Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/134257
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Type: Journal article
Title: Parent and child mental health trajectories April 2020 to May 2021: strict lockdown versus no lockdown in Australia
Author: Westrupp, E.M.
Greenwood, C.J.
Fuller-Tyszkiewicz, M.
Olsson, C.A.
Sciberras, E.
Mikocka-Walus, A.
Melvin, G.A.
Evans, S.
Stokes, M.A.
Wood, A.G.
Karantzas, G.C.
Macdonald, J.A.
Toumbourou, J.W.
Teague, S.J.
Fernando, J.W.
Berkowitz, T.S.
Ling, M.
Youssef, G.J.
Citation: Australian and New Zealand Journal of Psychiatry, 2021; 56(11):48674211065365-48674211065365
Publisher: SAGE Publications
Issue Date: 2021
ISSN: 0004-8674
1440-1614
Statement of
Responsibility: 
Elizabeth M Westrupp, Christopher J Greenwood, Matthew Fuller-Tyszkiewicz, Craig A Olsson, Emma Sciberras, Antonina Mikocka-Walus ... et al.
Abstract: Objective To control a second-wave COVID-19 outbreak, the state of Victoria in Australia experienced one of the world's first long and strict lockdowns over July-October 2020, while the rest of Australia experienced 'COVID-normal' with minimal restrictions. We (1) investigate trajectories of parent/child mental health outcomes in Victoria vs non-Victoria and (2) identify baseline demographic, individual and COVID-19-related factors associated with mental health trajectories. Methods Online community sample of 2004 Australian parents with rapid repeated assessment over 14 time-points over April 2020 to May 2021. Measures assessed parent mental health (Depression, Anxiety and Stress Scales-21), child depression symptoms (13-item Short Mood and Feelings Questionnaire) and child anxiety symptoms (four items from Brief Spence Children's Anxiety Scale). Results Mental health trajectories shadowed COVID-19 infection rates. Victorians reported a peak in mental health symptoms at the time of the second-wave lockdown compared to other states. Key baseline predictors, including parent and child loneliness (standardized regression coefficient [β] = 0.09-0.46), parent/child diagnoses (β = 0.07-0.21), couple conflict (β = 0.07-0.18) and COVID-19 stressors, such as worry/concern about COVID-19, illness and loss of job (β = 0.12-0.15), predicted elevated trajectories. Effects of predictors on parent and child mental health trajectories are illustrated in an online interactive app for readers (https://lingtax.shinyapps.io/CPAS_trend/). Conclusion Our findings provide evidence of worse trajectories of parent and child mental health symptoms at a time coinciding with a second COVID-19 outbreak involving strict lockdown in Victoria, compared to non-locked states in Australia. We identified several baseline factors that may be useful in detecting high-risk families who are likely to require additional support early on in future lockdowns.
Keywords: COVID-19 pandemic
child mental health
couple conflict
mental health
parenting
Rights: Copyright status unknown
DOI: 10.1177/00048674211065365
Published version: http://dx.doi.org/10.1177/00048674211065365
Appears in Collections:Psychology publications

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