تاثیر اضطراب کرونا و اضطراب مرگ بر تعارض مادر و کودک در دوره قرنطینه خانگی (مقاله علمی وزارت علوم)
درجه علمی: نشریه علمی (وزارت علوم)
آرشیو
چکیده
کووید -19سبک زندگی و الگوهای تعاملی خانواده ها را تغییر داده است. هدف انجام این پژوهش، مطالعه تأثیر اضطراب کرونا و اضطراب مرگ بر تعارض مادران و کودکان دوره میانی در دوره قرنطینه خانگی ناشی از کووید-19بود. پژوهش حاضر از نوع توصیفی همبستگی بود و جامعه آماری آن شامل تمامی مادران دارای کودک 7 تا 12 ساله منطقه 6 تهران در آذرماه سال تحصیلی1400 -1399 بود. به این ترتیب، 160 مادر و کودک دبستانی در شهر تهران مورد مطالعه قرار گرفتند. نتایج پژوهش نشان داد افزایش اضطراب کرونا در مادران منجر به افزایش تعارض در کودکان می شود که این تعارض در نقاشی آن ها بازنمایی می گشت. علائم روان شناختی اضطراب کرونا با به تصویر کشیدن فاصله با مادر، جایگاه مادر و پدر در صفحه نقاشی و علائم جسمی اضطراب کرونا با جایگاه کودک، مادر و پدر مرتبط بود. همچنین، اضطراب مرگ با فاصله کودک از مادر، جایگاه کودک و جایگاه پدر مرتبط بود. علاوه بر آن، نقش واسطه ای اضطراب مرگ در رابطه بین اضطراب کرونا و تعارض مادر و کودک تأیید شد. یافته های پژوهش با نظریه هشیاری انعکاسی پارانکات در مورد بیش هشیاری مادران در زمان برانگیخته شدن اضطراب های بنیادین مورد بحث قرار گرفت.The Effect of Corona Anxiety and Death Anxiety on Maternal-Child Conflict in Home Quarantine related to :COVID-19
COVID-19 has changed the lifestyles and patterns of interaction in families. This study aimed to investigate the effect of coronavirus anxiety and death anxiety on the conflict between mothers and children aged 7 to 12 years in the home quarantine due to COVID-19. Thus, 160 mothers and primary school children in Tehran were studied. The results showed that increasing coronavirus anxiety in mothers increases conflict in children, which was represented in their paintings. The psychological symptoms of coronavirus anxiety were related to the position of the child, mother, and father on the child's drawing, and the physical symptoms of coronavirus anxiety disorder were related to the position of the child, mother, and father in the paintings. Also, death anxiety was related to the child's distance from the mother, the child's and the father's position. Furthermore, the mediating role of death anxiety on the relationship between coronavirus anxiety and Mother-Child Conflict was confirmed. Findings of the study were discussed with Parncutt's “Reflective Consciousness Theory” of maternal hypersensitivity at the time of arousal of fundamental anxiety.
Coronavirus Anxiety, Death Anxiety, Mother-Child Conflict, Home Quarantine, COVID-19.
Introduction
The COVID-19 virus has had unprecedented health, social, and economic effects worldwide. These factors have affected women's and children's health more due to their greater vulnerability, women's gender role as caregivers, and increased exposure to the virus (Rudo et al., 2022). Research shows that COVID-19 has had a negative impact on conflicts within the family. Conflict refers to the inability to resolve differences and is often associated with hostility, tension, or aggression. These conflicts were influenced by various factors, such as changing daily schedules during the home quarantine period, reducing resources such as entertainment, and anxiety caused by the uncertainty of the situation. On the other hand, research results have shown that anxiety is one of the consequences of the spread of the COVID-19 virus (Lopes et al., 2020). Corona anxiety means anxiety caused by the possibility of contracting the coronavirus, which is often due to its unknown nature and cognitive ambiguity. This factor endangers the psychological health of family members and increases tensions at home between family members (Rachel et al., 2020). From the perspective of developmental psychology research, one of the factors that influence the relationship between mother and child is the mother's psychological characteristics, including her level of anxiety and worry. The anxiety and pressures that parents experience during various disasters and incidents, including COVID-19, endanger parents' mental health and affect parent-child relationships by influencing parents' potential behavior. On the other hand, following the outbreak of the coronavirus disease, people's anxiety about death has increased. Emotions, fears, and thoughts hidden in normal life experiences that are related to the end of life are referred to as death anxiety. When a person suffers from death anxiety, close relationships, intimacy, and attachment are sacrificed in favor of the feeling of loss. This research investigates the effect of coronavirus anxiety and death anxiety on mother-child conflict during home quarantine due to COVID-19.
