{"id":265510,"date":"2020-08-17T01:46:24","date_gmt":"2020-08-17T05:46:24","guid":{"rendered":"https:\/\/canadianinquirer.net\/v1\/?p=265510"},"modified":"2020-08-17T01:59:11","modified_gmt":"2020-08-17T05:59:11","slug":"family-mental-health-crisis-parental-depression-anxiety-during-covid-19-will-affect-kids-too","status":"publish","type":"post","link":"https:\/\/canadianinquirer.net\/v1\/2020\/08\/17\/family-mental-health-crisis-parental-depression-anxiety-during-covid-19-will-affect-kids-too\/","title":{"rendered":"Family mental health crisis: Parental depression, anxiety during COVID-19 will affect kids too"},"content":{"rendered":"<figure id=\"attachment_265511\" aria-describedby=\"caption-attachment-265511\" style=\"width: 1920px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/canadianinquirer.net\/v1\/wp-content\/uploads\/2020\/08\/fernando-cferdo-6x2iKGi6SPU-unsplash.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-265511\" src=\"https:\/\/canadianinquirer.net\/v1\/wp-content\/uploads\/2020\/08\/fernando-cferdo-6x2iKGi6SPU-unsplash.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https:\/\/canadianinquirer.net\/v1\/wp-content\/uploads\/2020\/08\/fernando-cferdo-6x2iKGi6SPU-unsplash.jpg 1920w, https:\/\/canadianinquirer.net\/v1\/wp-content\/uploads\/2020\/08\/fernando-cferdo-6x2iKGi6SPU-unsplash-300x200.jpg 300w, https:\/\/canadianinquirer.net\/v1\/wp-content\/uploads\/2020\/08\/fernando-cferdo-6x2iKGi6SPU-unsplash-768x512.jpg 768w, https:\/\/canadianinquirer.net\/v1\/wp-content\/uploads\/2020\/08\/fernando-cferdo-6x2iKGi6SPU-unsplash-1024x683.jpg 1024w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" \/><\/a><figcaption id=\"caption-attachment-265511\" class=\"wp-caption-text\">An escalation in parental anxiety and depression during COVID-19 not only affects parents\u2019 mental health, but may also have long-term effects on children (File Photo: Fernando @cferdo\/Unsplash)<\/figcaption><\/figure>\n<p>For most parents, to say the the COVID-19 pandemic has been stressful would be a dramatic understatement. The combination of financial pressure, loss of child care and health concerns is exceedingly challenging for families. Mental health problems are expected to rise dramatically as a <a href=\"https:\/\/doi.org\/10.1016\/S2215-0366(20)30168-1\">secondary effect of COVID-19<\/a> and the measures that have been put in place to contain it.<\/p>\n<p>The potential long-term consequences on children from increased parental stress, anxiety and depression are only beginning to be understood. However, past research tells us that the children exposed to these problems are more likely to experience mental health problems themselves, in addition to developing an increased risk of <a href=\"https:\/\/doi.org\/10.1007\/s10995-013-1418-3\">learning and behaviour problems<\/a> and <a href=\"https:\/\/www.brookings.edu\/wp-content\/uploads\/2019\/01\/ES_20190131_Reeves_Maternal_Depression2.pdf\">reduced economic mobility throughout their lives<\/a>.<\/p>\n<p>We need to develop an approach that helps parents now and protects children\u2019s futures.<\/p>\n<h2>Escalation in parental anxiety and depression<\/h2>\n<p>In our current studies, we report that <a href=\"https:\/\/doi.org\/10.1016\/j.jad.2020.07.126\">pregnant mothers<\/a> and those <a href=\"https:\/\/doi.org\/10.1016\/j.jad.2020.07.081\">with young children<\/a> are experiencing three- to five-fold increases in self-reported anxiety and depression symptoms. A history of mental illness, current domestic conflict and financial stress were associated with worse mental health across multiple child age groups. These figures are especially concerning because young children are <a href=\"https:\/\/doi.org\/10.1371\/journal.pmed.1001442\">highly vulnerable to maternal mental illness due to their near total reliance on caregivers<\/a> to meet basic health and safety needs.<\/p>\n<p>High rates of parental mental illness combined with children spending more time at home due to COVID-19 present <a href=\"https:\/\/doi.org\/10.1080\/0145935X.2016.1104037\">multiple risks<\/a>, including <a href=\"https:\/\/doi.org\/10.1016\/j.neubiorev.2017.07.003\">alterations in children\u2019s stress-system function<\/a>, higher rates of <a href=\"https:\/\/doi.org\/10.1017\/S0954579413000813\">physical health problems and cognitive impairments<\/a>.<\/p>\n<hr \/>\n<p><em><br \/>\n<strong><br \/>\nRead more:<br \/>\n<a href=\"https:\/\/theconversation.com\/the-long-term-biological-effects-of-covid-19-stress-on-kids-future-health-and-development-140533\">The long-term biological effects of COVID-19 stress on kids\u2019 future health and development<\/a><br \/>\n<\/strong><br \/>\n<\/em><\/p>\n<hr \/>\n<p>Parenting stress associated with mental illness can lead to negative interactions, including harsh discipline and being less responsive to children\u2019s needs. For parents, depression contributes to health problems and low quality of life. Suicide is a leading cause of death for women of child-bearing age that <a href=\"https:\/\/doi.org\/10.1016\/S2215-0366(20)30141-3\">we expect to increase should high rates of mental health problems continue to be unaddressed<\/a>.