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Impact of the COVID-19 pandemic on children with and without affective dysregulation and their families.

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Title: Impact of the COVID-19 pandemic on children with and without affective dysregulation and their families.
Authors: 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.
Source: European Child & Adolescent Psychiatry. Jun2023, Vol. 32 Issue 6, p951-961. 11p. 3 Charts.
Subjects: Leisure, Affective disorders in children, Caregivers, Family attitudes, Research funding, Sociodemographic factors, COVID-19 pandemic, Psychological stress, Children
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of European Child & Adolescent Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. 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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  Data: Impact of the COVID-19 pandemic on children with and without affective dysregulation and their families.
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  Data: <searchLink fieldCode="AR" term="%22Treier%2C+A%2E-K%2E%22">Treier, A.-K.</searchLink><br /><searchLink fieldCode="AR" term="%22Holas%2C+V%2E%22">Holas, V.</searchLink><br /><searchLink fieldCode="AR" term="%22Görtz-Dorten%2C+A%2E%22">Görtz-Dorten, A.</searchLink><br /><searchLink fieldCode="AR" term="%22Frenk%2C+F%2E%22">Frenk, F.</searchLink><br /><searchLink fieldCode="AR" term="%22Goldbeck%2C+C%2E%22">Goldbeck, C.</searchLink><br /><searchLink fieldCode="AR" term="%22Mücke%2C+K%2E%22">Mücke, K.</searchLink><br /><searchLink fieldCode="AR" term="%22Hanisch%2C+C%2E%22">Hanisch, C.</searchLink><br /><searchLink fieldCode="AR" term="%22Ritschel%2C+A%2E%22">Ritschel, A.</searchLink><br /><searchLink fieldCode="AR" term="%22Roessner%2C+V%2E%22">Roessner, V.</searchLink><br /><searchLink fieldCode="AR" term="%22Rothe%2C+J%2E%22">Rothe, J.</searchLink><br /><searchLink fieldCode="AR" term="%22Ravens-Sieberer%2C+U%2E%22">Ravens-Sieberer, U.</searchLink><br /><searchLink fieldCode="AR" term="%22Kaman%2C+A%2E%22">Kaman, A.</searchLink><br /><searchLink fieldCode="AR" term="%22Banaschewski%2C+T%2E%22">Banaschewski, T.</searchLink><br /><searchLink fieldCode="AR" term="%22Brandeis%2C+D%2E%22">Brandeis, D.</searchLink><br /><searchLink fieldCode="AR" term="%22Aggensteiner%2C+P%2E-M%2E%22">Aggensteiner, P.-M.</searchLink><br /><searchLink fieldCode="AR" term="%22Kölch%2C+M%2E%22">Kölch, M.</searchLink><br /><searchLink fieldCode="AR" term="%22Daunke%2C+A%2E%22">Daunke, A.</searchLink><br /><searchLink fieldCode="AR" term="%22Döpfner%2C+M%2E%22">Döpfner, M.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22European+Child+%26+Adolescent+Psychiatry%22">European Child & Adolescent Psychiatry</searchLink>. Jun2023, Vol. 32 Issue 6, p951-961. 11p. 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Leisure%22">Leisure</searchLink><br /><searchLink fieldCode="DE" term="%22Affective+disorders+in+children%22">Affective disorders in children</searchLink><br /><searchLink fieldCode="DE" term="%22Caregivers%22">Caregivers</searchLink><br /><searchLink fieldCode="DE" term="%22Family+attitudes%22">Family attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Sociodemographic+factors%22">Sociodemographic factors</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19+pandemic%22">COVID-19 pandemic</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+stress%22">Psychological stress</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink>
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  Label: Abstract
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  Data: 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Child & Adolescent Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. 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.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s00787-022-02106-3
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