Methodology
The current study was a descriptive-correlational one, and its statistical population included all mothers with children aged 7 to 12 years old in District 6 of Tehran in December of the academic year 1399-1400. Participants were selected based on entry and exit criteria using convenience sampling. Due to quarantine conditions, research questionnaires were provided to mothers via social networks and with the cooperation of teachers. Finally, 160 samples (80 mothers and 80 children) were examined based on Morgan's table and research criteria. Before the implementation of the research, the mothers were informed of the objectives of the research. They were assured that their information would remain confidential and would only be analyzed collectively. They were also informed that they could leave the research whenever they wanted. SPSS software was used for analysis.
Findings
The most frequent age groups were mothers aged 30 to 40 years old and children in first to third grade. First, the demographic information, average, and standard deviation of the data were examined, and then the data were examined using the path analysis method. Beta standardized regression coefficients were also used to interpret the results. The results of the research showed that anxiety Corona is effective on the conflict between mother and child. The psychological component of Corona anxiety was significant with a beta of 0.490 for the subscale of distance from the mother, a beta of 0.095 for the subscale of the mother's position, and a beta of 0.380 for the subscale of the father's position. Additionally, the physical component of Corona anxiety was significant with a beta of 0.267 for the subscale of the child's position, a beta of 0.114 for the subscale of the mother's position, and a beta of 0.177 for the subscale of the father's position. Furthermore, the results of the research showed that death anxiety in the mother is related to the conflict between the mother and the child, and the distance from the mother, the position of the child, and the position of the father indicate an increase in the conflict between the mother and the child. Finally, the mediating role of death anxiety and Corona anxiety was investigated and the results indicated that death anxiety plays a mediating role in the path of Corona anxiety on mother-child conflict.
Result
The findings of the research confirmed the strong relationship between anxiety of Corona and death anxiety in mothers. In other words, it seems that Covid-19 is associated with death for these participants and evokes death anxiety. This is consistent with Parankat's (2019) reflexive awareness theory, which states that both Corona anxiety and death anxiety trigger an overprotective behavioral system to protect the child. Furthermore, the results showed that the increase in Corona anxiety in mothers caused an increase in conflict in children. According to the findings of Valery et al.'s research (2018), the presence of anxiety symptoms in parents causes them to control and master the situation more, which aims to prevent their children from facing threatening situations, and this can cause more conflicts and disputes with their children. Additionally, the research found that Corona anxiety in mothers predicted the relationship between mothers and children and children's aggression. The quality of the mother-child relationship is a factor that can predict anxiety and mood disorders in children, and increasing it in the relationship between parents and children can reduce anxiety in children (Franz and McKinney, 2018). Moreover, this research showed that death anxiety plays a mediating role in the relationship between Corona anxiety and mother-child conflict. Death anxiety occurs due to various media announcements of death statistics as well as complications of the Corona disease and can cause conflict in the relationship between mother and child.
References
Alipour, A., Ghadami, A., Alipour, Z. & Abdollahzadeh, H. (2020). Preliminary validation of the Corona Disease Anxiety Scale (CDAS) in the Iranian sample. Quarterly Journal of Health Psychology, 8(32), 163-175. (In Peraian)
Amirimoghadam, A., Sodani, M., Khojasteh Mehr, R. & Mehrabizadeh Honarmand, M. (2020). Identifying the factors of resilience in mothers having children with attention-deficit hyperactivity disorder (ADHD): A qualitative research. Jundishapur Scientific Medical Journal, 19(2), 227-242. (In Peraian)
Ariapooran, S. (2018). Relationship between mother- child interaction and symptoms of anxiety disorders in deaf and hard-of-hearing children. Empowering Exceptional Children, 9(2), 51-63. (In Peraian)
Basilaia, G. & Kvavadze, D. (2020). Transition to online education in schools during a SARS-CoV-2 coronavirus (COVID-19) pandemic in Georgia. Pedagogical Research, 5(4), 1–9.