<\/p>\n<h2>Mental health system needs urgent improvement<\/h2>\n<p>The <a href=\"https:\/\/www.who.int\/mental_health\/prevention\/suicide\/Perinatal_depression_mmh_final.pdf?ua=1\">World Health Organization (WHO)<\/a> and other child welfare leaders highlight the critical nature of prioritizing parent mental health services so that parents can build their capacity to fulfil children\u2019s health and development needs.<\/p>\n<p>Addressing parental mental illness not only mitigates harmful effects on child health but builds children\u2019s capacities to manage other stressors, such as school transitions and other unpredictable events.<\/p>\n<p>Effective treatments exist for parental mental illness; however, the high barriers to accessing standard care have become even higher during COVID-19. Existing barriers such as the high cost of psychotherapy and childcare demands have been exacerbated due to physical distancing, closure of existing services and closure of daycares and schools.<\/p>\n<figure class=\"align-right \"><img decoding=\"async\" src=\"https:\/\/images.theconversation.com\/files\/352634\/original\/file-20200813-24-1dowovj.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=237&amp;fit=clip\" sizes=\"(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px\" srcset=\"https:\/\/images.theconversation.com\/files\/352634\/original\/file-20200813-24-1dowovj.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=580&amp;fit=crop&amp;dpr=1 600w, https:\/\/images.theconversation.com\/files\/352634\/original\/file-20200813-24-1dowovj.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=580&amp;fit=crop&amp;dpr=2 1200w, https:\/\/images.theconversation.com\/files\/352634\/original\/file-20200813-24-1dowovj.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=580&amp;fit=crop&amp;dpr=3 1800w, https:\/\/images.theconversation.com\/files\/352634\/original\/file-20200813-24-1dowovj.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=729&amp;fit=crop&amp;dpr=1 754w, https:\/\/images.theconversation.com\/files\/352634\/original\/file-20200813-24-1dowovj.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=729&amp;fit=crop&amp;dpr=2 1508w, https:\/\/images.theconversation.com\/files\/352634\/original\/file-20200813-24-1dowovj.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=729&amp;fit=crop&amp;dpr=3 2262w\" alt=\"Silhouettes of a woman sitting, hugging her knees, and a crawling baby against the outline of a house and an image of a coronavirus\" \/><figcaption><span class=\"caption\">There are effective treatments for parental mental illness, but access has become more difficult during COVID-19.<\/span><br \/>\n<span class=\"attribution\"><span class=\"source\">(Pixabay, Canva)<\/span><\/span><\/figcaption><\/figure>\n<p>Shifting treatment options to evidence-based online formats has also been slow and requires substantial investments for large-scale delivery and program refinement in response to current needs. Another problem is that most existing telehealth models do not simultaneously treat parental mental illness and parenting risks, despite substantial evidence for the importance of addressing both.<\/p>\n<p>Notably, parent mental illness is disproportionately experienced in racialized communities that face both racism and systemic oppression. Failing to address the mental health and parenting needs at both the population level and in response to community-identified needs will only perpetuate intergenerational health inequities, such as <a href=\"https:\/\/doi.org\/10.1177%2F0706743719877029\">those experienced by Indigenous<\/a> and <a href=\"https:\/\/doi.org\/10.1177%2F0844562120934273\">Black Canadians<\/a>.<\/p>\n<h2>Small steps that may help<\/h2>\n<p>Although many of the causes of parents\u2019 poor mental health are out of our control, there are small steps you can try right now:<\/p>\n<p><strong>Reaffirm that your emotions make sense<\/strong>. This is an unprecedented time of difficulty that comes with stress, sadness and anxiety. You are not alone in these feelings and wondering about what comes next. Many other parents are similarly feeling distressed and trying to problem solve how to care for themselves and their families.