2020年9月9日 星期三

The Pandemic Is a ‘Mental Health Crisis’ for Parents

There are no signs of relief on the horizon.

The Pandemic Is a ‘Mental Health Crisis’ for Parents

Sophie Lécuyer

Paige Posladek is pregnant, and stressed. She has two children, ages 2 and 4, works part time as a copywriter, and has seen a therapist on and off for several years to help her deal with the loneliness and loss of identity that can come with being a new mom.

Before the pandemic, Posladek, who lives in Kansas City, Mo., felt she had figured out ways to support her mental health: participating in group exercise classes, or meeting up with friends and getting her kids outside. But those mundane joys disappeared when the shutdown started in March. “There’s already so much pressure on parents, even pre-pandemic, to make the right choices for our children,” Posladek, 30, said.

To now be in a situation where she doesn’t know what the right choices are for her children’s health and education has only exacerbated her anxiety. She still has virtual sessions with a therapist, but it’s not as helpful when her kids are popping in and out of frame. “Even therapy has been tainted a little in its ability to provide relief,” Posladek said. “How are we going to help grow and nurture them in this environment, when we’re not even nurturing ourselves?”

As we slouch into Month 7 of the pandemic, the mental health impact on parents remains significant and shows no signs of abating. Though the pandemic has certainly affected the mental health of all demographics, research from the American Psychological Association showed that in April and May, parents with children at home under 18 were markedly more stressed than non-parents.

More recent data from the University of Oregon’s RAPID-EC survey, which polled 1,000 nationally representative parents with children under 5 every week through the end of July, and will survey some of the same parents, as well as cumulative groups, every other week from August to December, shows that parents of young children are particularly stressed.

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Sixty-three percent of parents said they felt they had lost emotional support during the pandemic. According to a study from Harvard’s Graduate School of Education, 61 percent of parents of 5, 6 and 7 year olds in Massachusetts agreed or strongly agreed that they felt “nervous, anxious, or on edge” because of the pandemic.

“This is a chronic destabilizing force to our lives, and to families and parents and children,” said Pooja Lakshmin, M.D., a clinical assistant professor of psychiatry at George Washington University School of Medicine. “We need to be treating this as a mental health crisis, and one that does not have an end we can see.”

Though many parents of young children across demographics are feeling increased levels of stress, two subgroups may be particularly at risk for clinical levels of anxiety and depression right now: women who are pregnant or recently gave birth, and parents who are struggling financially to meet their children’s basic needs.

Before the pandemic, anxiety and depression affected somewhere between 10 to 25 percent of women during pregnancy and in the year after childbirth. Two studies from Canada show those figures have skyrocketed since the shutdown: One study of nearly 2,000 pregnant women showed that 37 percent were showing clinically significant levels of depression, and 57 percent were showing clinically significant levels of anxiety. Another study of 900 women, some pregnant and some with newborns, showed that rates of depression increased to 40 percent from 15 percent during the pandemic, and rates of anxiety rose to a whopping 72 percent from 29 percent.

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Over the course of the pandemic, the biggest stressor for parents surveyed by the University of Oregon’s RAPID-EC project has been an inability to sufficiently feed, clothe and house their children, said Philip Fisher, Ph.D., the director for the Center of Translational Neuroscience at the university, who is leading the project. “We thought early on that fear of getting sick would be the biggest source of stress,” he said, but as time went on, it was clear that parents struggling to meet their children’s basic needs were feeling the greatest ongoing emotional turmoil. Over 60 percent of caregivers who are experiencing extreme financial problems reported emotional distress, compared with just over 30 percent of caregivers who have no financial issues.

So what can parents do to help bolster their mental health in this time of difficulty? Lucy Rimalower, a licensed marriage and family therapist in Los Angeles, recommends asking yourself: What kind of self-care is realistic for you now, not six months ago? The old coping mechanisms you had may not be available any time soon, so if you can even take a tiny break for yourself every day, that’s better than nothing. “Is that a five-minute yoga video on YouTube? Is it a five-minute text exchange with an old friend?” Rimalower said.

“Traditional therapy is fantastic,” but it’s not realistic or accessible for everybody, she added. Rimalower said asynchronous options like therapy apps that allow you to message therapists, rather than have a 50-minute video session, may be helpful for parents strapped for time.

Research shows that exercise (like that five-minute yoga video) and emotional connection (that simple text exchange) are also helpful in reducing stress. The RAPID-EC study found that high levels of emotional support, particularly from local sources, can help mitigate stress levels for families up and down the socioeconomic ladder, and that parents are finding a great deal of solace in their partners, parents and even their own children.

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At first, Dr. Fisher said, the researchers thought that when parents said they got emotional support from their children, they meant older children who were potentially helping care for the under-5 set. But when they dug into their data, they found that “people were finding their little ones to be a source of comfort,” he said.

