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Maternal distress and parenting during COVID-19: differential effects related to pre-pandemic distress?

BACKGROUND: Distinguishing whether and how pre-existing characteristics impact maternal responses to adversity is difficult: Does prior well-being decrease the likelihood of encountering stressful experiences? Does it protect against adversity’s negative effects? We examine whether the interaction b...

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Autores principales: Low, Ann, Yu, Yue, Sim, Lit Wee, Bureau, Jean Francois, Tan, Ngiap Chuan, Chen, Helen, Yang, Yang, Cheon, Bobby, Lee, Kerry, Bakermans-Kranenburg, Marian, Tsotsi, Stella, Rifkin-Graboi, Anne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10225758/
https://www.ncbi.nlm.nih.gov/pubmed/37248473
http://dx.doi.org/10.1186/s12888-023-04867-w
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author Low, Ann
Yu, Yue
Sim, Lit Wee
Bureau, Jean Francois
Tan, Ngiap Chuan
Chen, Helen
Yang, Yang
Cheon, Bobby
Lee, Kerry
Bakermans-Kranenburg, Marian
Tsotsi, Stella
Rifkin-Graboi, Anne
author_facet Low, Ann
Yu, Yue
Sim, Lit Wee
Bureau, Jean Francois
Tan, Ngiap Chuan
Chen, Helen
Yang, Yang
Cheon, Bobby
Lee, Kerry
Bakermans-Kranenburg, Marian
Tsotsi, Stella
Rifkin-Graboi, Anne
author_sort Low, Ann
collection PubMed
description BACKGROUND: Distinguishing whether and how pre-existing characteristics impact maternal responses to adversity is difficult: Does prior well-being decrease the likelihood of encountering stressful experiences? Does it protect against adversity’s negative effects? We examine whether the interaction between relatively uniformly experienced adversity (due to COVID-19 experience) and individual variation in pre-existing (i.e., pre-pandemic onset) distress predicted mothers’ pandemic levels of distress and insensitive caregiving within a country reporting low COVID-19 death rates, and strict nationwide regulations. METHOD: Fifty-one Singaporean mothers and their preschool-aged children provided data across two waves. Pre- pandemic onset maternal distress (i.e., psychological distress, anxiety, and parenting stress) was captured via self-reports and maternal sensitivity was coded from videos. Measures were repeated after the pandemic’s onset along with questionnaires concerning perceived COVID-19 adversity (e.g., COVID-19’s impact upon stress caring for children, housework, job demands, etc.) and pandemic-related objective experiences (e.g., income, COVID-19 diagnoses, etc.). Regression analyses (SPSS v28) considered pre-pandemic onset maternal distress, COVID-19 stress, and their interaction upon post-pandemic onset maternal distress. Models were re-run with appropriate covariates (e.g., objective experience) when significant findings were observed. To rule out alternative models, follow up analyses (PROCESS Model) considered whether COVID-19 stress mediated pre- and post-pandemic onset associations. Models involving maternal sensitivity followed a similar data analytic plan. RESULTS: Pre-pandemic maternal distress moderated the association between COVID-19 perceived stress and pandemic levels of maternal distress (β = 0.22, p < 0.01) but not pandemic assessed maternal sensitivity. Perceived COVID-19 stress significantly contributed to post-pandemic onset maternal distress for mothers with pre-pandemic onset distress scores above (β = 0.30, p = 0.05), but not below (β = 0.25, p = 0.24), the median. Objective COVID-19 adversity did not account for findings. Post-hoc analyses did not suggest mediation via COVID-19 stress from pre-pandemic to pandemic maternal distress. CONCLUSIONS: Pre-existing risk may interact with subsequent perceptions of adversity to impact well-being. In combination with existing research, this small study suggests prevention programs should focus upon managing concurrent mental health and may highlight the importance of enhanced screening and proactive coping programs for people entering high stress fields and/or phases of life. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-023-04867-w.
