, 1992–2003. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Ashford, J.; Smit, F.; Van Lier, P.A.; Cuijpers, P.; Koot, H.M. Early risk indicators of internalizing problems in late childhood: A 9-year longitudinal study. J. Child Psychol. Psychiatry 2008, 49, 774–780. [Google Scholar] [CrossRef] [PubMed]
- Leen-Feldner, E.W.; Feldner, M.T.; Knapp, A.; Bunaciu, L.; Blumenthal, H.; Amstadter, A.B. Offspring psychological and biological correlates of parental posttraumatic stress: Review of the literature and research agenda. Clin. Psychol. Rev. 2013, 33, 1106–1133. [Google Scholar] [CrossRef]
- Morris, M.A.; Gabert-Quillen, M.C.; Delahanty, D. The Association Between Parent PTSD/Depression Symptoms and Child PTSD Symptoms: A Meta-Analysis. J. Pediatr. Psychol. 2012, 37, 1076–1088. [Google Scholar] [CrossRef] [Green Version]
- Al-Turkait, F.A.; Ohaeri, J.U. Psychopathological status, behavior problems, and family adjustment of Kuwaiti children whose fathers were involved in the first gulf war. Child Adolesc. Psychiatry Ment. Health 2008, 2, 12. [Google Scholar] [CrossRef]
- Gotlib, I.H.; Borchers, L.R.; Chahal, R.; Gifuni, A.J.; Teresi, G.I.; Ho, T.C. Early Life Stress Predicts Depressive Symptoms in Adolescents During the COVID-19 Pandemic: The Mediating Role of Perceived Stress. Front. Psychol. 2021, 11, 603748. [Google Scholar] [CrossRef]
- Stuijfzand, S.; Deforges, C.; Sandoz, V.; Sajin, C.-T.; Jaques, C.; Elmers, J.; Horsch, A. Psychological impact of an epidemic/pandemic on the mental health of healthcare professionals: A rapid review. BMC Public Health 2020, 20, 1230. [Google Scholar] [CrossRef]
- Brooks, S.K.; Webster, R.K.; Smith, L.E.; Woodland, L.; Wessely, S.; Greenberg, N.; Rubin, G.J. The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet 2020, 395, 912–920. [Google Scholar] [CrossRef] [Green Version]
- Jiao, W.Y.; Wang, L.N.; Liu, J.; Fang, S.F.; Jiao, F.Y.; Pettoello-Mantovani, M.; Somekh, E. Behavioral and Emotional Disorders in Children during the COVID-19 Epidemic. J. Pediatr. 2020, 221, 264–266.e1. [Google Scholar] [CrossRef]
- Farmer, R.F.; Sundberg, N.D. Buffering hypothesis. In The Corsini Encyclopedia of Psychology; Weiner, I.B., Craighead, W.E., Eds.; John Wiley & Sons: Hoboken, NJ, USA, 2010. [Google Scholar]
- Wang, G.; Zhang, Y.; Zhao, J.; Zhang, J.; Jiang, F. Mitigate the effects of home confinement on children during the COVID-19 outbreak. Lancet 2020, 395, 945–947. [Google Scholar] [CrossRef] [PubMed]
- Orgilés, M.; Morales, A.; Delvecchio, E.; Mazzeschi, C.; Espada, J.P. Immediate Psychological Effects of the COVID-19 Quarantine in Youth from Italy and Spain. Front. Psychol. 2020, 11, 579038. [Google Scholar] [CrossRef] [PubMed]
- Pedrosa, A.L.; Bitencourt, L.; Fróes, A.C.F.; Cazumbá, M.L.B.; Campos, R.G.B.; De Brito, S.B.C.S.; Silva, A.C.S. Emotional, Behavioral, and Psychological Impact of the COVID-19 Pandemic. Front. Psychol. 2020, 11, 566212. [Google Scholar] [CrossRef] [PubMed]
- Mayer, Y.; Ilan, R.; Slone, M.; Lurie, I. Relations between traumatic life events and mental health of Eritrean asylum-seeking mothers and their children’s mental health. Child. Youth Serv. Rev. 2020, 116, 105244. [Google Scholar] [CrossRef]
- Sangalang, C.C.; Jager, J.; Harachi, T.W. Effects of maternal traumatic distress on family functioning and child mental health: An examination of Southeast Asian refugee families in the U.S. Soc. Sci. Med. 2017, 184, 178–186. [Google Scholar] [CrossRef] [Green Version]
- Hausman, E.M.; Black, S.R.; Bromet, E.; Carlson, G.; Danzig, A.; Kotov, R.; Klein, D.N. Reciprocal effects of maternal and child internalizing symptoms before and after a natural disaster. J. Fam. Psychol. 2020, 34, 836–845. [Google Scholar] [CrossRef]
