Abstract
Background: Although several studies have reported an increase in psychological problems during the COVID-19 pandemic, the impact of stressful life events on Spanish children and adolescents using a person-oriented statistical approach and the relationships between the profiles and emotional and behavioral symptoms have not yet been examined. The present study aims to identify profiles of Spanish children and adolescents, considering life-threatening stressful events during the COVID-19 pandemic. Method: Participants were 252 parents of children aged 3 to 15 years old who completed an online structured questionnaire that collected information about stressful life events related to the pandemic and its impact on their children’s welfare. Results: Through Latent Class Analysis (LCA), four profiles of children and adolescents were found according to the stressful events experienced: “COVID infection, social confinement,” “economic loss,” “reduced social contact“ and “parental stress,” with no significant age or gender differences. Reduction in social contact was the most prevalent stressor. Comparisons of psychological symptoms across latent classes were analyzed. Conclusions: The findings increase our understanding of how stressful life events during the COVID-19 situation impacted young people’s psychological welfare and highlight the need to promote strategies to prevent emotional problems during a pandemic considering the identified profiles.
References
Almis, H., Han Almis, B., & Bucak, I. H. (2022). Mental health of children of health workers during the COVID-19 pandemic: A cross-sectional study.
Clinical Child Psychology and Psychiatry, 27(1), 104-111. https://doi.org/10.1177/13591045211016527
Amorós-Reche, V., Belzunegui-Pastor, À, Hurtado, G., & Espada, J. P. (2022). Emotional problems in Spanish children and adolescents during
the COVID-19 pandemic: A systematic review. Clínica y Salud, 33(1), 19-28. https://doi.org/10.5093/CLYSA2022A2
Andrés-Romero, M. P., Flujas-Contreras, J. M., Fernández-Torres, M., Gómez-Becerra, I., & Sánchez-López, P. (2021). Analysis of psychosocial adjustment in the family during confinement: Problems and habits of children and youth and parental stress and resilience. Frontiers in Psychology, 12, Article 647645. https://doi.org/10.3389/fpsyg.2021.647645
Berasategi-Sancho, N., Idoiaga-Mondragon, N., Dosil-Santamaria, M., & Eiguren-Munitis, A. (2021). The wellbeing of children in lockdown: Physical, emotional, social and academic impact. Children and Youth Services Review, 127, Article 106085. https://doi.org/10.1016/j.childyouth.2021.106085
Berasategi-Sancho, N., Idoiaga-Mondragon, N., Ozamiz-Etxebarria, N., & Dosil-Santamaria, M. (2021). Wellbeing of adolescents in de-escalation
situation: Physical, emotional, social, and academic impact. Frontiers in Psychology, 12, Article 646027. https://doi.org/10.3389/fpsyg.2021.646027
Cooper, K., Hards, E., Moltrecht, B., Reynolds, S., Shum, A., McElroy, E., & Loades, M. (2021). Loneliness, social relationships, and mental health in adolescents during the COVID-19 pandemic. Journal of Affective Disorders, 289, 98-104. https://doi.org/10.1016/j.jad.2021.04.016
Cortese, S., Asherson, P., Sonuga-Barke, E., Banaschewski, T., Brandeis, D., Buitelaar, J., Coghill, D., Daley, D., Danckaerts, M., Dittmann, R. W., Doepfner, M., Ferrin, M., Hollis, C., Holtmann, M., Konofal, E., Lecendreux, M., Santosh, P., Rothenberger, A., Soutullo, C.,... Simonoff, E. (2020). ADHD management during the COVID-19 pandemic: Guidance from the European ADHD Guidelines Group. The Lancet Child and Adolescent Health, 4(6), 412-414. https://doi.org/10.1016/S2352-4642(20)30110-3
Creswell, C., Shum, A., Pearcey, S., Skripkauskaite, S., Patalay, P., & Waite, P. (2021). Young people’s mental health during the COVID-19 pandemic. The Lancet Child and Adolescent Health, 5(8), 535-537. https://doi.org/10.1016/S2352-4642(21)00177-2
