The interplay between mothers’ and children behavioral and psychological factors during COVID-19: an Italian study
Tóm tắt
Italy has been the first nation outside of Asia to face the COVID-19 outbreak. To limit viral transmission of infection, by March 10th, 2020, the Italian Government has ordered a national lockdown, which established home confinement, home (smart) working, and temporary closure of non-essential businesses and schools. The present study investigated how these restrictive measures impacted mothers and their pre-school children’s behavioral habits (i.e., sleep timing and quality, subjective time experience) and psychological well-being (i.e., emotion regulation, self-regulation capacity). An online survey was administered to 245 mothers with pre-school children (from 2 to 5 years). Mothers were asked to fill the survey thinking both on their habits, behaviors, and emotions and on those of their children during the quarantine, and retrospectively, before the national lockdown (i.e., in late February). A general worsening of sleep quality and distortion of time experience in both mothers and children, as well as increasing emotional symptoms and self-regulation difficulties in children, was observed. Moreover, even when the interplay between the behavioral and psychological factors was investigated, the factor that seems to mostly impact both mothers' and children's psychological well-being was their sleep quality. Overall, central institutions urgently need to implementing special programs for families, including not only psychological support to sustain families with working parents and ameliorating children's management.
Tài liệu tham khảo
World Health Organization (2020) WHO Director-General’s statement on IHR Emergency Committee on Novel Coronavirus (2019-nCoV). WHO, Geneva
Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin G (2020) The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 395:912–920. https://doi.org/10.1016/S0140-6736(20)30460-8
Hawryluck L, Gold WL, Robinson S, Pogorski S, Galea S, Styra R (2004) SARS control and psychological effects of quarantine, Toronto, Canada. Emerg Infect Dis 10(7):1206
Liu X, Kakade M, Fuller CJ et al (2012) Depression after exposure to stressful events: lessons learned from the severe acute respiratory syndrome epidemic. Compr Psychiatry 53:15–23. https://doi.org/10.1016/j.comppsych.2011.02.003
Yoon MK, Kim SY, Ko HS, Lee MS (2016) System effectiveness of detection, brief intervention and refer to treatment for the people with post-traumatic emotional distress by MERS: a case report of community-based proactive intervention in South Korea. Int J Ment Health Syst 10:51. https://doi.org/10.1186/s13033-016-0083-5
Chen R, Chou KR, Huang YJ, Wang TS, Liu SY, Ho LY (2006) Effects of a SARS prevention programme in Taiwan on nursing staff's anxiety, depression and sleep quality: a longitudinal survey. Int J Nurs Stud 43(2):215–225. https://doi.org/10.1016/j.ijnurstu.2005.03.006
Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, Zheng J (2020) The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. https://doi.org/10.1016/j.psychres.2020.112934
Cellini N, Canale N, Mioni G, Costa S (2020) Changes in sleep pattern, sense of time, and digital media use during COVID-19 lockdown in Italy. J Sleep Res. https://doi.org/10.1111/jsr.13074
Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y (2020) A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatr. https://doi.org/10.1136/gpsych-2020-100213
Liu JJ, Bao Y, Huang X, Shi J, Lu L (2020) Mental health considerations for children quarantined because of COVID-19. Lancet Child Adolesc Health 4(5):347–349. https://doi.org/10.1016/S2352-4642(20)30096-1
Wang G, Zhang Y, Zhao J, Zhang J, Jiang F (2020) Mitigate the effects of home confinement on children during the COVID-19 outbreak. Lancet 395(10228):945–947. https://doi.org/10.1016/S0140-6736(20)30547-X