Bekkhus, M., Lee, Y., Nordhagen, R., Magnus, P., Samuelsen, S. & Borge, A. (2018). Re-examining the link between prenatalmaternal anxiety and child emotionaldifficulties, using a sibling design. International Journal of Epidemiology, 47(1), 156–165.
Bhargava, S. & Witherspoon, D. P. (2015). Parental involvement across middle and high school: Exploring contributions of individual and neighborhood characteristics. Journal of Youth and Adolescence, 44(9), 1702–1719.
Cameron, E. E., Joyce, K. M., Delaquis, C. P., Reynolds, K., Protudjer, J. L. & Roos, L. E. (2020). Maternal psychological distress & mental health service use during the COVID-19 pandemic. Journal of Affective Disorders, 276, 765-774.
Choi, K. W., Sikkema, K. J., Vythilingum, B., Geerts, L., Faure, S. C., Watt, M. H., ... & Stein, D. J. (2017). Maternal childhood trauma, postpartum depression, and infant outcomes: Avoidant affective processing as a potential mechanism. Journal of Affective Disorders, 211, 107-115.
Curran, T., Worwood, J. & Smart, J. (2019). Cognitive flexibility and generalized anxiety symptoms: The mediating role of destructive parent-child conflict communication. Communication Reports, 32(2), 57-68.
Daks, J. S., Peltz, J. S. & Rogge, R. D. (2020). Psychological flexibility and inflexibility as sources of resiliency and risk during a pandemic: Modeling the cascade of COVID-19 stress on family systems with a contextual behavioral science lens. Journal of Contextual Behavioral Science, 18, 16–27.
Duan, L., Shao, X., Wang, Y., Huang, Y., Miao, J., Yang, X. & Zhu, G. (2020). An investigation of mental health status of children and adolescents in china during the outbreak of COVID-19. Journal of Affective Disorders, 275, 112–118.
Fazeli Mehrabadi, A., Mohamadi, S., Izadpanah, S., Aghababaei, N., Panaghi, L., & Ghadiri, F. (2011). Parental bonding and mental health: The role of gender. Developmental Psychology: Iranian Psychologists, 8(30), 197-206. (In Peraian)
Fegert, J. M., Vitiello, B., Plener, P. L. & Clemens, V. (2020). Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: A narrative review to highlight clinical and research needs in the acute phase and the long return to normality. Child and adolescent psychiatry and mental health, 14, 1-11.
Fontanesi, L., Marchetti, D., Mazza, C., Di Giandomenico, S., Roma, P. & Verrocchio, M. C. (2020). The effect of the COVID-19 lockdown on parents: A call to adopt urgent measures. Psychological Trauma: Theory, Research, Practice, and Policy, 12(S1), S79–S81.
Franz, A. O. & McKinney, C. (2018). Parental and child psychopathology: moderated mediation by gender and parent-child relationship quality. Child Psychiatry & Human Development, 1-10.
Golberstein, E., Wen, H. & Miller, B. F. (2020). Coronavirus disease 2019 (COVID-19) and mental health for children and adolescents. Journal of the American Medical Association Pediatrics, 174(9), 819–820.
Hyland, P., Shevlin, M., McBride, O., Murphy, J., Karatzias, T., Bentall, R. P., ... & Vallières, F. (2020). Anxiety and depression in the Republic of Ireland during the COVID‐19 pandemic. Acta Psychiatrica Scandinavica, 142(3), 249-256.
Kavaklı, M., Ak, M., Uğuz, F. & Türkmen, O. O. (2020). The mediating role of self-compassion in the relationship between perceived COVID-19 threat and death anxiety. Turkish Journal of Clinical Psychiatry, 23(1), 15-23.
Kerns, C. E., Pincus, D. B., McLaughlin, K. A. & Comer, J. S. (2017). Maternal emotion regulation during child distress, child anxiety accommodation, and links between maternal and child anxiety. Journal of Anxiety Disorders, 50, 52-59.