Delvecchio, E., Orgilés, M., Morales, A., Espada, J. P., Francisco, R., Pedro, M., & Mazzeschi, C. (2022). COVID-19: Psychological symptoms and coping strategies in preschoolers, schoolchildren, and adolescents. Journal of Applied Developmental Psychology, 79, Article 101390. https://doi.org/10.1016/j.appdev.2022.101390
Domínguez-Álvarez, B., López-Romero, L., Isdahl-Troye, A., Gómez- Fraguela, J. A., & Romero, E. (2020). Children coping, contextual risk and their interplay during the COVID-19 pandemic: A Spanish case. Frontiers in Psychology, 11, Article 577763. https://doi.org/10.3389/fpsyg.2020.577763
Dondi, A., Fetta, A., Lenzi, J., Morigi, F., Candela, E., Rocca, A., Cordelli, D. M., & Lanari, M. (2021). Sleep disorders reveal distress among children and adolescents during the Covid-19 first wave: Results of a large webbased Italian survey. Italian Journal of Pediatrics, 47(1), Article 130. https://doi.org/10.1186/s13052-021-01083-8
Duckworth, A. L., Kautz, T., Defnet, A., Satlof-Bedrick, E., Talamas, S., Lira, B., & Steinberg, L. (2021). Students attending school remotely suffer socially, emotionally, and academically. Educational Researcher, 50(7), 479-482. https://doi.org/10.3102/0013189X211031551
El-Sheikh, M., Buckhalt, J. A., Mize, J., & Acebo, C. (2006). Marital conflict and disruption of children’s sleep. Child Development, 77(1), 31-43. https://doi.org/10.1111/j.1467-8624.2006.00854.x
Ezpeleta, L., Navarro, J. B., de la Osa, N., Trepat, E., & Penelo, E. (2020). Life conditions during COVID-19 lockdown and mental health in Spanish adolescents. International Journal of Environmental Research and Public Health, 17(19), 1-13. https://doi.org/10.3390/ijerph17197327
Forte, A., Orri, M., Brandizzi, M., Iannaco, C., Venturini, P., Liberato, D., Battaglia, C., Nöthen-Garunja, I., Vulcan, M., Brusìc, A., Quadrana, L., Cox, O., Fabbri, S., & Monducci, E. (2021). “My life during the lockdown”: Emotional experiences of European adolescents during the COVID-19 crisis. International Journal of Environmental Research and
Public Health, 18(14), Article 7638. https://doi.org/10.3390/ijerph18147638
Gómez-Becerra, I., Flujas, J. M., Andrés, M., Sánchez-López, P., & Fernández-Torres, M. (2020). Evolution of psychological state and fear in childhood and adolescence during COVID-19 lockdown. Revista de Psicología Clínica con Niños y Adolescentes, 7(3), 11-18. https://doi.org/10.21134/rpcna.2020.mon.2029
González-Valero, G., Zurita-Ortega, F., Lindell-Postigo, D., Conde-Pipó, J., Grosz, W. R., & Badicu, G. (2020). Analysis of self-concept in adolescents before and during COVID-19 lockdown: Differences by gender and sports activity. Sustainability, 12(18), Article 7792. https://doi.org/10.3390/SU12187792
Idoiaga, N., Berasategi, N., Eiguren, A., & Picaza, M. (2020). Exploring children’s social and emotional representations of the COVID-19 pandemic. Frontiers in Psychology, 11, Article 1952.
https://doi.org/10.3389/fpsyg.2020.01952
Ilari, B., Cho, E., Li, J., & Bautista, A. (2022). Perceptions of parenting, parent-child activities and children’s extracurricular activities in times of COVID-19. Journal of Child and Family Studies, 31(2), 409-420. https://doi.org/10.1007/s10826-021-02171-3
Imran, N., Zeshan, M., & Pervaiz, Z. (2020). Mental health considerations for children and adolescents in COVID-19 pandemic. Pakistan Journal of Medical Sciences, 36(COVID19-S4), S67-S72. https://doi.org/10.12669/pjms.36.COVID19-S4.2759
Kara, S. B. K., Günes, D. Z., & Tüysüzer, B. S. (2021). Work-family conflict during working from home due to pandemic: A qualitative research on female
teachers. International Journal of Curriculum and Instruction, 13(1), 251-273.