Sprang G, Silman M (2013) Posttraumatic stress disorder in parents and youth after health-related disasters. Disaster Med Public Health Prep 7:105–110. https://doi.org/10.1017/dmp.2013.22
Brazendale K, Beets MW, Weaver RG, Pate RR, Turner-McGrievy GM, Kaczynski AT, von Hippel PT (2017) Understanding differences between summer vs. school obesogenic behaviors of children: the structured days hypothesis. Int J Behav Nutr Phys Act 14(1):100. https://doi.org/10.1186/s12966-017-0555-2
Altena E, Baglioni C, Espie CA et al (2020) Dealing with sleep problems during home 261 confinement due to the COVID-19 outbreak: practical recommendations from a task 262 force of the European CBT-I Academy. J Sleep Res. https://doi.org/10.1111/jsr.13052
Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ (1989) The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 28(2):193–213. https://doi.org/10.1016/0165-1781(89)90047-4
Curcio G, Tempesta D, Scarlata S, Marzano C, Moroni F, Rossini PM, De Gennaro L (2013) Validity of the Italian version of the Pittsburgh sleep quality index (PSQI). Neurol Sci 34(4):511–519. https://doi.org/10.1007/s10072-012-1085-y
Bruni O, Ottaviano S, Guidetti V, Romoli M, Innocenzi M, Cortesi F, Giannotti F (1996) The Sleep Disturbance Scale for Children (SDSC) construct ion and validation of an instrument to evaluate sleep disturbances in childhood and adolescence. J Sleep Res 5(4):251–261. https://doi.org/10.1111/j.1365-2869.1996.00251.x
Mioni G, Wittmann M, Prunetti E, Stablum F (2020) Time perspective and the subjective passage of time in patients with borderline personality disorders. Timing Time Percept 8:86–101. https://doi.org/10.1163/22134468-20191165
Wittmann M, Lehnhoff S (2005) Age effects in perception of time. Psychol Rep 97:921–935. https://doi.org/10.2466/pr0.97.3.921-935
Porcelli F, Biffi V, Capodieci A, Mioni G, Stablum F, Cornoldi C (2018) L’uso del Questionario QSTB per rilevare il senso del tempo nei bambini a sviluppo tipico e atipico. DdAI Disturbi di Attenzione e Iperattività 14(2):211–223
Zakay D (2014) Psychological time as information: the case of boredom. Front Psychol 5:917. https://doi.org/10.3389/fpsyg.2014.00917
Gioia GA, Espy KA, Isquith PK (2003) Behavior rating inventory of executive function-preschool version. Psychol Assess Resour (PAR), Odessa, FL
Marano A, Innocenzi M, Devescovi A (2014) Italian adaptation by (2014) “Behavior rating inventory of executive function (BRIEF-P)”. Gerard, A., Gioia, PK, Isquith, SGG and Lauren, K., Hogrefe, F. (Eds) 89:98
Goodman R (1997) The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatr 38:581–586
Tobia V, Gabriele M, Marzocchi G (2012) Lo Strengths and Difficulties Questionnaire (SDQ) nella scuola primaria: Il comportamento dei bambini Italiani valutato dai loro insegnanti
Gratz KL, Roemer L (2004) Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess 26(1):41–54
Giromini L, Velotti P, de Campora G, Bonalume L, Cesare Zavattini G (2012) Cultural adaptation of the difficulties in emotion regulation scale: reliability and validity of an Italian version. J Clin Psychol 68(9):989–1007
Schmidt M, Demulder E, Denham S (2002) Kindergarten social-emotional competence: developmental predictors and psychosocial implications. Early Child Dev Care 172(5):451–462. https://doi.org/10.1080/03004430214550
Mihashi M, Otsubo Y, Yinjuan X, Nagatomi K, Hoshiko M, Ishitake T (2009) Predictive factors of psychological disorder development during recovery following SARS outbreak. Health Psychol 28:91–100. https://doi.org/10.1037/a0013674
Morelen D, Shaffer A, Suveg C (2016) Maternal emotion regulation: links to emotion parenting and child emotion regulation. J Fam Issues 37:1891–1916. https://doi.org/10.1177/0192513X14546720
Liang L, Ren H, Cao R, Hu Y, Qin Z, Li C, Mei S (2020) The effect of COVID-19 on youth mental health. Psychiatr Q. https://doi.org/10.1007/s11126-020-09744-3
Hipp L, Bünning M, Munnes S, Sauermann A (2020) Problems and pitfalls of retrospective survey questions in COVID-19 studies. Surv Res Methods 14:109–114
