The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.
Well-being of Parents and Children During the COVID-19 Pandemic: A National Survey
Abstract
BACKGROUND: As the coronavirus disease pandemic spread across the United States and protective measures to mitigate its impact were enacted, parents and children experienced widespread disruptions in daily life. Our objective with this national survey was to determine how the pandemic and mitigation efforts affected the physical and emotional well-being of parents and children in the United States through early June 2020. METHODS: In June 2020, we conducted a national survey of parents with children age <18 to measure changes in health status, insurance status, food security, use of public food assistance resources, child care, and use of health care services since the pandemic began. RESULTS: Since March 2020, 27% of parents reported worsening mental health for themselves, and 14% reported worsening behavioral health for their children. The proportion of families with moderate or severe food insecurity increased from 6% before March 2020 to 8% after, employer-sponsored insurance coverage of children decreased from 63% to 60%, and 24% of parents reported a loss of regular child care. Worsening mental health for parents occurred alongside worsening behavioral health for children in nearly 1 in 10 families, among whom 48% reported loss of regular child care, 16% reported change in insurance status, and 11% reported worsening food security. CONCLUSIONS: The coronavirus disease pandemic has had a substantial tandem impact on parents and children in the United States. As policy makers consider additional measures to mitigate the health and economic effects of the pandemic, they should consider the unique needs of families with children.
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“Published reports suggest that the coronavirus disease 2019 (COVID-19) pandemic has had a negative effect on children’s mental health (1,2).”
From Mental Health–Related Emergency Department Visits Among Children Aged <18 Years During the COVID-19 Pandemic — United States, January 1–October 17, 2020 (2020) · cites this paper as [2]
In the citing paper
“The increase in the proportion of ED visits for children’s mental health concerns might reflect increased pandemic-related stress and unintended consequences of mitigation measures, which reduced or modified access to children’s mental health services (2)”
From Mental Health–Related Emergency Department Visits Among Children Aged <18 Years During the COVID-19 Pandemic — United States, January 1–October 17, 2020 (2020) · cites this paper as [2]
In the citing paper
“Research by Patrick et al. (2020) finds that in the year since the beginning of the pandemic, a quarter of parents reported worsening mental health for themselves and a 14% worsening in the behavioral health of their children.”
From Domestic violence during the COVID-19 pandemic—evidence from a systematic review and meta-analysis (2021) · cites this paper as Patrick et al. (2020)
In the citing paper
“They find that the combined impact of lack of child-care due to school closures, reduced access to healthcare due to closures and delays in visits, and declines in food security led to the most substantial declines in a family's mental and behavioral health.”
From Domestic violence during the COVID-19 pandemic—evidence from a systematic review and meta-analysis (2021) · cites this paper as Patrick et al. (2020)
In the citing paper
“Research has already demonstrated the impact of the COVID-19 pandemic among parents and children with respect to social isolation, loneliness, and depression.”
