Vulnerability and resilience in children during the COVID-19 pandemic

• Published in: European child & adolescent psychiatry Vol. 31; no. 1; pp. 161 - 176
• Main Authors: Tso, Winnie W. Y., Wong, Rosa S., Tung, Keith T. S., Rao, Nirmala, Fu, King Wa, Yam, Jason C. S., Chua, Gilbert T., Chen, Eric Y. H., Lee, Tatia M. C., Chan, Sherry K. W., Wong, Wilfred H. S., Xiong, Xiaoli, Chui, Celine S., Li, Xue, Wong, Kirstie, Leung, Cynthia, Tsang, Sandra K. M., Chan, Godfrey C. F., Tam, Paul K. H., Chan, Ko Ling, Kwan, Mike Y. W., Ho, Marco H. K., Chow, Chun Bong, Wong, Ian C. K., lp, Patrick
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.01.2022; Springer Nature B.V
• Subjects: Child; Child & adolescent psychiatry; Child and Adolescent Psychiatry; Child, Preschool; Children; Children & youth; Chronic illnesses; Coherence; Coronaviruses; COVID-19; Cross-Sectional Studies; Delayed; Demography; Educational needs; Electronic equipment; Families & family life; Habits; Humans; Medicine; Medicine & Public Health; Mental disorders; Original Contribution; Pandemics; Parental stress; Parents; Parents & parenting; Population studies; Psychiatry; Psychosocial factors; Psychosocial functioning; Psychosocial problems; Psychosocial well being; Resilience; SARS-CoV-2; Single parent family; Sleep; Social interactions; Special needs children; Vulnerability; COVID-19; Coronavirus; Home confinement; School closure; Child psychosocial problems
• ISSN: 1018-8827; 1435-165X
• DOI: 10.1007/s00787-020-01680-8

Background The coronavirus disease 2019 (COVID-19) pandemic is having a profound impact on the health and development of children worldwide. There is limited evidence on the impact of COVID-19 and its related school closures and disease-containment measures on the psychosocial wellbeing of children; little research has been done on the characteristics of vulnerable groups and factors that promote resilience. Methods We conducted a large-scale cross-sectional population study of Hong Kong families with children aged 2–12 years. Parents completed an online survey on family demographics, child psychosocial wellbeing, functioning and lifestyle habits, parent–child interactions, and parental stress during school closures due to COVID-19. We used simple and multiple linear regression analyses to explore factors associated with child psychosocial problems and parental stress during the pandemic. Results The study included 29,202 individual families; of which 12,163 had children aged 2–5 years and 17,029 had children aged 6–12 years. The risk of child psychosocial problems was higher in children with special educational needs, and/or acute or chronic disease, mothers with mental illness, single-parent families, and low-income families. Delayed bedtime and/or inadequate sleep or exercise duration, extended use of electronic devices were associated with significantly higher parental stress and more psychosocial problems among pre-schoolers. Conclusions This study identifies vulnerable groups of children and highlights the importance of strengthening family coherence, adequate sleep and exercise, and responsible use of electronic devices in promoting psychosocial wellbeing during the COVID-19 pandemic.