ArticleJournal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
COVID-19-Related Posttraumatic Stress in U.S. and Canadian Youth in the First Year of the Pandemic.
Article in Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveDisasters and public health emergencies raise child/adolescent risk for posttraumatic stress (PTS). This study examined prospective predictors of COVID-related PTS in a large sample of U.S. and Canadian youth. Demographics, pre-pandemic contextual factors, baseline clinical factors, and pandemic experiences were examined. We hypothesized pandemic proximity/exposure and pandemic-related financial hardship in the first seven months, as well as baseline resource insecurity, internalizing symptoms, and female gender, would predict subsequent COVID-related PTS.
methodA prospective two-wave study of English- or Spanish-speaking youth ages 5-17 years (
resultsMaximum likelihood estimation linear regression indicated baseline internalizing problems, pre-pandemic food insecurity, and COVID-19-related financial hardship predicted youth PTS at follow-up, whereas COVID-19 proximity/exposure and youth gender, age, and race/ethnicity did not. Youth with baseline internalizing problems had eight times the odds of developing probable PTSD than youth without baseline internalizing problems. The effect of COVID-19-related financial hardship on PTS was particularly high among youth who went into the pandemic with food insecurity.
conclusionThe financial toll the pandemic took on a child's family and whether there were pre-pandemic mental health or resource-related vulnerabilities may have been more determinant of individual youth PTS than the child's degree of direct COVID-19 proximity or family exposure.
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