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spelling pubmed-102257582023-05-30 Maternal distress and parenting during COVID-19: differential effects related to pre-pandemic distress? Low, Ann Yu, Yue Sim, Lit Wee Bureau, Jean Francois Tan, Ngiap Chuan Chen, Helen Yang, Yang Cheon, Bobby Lee, Kerry Bakermans-Kranenburg, Marian Tsotsi, Stella Rifkin-Graboi, Anne BMC Psychiatry Research BACKGROUND: Distinguishing whether and how pre-existing characteristics impact maternal responses to adversity is difficult: Does prior well-being decrease the likelihood of encountering stressful experiences? Does it protect against adversity’s negative effects? We examine whether the interaction between relatively uniformly experienced adversity (due to COVID-19 experience) and individual variation in pre-existing (i.e., pre-pandemic onset) distress predicted mothers’ pandemic levels of distress and insensitive caregiving within a country reporting low COVID-19 death rates, and strict nationwide regulations. METHOD: Fifty-one Singaporean mothers and their preschool-aged children provided data across two waves. Pre- pandemic onset maternal distress (i.e., psychological distress, anxiety, and parenting stress) was captured via self-reports and maternal sensitivity was coded from videos. Measures were repeated after the pandemic’s onset along with questionnaires concerning perceived COVID-19 adversity (e.g., COVID-19’s impact upon stress caring for children, housework, job demands, etc.) and pandemic-related objective experiences (e.g., income, COVID-19 diagnoses, etc.). Regression analyses (SPSS v28) considered pre-pandemic onset maternal distress, COVID-19 stress, and their interaction upon post-pandemic onset maternal distress. Models were re-run with appropriate covariates (e.g., objective experience) when significant findings were observed. To rule out alternative models, follow up analyses (PROCESS Model) considered whether COVID-19 stress mediated pre- and post-pandemic onset associations. Models involving maternal sensitivity followed a similar data analytic plan. RESULTS: Pre-pandemic maternal distress moderated the association between COVID-19 perceived stress and pandemic levels of maternal distress (β = 0.22, p < 0.01) but not pandemic assessed maternal sensitivity. Perceived COVID-19 stress significantly contributed to post-pandemic onset maternal distress for mothers with pre-pandemic onset distress scores above (β = 0.30, p = 0.05), but not below (β = 0.25, p = 0.24), the median. Objective COVID-19 adversity did not account for findings. Post-hoc analyses did not suggest mediation via COVID-19 stress from pre-pandemic to pandemic maternal distress. CONCLUSIONS: Pre-existing risk may interact with subsequent perceptions of adversity to impact well-being. In combination with existing research, this small study suggests prevention programs should focus upon managing concurrent mental health and may highlight the importance of enhanced screening and proactive coping programs for people entering high stress fields and/or phases of life. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-023-04867-w. BioMed Central 2023-05-29 /pmc/articles/PMC10225758/ /pubmed/37248473 http://dx.doi.org/10.1186/s12888-023-04867-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/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/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Low, Ann
Yu, Yue
Sim, Lit Wee
Bureau, Jean Francois
Tan, Ngiap Chuan
Chen, Helen
Yang, Yang
Cheon, Bobby
Lee, Kerry
Bakermans-Kranenburg, Marian
Tsotsi, Stella
Rifkin-Graboi, Anne
Maternal distress and parenting during COVID-19: differential effects related to pre-pandemic distress?
title Maternal distress and parenting during COVID-19: differential effects related to pre-pandemic distress?
title_full Maternal distress and parenting during COVID-19: differential effects related to pre-pandemic distress?
title_fullStr Maternal distress and parenting during COVID-19: differential effects related to pre-pandemic distress?
title_full_unstemmed Maternal distress and parenting during COVID-19: differential effects related to pre-pandemic distress?
title_short Maternal distress and parenting during COVID-19: differential effects related to pre-pandemic distress?
title_sort maternal distress and parenting during covid-19: differential effects related to pre-pandemic distress?
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10225758/
https://www.ncbi.nlm.nih.gov/pubmed/37248473
http://dx.doi.org/10.1186/s12888-023-04867-w
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