Families Who Had More COVID-19 Pandemic-Related Hardships Had More Stress, Lower Child Life Satisfaction

<< Back to Research Summaries

Families Who Had More COVID-19 Pandemic-Related Hardships Had More Stress, Lower Child Life Satisfaction

Author(s): Courtney K. Blackwell, et al.

 

Who sponsored this study?

This research was supported by the Environmental influences on Child Health Outcomes (ECHO) program, Office of The Director, National Institutes of Health, with co-funding from the Office of Behavioral and Social Sciences Research (OBSSR).

Footnote: The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

 

What were the study results?

Families with more COVID-19 pandemic-related hardships had higher levels of caregiver and child stress and lower child life satisfaction. Children who had higher levels of social connection and family engagement had better life satisfaction. For younger children, family engagement also decreased the negative effect of stress on life satisfaction. For adolescents, having anxiety and/or depression was a risk factor associated with lower life satisfaction during the pandemic.

Footnote: Results reported here are for a single study. Other or future studies may provide new information or different results. You should not make changes to your health without first consulting your healthcare professional.

 

What was the study's impact?

This study demonstrated the different ways caregivers, children, and adolescents have coped with stress and adapted to the COVID-19 pandemic. The results of this study highlight the importance of family engagement and peer social connection in promoting children’s well-being during adverse events. This study also showed that stress and well-being are not direct opposites, suggesting the need for interventions that can both decrease children’s stress and improve their well-being.

 

Why was this study needed?

Families have faced many challenges during the COVID-19 pandemic, but we don’t yet know much about how these challenges have impacted children’s mental health. While negative mental health outcomes are important to research, it is just as important to understand what helps children maintain positive mental health during hard times. This study investigated how the impact of COVID-19 pandemic-related family hardships have affected child and adolescent well-being and identified factors that can improve and protect their well-being during difficult times.

 

Who was involved?

This study surveyed 977 caregivers of children ages 2 to 12 from 11 ECHO cohorts and 669 adolescents ages 11-17 and their caregivers from five ECHO cohorts. These participants came from 30 U.S. states.

 

What happened during the study?

The researchers collected survey data from May 2020 to May 2021. These surveys asked each participant about their family’s COVID-19 pandemic experience. The researchers combined data from the different cohorts to look at how pandemic-related sources of stress (also called “hardships”) were related to caregiver and child stress, and how stress, social connection, family engagement, and pre-existing mental health conditions related to children’s life satisfaction.

 

What happens next?

The next steps for this research include looking at which specific COVID-19 family hardships have the most impact on caregiver and child stress and well-being so that we can design more specific interventions.

 

Where can I learn more?

Access the full journal article, titled “Youth well-being during the COVID-19 pandemic” in Pediatrics.

 The content is the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Published: March 18, 2022

 

Read the associated news article.

New ECHO Research Investigates Relationship between Chronic Health Conditions and Children’s Positive Health

Julia Schuchard, PhD

Collaborative ECHO research led by Julia Schuchard, PhD of the Children’s Hospital of Philadelphia studied the association between chronic physical or mental health conditions and children’s assessment of their own well-being, also referred to as positive health. The findings show that many children and adolescents with chronic health conditions have similar levels of positive health as their peers without chronic conditions. The team’s research, titled “Influences of chronic physical and mental health conditions on child and adolescent positive health,” is published in Academic Pediatrics.

For this study, researchers gathered 1,764 children aged 8 to 17 from 13 ECHO cohorts across the U.S. and asked them about their physical, mental, and social health and life satisfaction. The children’s parents also provided information on their child’s chronic health conditions, including physical (e.g., asthma, chronic pain, motor problems), developmental (e.g., autism spectrum disorder, developmental delay, learning disabilities), and mental (e.g., depression, anxiety) health conditions. Around 54% of children participating in the study had some form of chronic health condition.

The results of this study suggest that mental health conditions such as depression in childhood may be a primary driver of decreased well-being and life satisfaction among children with chronic health conditions. “The symptoms of physical health conditions and developmental disorders may last for years or even a lifetime,” said Dr. Schuchard, “but it is possible that negative effects on life satisfaction could be minimized by preventing and treating mental health problems.”

More research is needed to identify the best mental health interventions for improving positive health outcomes among children with chronic health conditions. Effective interventions may include increasing the availability of mental health assessments and screening children and adolescents with chronic health conditions for depression more frequently.

“Examining the effects of interventions like these on positive health outcomes has the potential to shift perspectives around health” said Dr. Schuchard, “highlighting the importance of promoting children’s mental health and well-being.”

Read the Research Summary.