ArticleBMJ paediatrics open2022
Identifying vulnerable children's stress levels and coping measures during COVID-19 pandemic in Japan: a mixed method study.
Article in BMJ paediatrics open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 16 citations in OpenAlex.
- Safety and stress-reducing effects of rosemary extract: an open-label trial and randomized double-blind crossover study.Journal of clinical biochemistry and nutrition · 2025Article
- Stress and influencing factor among children diagnosed with cancer at hospitals in Nepal: a cross-sectional study.BMC pediatrics · 2025Article
- Clinical Features of RS Virus Infection before, during, and after COVID-19 Pandemic.Children (Basel, Switzerland) · 2024Article
- Did Inequalities in Mothers' and Children's Health and Well-Being in Japan Increase through the Pandemic? Evidence from Nationwide Surveys and Routinely Collected Data.Children (Basel, Switzerland) · 2024Article
- Exploring the use of the perceived stress scale for children as an instrument for measuring stress among children and adolescents: a scoping review.Frontiers in psychology · 2024Article
- Stress, mental health and sociocultural adjustment in third culture kids: exploring the mediating roles of resilience and family functioning.Frontiers in psychology · 2023Article
- The Effect of Pythagorean Self-Awareness on Heart Rate Variability, Perceived Stress and Behavior of Preschool Children.Children (Basel, Switzerland) · 2022Article
- The voices of children and young people during COVID-19: A critical review of methods.Acta paediatrica (Oslo, Norway : 1992) · 2022Review
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Authors and funding
4 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe COVID-19 pandemic has disproportionately affected vulnerable children and youth. In Japan, despite evidence that the paediatric age group holds a lower risk of infection than the older population, there was a nationwide closure of schools as an early public health measure. Acknowledging that school closures brought heightened psychological and physical stress among Japanese children, we aimed to explore vulnerable children's experiences of the COVID-19 pandemic in Japan, focusing on socially disadvantaged subset of the population.
methodsWe used an adapted version of the 'Perceived Stress Scale for Children', with additional free-text space, delivered online to children attending three non-profit organisations which provide support for this group of vulnerable persons and families experiencing social disadvantage. Simple descriptive analysis was undertaken on the quantitative data; we used thematic and content analysis for the qualitative data.
resultsThirty-six children participated in the online survey, mean age was 11.3 years, majority (61%) were male. The mean overall stress score (score distribution width: 0-39) was 14.8, with no difference in score distribution by age or gender. Free-text responses obtained revealed a range of stressors and protective factors. Schooling, COVID-19 fears, family tension and pandemic measures were sources of stress; family-in particular, the support of the mother-food, friendship and recreation were sources of comfort. While most responses indicated positive coping mechanisms, some displayed maladaptive behaviours.
conclusionsThe children in this cohort had high mean stress scores overall. Responses indicated that they were acutely reactive to COVID-19 as well as pandemic public health measures, and that missing schooling and contact with friends exacerbated their stress. Family was a source of strength as well as stress. A tailored public health response to COVID-19 needs to take into account the concerns voiced by vulnerable child populations be based on equity and child rights.
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