From Domestic violence during the COVID-19 pandemic—evidence from a systematic review and meta-analysis (2021) · cites this paper as Patrick et al. (2020)
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Benstead, M., King, G., & Westrupp, E. M. (2025) · Child Psychiatry & Human Development · doi:10.1007/s10578-025-01914-3 · Cited by 2
Kuusiaho, I., Moilanen, S., Eerola, P., Böök, M. L., Malinen, K., Leach, L., & Rönkä, A. K. (2025) · Family Relations · doi:10.1111/fare.70042 · Cited by 1
Factors affecting children's learning during COVID-19
Sonnenschein, S., Stites, M. L., & Krasniqi, B. (2025) · Learning and Individual Differences · doi:10.1016/j.lindif.2025.102819 · Cited by 2
Koopmans, E., Amyot, T., Turner, B. J., Paterson, T. S. E., Rathod, S., Phiri, P., & Sanders, C. D. (2025) · Comprehensive Child and Adolescent Nursing · doi:10.1080/24694193.2025.2588479 · Cited by 1
Hotez, E., Perrigo, J. L., Morales, J., Stanley, L., & Halfon, N. (2026) · Child Indicators Research · doi:10.1007/s12187-025-10333-8 · Cited by 1
Changes in young children's behavior following COVID-19 pandemic onset: A tale of three cities
Martin, A., Wright, A., Mendelsohn, A. L., Gross, R. S., Miller, E. B., Morris‐Perez, P. A., Shaw, D. S., Pollak, S. D., Livas, G., & Johnson, A. D. (2026) · Child Development · doi:10.1093/chidev/aacag016 · Cited by 1
Parental Cognitive Stimulation of Young Children Before and After the Onset of the COVID-19 Pandemic
Martin, A., Miller, E. B., Zhong, D., Gross, R. S., Morris‐Perez, P. A., Shaw, D. S., Piccolo, L. D. R., Hill, J., Scott, M. A., Messito, M. J., et al. (2025) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0000000000001438 · Cited by 1
Muhammad Athar Hussain, I. A. (2021) · Pakistan Journal of Educational Research · doi:10.52337/pjer.v3i2.38 · Cited by 3
Parentalidade e saúde física e mental na pandemia da covid-19
de BRITO, A., TERUYA, K., de Souza, M. L. A., & Remor, E. (2021) · Dialética eBooks · doi:10.48021/978-65-5956-026-4c2 · Cited by 1
Parent Personality Traits During Covid-19 Pandemic: a Correlational Study
Sălăgean, C. S., & Coșarbă, E. M. (2021) · Educatia 21 · doi:10.24193/ed21.2021.20.15 · Cited by 1
Pinatil, L. L., Abojon, J. A., & Lawas, M. J. (2022) · International Journal of Science and Management Studies (IJSMS) · doi:10.51386/25815946/ijsms-v5i2p126 · Cited by 1
The Effect of Perceived Social Support on Psychological Well-Being in COVID-19 Patients
Kaynak, S., Ergün, S., Karadaş, A., Karaca, P. P., & Duran, S. (2022) · Eurasian Journal of Family Medicine · doi:10.33880/ejfm.2022110205 · Cited by 3
“Contrary to research findings, many studies determined that women had higher anxiety levels and lower psychological well-being levels during the COVID-19 epidemic compared to men (16,27,28).”
BackgroundResultVairez, M. R., Gomez, F., Gentle-Genitty, C. S., Quiroz, J., & Manzanero, O. (2022) · Continuity in Education · doi:10.5334/cie.41 · Cited by 1
“Both parents’ and students’ psychological well-being was at risk (Patrick et al., 2020).”
BackgroundMiller, E. K., O’Donnell, K. A., Bender, A. E., Evans, K. E., & Holmes, M. R. (2022) · Families in Society The Journal of Contemporary Social Services · doi:10.1177/10443894221094504 · Cited by 1
“Given the way in which the COVID-19 pandemic has affected children and parents across the United States (e.g., Hart & Han, 2021; Patrick et al., 2020), a secondary aim of this study was to examine the ways in which the pandemic has impacted families.”
