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dc.contributor.authorLawrence, PJ
dc.contributor.authorSkripkauskaite, S
dc.contributor.authorShum, A
dc.contributor.authorWaite, P
dc.contributor.authorDodd, H
dc.date.accessioned2023-11-14T15:04:29Z
dc.date.issued2023-04-15
dc.date.updated2023-11-14T14:49:47Z
dc.description.abstractBACKGROUND: The COVID-19 pandemic caused significant disruption to the lives of children and their families. Pre-school children may have been particularly vulnerable to the effects of the pandemic, with the closure of childcare facilities, playgrounds, playcentres and parent and toddler groups limiting their opportunities for social interaction at a crucial stage of development. Additionally, for parents working from home, caring for pre-school aged children who require high levels of support and care, was likely challenging. We conducted an intensive longitudinal, but not nationally representative, study to examine trajectories of pre-schoolers' mental symptoms in the United Kingdom during the first year of the COVID-19 pandemic. METHODS: UK-based parents and carers (n = 1520) of pre-school-aged children (2-4 years) completed monthly online surveys about their pre-schoolers' mental health between April 2020 and March 2021. The survey examined changes in children's emotional symptoms, conduct problems and hyperactivity/inattention. RESULTS: In our final mixed-effects models, our predictors (fixed effects) accounted for 5% of the variance in each of conduct problems, emotional symptoms and hyperactivity/inattention symptoms scores, and the combined random and fixed effects accounted for between 64% and 73% of the variance. Pre-schoolers' emotional problems and hyperactivity/inattention symptoms declined from April through summer 2020 and then increased again during the autumn and winter 2020/2021 as lockdowns were re-introduced. Pre-schoolers who attended childcare showed greater decline in symptom severity than those who did not. Older children, compared to younger, showed greater lability of emotion symptom severity. Attending childcare predicted lower symptom severity across all three domains of conduct problems, emotional symptoms, and hyperactivity/inattention, while the opposite pattern was observed for children whose parent had a mental health problem. CONCLUSIONS: Our findings reinforce the importance of examining pre-schoolers' mental health in the context of micro and macro-level factors. Interventions focussing on family factors such as parent mental health, as well as continued provision of childcare, may have most potential to mitigate the impact of COVID-19 on young children's mental health.en_GB
dc.description.sponsorshipNational Institute for Health Research (NIHR)en_GB
dc.description.sponsorshipUK Research and Innovationen_GB
dc.description.sponsorshipWestminster Foundationen_GB
dc.identifier.citationVol. 3, No. 2, article e12163en_GB
dc.identifier.doihttps://doi.org/10.1002/jcv2.12163
dc.identifier.grantnumberES/V004034/1en_GB
dc.identifier.grantnumberNIHR302843en_GB
dc.identifier.grantnumberPDF‐ 2016‐09‐092en_GB
dc.identifier.grantnumberMR/S017909/1en_GB
dc.identifier.urihttp://hdl.handle.net/10871/134534
dc.identifierORCID: 0000-0003-1446-5338 (Dodd, Helen)
dc.language.isoenen_GB
dc.publisherWileyen_GB
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pubmed/37753148en_GB
dc.rights© 2023 The Authors. JCPP Advances published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.en_GB
dc.subjectCOVID‐19en_GB
dc.subjectchildcareen_GB
dc.subjectchildrenen_GB
dc.subjectmental healthen_GB
dc.subjectpandemicen_GB
dc.subjectparentsen_GB
dc.subjectpre‐schoolen_GB
dc.titleChanges in UK pre-schooler's mental health symptoms over the first year of the COVID-19 pandemic: Data from Co-SPYCE studyen_GB
dc.typeArticleen_GB
dc.date.available2023-11-14T15:04:29Z
dc.identifier.issn2692-9384
exeter.place-of-publicationUnited States
dc.descriptionThis is the final version. Available from Wiley via the DOI in this record. en_GB
dc.descriptionDATA AVAILABILITY STATEMENT: The research materials can be accessed by contacting the corresponding author. We are in the process of making the data open access via the UK data service.en_GB
dc.identifier.eissn2692-9384
dc.identifier.journalJCPP Advancesen_GB
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_GB
dcterms.dateAccepted2023-02-24
rioxxterms.versionVoRen_GB
rioxxterms.licenseref.startdate2023-04-15
rioxxterms.typeJournal Article/Reviewen_GB
refterms.dateFCD2023-11-14T15:00:19Z
refterms.versionFCDVoR
refterms.dateFOA2023-11-14T15:04:34Z
refterms.panelAen_GB
refterms.dateFirstOnline2023-04-15


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© 2023 The Authors. JCPP Advances published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health.

This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Except where otherwise noted, this item's licence is described as © 2023 The Authors. JCPP Advances published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.