- Shi, X.; Zhou, Y.; Geng, F.; Li, Y.; Zhou, J.; Lei, B.; Chen, S.; Chen, X.; Fan, F. Posttraumatic stress disorder symptoms in parents and adolescents after the Wenchuan earthquake: A longitudinal actor-partner interdependence model. J. Affect. Disord. 2018, 226, 301–306. [Google Scholar] [CrossRef]
- Cadamuro, A.; Birtel, M.D.; Di Bernardo, G.A.; Crapolicchio, E.; Vezzali, L.; Drury, J. Resilience in children in the aftermath of disasters: A systematic review and a new perspective on individual, interpersonal, group, and intergroup level factors. J. Community Appl. Soc. Psychol. 2021, 31, 259–275. [Google Scholar] [CrossRef]
- Pfefferbaum, B.; Jacobs, A.K.; Houston, J.B.; Griffin, N. Children’s Disaster Reactions: The Influence of Family and Social Factors. Curr. Psychiatry Rep. 2015, 17, 57. [Google Scholar] [CrossRef]
- Buheji, M.; Jahrami, H.; Dhahi, A.S. Minimising Stress Exposure During Pandemics Similar to COVID-19. Int. J. Psychol. Behav. Sci. 2020, 10, 9–16. [Google Scholar] [CrossRef]
- Chen, Q.; Liang, M.; Li, Y.; Guo, J.; Fei, D.; Wang, L.; He, L.; Sheng, C.; Cai, Y.; Li, X.; et al. Mental health care for medical staff in China during the COVID-19 outbreak. Lancet Psychiatry 2020, 7, e15–e16. [Google Scholar] [CrossRef] [PubMed]
- Spinelli, M.; Lionetti, F.; Pastore, M.; Fasolo, M. Parents′ stress and children′s psychological problems in families facing the COVID-19 outbreak in Italy. Front. Psychol. 2020, 11, 1713. [Google Scholar] [CrossRef] [PubMed]
- Lee, S.J.; Ward, K.P.; Chang, O.D.; Downing, K.M. Parenting activities and the transition to home-based education during the COVID-19 pandemic. Child. Youth Serv. Rev. 2020, 122, 105585. [Google Scholar] [CrossRef] [PubMed]
- Davico, C.; Ghiggia, A.; Marcotulli, D.; Ricci, F.; Amianto, F.; Vitiello, B. Psychological Impact of the COVID-19 Pandemic on Adults and Their Children in Italy. Front. Psychiatry 2021, 12, 572997. [Google Scholar] [CrossRef]
- Kaplan, B.H.; Cassel, J.C.; Gore, S. Social support and health. Med. Care 1977, 15, 47–58. [Google Scholar] [CrossRef]
- Cohen, S.; Wills, T.A. Stress, social support, and the buffering hypothesis. Psychol. Bull. 1985, 98, 310–357. [Google Scholar] [CrossRef]
- Danielson, C.K.; Cohen, J.R.; Adams, Z.W.; Youngstrom, E.; Soltis, K.; Amstadter, A.B.; Ruggiero, K.J. Clinical Decision-Making Following Disasters: Efficient Identification of PTSD Risk in Adolescents. J. Abnorm. Child Psychol. 2016, 45, 117–129. [Google Scholar] [CrossRef]
- Ge, X.; Natsuaki, M.N.; Neiderhiser, J.M.; Reiss, D. The longitudinal effects of stressful life events on adolescent depression are buffered by parent–child closeness. Dev. Psychopathol. 2009, 21, 621–635. [Google Scholar] [CrossRef] [Green Version]
- Köhler-Dauner, F.; Clemens, V.; Lange, S.; Ziegenhain, U.; Fegert, J.M. Mothers’ daily perceived stress influences their children’s mental health during SARS-CoV-2-pandemic—An online survey. Child Adolesc. Psychiatry Ment. Health 2021, 15, 1–9. [Google Scholar] [CrossRef]
- Warren, S.L.; Gunnar, M.R.; Kagan, J.; Anders, T.F.; Simmens, S.J.; Rones, M.; Wease, S.; Aron, E.; Dahl, R.E.; Sroufe, A.L. Maternal Panic Disorder: Infant Temperament, Neurophysiology, and Parenting Behaviors. J. Am. Acad. Child Adolesc. Psychiatry 2003, 42, 814–825. [Google Scholar] [CrossRef]
- Beebe, B.; Steele, M.; Jaffe, J.; Buck, K.A.; Chen, H.; Cohen, P.; Kaitz, M.; Markese, S.; Andrews, H.; Margolis, A.; et al. Maternal anxiety symptoms and mother-infant self- and interactive contingency. Infant Ment. Health J. 2011, 32, 174–206. [Google Scholar] [CrossRef] [Green Version]
