Applied Evidence

Maternal Distress Due to the COVID-19 Pandemic and Changes in Young Children's Behavior.

Journal of developmental and behavioral pediatrics : JDBP · 2026 · Cohort

Anne Martin, Rachel S Gross, Elizabeth B Miller and 3 others

PMID 42081256

Maternal pandemic distress was linked to a small rise in preschoolers' aggression over one to two years, but not to anxiety or depression.

The effect was small and was not stronger in mothers who were depressed.

Key findings

1Maternal pandemic distress predicted a small increase in child aggression (β = .11, p = .039) but did not predict a change in anxiety/depression.

2Maternal depression did not moderate the association between maternal distress and either child behavior outcome.

3Maternal depression on its own was associated with a .32 standard-deviation increase in child anxiety/depression (p = .046) and a .26 standard-deviation increase in aggression (p = .086, described as marginal).

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How it was doneWhat they found


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What it does not show

All measures (distress, depression, child behavior) came from the same parent using questionnaires, so shared method variance may inflate the associations. The sample is low-income, urban, and predominantly Black and Hispanic, which the authors note may limit generalizability to other populations. The sample of 247 may have been too small to detect a moderation effect from maternal depression. No measures of maternal coping style or self-regulation were available, so the pathway from distress to child behavior is not directly tested. 23% of dyads were missing the maternal depression measure, handled by multiple imputation. When the Pittsburgh Study cohort was excluded, the aggression result fell below significance, suggesting the finding depends partly on that subgroup.

Declared interests

The authors report no conflicts of interest.

The easy way to misread this

Do not read the aggression finding as a strong or clinically meaningful effect. The paper itself calls the increase small, the anxiety/depression outcome was null, and when one cohort was excluded the aggression result fell below significance. The study also cannot separate the effect of maternal distress from the effect of the parenting interventions the families received, because the intervention group did not moderate the association.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →


The study

Participants
247 mother-child dyads
Certainty of evidence
Low

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    Cite

    Anne Martin, Rachel S Gross, Elizabeth B Miller, et al. Maternal Distress Due to the COVID-19 Pandemic and Changes in Young Children's Behavior. Journal of developmental and behavioral pediatrics : JDBP. 2026.

    Read the original — we summarise, we never replace the paper.