Khademi, F., Moayedi, S. & Golitaleb, M. (2020). The COVID‐19 pandemic and death anxiety in the elderly. International Journal of Mental Health Nursing, 30(1), 346-349.
Khodabakhshi Koolaee, A., Hassani, S. & Falsafinejad, M. R. (2015). The Comparison of Child-Parent Relationship and Externalizing Disorders in Children with Employed and Unemployed Mother. Quarterly Journal of Career & Organizational, 23(7), 92-103. (In Peraian)
Koca, A., Basgul, S. S. & Yay, M. (2019). Comparison of death anxiety and state-trait anxiety levels in mothers of disabled children and non-disabled children. Journal of Psychiatry and Neurological Sciences, 32, 58-64.
Kumar, A. & Somani, A. (2020). Dealing with corona virus anxiety and OCD. Asian Journal of Psychiatry,10(2), 143-155.
Lopez, A. S., Hill, M., Antezano, J., Vilven, D., Rutner, T., Bogdanow, L., ... & Tran, C. H. (2020). Transmission dynamics of COVID-19 outbreaks associated with child care facilities—Salt Lake City, Utah, April–July 2020. Morbidity and Mortality Weekly Report, 69(37), 13-19.
Malkawi, S. H., Almhdawi, K., Jaber, A. F. & Alqatarneh, N. S. (2020). COVID-19 quarantine-related mental health symptoms and their correlates among mothers: A cross sectional study. Maternal and Child Health Journal, 25(5), 695-705.
Mappa, I., Distefano, F. A. & Rizzo, G. (2020). Effects of coronavirus 19 pandemic on maternal anxiety during pregnancy: A prospectic observational study. Journal Perinat Med, 48(6), 545-550.
Mazloomzadeh, M., Asghari Ebrahim Abad, M. J., Shirkhani, M., Zamani Tavousi, A. & Salayani, F. (2021). Relationship between Corona virus anxiety and health anxiety: Mediating role of emotion regulation difficulty. Clinical Psychology, 13(2), 111-120. (In Peraian)
McCubbin, H. I. & Patterson, J. M. (1983). The family stress process: The double ABCX model of adjustment and adaptation. Marriage & Family Review, 6(1-2), 7-37.
Menzies, R. E. & Menzies, R. G. (2020). Death anxiety in the time of COVID-19: theoretical explanations and clinical implications. The Cognitive Behaviour Therapist, doi: 10.1017/S1754470X20000215.
Menzies, R. E., Neimeyer, R. A. & Menzies, R. G. (2020). Death anxiety, loss, and grief in the time of COVID-19. Behaviour Change, 37(3), 111-115.
Mohammadi, F., Kohan, S. H., Farzi, S., Khosravi, M. & Heidari, Z. (2021). The effect of pregnancy training classes based on bndura self-efficacy theory on postpartum depression and anxiety and type of delivery. Journal of Education and Health Promotion, 10, 1-6. (In Peraian)
Mucci, F., Mucci, N. & Diolaiuti, F. (2020). Lockdown and isolation: Psychological aspects of COVID-19 pandemic in the general population. Clinical Neuropsychiatry: Journal of Treatment Evaluation, 17(2), 63-64.
Newton-John, T., Menzies, R., Chambers, S. & Menzies, R. (2020). Psychological distress associated with COVID-19: Estimations of threat and the relationship with death anxiety. Available at SSRN 3594629.
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. Frontiers in Psychology, 11, 29-86.
Parncutt, R. (2019). Mother schema, obstetric dilemma, and the origin of behavioral modernity. Behavioral Sciences, 9(12), 142.
Peteet, J. R. (2020). COVID-19 anxiety. Journal of Religion and Health, 59, 2203-2204.
Pirnia, B., Rasoulzadeh Tabatabaei, S. K., Pirkhaefi, A. & Soleimani, A. (2017). Comparison of the effectiveness of two cognitive-behavioral and mother-child interactive therapies on anxiety of children with under-methadone treatment mother. Iranian Journal of Psychiatry and Clinical Psychology, 23(2), 136-147. (In Peraian)
Plant, D. T., Jones, F. W., Pariante, C. M. & Pawlby, S. (2017). Association between maternal childhood trauma and offspring childhood psychopathology: Mediation analysis from the ALSPAC cohort. The British Journal of Psychiatry, 211(3), 144-150.
