How will COVID affect pre-schoolers?

Young children are known for their ability to bounce back from illness and minor setbacks as they explore their world.

Many adults assume that larger negative experiences – like serious accidents and natural disasters – don’t affect pre-schooler kids in the long run, as they may not have been directly affected or won’t remember.

The survey aims to learn how the pandemic is affecting young children. 

But we’re now learning that this isn’t true, at least for some.

Trauma experienced or witnessed by young children, even babies, may leave emotional scars that sometimes need years to heal.

For that reason, Australian researchers have begun the COVID-19 Unmasked survey to learn how the pandemic is affecting young children, their parents, carers and broader family life.

Defining trauma

The clinical definition of a traumatic experience includes events that are frightening and life-threatening – like car accidents, natural disasters or family violence. Children might experience these events or see them happening to a person they’re close to or their caregivers.

A broader definition includes events that require significant adaption and pose a risk to future mental health. And this current pandemic may fall under this category.

Many children are resilient and have the resources and protective factors to cope with disruptive events. But for some, these experiences may lead to negative developmental patterns and mental health problems.

Many children are resilient and have the resources and protective factors to cope with disruptive events. 

Young children might show regression in already acquired skills, sleep disturbances, feel anxious or irritable. The knock-on effects could negatively affect social skills, school achievement and lead to mental health and social problems in adulthood.

This pandemic has the potential to affect very young children because even if they don’ fully understand what is happening, they still may perceive a threat. Some children might pick up on the cues of their caregivers, who, for example, may be stressed and upset after losing their jobs.

In fact, this pandemic may have similarities to other disasters like bushfires, in terms of the impact on community and the economy, as well as the broader unpredictability of events.

Over the course of ten years, the Beyond Bushfire Project followed a group of children affected by the Victorian Black Saturday Bushfires in 2009. The project found that following the bushfires, some children experienced anxiety and disruption in their everyday and social life.

There was also a period of negative academic impact which extended two to four years after the initial disaster.

Stress and child development

COVID-19 can affect families in different ways depending on their situation.

Other than the possibility of becoming ill, factors kids can find stressful include an increase in tension, separation, the impact of unemployment, exposure to negative reports in the media, as well as struggling with caregivers working from home and the challenge of learning at home.

This pandemic has the potential to affect very young children, even if they don’t fully understand it. 

Children in the first six years of life are especially vulnerable to these stressors because they are developing very rapidly.

COVID-19 Unmasked is an online survey that aims to build a picture of how the pandemic and other recent disruptive events, like the summer’s bushfires and floods, are affecting pre-schoolers aged between one and five.

Our team is working on the project with the Queensland Centre for Perinatal and Infant Mental Health and researchers from Griffith University, the University of Queensland and the University of Southern Queensland.

Children aged one to five have been neglected when it comes to research on trauma and child adversity because, for a long time, experts believed that young children were protected from these kinds of experiences. The assumption was that they are too young to understand or estimate the adversity.

Our earlier research found that around 20 per cent of young children develop mental health difficulties that disrupt their functioning. But this number was even higher following traumatic or adverse experiences.

A key finding in our research is that following stressful events young children depend very much on their caregivers to help them regulate their emotions and process their experiences.

Trauma experienced or witnessed by young children, even babies, may leave emotional scars. 

Worrying about COVID-19

We think that children who worry a lot about COVID-19 and its consequences will show more anxiety and mental health problems – like sleep disturbance and irritability – but the COVID-19 Unmasked study will tell us more.

These kids may be part of a family who are directly impacted – like those who may have a relative become ill or die from COVID-19, whose parents or carers are frontline workers, or those families facing financial difficulties.

We began the survey in early May, asking Australian families about their pandemic experiences and how restrictions have affected family life, communication and their relationships.

More than 600 parents and carers have already taken part. So far, many have reported different stressors but some have also revealed positive changes – like more of an appreciation about what they have or an increased closeness in the family.

Our team is also working closely with researchers who are conducting a similar project on the wellbeing of children aged six and over. Our plan is to compare findings and possibly collaborate with researchers in the USA and UK to learn more about how families are coping in other countries.

By understanding how affected young children actually are, and how they and their parents are coping, we can work to avoid disruption to the kids in this age group who are developing so rapidly.

It’s important to understand how affected young children actually are, and how they and their parents are coping.

But governments also have a responsibility here.

In coming months, they will need to support prevention programs promoting resilience and offer tailored mental health support to families who are affected. Our survey hopes to help inform these actions and public health advice generally.

In the meantime, we would encourage parents and carers to communicate with their child – children sometimes understand more than we think. There are wonderful materials out there that can help explain the current situation, like Queensland Health’s storybook series Birdie and the virus.

It’s also important to encourage kids to ask questions and to express feelings through drawings and play. Try to have a consistent schedule and show an extra patience. Look after yourself. Connect with your friends and family.

But if you do feel overwhelmed, it’s all right to seek advice from your GP, counselling hotline or other professionals.

The 20-minute anonymous online COVID-19 Unmasked survey is aimed at Australian caregivers of children aged one to five living in Australia or overseas and is open until 30 June 2020. Follow up surveys will be conducted three, six and 12 months after the initial survey. This article was written by Dr Mira Vasileva, a Research Fellow at the Melbourne School of Population and Global Health, and Associate Professor Eva Alisic, an Associate Director of the Jack Brockhoff Child Health and Wellbeing Program.  It was published by Pursuit.