Vol. 23 No. 3 (2020)
Articles

Perceived threats and difficulties of mothers of young children during a state of emergency in a COVID-19 pandemic

Published 12/10/2020

Keywords

  • COVID-19,
  • worries,
  • difficulties,
  • mothers,
  • children,
  • conceptual cluster analys
  • ...More
    Less

How to Cite

PAUNOVA-MARKOVA, E. (2020). Perceived threats and difficulties of mothers of young children during a state of emergency in a COVID-19 pandemic. Psychological Research (in the Balkans), 23(3). Retrieved from https://journalofpsychology.org/index.php/1/article/view/47

Abstract

The present qualitative study extends and deepens the understanding of psychological response to COVID-19 pandemic of mothers and their children in the age group 0-4 years. Using conceptual cluster analysis the free text answers of 200 mothers were grouped into clusters and subclusters. The main finding of the study is that mothers of young children reported a wide range of perceived threats and difficulties during the early stage of the outbreak. Specific threats and difficulties were observed for the reported group. This finding supports the literature that the current pandemic and the strategies for its management have a substantial negative psychological impact. Young children and their mothers were outlined as vulnerable groups. The perceived threat of the illness was greater than perceived threats concerning the measures and their consequences. On the other hand, all reported difficulties were related to the pandemic containment measures. The greatest perceived threat was connected to getting infected with COVID-19 and the worries were mainly focused on the family and close friends. Other main perceived threats were the duration of the situation, the home confinement and the social isolation of the child, the economic impact and the uncertainty. The most frequently met difficulty was the impossibility for the child to be in the open air, followed by the lack of social contacts and the inability of the mother to go out. Overall, the containment measures seem to have drastically altered the everyday life of young children and their mothers. Some suggestions for mitigating the adverse psychological effect were offered.

