ArticleChild abuse & neglect2020
Is the psychological impact of exposure to COVID-19 stronger in adolescents with pre-pandemic maltreatment experiences? A survey of rural Chinese adolescents.
Article in Child abuse & neglect, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 5 of them syntheses that pooled it.
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Who cites it
73 citing papers in PubMed, 5 syntheses or guidelines pooled it, 123 citations in OpenAlex.
- Child Maltreatment During COVID-19: Key Conclusions and Future Directions Based on a Systematic Literature Review.Trauma, violence & abuse · 2023Pooled it
- The COVID-19 pandemic as a traumatic event and the associated psychological impact on families - A systematic review.Journal of affective disorders · 2022Pooled it
- Prevalence and related factors of child posttraumatic stress disorder during COVID-19 pandemic: A systematic review and meta-analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2022Pooled it
- Review: Mental health impacts of the COVID-19 pandemic on children and youth - a systematic review.Child and adolescent mental health · 2022Pooled it
- Impact of COVID-19 on Mental Health in Adolescents: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Child internalizing symptoms during the COVID-19 pandemic among maltreating and non-maltreating families: Examining the effects of family resources and the Reminiscing and Emotion Training intervention.Child abuse & neglect · 2022Trial
- Childhood maltreatment and psychopathology during collective trauma: the longitudinal role of betrayal-related moral injury.European journal of psychotraumatology · 2026Article
- A Behavioral Economic Characterization of the Impact of the COVID-19 Quarantine on Reinforcer Diversity, Behavior, and Health.Perspectives on behavior science · 2026Review
- From Adversity to Materialistic Value Orientation: Parent-Child Attachment and Gender Differences in Chinese Adolescents.Journal of adolescence · 2026Article
- A latent profile transition analysis of internet addiction for rural adolescents and its associations with emotional and interpersonal problems.BMC psychology · 2026Article
- Balancing demands and resources toward better flourishing and life satisfaction: a two-wave path analysis of school burnout and teens' resilience.Frontiers in psychology · 2026Article
- Adversity and Risk of Adolescent Mental Health Admission During COVID-19.Stress and health : journal of the International Society for the Investigation of Stress · 2025Article
- Mediational effect analysis of childhood emotional abuse on prodromal psychotic symptoms in self-taught examination students.Scientific reports · 2025Article
- Mental health trajectories over the COVID-19 pandemic among young adults reporting adverse childhood experiences.Frontiers in public health · 2025Article
- Adolescent resilience in the face of COVID-19 stressors: the role of trauma and protective factors.Psychological medicine · 2024Article
- What Predicts COVID-Specific Symptoms of Stress in Children and Adolescents, Virus Threats or Social Distancing?Journal of child & adolescent trauma · 2024Article
- Pre-pandemic Individual and Household Predictors of Caregiver and Child COVID-19-Related Stress in a High-Risk Sample.Child protection and practice · 2024Article
- Daily COVID-19 Stressor Effects on Children's Mental Health Depend on Pre-pandemic Peer Victimization and Resting Respiratory Sinus Arrhythmia.Child psychiatry and human development · 2024Article
- Parental and Adolescents' Anxiety during the COVID-19 Outbreak in Rural China: The role of Parent-child Communication.Journal of child & adolescent trauma · 2024Article
- Child maltreatment during the COVID-19 pandemic: implications for child and adolescent mental health.Frontiers in child and adolescent psychiatry · 2024Review
13 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
6 authors at 6 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSince the COVID-19 outbreak at the end of 2019, it has evolved into a global pandemic with tremendous mental health impact besides the threats to people's physical health.
objectiveThe aims were to examine whether exposure to COVID-19 predicts elevated levels of anxiety and post-traumatic stress symptoms and whether pre-pandemic maltreatment experiences exacerbate this impact on mental health in adolescents. PARTICIPANTS AND
settingThe survey was conducted online from February 8 st to February 27th, 2020, and the questionnaires were distributed and retrieved through a web-based platform. This study includes a total of 6196 subjects, aged range from 11 to 18 years old.
methodsSeveral multivariable linear regressions were used to analyse the data.
resultsThe largest variance in PTSS and anxiety problems was explained by ACEs, with more pre-pandemic maltreatment experiences predicting more PTSS (effect size beta = 0.16∼0.27), and more anxiety (effect size beta = 0.32∼0.47). Experienced or subjective fear of exposure to COVID-19 predicted statistically significant variance in PTSS and anxiety, and standardized betas ranged from 0.04 to 0.09. Participants who had adverse childhood experiences and had experienced exposure to COVID-19 showed elevated PTSS.
conclusionsAfter pre-pandemic maltreatment experiences the impact of exposure to COVID-19 on mental health may be stronger. Scars from the past seem to be vulnerabilities during societal upheaval. We therefore suggest that when exposed to COVID-19 rural adolescents should get prioritized professional family support and mental health counseling in particular when they have experienced family abuse and neglect in childhood, even though such support is more difficult to organize in rural areas.
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