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Impact of the COVID-19 pandemic on children with and without affective dysregulation and their families
Analyzing COVID-19-related stress in children with affective dysregulation (AD) seems especially interesting, as these children typically show heightened reactivity to potential stressors and an increased use of maladaptive emotion regulation strategies. Children in out-of-home care often show simil...
Autores principales: | , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9668221/ https://www.ncbi.nlm.nih.gov/pubmed/36385660 http://dx.doi.org/10.1007/s00787-022-02106-3 |
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author | Treier, A.-K. Holas, V. Görtz-Dorten, A. Frenk, F. Goldbeck, C. Mücke, K. Hanisch, C. Ritschel, A. Roessner, V. Rothe, J. Ravens-Sieberer, U. Kaman, A. Banaschewski, T. Brandeis, D. Aggensteiner, P.-M. Kölch, M. Daunke, A. Döpfner, M. |
author_facet | Treier, A.-K. Holas, V. Görtz-Dorten, A. Frenk, F. Goldbeck, C. Mücke, K. Hanisch, C. Ritschel, A. Roessner, V. Rothe, J. Ravens-Sieberer, U. Kaman, A. Banaschewski, T. Brandeis, D. Aggensteiner, P.-M. Kölch, M. Daunke, A. Döpfner, M. |
author_sort | Treier, A.-K. |
collection | PubMed |
description | Analyzing COVID-19-related stress in children with affective dysregulation (AD) seems especially interesting, as these children typically show heightened reactivity to potential stressors and an increased use of maladaptive emotion regulation strategies. Children in out-of-home care often show similar characteristics to those with AD. Since COVID-19 has led to interruptions in psychotherapy for children with mental health problems and to potentially reduced resources to implement treatment strategies in daily life in families or in out-of-home care, these children might show a particularly strong increase in stress levels. In this study, 512 families of children without AD and 269 families of children with AD reported on COVID-19-related stress. The sample comprised screened community, clinical, and out-of-home care samples. Sociodemographic factors, characteristics of child and caregiver before the pandemic, and perceived change in external conditions due to the pandemic were examined as potential risk or protective factors. Interestingly, only small differences emerged between families of children with and without AD or between subsamples: families of children with AD and families in out-of-home care were affected slightly more, but in few domains. Improvements and deteriorations in treatment-related effects balanced each other out. Overall, the most stable and strongest risk factor for COVID-19-related stress was perceived negative change in external conditions—particularly family conditions and leisure options. Additionally, caregiver characteristics emerged as risk factors across most models. Actions to support families during the pandemic should, therefore, facilitate external conditions and focus on caregiver characteristic to reduce familial COVID-19-related stress. Trial registration: German Clinical Trials Register (DRKS), ADOPT Online: DRKS00014963 registered 27 June 2018, ADOPT Treatment: DRKS00013317 registered 27 September 2018, ADOPT Institution: DRKS00014581 registered 04 July 2018. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00787-022-02106-3. |
format | Online Article Text |
id | pubmed-9668221 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-96682212022-11-16 Impact of the COVID-19 pandemic on children with and without affective dysregulation and their families Treier, A.-K. Holas, V. Görtz-Dorten, A. Frenk, F. Goldbeck, C. Mücke, K. Hanisch, C. Ritschel, A. Roessner, V. Rothe, J. Ravens-Sieberer, U. Kaman, A. Banaschewski, T. Brandeis, D. Aggensteiner, P.-M. Kölch, M. Daunke, A. Döpfner, M. Eur Child Adolesc Psychiatry Original Contribution Analyzing COVID-19-related stress in children with affective dysregulation (AD) seems especially interesting, as these children typically show heightened reactivity to potential stressors and an increased use of maladaptive emotion regulation strategies. Children in out-of-home care often show similar characteristics to those with AD. Since COVID-19 has led to interruptions in psychotherapy for children with mental health problems and to potentially reduced resources to implement treatment strategies in daily life in families or in out-of-home care, these children might show a particularly strong increase in stress levels. In this study, 512 families of children without AD and 269 families of children with AD reported on COVID-19-related stress. The sample comprised screened community, clinical, and out-of-home care samples. Sociodemographic factors, characteristics of child and caregiver before the pandemic, and perceived change in external conditions due to the pandemic were examined as potential risk or protective factors. Interestingly, only small differences emerged between families of children with and without AD or between subsamples: families of children with AD and families in out-of-home care were affected slightly more, but in few domains. Improvements and deteriorations in treatment-related effects balanced each other out. Overall, the most stable and strongest risk factor for COVID-19-related stress was perceived negative change in external conditions—particularly family conditions and leisure options. Additionally, caregiver characteristics emerged as risk factors across most models. Actions to support families during the pandemic should, therefore, facilitate external conditions and focus on caregiver characteristic to reduce familial COVID-19-related stress. Trial registration: German Clinical Trials Register (DRKS), ADOPT Online: DRKS00014963 registered 27 June 2018, ADOPT Treatment: DRKS00013317 registered 27 September 2018, ADOPT Institution: DRKS00014581 registered 04 July 2018. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00787-022-02106-3. Springer Berlin Heidelberg 2022-11-16 2023 /pmc/articles/PMC9668221/ /pubmed/36385660 http://dx.doi.org/10.1007/s00787-022-02106-3 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/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/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Contribution Treier, A.-K. Holas, V. Görtz-Dorten, A. Frenk, F. Goldbeck, C. Mücke, K. Hanisch, C. Ritschel, A. Roessner, V. Rothe, J. Ravens-Sieberer, U. Kaman, A. Banaschewski, T. Brandeis, D. Aggensteiner, P.-M. Kölch, M. Daunke, A. Döpfner, M. Impact of the COVID-19 pandemic on children with and without affective dysregulation and their families |
title | Impact of the COVID-19 pandemic on children with and without affective dysregulation and their families |
title_full | Impact of the COVID-19 pandemic on children with and without affective dysregulation and their families |
title_fullStr | Impact of the COVID-19 pandemic on children with and without affective dysregulation and their families |
title_full_unstemmed | Impact of the COVID-19 pandemic on children with and without affective dysregulation and their families |
title_short | Impact of the COVID-19 pandemic on children with and without affective dysregulation and their families |
title_sort | impact of the covid-19 pandemic on children with and without affective dysregulation and their families |
topic | Original Contribution |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9668221/ https://www.ncbi.nlm.nih.gov/pubmed/36385660 http://dx.doi.org/10.1007/s00787-022-02106-3 |
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