Psycho-emotional adjustment in parents of adolescents: A cross-sectional and longitudinal analysis of the impact of the COVID pandemic

J Pediatr Nurs. 2021 Jul-Aug:59:e44-e51. doi: 10.1016/j.pedn.2021.01.028. Epub 2021 Feb 16.

Abstract

Purpose: adolescence is a time of change and it generally entails a greater family vulnerability thus; the aim of this study was to identify the risk factors for poor emotional adjustment to COVID among parents of adolescents.

Design and methods: 94 parents of adolescents (11-18 years old, M = 13.90, SD = 1.85) participated at different times during the state of alert in Spain. 91.5% were mothers. Their ages ranged from 35 to 63 years (M = 46.54; SD = 5.09). The variables assessed were anxiety, depression and stress (DASS), moods (MOOD), somatization (SCL) and resilience (CD-RISC). Descriptive analyses, t-tests, ANOVAs, correlations, and hierarchical regressions were performed. All this by means of a cross-sectional and longitudinal study design.

Results: at the beginning of the confinement parents showed low levels of emotional distress and moderate levels of positive emotionality and resilience. However, those with a prior psychological problem, who had lost their job, or had lost someone to the pandemic, showed worse emotional adjustment. Resilience was relevant in predicting anxiety-depressive symptoms, and a low level of happiness was relevant in predicting stress. Emotional symptoms improved over time, and resilience remained stable.

Conclusions: the emotional impact of COVID over time is influenced by mood, mental health, and resilience. In addition, parents who had a previous health problem, had lost their job or a loved one, had a worse adjustment.

Practical implications: it is important to carry out intervention programs that increase resilience, treating parents who require it, since their emotional adjustment has repercussions on the emotional adjustment of family system.

Keywords: Adolescence; COVID-19; Family caregiver; Psychological adjustment; Resilience.

MeSH terms

  • Adolescent
  • Adult
  • Anxiety / epidemiology
  • COVID-19*
  • Child
  • Cross-Sectional Studies
  • Depression / diagnosis
  • Depression / epidemiology
  • Emotional Adjustment
  • Female
  • Humans
  • Longitudinal Studies
  • Middle Aged
  • Pandemics*
  • Parents
  • SARS-CoV-2
  • Spain / epidemiology