Pourbafarani, M., Etemadi, E., Akbarzadeh, M. & Jazayeri, R. A. S. (2015). Evaluating the role of mother personality, maternal marital conflict, mother conflict resolution style and daughter conflict resolution style in predicting of mother-daughter conflict. Women and Society, 6(23), 105-126. (In Peraian)
Pradhan, M., Chettri, A. & Maheshwari, S. (2020). Fear of death in the shadow of COVID-19: The mediating role of perceived stress in the relationship between neuroticism and death anxiety. Death Studies, 46(5), 1106-1110.
Rajabi, G. & Bahrani, M. (2001). Item factor analysis of the death anxiety scale. Psychology, 5(4), 344-331. (In Peraian)
Ren, X., Huang, W., Pan, H., Huang, T., Wang, X. & Ma, Y. (2020). Mental health during the COVID-19 outbreak in China: A meta-analysis. Psychiatric Quarterly, 91(4), 1033–1045.
Reut, G., Saha, S., Somerville, G., Boursier, J. & Wise, M. S. (2020). The impact of COVID-19 related school shutdown on sleep in adolescents: A natural experiment. Sleep Medicine, 76, 33–35.
Rodo, M., Singh, L., Russell, N. & Singh, N. S. (2022). A mixed methods study to assess the impact of COVID-19 on maternal, newborn, child health and nutrition in fragile and confict-affected settings. Conflict and Health,16(30), 1-17.
Rosen, Z., Weinberger-Litman, S. L., Rosenzweig, C., Rosmarin, D. H., Muennig, P., Carmody, E. R., Rao, S. T. & Litman, L. (2020). Anxiety and distress among the first community quarantined in the U.S. due to COVID-19: Psychological implications for the unfolding crisis. PsyArXiv Preprints
Roy, D., Tripathy, S., Kar, S. K., Sharma, N., Verma, S. K. & Kaushal, V. (2020). Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic. Asian Journal of Psychiatry, 102083.
Russell, B. S., Hutchison, M., Tambling, R., Tomkunas, A. J. & Horton, A. L. (2020). Initial challenges of caregiving during COVID-19: Caregiver burden, mental health, and the parent-child relationship. Child Psychiatry & Human Development, 51, 671-682.
Satoorian, A., Tahmassian, K. & Ahmadi, M. (2016). The role of parenting dimensions and child-parent relationship in children's internalized and externalized behavioral problems. Journal of Family Research, 12(4), 683-705. (In Peraian)
Shirzadi, P., Amini Shirazi, N. & Asgharpour Lashkami, Z. (2020). Relationship between corona anxiety in mothers and parent-child interaction and children's aggression during quarantine days. Journal of Family Research, 16(2), 139-154. (In Peraian)
Taghavi, M. (2016). The effectiveness of cognitive-behavioral intervention on improving the perception of anxiety control and sensitivity to anxiety in men with anxiety symptoms. Master's Thesis. Islamic Azad University, Shahrood Branch. (In Peraian)
Tang, F., Liang, J., Zhang, H., Kelifa, M. M., He, Q. & Wang, P. (2021). COVID-19 related depression and anxiety among quarantined respondents. Psychology & Health, 36(2), 164–178.
Valerie, G., Laura, E., Quiñones, C. & Elizabeth, L. Davis (2018). Parent psychopathology and parent-child conflict interact to predict children’s anxiety but not depression. UC Riverside Undergraduate Research Journal, 12(1), 43-49.
Vance, L. M. (2014). Death anxiety and the relational. Journal of Humanistic Psychology, 54(4), 414-433.
Xing, X., Zhang, H., Shao, S. & Wang, M. (2017). Child negative emotionality and parental harsh discipline in Chinese preschoolers: The different mediating roles of maternal and paternal anxiety. Frontiers in psychology, 8, 339.
Yatham, S., Sivathasan, S., Yoon, R., Da Silva, T. L. & Ravindran, A. V. (2018). Depression, anxiety, and post-traumatic stress disorder among youth in low and middle income countries: A review of prevalence and treatment interventions. Asian Journal of Psychiatry, 38, 78-91.