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Longitudinal impact of psychosocial status on children's mental health in the context of COVID-19 pandemic restrictions.
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- Author(s): Moulin, Flore; Bailhache, Marion; Monnier, Maëva; Thierry, Xavier; Vandentorren, Stéphanie; Côté, Sylvana M.; Falissard, Bruno; Simeon, Thierry; Geay, Bertrand; Marchand, Laeticia; Dufourg, Marie-Noëlle; Ancel, Pierre-Yves; Charles, Marie-Aline; Rouquette, Alexandra; Melchior, Maria; Galéra, Cédric
- Source:
European Child & Adolescent Psychiatry. Jun2023, Vol. 32 Issue 6, p1073-1082. 10p. 4 Charts. - Source:
- Additional Information
- Subject Terms: COVID-19; SOCIALIZATION; CONFIDENCE intervals; CHILD development; SOCIOECONOMIC factors; ATTENTION-deficit hyperactivity disorder; SOCIAL classes; QUESTIONNAIRES; DESCRIPTIVE statistics; RESEARCH funding; STAY-at-home orders; LOGISTIC regression analysis; ODDS ratio; COVID-19 pandemic; LONGITUDINAL method; PARENTS; SYMPTOMS; CHILDREN
- Subject Terms:
- Abstract: Emerging research suggests that the prevalence of child and adolescent mental health problems has increased considerably during the COVID-19 crisis. However, there have been few longitudinal studies on children's mental health issues according to their social determinants in this context, especially in Europe. Our aim was to investigate the association between family socioeconomic status (SES) and children' mental health during the period of school closure due to COVID-19. Longitudinal data came from 4575 children aged 8–9 years old in 2020 and participating in the ELFE population-based birth cohort that focuses on children's health, development and socialization. Parents completed the Strengths and Difficulties Questionnaire (SDQ) when children were (a) 5 years of age and (b) 9 years of age, which corresponded to the period of school closure due to the COVID-19 pandemic in France. We retrieved data from the ELFE cohort collected on children from birth to age 5 years (birth, 1 year, 2 years, 3,5 years and 5 years). Socioeconomic status (SES) was measured based on information obtained when the child was 5 years old. Data were analyzed using multinomial logistic regression models. Children's elevated levels of symptoms of Attention-deficit/Hyperactivity disorder (ADHD) during the period of school closure were significantly associated with prior low family SES (aOR 1.26, 95% CI 1.08–1.48). Children's elevated symptoms of hyperactivity/inattention and of emotional symptoms were associated with decline in income during the COVID crisis (respectively, aOR 1.38, 95% CI 1.16–1.63 and aOR 1.23, 95% CI 1.01–1.51). Moreover, when testing interactions, a low prior SES was significantly associated with a higher risk of emotional symptoms aOR 1.54 (1.07–2.21), only for children whose families experienced a decline in income, while gender, parental separation and prior mental health difficulties were not associated. This study underlines the impact of the financial crisis related to the COVID-19 epidemic on children's mental health. Both pre-existing family SES before lockdown and more proximal financial difficulties during the COVID crisis were negatively associated with children's psychological difficulties during the period of school closure. The pandemic appears to exacerbate mental health problems in deprived children whose families suffer from financial difficulties. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of European Child & Adolescent Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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