Li, J. B., Yang, A., Dou, K., Wang, L. X., Zhang, M. C., & Lin, X. Q. (2020). Chinese public’s knowledge, perceived severity, and perceived controllability of COVID-19 and their associations with emotional and behavioural reactions, social participation, and precautionary behaviour: A national survey. BMC Public Health, 20(1), Article 1589. https://doi.org/10.1186/s12889-020-09695-1
Liang, N., Becker, T. D., & Rice, T. (2022). Preparing for the COVID-19 paediatric mental health crisis: A focus on youth reactions to caretaker death. Clinical Child Psychology and Psychiatry, 27(1), 228-237. https://doi.org/10.1177/13591045211061802
Low, N., & Mounts, N. S. (2022). Economic stress, parenting, and adolescents’ adjustment during the COVID-19 pandemic. Family Relations, 71(1), 90-107. https://doi.org/10.1111/fare.12623
Medrano, M., Cadenas-Sanchez, C., Oses, M., Arenaza, L., Amasene, M., & Labayen, I. (2021). Changes in lifestyle behaviours during the COVID-19 confinement in Spanish children: A longitudinal analysis from the MUGI project. Pediatric Obesity, 16(4), Article e12731. https://doi.org/10.1111/ijpo.12731
Morales, A., Espada, J. P., & Orgilés, M. (2021). How to evaluate the impact of the COVID-19 and home confinement on children and adolescents? Poster presented in the 7th International Congress of Clinical and Health Psychology in Children and Adolescent (online), 18-20 November 2021.
Moscardino, U., Dicataldo, R., Roch, M., Carbone, M., & Mammarella, I. C. (2021). Parental stress during COVID-19: A brief report on the role of distance education and family resources in an Italian sample. Current Psychology, 40(11), 5749-5752. https://doi.org/10.1007/s12144-021-01454-8
Muthén, L. K., & Muthén, B. O. (1998-2015). Mplus user’s guide. Seventh edition. Muthén & Muthén.
Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study. Structural Equation Modeling: A Multidisciplinary Journal, 14(4), 535-569. https://doi.org/10.1080/10705510701575396
Odriozola-González, P., Planchuelo-Gómez, Á, Irurtia, M. J., & de Luis- García, R. (2020). Psychological symptoms of the outbreak of the COVID-19 confinement in Spain. Journal of Health Psychology, 27(4), 825-835. https://doi.org/10.1177/1359105320967086
Orden SND/370/2020, de 25 de abril, sobre las condiciones en las que deben desarrollarse los desplazamientos por parte de la población infantil durante la situación de crisis sanitaria ocasionada por el COVID-19 [on the conditions in which displacement by the child population must take place during the health crisis situation caused by COVID-19]. Boletín
Oficial del Estado, 116, de 25 de abril de 2020, 1-5. https://www.boe.es/buscar/pdf/2020/BOE-A-2020-4665-consolidado.pdf
Orgilés, M., Espada, J. P., Delvecchio, E., Francisco, R., Mazzeschi, C., Pedro, M., & Morales, A. (2021). Anxiety and depressive symptoms in children and adolescents during COVID-19 pandemic: A transcultural approach. Psicothema, 33(1), 125-130. https://doi.org/10.7334/psicothema2020.287
Orgilés, M., Espada, J. P., & Morales, A. (2021). Stressful Life Events related to Pandemic Inventory. Manuscript in preparation.
Orgilés, M., Francisco, R., Delvecchio, E., Espada, J. P., Mazzeschi, C., Pedro, M., & Morales, A. (2021). Psychological symptoms in Italian, Spanish and Portuguese youth during the COVID-19 health crisis: A longitudinal study. Child Psychiatry and Human Development, 53, 853-862. https://doi.org/10.1007/s10578-021-01211-9
Orgilés, M., Morales, A., Delvecchio, E., Francisco, R., Mazzeschi, C., Pedro, M., & Espada, J. P. (2021). Coping behaviors and psychological disturbances in youth affected by the COVID-19 health crisis. Frontiers in Psychology, 12, Article 565657. https://doi.org/10.3389/fpsyg.2021.565657
Orgilés, M., Morales, A., Delvecchio, E., Mazzeschi, C., & Espada, J. P. (2020). Immediate psychological effects of the COVID-19 quarantine in youth from Italy and Spain. Frontiers in Psychology, 11, 579038.https://doi.org/10.3389/fpsyg.2020.579038
Orgilés, M., Morales, A., & Espada, J. P. (2020). Impact Scale of the COVID-19 and Home Confinement on Children and Adolescents. Manuscript in preparation.
