@article {682407,
	title = {Changes in Children{\textquoteright}s Behavioral Health and Family Well-Being During the COVID-19 Pandemic},
	journal = {Journal of Developmental \& Behavioral Pediatrics },
	year = {2022},
	abstract = {
	Objective:\&nbsp;The coronavirus disease 2019 pandemic and associated public health measures have influenced all aspects of life for children and families. In this study, we examine changes in children{\textquoteright}s behavioral health and families{\textquoteright} well-being at the start of the pandemic.



	Method:\&nbsp;We used longitudinal data on 2880 children from 1 US state collected over 3 waves to compare family and child well-being before and after a state-wide stay-at-home advisory set in March 2020. We descriptively examined levels and changes in 4 child behavioral health outcomes (externalizing, internalizing, adaptive, and dysregulated behaviors) and 4 family well-being outcomes (parental mental health, parental stress, parent-child relationship conflict, and household chaos) across the preshutdown and postshutdown periods. Fixed effects regression models were used to predict within-child and within-family differences in preshutdown and postshutdown outcomes.



	Results:\&nbsp;Fixed effects analyses showed children{\textquoteright}s externalizing (0.09 points; 95\% confidence interval [CI] 0.05-0.13), internalizing (0.04 points; 95\% CI, 0.01-0.08), and dysregulated (0.11 points; 95\% CI, 0.06-0.16) behaviors increased after the shutdown, whereas children{\textquoteright}s adaptive behaviors declined (-0.10 points; 95\% CI, -0.15 to -0.05). Parental mental health issues (0.22 points; 95\% CI, 0.17-0.27), parental stress (0.08 points; 95\% CI, 0.03-0.12), parent-child relationship conflict (0.10 points; 95\% CI, 0.04-0.16), and household chaos (0.10 points; 95\% CI, 0.05-0.14) all increased relative to preshutdown levels.



	Conclusion:\&nbsp;Many children experienced declines in behavioral health and many families experienced declines in well-being in the early months of the public health crisis, suggesting the need for family-focused and child-focused policies to mitigate these changes.

},
	url = {https://journals.lww.com/jrnldbp/Abstract/9000/Changes_in_Children_s_Behavioral_Health_and_Family.98880.aspx},
	author = {Emily Hanno and Jorge Cuartas and Miratrix, Luke and Stephanie Jones and Nonie Lesaux}
}