BackgroundInfluentialLegislative remedies to mitigate the national emergency in pediatric mental health
Shah, S. I., Shah, S. I., Patel, M. S., Raphael, J. L., Keller, D., Chamberlain, L. J., Devaskar, S. U., Cheng, T. L., Javier, J. R., & Lee, L. K. (2022) · Pediatric Research · doi:10.1038/s41390-022-02326-y · Cited by 1
COVID-19 Salgını Sırasında Anne Babaların Kaygı Düzeyi
Ceylan, B., & MOLU, N. G. (2022) · Journal of General Health Sciences (JGEHES) Necmettin Erbakan University · doi:10.51123/jgehes.2022.64 · Cited by 1
Assessing Medical Student Basic Otolaryngology Knowledge: A questionnaire-based Study
Fageeh, Y. A., Basurrah, M. A., Aljuaid, A., Alghamdi, A., Alamri, R. D., Alobaylan, H. A., & Alzahrani, M. A. (2022) · World Family Medicine Journal/Middle East Journal of Family Medicine · doi:10.5742/mewfm.2022.952596 · Cited by 1
Pandeya, A., Shreevastva, N. K., Chandra, L., Rohil, V., Karki, P., & Lamsal, M. (2022) · World Family Medicine Journal/Middle East Journal of Family Medicine · doi:10.5742/mewfm.2022.9525180 · Cited by 1
Self-Reported Adverse Events of COVID-19 Vaccines on Menstrual Cycles
Alzahrani, A. F., & Abdulaal, N. A. (2022) · World Family Medicine Journal/Middle East Journal of Family Medicine · doi:10.5742/mewfm.2022.9525188 · Cited by 1
The COVID-19 representation and implications for children's well-being: A three-way perspective
Maftei, A., & Olariu, M.-M. (2022) · Psihologija · doi:10.2298/psi211130030m · Cited by 1
COVID-19 Pandemic Fear, Anxiety and Quality of Life among Adolescent Girls with Special Needs
Khalaf, S., Elhay, H. A. A., Ghazy, H. K., & Goda, S. M. (2023) · Tanta Scientific Nursing Journal · doi:10.21608/tsnj.2023.285343 · Cited by 1
The impact of COVID-19 on mental health and nocturnal enuresis in children
Ferrara, P., VECCHIO, M., Cammisa, I., Zona, M., Morgia, C. D. S., Sacco, R., & IANNI, A. (2023) · Minerva Psychiatry · doi:10.23736/s2724-6612.22.02330-2 · Cited by 1
Mann, M., Harary, D., Louis, S., Wang, T., Bonuck, K. A., Isasi, C. R., Charron, M. J., & Fuloria, M. (2023) · Frontiers in Pediatrics · doi:10.3389/fped.2023.1150216 · Cited by 1
Köhler‐Dauner, F., Ziegenhain, U., Kipping, M., Mayer, I., Fegert, J. M., & Buchheim, A. (2023) · Family Relations · doi:10.1111/fare.12925 · Cited by 2
Foley, B. C., Reece, L. J., Rose, C. L., Rosenbaum, S., & Owen, K. B. (2023) · Mental Health Science · doi:10.1002/mhs2.30 · Cited by 1
Grossman, E. R., & Sonnenschein, S. (2023) · Journal of Drug Education · doi:10.1177/00472379231185125 · Cited by 1
Metadata
- Authors
- Patrick, S. W., Henkhaus, L. E., Zickafoose, J. S., Lovell, K., Halvorson, A., Loch, S., Letterie, M., & Davis, M. M.
- Affiliations
- Vanderbilt University (US)
- Vanderbilt University Medical Center (US)
- Northwestern University (US)
- Corresponding author
- Patrick, Stephen W.
- ORCID
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2020-07-24
- Volume
- 146
- Issue
- 4
- Pages
- e2020016824
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W3044545080
- Cited by
- 1,200
- References
- 15
- Citations by year
- 2026: 38 · 2025: 78 · 2024: 137 · 2023: 212 · 2022: 353 · 2021: 343 · 2020: 35
- FWCI
- 94.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Sociology and Political Science › Social impacts of COVID-19
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Food Security and Health in Diverse Populations
- Keywords
- COVID-19 pandemic, parental mental health, child behavioral health, food insecurity, employer-sponsored health insurance, health care utilization, family well-being, pandemic mitigation measures
- MeSH terms
- Child Health, Betacoronavirus, COVID-19, SARS-CoV-2, Child, Child Care, Female, Food Supply, Health Policy, Health Status, Health Surveys, Humans, Male, Mental Health, Parents, Pneumonia, Viral, Public Assistance, United States, Coronavirus Infections, Insurance Coverage, Pandemics
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