Pearcey, S., Shum, A., Raw, J., Waite, P., Patalay, P., & Creswell, C. (2020). Changes in children and young people’s emotional and behavioural difficulties through lockdown (report 04). (Co-SPACE study). https://cospaceoxford.org/findings/4th-update/
Real Decreto 463/2020, de 14 de marzo, por el que se declara el estado de alarma para la gestión de la situación de crisis sanitaria ocasionada por el COVID-19 [declaring the state of alarm for the management of the health crisis situation caused by COVID-19]. Boletín Oficial del Estado, 67, de 14 de marzo de 2020, 25390-25400. Boletín Oficial del Estado.
https://www.boe.es/boe/dias/2020/03/14/pdfs/BOE-A-2020-3692.pdf
Rodríguez, S., Valle, A., Piñeiro, I., Rodríguez-Llorente, C., Guerrero, E., & Martins, L. (2020). Sociodemographic characteristics and stress of people from Spain confined by COVID-19. European Journal of Investigation in Health, Psychology and Education, 10(4), 1095-1105. https://doi.org/10.3390/ejihpe10040077
Romero, E., López-Romero, L., Domínguez-Álvarez, B., Villar, P., & Gómez-Fraguela, J. A. (2020). Testing the effects of COVID-19 confinement in Spanish children: The role of parents’ distress, emotional problems and specific parenting. International Journal of Environmental Research and Public Health, 17(19), 1-23. https://doi.org/10.3390/ijerph17196975
Sandín, B., Espinosa, V., Valiente, R. M., García-Escalera, J., Schmitt, J. C., Arnáez, S., & Chorot, P. (2021). Effects of coronavirus fears on anxiety and depressive disorder symptoms in clinical and subclinical adolescents: The role of negative affect, intolerance of uncertainty, and emotion regulation strategies. Frontiers in Psychology, 12, Article 716528. https://doi.org/10.3389/fpsyg.2021.716528
Skripkauskaite, S., Shum, A., Pearcey, S., McCall, A., Waite, P., & Creswell, C. (2021). Changes in children’s mental health symptoms from March 2020 to June 2021 (report 11). (Co-SPACE study). https://cospaceoxford.org/findings/changes-in-childrens-mental-healthsymptoms-from-march-2020-to-june-2021/
Tomczyk, S., Isensee, B., & Hanewinkel, R. (2016). Latent classes of polysubstance use among adolescents – a systematic review. Drug and Alcohol Dependence, 160, 12-29.
https://doi.org/10.1016/j.drugalcdep.2015.11.035
Tomczyk, S., Schomerus, G., Stolzenburg, S., Muehlan, H., & Schmidt, S. (2018). Who is seeking whom? A person-centred approach to helpseeking in adults with untreated mental health problems via latent class analysis. Social Psychiatry and Psychiatric Epidemiology, 53(8), 773-783. https://doi.org/10.1007/s00127-018-1537-7
Tzankova, I., Compare, C., Marzana, D., Guarino, A., Di Napoli, I., Rochira, A., Calandri, E., Barbieri, I., Procentese, F., Gatti, F., Marta, E., Fedi, A., Aresi, G., & Albanesi, C. (2022). Emergency online school learning during COVID-19 lockdown: A qualitative study of adolescents’ experiences in Italy. Current Psychology. Advance online publication. https://doi.org/10.1007/s12144-021-02674-8
Vallejo-Slocker, L., Fresneda, J., & Vallejo, M. A. (2020). Psychological wellbeing of vulnerable children during the COVID-19 pandemic. Psicothema, 32(4), 501-507. https://doi.org/10.7334/psicothema2020.218
Vallejo-Slocker, L., Sanz, J., García-Vera, M. P., Fresneda, J., & Vallejo, M. A. (2022). Mental health, quality of life and coping strategies in vulnerable children during the COVID-19 pandemic. Psicothema, 34(2), 249-258. https://doi.org/10.7334/psicothema2021.467
Verweij, R., Helmerhorst, K., & Keizer, R. (2021). Work-to-family conflict, family-to-work conflict and their relation to perceived parenting and the parent-child relationship before and during the first covid-19 lockdown. Journal of Family Research, 33(3), 734-771. https://doi.org/10.20377/jfr-636
Waite, P., Patalay, P., Moltrecht, B., McElroy, E., & Creswell, C. (2020). Covid-19 worries, 1 parent/carer stress and support needs, by child special educational needs and parent/carer work status (report 02). (Co-SPACE study). https://cospaceoxford.org/findings/exercise-social-behaviours/World Health Organisation. (2021). Listings of WHO’s response to COVID-19. https://www.who.int/news/item/29-06-2020-covidtimeline