Prédicteurs de la résilience pendant la COVID-19 dans un échantillon communautaire de jeunes exposés à divers niveaux d'adversité maternelle périnatale
Maternal Adversity, Vulnerability and Neurodevelopment (MAVAN) is a Canadian prospective cohort (Montreal and Hamilton) of 590 mother-child dyads recruited between 2003 and 2014 with extensive face-to-face experimental assessments of mother, child, and mother-child interactions.
It is part of a larger project, the (DREAM BIG Consortium)[], established to overcome a global pressing issue in producing replicable study findings by developing and refining methods to retrospectively harmonize data across several international longitudinal birth cohorts studying the impact of early adversity on the development of psychopathology across the lifespan.
This paper focuses on identifying predictors of resilience during COVID-19 in a community sample of youth exposed to various levels of perinatal maternal adversity (Voyer et al., 2024).
It is an attempt to shift the negative narrative surrounding mental health by highlighting the positive impact COVID may have had on some youth and why that might be so.
Other papers I have co-authored and soon-to-be published by the DREAM BIG lab include a paper on objective hardships (Wang et al., 2024) and psychological distress (Wang et al., 2024).
Our research was presented last May at a local conference in a symposium and a poster presentation.
références
2024
Résilience
Predicting mental health problems and resilience in youth with early life adversity and pandemic-related stressors
Objectives: In efforts to limit the spread of COVID-19, the imposed mitigation measures (e.g., school closures, remote learning, social distancing, curfew) were particularly disruptive to the lives of adolescents. While many studies have emphasized the risks to youth mental health brought on by the COVID-19 pandemic and its associated mitigation measures, little attention has been given towards identifying markers of resilience. The present study aimed to examine the role of prenatal stress on general psychopathology outcomes and indicators of resilience in youth, recognizing the need to understand protective factors amidst the challenges posed by the pandemic. Methods: Data from the Maternal Adversity, Vulnerability and Neurodevelopment (MAVAN) longitudinal birth cohort collected pre- and during the COVID-19 formed the basis of our examination. The study involved 144 mother-infant dyads. Maternal prenatal adversity was assessed using the Center for Epidemiologic Studies Depression Scale, the Pregnancy-Specific Anxiety Scale, and measures of socio-demographic adversity. Family and youth resilience was assessed using the Family Resilience Assessment Scale, Child and Youth Resilience Measure-Revised, and Responses to Stress Questionnaire. Youth psychopathology was assessed using the Youth Self-Report, Child Behavior Checklist, Strengths and Difficulties Questionnaire, and the Conners’ Rating Scales. Latent factor modeling, including prenatal maternal adversity, pandemic-related family and youth resilience, and youth psychopathology, was employed to analyze the relationships between various factors. Results: Findings revealed an increase in COVID-related youth general psychopathology. While the maternal adversity × resilience interactions were not significant, resilience main effects (family organization patterns and caregiver support) were observed for COVID-related youth psychopathology and changes in youth psychopathology levels from pre-COVID-19 levels. Conclusion: This study underscored the importance of addressing the mental health implications of pandemic-related stress on the different trajectories in child development. Our results suggested the need for preventive interventions tailored to those at greater risk, emphasizing the role of caregiver support and family organization patterns as potential protective factors. Understanding these dynamics can inform targeted strategies to mitigate the detrimental effects of stress during these challenging times.
Psychopathologie des jeunes
COVID-related daily life changes and personal threats moderates the relationship between prenatal maternal adversity and youth mental health: The MAVAN longitudinal study
The COVID-19 pandemic directly, and indirectly as a result of the mitigation measures, resulted in daily life disruptions. The present study examined whether youth-reported COVID-related daily life changes and personal threats experiences moderated the relationship between maternal prenatal adversity and youth psychopathology during the pandemic. The sample consisted of 91 mothers and 124 youths from the Maternal Adversity, Vulnerability, and Neurodevelopment cohort assessed between February and July 2021. Maternal prenatal adversity, youth daily life changes and personal threats, and youth psychopathology were constructed into latent variables and then included in interactive models. Results showed that youth with low or moderate levels of maternal adversity exposure in utero experienced higher levels of pandemic-related general psychopathology and specific internalizing symptoms (but not externalizing symptoms), and greater changes in these psychopathology levels compared to pre-pandemic levels when they experienced higher levels of daily life changes and/or personal threats. The greatest impact on youth psychopathology was seen in youth who experienced higher levels of mitigation disruptions to their daily lives and/or threats to their person and who experienced lower levels of exposure to maternal adversity in utero. This study also demonstrates the need to use youth-reported measures of pandemic experience, rather than relying on maternal reports as proxy measures for youth experiences.
Détresse psychologique
Interactive effect of prenatal adversity and COVID-19 hardship on youth psychological distress: Longitudinal study
Y. Wang, C. Voyer, X. Wang, F. Freddy-Ateba, A. Brunet, et 2 autres auteur·es
Predicting mental health problems and resilience in youth with early life adversity and pandemic-related stressors2024
COVID-related daily life changes and personal threats moderates the relationship between prenatal maternal adversity and youth mental health: The MAVAN longitudinal study2024
Interactive effect of prenatal adversity and COVID-19 hardship on youth psychological distress: Longitudinal study2024