ArticleBJPsych open2021
Risk factors for prospective increase in psychological stress during COVID-19 lockdown in a representative sample of adolescents and their parents.
Article in BJPsych open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 37 papers, 1 of them a synthesis that pooled it.
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Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- Interventions to improve well-being among children and youth aged 6-17 years during the COVID-19 pandemic: a systematic review.BMC medicine · 2023Pooled it
- Impact of the COVID-19 pandemic on children with and without affective dysregulation and their families.European child & adolescent psychiatry · 2023Trial
- Resource-strengthening training for adolescents with problematic gaming (Res@t-A): Results from an exploratory single-arm pre-post-follow-up intervention study.Journal of behavioral addictions · 2026Article
- Mental health, quality of life and mental health service use after the COVID-19 pandemic: Results from a cross-sectional nationwide study among German children and adolescents.BMC public health · 2026Article
- Psychological impact of COVID-19 on employees in a primary healthcare group in Singapore and recommended strategies to improve employees' psychological well-being.Singapore medical journal · 2026Article
- Bayesian Mixed Models Approach to Exploring Resilience: Impact of Stress on Subjective Health and Affects Over Time During the COVID-19 Pandemic.International journal of methods in psychiatric research · 2026Article
- The Role of Sleep in Mediating Mental Health Symptoms During the COVID-19 Pandemic in Children with and Without ADHD.Children (Basel, Switzerland) · 2026Article
- Dynamics of psychological distress: understanding the impact of intraindividual and interindividual factors in the Belgian population during the COVID-19 pandemic-a multilevel prospective cohort study.Frontiers in psychiatry · 2026Article
- Point Prevalence and Risk Factors for Insomnia in Children and Adolescents: Findings of a Population-Based Survey.Deutsches Arzteblatt international · 2025Observational
- Psychosocial impact of the COVID-19 pandemic on children with chronic health conditions in Germany: a qualitative interview study.BMJ open · 2025Article
- Parental Mental Health and Child Maltreatment in the COVID-19 Pandemic: Importance of Sampling in a Quantitative Statistical Study.Journal of medical Internet research · 2025Article
- Researcher-Rated "Snapshots" of Stress: Initial Validation of Two Stress Assessment Approaches and Their Relationship to Internalizing Symptoms.Depression and anxiety · 2025Article
- Quality of life, perceived stress, and use of school-based stress management interventions in high school students: a mixed-methods study during and after COVID-19.Frontiers in public health · 2025Article
- Emotional dysregulation predicts problematic gaming in children and youths: a cross-sectional and longitudinal approach.European child & adolescent psychiatry · 2024Article
- Prevalence of substance use disorders and associations with mindfulness, impulsive personality traits and psychopathological symptoms in a representative sample of adolescents in Germany.European child & adolescent psychiatry · 2024Article
- Adolescent sources of stress, stress levels, and associations between stress and changes in weight outcomes at the time of COVID-19 related school closure in March 2020.Preventive medicine reports · 2023Article
- Almost 2 years into the COVID-19 pandemic: an update on parental stress, parent mental health, and the occurrence of child maltreatment.European child & adolescent psychiatry · 2023Article
- Linking the Perceived Stress Scale to the PROMIS Psychological Stress Experiences-Pediatric in adolescents.Psychological assessment · 2023Article
- Families Facing Pandemic Modifications of Everyday Life: A Mixed Study on Mothers' and Children's Emotional Reactions and Regulation Strategies.Children (Basel, Switzerland) · 2023Article
- Mental sequelae of the COVID-19 pandemic in children with and without complex medical histories and their parents: well-being prior to the outbreak and at four time-points throughout 2020 and 2021.European child & adolescent psychiatry · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCOVID-19 lockdown measures imposed extensive restrictions to public life. Previous studies suggest significant negative psychological consequences, but lack longitudinal data on population-based samples.
aimsWe aimed to prospectively identify increased psychological stress and associated risk factors in parent-child dyads.
methodWe conducted a prospective, observational online study on a representative German sample of 1221 adolescents aged 10-17 years and their parents. Psychological stress and psychosocial variables were assessed before the pandemic (baseline) and 1 month after the start of lockdown (follow-up), using standardised measures. We used multilevel modelling to estimate changes in psychological stress, and logistic regression to determine demographic and psychosocial risk factors for increased psychological stress.
resultsThe time of measurement explained 43% of the psychological stress variance. Of 731 dyads with complete data, 252 adolescents (34.5%, 95% CI 31.0-37.9) and 217 parents (29.7%, 95% CI 26.4-33.0) reported a significant increase in psychological stress. Baseline levels were lower than in dyads without increased psychological stress. Risk factors for increased psychological stress included sociodemographic (e.g. female parents, severe financial worries) and emotion regulation aspects (e.g. non-acceptance of emotional responses in parents, limited access to emotion regulation strategies in adolescents), explaining 31% of the adolescent (Nagelkerke R2 = 0.31) and 29% of the parental (Nagelkerke R2 = 0.29) model variance.
conclusionsThis study is the first to prospectively show an increase in psychological stress during COVID-19 lockdown in a representative family sample. Identified demographic and psychosocial risk factors lead to relevant implications for prevention measures regarding this important public health issue.
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