Despite everything going on in the world, I can personally attest to the blissed-out feelings you can get from an unexpected midday snuggle with your sweet preschooler, who isn’t really thinking about anything except kittens and fighting with her sister right now.

Dr. Lakshmin encourages her patients to tap into new sources of meaning as a parent, whether that’s discovering pandemic-friendly ways to connect with your children, like early-morning bike rides, or creating moments to look forward to. “Little activities to plan can really break up the time,” she said, and be psychologically nourishing. I set up an at-home nail salon for my girls last weekend and it was so intimate and fun for all three of us.

Rimalower described finding a bouquet of flowers that her 4-year-old son had left outside her door during a session with a patient, and being reminded that our little ones “have basic needs that are not that concerned with the pandemic,” she said. “I feel like I’m an impostor, pretending like everything is OK with our kids, but what’s wrong with a few minutes of things being OK?”

P.S. Follow us on Instagram @NYTParenting. Read last week’s newsletter, about how to keep a love of learning alive during this strange school year. If this was forwarded to you, sign up for the NYT Parenting newsletter here.

Want More on Personal Pandemic Challenges?

Tiny Victories

Parenting can be a grind. Let’s celebrate the tiny victories.

My 4-year-old’s favorite toy right now: party streamers taped to paper towel tube. Take it to another level: turn on the electric fan. — April Ordoñez Le, San Diego

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2020年9月8日 星期二

G.D.P. and the meaning of life

Money can’t buy happiness, especially if you’re American.
People wait in line for food donations in Queens, NY.John Minchillo/Associated Press
Author Headshot

By Paul Krugman

Opinion Columnist

“I’ve been rich and I’ve been poor,” said Mae West. “Believe me, rich is better.” Words of wisdom. But getting richer doesn’t necessarily improve your life as much as you’d expect, and what goes for individuals goes double for societies.

Today’s column was about what’s happening now, with the economy partially recovering from the coronavirus recession but the lives of millions getting sharply worse. Blame for the extreme current disconnect rests squarely with Donald Trump and his party, who have yanked away the safety net that helped many people cope with bad times. But in fairness, this kind of disconnect isn’t new; it has been an increasingly glaring feature of American society for decades.

By the usual measures, the U.S. economy is highly successful. We have the highest GDP per capita of any major nation. Before the coronavirus hit, we had low unemployment. Our tech companies alone are worth more than the entire European stock market. We clearly have the means to live la dolce vita.

But do we actually manage to live good lives? Some of us do. Overall, though, America seems to get much less satisfaction out of its wealth than one might have expected.

People who make this point often compare us to the Nordic countries, which are success stories by any standard. For today’s newsletter, however, I thought it might be worth comparing us to a country that is widely regarded — indeed, in some respects really is — a failure: Italy.

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A few weeks ago our own Roger Cohen wrote about Italy’s remarkable cohesiveness in the face of the coronavirus: after a terrible start, the famously fractious nation pulled itself together, and has done a vastly better job of containing the pandemic than we have. (Soon after writing that column, Roger himself was diagnosed with Covid-19: let’s all wish him the best.)

The thing is, among those who study international economics, Italy is best known as a cautionary tale of economic failure. For reasons that are endlessly debated, it somehow seems to have missed out on the information technology revolution. Its economy has stagnated for decades. Incredibly, Italy’s real GDP per capita on the eve of the pandemic was lower than it had been in 2000, even as the same measure rose 25 percent in the U.S.:

Italy’s stagnation.World Bank

But there’s more to life than money. To take just one crude example, one thing you surely have to do in order to live a good life is, well, not die. And that’s one area in which Italians have been outperforming Americans by an ever-widening margin. In the mid-1980s, the two nations had roughly the same life expectancy. These days Italians can expect to live around 4 ½ years longer:

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Life is better when you aren’t deadOECD

OK, I don’t want to speculate on the hidden strengths of Italian society. But the weaknesses of American society, despite our national wealth, are obvious: Extreme inequality, including racial inequality on a scale whites can find hard to comprehend. A weak social safety net, including a unique failure among advanced countries to guarantee universal health care. Terrible work-life balance, with far less vacation and family time than a wealthy nation should have.

And a personal, informal observation: Trump is an extreme case, but we are a nation obsessed with the notion of winners and losers. The nature of my various careers has brought me into contact with a number of extremely successful people, in various walks in life, and what always strikes me is how insecure many of them are, because there’s always another money manager who makes even more billions or another professor who’s won even more prizes.

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Imagine what this kind of competitive mentality does to people who aren’t objectively successful, who — usually through no fault of their own — have been stranded by economic or social change.

Of course, I’m far from the first person to make observations like this. Still, maybe this strange, ugly time in America will help teach us some lessons about building a better society once the pandemic is over.

Quick Hits

Italy’s economic disease.

Italy’s pandemic success.

Incomes matter, but …”

Drowning in joblessness, swimming in cash.

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Facing the Music

Life at the top isn’t always greatYouTube

Cole Porter got it.

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