- Hudson, J.; Rapee, R. From anxious temperament to disorder: An etiological model of generalized anxiety disorder. In Generalized Anxiety Disorder: Advances in Research and Practice; Heimberg, R.G., Turk, C.L., Mennin, D.S., Eds.; Guilford Press: New York, NY, USA, 2004; pp. 51–76. [Google Scholar]
- Liang, Z.; Delvecchio, E.; Buratta, L.; Mazzeschi, C. “Ripple effect”: Psychological responses and coping strategies of Italian children in different COVID-19 severity areas. Rev. Psicol. Clin. Con Ninos Adolesc. 2020, 7, 49–58. [Google Scholar] [CrossRef]
- Segre, G.; Campi, R.; Scarpellini, F.; Clavenna, A.; Zanetti, M.; Cartabia, M.; Bonati, M. Interviewing children: The impact of the COVID-19 quarantine on children’s perceived psychological distress and changes in routine. BMC Pediatr. 2021, 21, 1–11. [Google Scholar] [CrossRef] [PubMed]
- Boccia, S.; Ricciardi, W.; Ioannidis, J.P.A. What Other Countries Can Learn from Italy During the COVID-19 Pandemic. JAMA Intern. Med. 2020, 180, 927. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Spielberger, C.D.; Gorsuch, R.L. State-Trait Anxiety Inventory for Adults: Manual, Instrument and Scoring Guide; Consulting Psychologists Press: Washington, DC, USA, 1983. [Google Scholar]
- Pedrabissi, L.; Santinello, M. STAI State-Trait Anxiety Inventory Forma Y Manuale; Organizzazioni Speciali: Firenze, IT, USA, 1996. [Google Scholar]
- Cadamuro, A.; Versari, A.; Vezzali, L.; Giovannini, D.; Trifiletti, E. Cognitive Performance in the Aftermath of a Natural Disaster: The Role of Coping Strategies, Theory of Mind and Peer Social Support. Child Youth Care Forum 2014, 44, 93–113. [Google Scholar] [CrossRef]
- Perrin, S.; Meiser-Stedman, R.; Smith, P. The Children’s Revised Impact of Event Scale (CRIES): Validity as a Screening Instrument for PTSD. Behav. Cogn. Psychother. 2005, 33, 487–498. [Google Scholar] [CrossRef] [Green Version]
- Trentini, C.; Lauriola, M.; Giuliani, A.; Maslovaric, G.; Tambelli, R.; Fernandez, I.; Pagani, M. Dealing With the Aftermath of Mass Disasters: A Field Study on the Application of EMDR Integrative Group Treatment Protocol With Child Survivors of the 2016 Italy Earthquakes. Front. Psychol. 2018, 9, 862. [Google Scholar] [CrossRef]
- Curatola, A.; Ferretti, S.; Gatto, A.; Valentini, P.; Giugno, G.; Della Marca, G.; Brunetti, V.; Lazzareschi, I. The Effects of COVID-19 Pandemic on Italian School-Aged Children: Sleep-Related Difficulties and Trauma Reactions. J. Child Neurol. 2022, 37, 568–574. [Google Scholar] [CrossRef]
- Yue, J.; Zang, X.; Le, Y.; An, Y. Anxiety, depression and PTSD among children and their parent during 2019 novel coronavirus disease (COVID-19) outbreak in China. Curr. Psychol. 2020, 41, 5723–5730. [Google Scholar] [CrossRef]
- Saxena, R.; Saxena, S.K. Preparing Children for Pandemics. In Medical Virology: From Pathogenesis to Disease Control Coronavirus Disease 2019 (COVID-19); Saxena, S., Ed.; Springer: Singapore, 2020. [Google Scholar] [CrossRef]
- Imran, N.; Aamer, I.; Sharif, M.I.; Bodla, Z.H.; Naveed, S. Psychological burden of quarantine in children and adolescents: A rapid systematic review and proposed solutions. Pak. J. Med. Sci. 2020, 36, 1106–1116. [Google Scholar] [CrossRef]
- Dalton, L.; Rapa, E.; Stein, A. Protecting the psychological health of children through effective communication about COVID-19. Lancet Child Adolesc. Health 2020, 4, 346–347. [Google Scholar] [CrossRef] [PubMed]
- Holmes, E.A.; O’Connor, R.C.; Perry, V.H.; Tracey, I.; Wessely, S.; Arseneault, L.; Ballard, C.; Christensen, H.; Silver, R.C.; Everall, I.; et al. Multidisciplinary research priorities for the COVID-19 pandemic: A call for action for mental health science. Lancet Psychiatry 2020, 7, 547–560. [Google Scholar] [CrossRef] [PubMed]