References

  1. Mengov, G., Zinovieva, I., Paunova-Markova, Е. and Karaivanova, M. (2015). Pertseptsii za uspeh pri vzemane na ikonomicheski reshenia [Perceptions of success in economic decision-making]. Psychological research 18(2), 129-134. ISSN 1311-4700. (In Bulgarian).
  2. Mengov, G., Zinovieva, I., Karaivanova, M. and Paunova-Markova, Е. (2015). Naglasi kam spodelyaneto na informatsia vav virtualna obshtnost pri vzemane na ikonomicheski reshenia [Attitudes to information sharing about economic decisions in a virtual community]. Psychological research 18(2), 135-140. ISSN 1311-4700. (In Bulgarian).
  3. Aven, T. & Bouder, F. (2020). The COVID-19 pandemic: how can risk science help? Journal of Risk Research. https://doi.org/10.1080/1366987 7.2020.1756383.
  4. Bowlby, J. (1988). A secure base. Clinical applications of attachment theory. London, UK: Routledge.
  5. Brahmbhatt, M., Dutta, A. (2008). On SARS Type Economic Effects during Infectious Disease Outbreaks. The World Bank: Washington, DC, USA.
  6. Braunack-Mayer, A., Tooher, R., Collins, J. E., Street, J. M. & Marshall, H. (2013). Understanding the school community’s response to school closures during the H1N1 2009 influenza pandemic. BMC Public Health, 13(344). https:// doi.org/10.1186/1471-2458-13-344.
  7. Brazendale, K., Beets, M. W., Weaver, R. G., Pate, R. R., Turner-McGrievy, G. M., Kaczynski, A. T., Chandler, J. L., Bohnert,
  8. A. & Hippel, P. T. Von. (2017). Understanding differences between summer vs . school obesogenic behaviors of children : the structured days hypothesis. International Journal of Behavioral Nutrition and Physical Activity, 14(100), 1–14. https://doi.org/10.1186/s12966-017-0555-2.
  9. Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N. & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet, 395, 912–920. https://doi.org/10.1016/S0140-6736(20)30460-8.
  10. Buheji, M., Hassani, A., Ebrahim, A., da Costa Cunha, K., Jahrami, H., Baloshi, M. & Hubail, S. (2020). Children and Coping During COVID-19: A Scoping Review of BioPsycho-Social Factors. International Journal of Applied Psychology, 10(1), 8–15. https://doi.org/10.5923/j.ijap.20201001.02.
  11. Chen, N. (2020). Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: A descriptive study. Lancet, 395, 507–513.
  12. Chen, P., Mao, L., Nassis, G. P., Harmer, P., Ainsworth, B. E. & Li, F. (2020). Coronavirus disease (COVID-19): The need to maintain regular physical activity while taking precautions. Journal of sport and health science, 9(2), 103– 104. https://doi.org/10.1016/j.jshs.2020.02.001.
  13. Choi, D., Shin, D.-H., Park, K. & Yoo, W. (2018). Exploring Risk Perception and Intention to Engage in Social and Economic Activities During the South Korean MERS Outbreak. International Journal of Communication, 12, 3600–3620.
  14. Choi, J. S., Ha, J. Y., Lee, J. S., Lee, Y. T., Jeong, S. U., Shin, D. J., … Seo, D. U. (2015). Factors affecting MERS-related health behaviors among male high school students. J. Korean Soc. Sch. Health, 28, 150–157.
  15. De Roo, A., Bwaka, A., Rose, B., Guimard, Y., Fonck, K. & Colebunders, R. (1998). Survey among Survivors of the 1995 Ebola Epidemic in Kikwit, Democratic Republic of Congo: Their Feelings and Experiences. Tropical Medicine & International Health, 3, 883-885. https://doi. org/10.1046/j.1365-3156.1998.00322.x.
  16. Dryhurst, S., Schneider, C. R., Kerr, J., Freeman, A. L. J., Recchia, G., van der Bles, A. M., Spiegelhalter, D. & van der Linden, S. (2020). Risk perceptions of COVID-19 around the world. Journal of Risk Research. https://doi. org/10.1080/13669877.2020.1758193.
  17. Dunn, C., Kenney, E., Fleischhacker, S. & Bleich, S. (2020). Feeding Low-Income Children during the Covid-19 Pandemic. New England Journal of Medicine. Retrieved June 21, 2020, from https://www.nejm.org/doi/ full/10.1056/N EJMp2005638.
  18. Hale, T., Webster, S., Petherick, A., Philips, T. & Kira, B. (2020). Oxford COVID-19 Government Response Tracker, Blavatnik School of Government [Data set]. Retrieved June 10, 2020, from https://www.bsg.ox.ac.uk/research/ research-projects/coronavirus-government-response-tracker.
  19. Harrison, J., Barrow, S., Gask, L. & Creed, F. (1999). Social determinants of GHQ score by postal survey. Journal of Public Health, 21, 283-288.
  20. Hawryluck, L., Gold, W. L., Robinson, S., Pogorski, S., Galea, S. & Styra, R. (2004). SARS control and psychological effects of quarantine, Toronto, Canada. Emerging Infectious Diseases, 10(7), 1206–1212. https://doi. org/10.3201/eid1007.030703.
  21. Hilton, S. & Smith, E. (2010). Public views of the uk media and government reaction to the 2009 swine flu pandemic. BMC Public Health, 10. http://www.biomedcentral.com/1471-2458/10/697.
  22. Jiao, W. Y., Wang, L. N., Liu, J., Fang, S. F., Jiao, F. Y., Pettoello-Mantovani, M. & Somekh, E. (2020). Behavioral and Emotional Disorders in Children during the COVID-19 Epidemic. The Journal of Pediatrics, 221, 264–266.
  23. Jordan, J. J., Yoeli, E. & Rand, D. G. (2020). Don’t get it or don’t spread it? Comparing self-interested versus prosocially framed COVID-19 prevention messaging.
  24. Kim, E. Y., Liao, Q., Yu, E. S., Kim, J. H., Yoon, S. W., Lam, W. W. T. & Fielding, R. (2016). Middle East respiratory syndrome in South Korea during 2015: Risk-related perceptions and quarantine attitudes. American Journal of Infecion Control, 44(11), 1414–1416.
  25. Kowal, M., Coll-Martín, T., Ikizer, G., Rasmussen, J., Eichel, K., Studzińska, A., … Ahmed, O. (2020). Who Is the Most Stressed During COVID-19 Isolation? Data From 27 Countries. Unpublished manuscript.