<\/p>\n<p><strong>Talk about your feelings<\/strong>. Sharing your emotions with supportive partners, friends, family members and service providers can be helpful. Brainstorming and problem solving with others can alleviate stress and improve your mood. Just the simple act of sharing can help normalize the fact that you\u2019re working hard and still having a hard time feeling well.<\/p>\n<p><strong>Practise self-compassion<\/strong>. Too often we are kind to others and cruel or dismissive of our own distress. It\u2019s important to prioritize your own well-being and self-care. If you\u2019re experiencing stress, anxiety or depression, talk to and treat yourself like you would a friend. Many people are not used to treating themselves compassionately, <a href=\"https:\/\/self-compassion.org\/\">but there are resources available to help you cultivate self-compassion<\/a>.<\/p>\n<p><strong>Seek professional help<\/strong>. If you are having persistent thoughts of self-harm, hopelessness or an increase in alcohol or substance use that is difficult to manage, <a href=\"https:\/\/www.crisisservicescanada.ca\/en\/looking-for-local-resources-support\/\">don\u2019t wait to ask for support<\/a>. If your low mood or anxiety affects your functioning at home, with friends or at work for two weeks or more, seeking additional help to work through challenges could be important to get to the place you\u2019d like to be.<\/p>\n<h2>Urgent action needed on key risk factors<\/h2>\n<p>Immediate action is needed to address key risk factors across family, community and policy levels.<\/p>\n<p>The time is now for the development of a national perinatal and family mental health strategy. Early intervention investments are expected to yield high health and economic benefits by preventing the long-term consequences of parental mental illness from becoming embedded in children\u2019s biological and behavioural development.<\/p>\n<p>Investing in family mental health and parenting support now and on multiple fronts, before problems are entrenched, will yield enormous payoffs. It is one governments must prioritize as part of the COVID-19 pandemic response.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img loading=\"lazy\" decoding=\"async\" style=\"border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important; text-shadow: none !important;\" src=\"https:\/\/counter.theconversation.com\/content\/144050\/count.gif?distributor=republish-lightbox-basic\" alt=\"The Conversation\" width=\"1\" height=\"1\" \/><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https:\/\/theconversation.com\/republishing-guidelines --><\/p>\n<p><a href=\"https:\/\/theconversation.com\/profiles\/lianne-tomfohr-madsen-225361\">Lianne Tomfohr-Madsen<\/a>, Associate Professor, Department of Psychology, <em><a href=\"https:\/\/theconversation.com\/institutions\/university-of-calgary-1318\">University of Calgary<\/a><\/em> and <a href=\"https:\/\/theconversation.com\/profiles\/leslie-e-roos-974308\">Leslie E. Roos<\/a>, Assistant Professor, Department of Psychology, <em><a href=\"https:\/\/theconversation.com\/institutions\/university-of-manitoba-1113\">University of Manitoba<\/a><\/em><\/p>\n<p>This article is republished from <a href=\"https:\/\/theconversation.com\">The Conversation<\/a> under a Creative Commons license. Read the <a href=\"https:\/\/theconversation.com\/family-mental-health-crisis-parental-depression-anxiety-during-covid-19-will-affect-kids-too-144050\">original article<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>For most parents, to say the the COVID-19 pandemic has been stressful would be a dramatic understatement. The combination of &hellip;<\/p>\n","protected":false},"author":33,"featured_media":265511,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[37,54365],"tags":[],"class_list":["post-265510","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health","category-instagram","mauthors-lianne-tomfohr-madsen-university-of-calgary","mauthors-leslie-e-roos-university-of-manitoba","mauthors-the-conversation"],"_links":{"self":[{"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/posts\/265510","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/users\/33"}],"replies":[{"embeddable":true,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/comments?post=265510"}],"version-history":[{"count":1,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/posts\/265510\/revisions"}],"predecessor-version":[{"id":265512,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/posts\/265510\/revisions\/265512"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/media\/265511"}],"wp:attachment":[{"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/media?parent=265510"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/categories?post=265510"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/tags?post=265510"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}