- Cline, F.W.; Fay, J. Parenting with Love and Logic: Teaching Children Responsibility; Pinon Press: Colorado Springs, CO, USA, 1990. [Google Scholar]
- Segrin, C.; Woszidlo, A.; Givertz, M.; Bauer, A.M.; Murphy, M.T. The Association Between Overparenting, Parent-Child Communication, and Entitlement and Adaptive Traits in Adult Children. Fam. Relations 2012, 61, 237–252. [Google Scholar] [CrossRef]
- LeMoyne, T.; Buchanan, T. Does “hovering” matter? helicopter parenting and its effect on well-being. Sociol. Spectr. 2011, 31, 399–418. [Google Scholar] [CrossRef]
- Bayer, J.K.; Sanson, A.V.; Hemphill, S.A. Parent influences on early childhood internalizing difficulties. J. Appl. Dev. Psychol. 2006, 27, 542–559. [Google Scholar] [CrossRef]
- Bayer, J.K.; Hastings, P.D.; Sanson, A.V.; Ukoumunne, O.C.; Rubin, K.H. Predicting Mid-Childhood Internalising Symptoms: A Longitudinal Community Study. Int. J. Ment. Health Promot. 2010, 12, 5–17. [Google Scholar] [CrossRef]
- Leijdesdorff, S.; Van Doesum, K.; Popma, A.; Klaassen, R.; Van Amelsvoort, T. Prevalence of psychopathology in children of parents with mental illness and/or addiction: An up to date narrative review. Curr. Opin. Psychiatry 2017, 30, 312–317. [Google Scholar] [CrossRef] [Green Version]
- Schofield, T.J.; Conger, R.D.; Gonzales, J.E.; Merrick, M.T. Harsh parenting, physical health, and the protective role of positive parent-adolescent relationships. Soc. Sci. Med. 2016, 157, 18–26. [Google Scholar] [CrossRef]
- Scaramella, L.V.; Sohr-Preston, S.L.; Callahan, K.L.; Mirabile, S.P. A Test of the Family Stress Model on Toddler-Aged Children’s Adjustment Among Hurricane Katrina Impacted and Nonimpacted Low-Income Families. J. Clin. Child Adolesc. Psychol. 2008, 37, 530–541. [Google Scholar] [CrossRef]
- DiGiovanni, C.; Conley, J.; Chiu, D.; Zaborski, J. Factors Influencing Compliance with Quarantine in Toronto During the 2003 SARS Outbreak. Biosecurity Bioterrorism Biodefense Strategy Pract. Sci. 2004, 2, 265–272. [Google Scholar] [CrossRef]
Mean (SD) | 1 | 2 | |
---|---|---|---|
1. Mother’s anxiety | 2.16 (0.61) | - | |
2. Children’s perceived parental support | 3.60 (0.70) | 0.00 | - |
3. Children’s stress | 1.32 (0.56) | 0.09 ° | 0.14 ** |
Children’s Stress | |
---|---|
Intercept | 1.32 (0.02) *** |
Mother’s anxiety | 0.08 (0.04) ° |
Children’s perceived parental support | 0.11 (0.04) *** |
Mothers’ anxiety × children’s perceived parental support | 0.13 (0.05) ** |
R2 | 0.04 * |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Cadamuro, A.; Bisagno, E.; Trifiletti, E.; Di Bernardo, G.A.; Visintin, E.P. Parental Support during the COVID-19 Pandemic: Friend or Foe? A Moderation Analysis of the Association between Maternal Anxiety and Children’s Stress in Italian Dyads. Int. J. Environ. Res. Public Health 2023, 20, 268. https://doi.org/10.3390/ijerph20010268
Cadamuro A, Bisagno E, Trifiletti E, Di Bernardo GA, Visintin EP. Parental Support during the COVID-19 Pandemic: Friend or Foe? A Moderation Analysis of the Association between Maternal Anxiety and Children’s Stress in Italian Dyads. International Journal of Environmental Research and Public Health. 2023; 20(1):268. https://doi.org/10.3390/ijerph20010268
Chicago/Turabian StyleCadamuro, Alessia, Elisa Bisagno, Elena Trifiletti, Gian Antonio Di Bernardo, and Emilio Paolo Visintin. 2023. "Parental Support during the COVID-19 Pandemic: Friend or Foe? A Moderation Analysis of the Association between Maternal Anxiety and Children’s Stress in Italian Dyads" International Journal of Environmental Research and Public Health 20, no. 1: 268. https://doi.org/10.3390/ijerph20010268