  26. Lancet (2020). Pandemic school closures: risks and opportunities. The Lancet Child Adolescent Health, 4(5), 341. https://doi.org/10.1016/ s2352-4642(20)3 0105-x.
  27. Lau, J. T. F., Griffiths, S., Choi, K. C. & Tsui,
  28. H. Y. (2010). Avoidance behaviors and negative psychological responses in the general population in the initial stage of the H1N1 pandemic in Hong Kong. BMC Infectious Diseases, 10(139).
  29. Lee, M. & You, M. (2020). Psychological and behavioral responses in South Korea during the early stages of coronavirus disease 2019 (COVID-19). International Journal of Environmental Research and Public Health, 17. https://doi. org/10.3390/ijerph17092977.
  30. Leung, G. M., Lam, T. H., Ho, L. M., Ho, S. Y., Chan, B. H. Y., Wong, I. O. L. & Hedley, A. J. (2003). The Impact of Community Psychological Responses on Outbreak Control for Severe Acute Respiratory Syndrome in Hong Kong. Journal of Epidemiology & Community Health, 57(11), 857–863.
  31. Liu, J. J., Bao, Y., Huang, X., Shi, J. & Lu, L. (2020). Mental health considerations for children quarantined because of COVID-19. The Lancet Child and Adolescent Health, 4, 347–349. https://doi.org/10.1016/S2352-4642(20)30096-1.
  32. Mazza, C., Ricci, E., Biondi, S., Colasanti, M., Ferracuti, S., Napoli, C. & Roma, P. (2020). A nationwide survey of psychological distress among italian people during the covid-19 pandemic: Immediate psychological responses and associated factors. International Journal of Environmental Research and Public Health, 17, 1–14. https://doi.org/10.3390/ijerph17093165.
  33. 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. Unpublished manuscript. https://doi.org/10.31234/ osf.io/qaz9w.
  34. Pecoraro, L., Dalle Carbonare, L., De Franceschi, L., Piacentini, G. & Pietrobelli, A. (2020). The psycho-physical impact that COVID-19 has on children must not be underestimated. Acta Pædiatrica. Unpublished manuscript. https://doi.org/10.1111/apa.15347.
  35. Perrin, P. C., McCabe, O. L., Everly, G. S. & Links, J. M. (2009). Preparing for an influenza pandemic: Mental health considerations. Prehospital and Disaster Medicine, 24(3), 223–230. https://doi.org/10.1017/S1049023X00006853.
  36. Pidgeon, N. and Henwood, K. (1997) Using grounded theory approach in psychology. In: Hayes, N. (Ed.) Doing Qualitative Research in Psychology. Psychology Press, Hove, 245-273.
  37. Ramalingaswami, V. (2001). Psychological effects of the 1994 plague outbreak in Surat, India. Military Medicine,166, 29-30.
  38. Rubin, G. J., Potts, H. W. W. & Michie, S. (2010). The impact of communications about swine flu (influenza A H1N1v) on public responses to the outbreak : results from 36 national telephone surveys in the UK. Health Technology Assessment, 14(34), 183–266. https://doi. org/10.3310/hta14340-03.
  39. Saurabh, K. & Ranjan, S. (2020). Compliance and Psychological Impact of Quarantine in Children and Adolescents due to Covid-19 Pandemic. Indian Journal of Pediatrics. https://doi. org/10.1007/s12098-020-03347-3.
  40. Schimmenti, A., Billieux, J. & Starcevic, V. (2020). The four horsemen of fear: An integrated model of understanding fear experiences during the COVID-19 pandemic. Clinical Neuropsychiatry, 17(2), 41–45.
  41. Spinelli, M., Lionetti, F. & Pastore, M. (2020). Parents and children facing the COVID-19 outbreak in Italy. The Lancet Child and Adolescent Health. Unpublished manuscript.
  42. Sprang, G. & Silman, M. (2013). Posttraumatic Stress Disorder in Parents and Youth After Health-Related Disasters. Disaster Medicine and Public Health Preparedness, 7, 105–110. https://doi.org/10.1017/dmp.2013.22.
  43. Taha, S., Matheson, K., Cronin, T. & Anisman, H. (2014). Intolerance of uncertainty, appraisals, coping, and anxiety: The case of the 2009 H1N1 pandemic. British Journal of Health Psychology, 19, 592–605. https://doi. org/10.1111/bjhp.12058.
  44. Taylor, M. R., Agho, K. E., Stevens, G. J. & Raphael, B. (2008). Factors influencing psychological distress during a disease epidemic: Data from Australia’s first outbreak of equine influenza. BMC Public Health, 8(1), 347. https://doi.org/10.1186/1471-2458-8-347.
  45. Tysmans, J. (1995). Plague in India - 1994: Conditions, Containment, Goals. University of North Carolina at Chapel Hill, School of Public Health, Health Policy and Administration.
  46. UNICEF (2020). How to talk to your child about coronavirus disease 2019 (COVID-19). Retrieved June 26, 2020, from https://www. unicef.org/coronavirus/how-talk-your-child-about-coronavirus-covid-19.
  47. Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S. & Ho, R. C. (2020). Immediate Psychological Responses and Associated Dactors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. International Journal of Environmental Research and Public Health, 17. https://doi.org/10.3390/ijerph17051729.
  48. Wong, C. M. L. & Jensen, O. (2020). The paradox of trust: perceived risk and public compliance during the COVID-19 pandemic in Singapore. Journal of Risk Research, 0(0), 1–10. https://doi.org/10.1080/13669877.2020.17563 86.
  49. Wright, L., Steptoe, A. & Fancourt, D. (2020a). Are adversities and worries during the COVID-19 pandemic related to sleep quality? Longitudinal analyses of 45,000 UK adults. Unpublished manuscript. https://doi.org/10.1101/2 020.06.02.20120311.
  50. Wright, L., Steptoe, A. & Fancourt, D. (2020b). Are we all in this together? Longitudinal assessment of cumulative adversities by socioeconomic position in the first 3 weeks of lockdown in the UK. Journal of Epidemiology and Community Health, 0, 1-6. https://doi.org/10.1136/jech-2020-214475.
  51. Zinovieva, I. L. and Pepermans, R. (2008). Brussels, Belgium and the Knowledge Economy. Garant, Antwerp – Apeldoorn.