A predictive model of mental health outcomes in Chilean schoolchildren following COVID-19 found distinct psychological processes underlying posttraumatic stress symptoms and posttraumatic growth, with caregiver well-being, coping strategies, and rumination type serving as key predictors.
Key Findings
Results
The model predicting posttraumatic stress symptoms (PTSSs) in students was statistically significant, with female sex as a key predictor.
Sample included 489 students aged 10-17, with 48% female sex.
Female sex was identified as a significant predictor of PTSSs in the hierarchical regression model.
Caregivers ranged in age from 21-69, with 86.5% female, including mothers, fathers, and guardians.
Hierarchical linear regression and path analyses were used to evaluate the predictive model.
Results
Aggressive behavior and specific coping strategies were key predictors of posttraumatic stress symptoms in students.
Key predictors of PTSSs included aggressive behavior, keeping problems to oneself, cognitive avoidance, and intrusive rumination.
These coping strategies represent avoidant and suppressive approaches to managing distress.
Intrusive rumination, as opposed to deliberate rumination, was associated with negative outcomes.
Results
Caregiver posttraumatic stress symptoms were a significant predictor of student posttraumatic stress symptoms.
Caregiver PTSSs were identified as a key predictor in the model for student PTSSs.
This finding indicates that caregiver well-being influences student mental health outcomes.
The study highlighted 'the influence of caregiver well-being' on school-aged children's mental health.
Results
The model predicting posttraumatic growth (PTG) in students was also significant, with distinct predictors from those associated with PTSSs.
Predictors of PTG included active problem-solving, communication, a positive attitude, and deliberate rumination.
These predictors are distinct from those predicting PTSSs, indicating 'distinct psychological processes underlying negative and positive outcomes following trauma.'
Deliberate rumination, in contrast to intrusive rumination, was associated with positive posttraumatic growth outcomes.
Background
School closures and changes in daily routines during the COVID-19 pandemic reduced students' opportunities for learning and social interaction, affecting their mental health.
The study was conducted in educational communities across various Chilean cities.
The COVID-19 pandemic was identified as a public health emergency significantly impacting individuals and families, particularly in educational settings.
Caregivers faced increased responsibilities and stressors during this period.
Conclusions
Multi-level intervention strategies addressing emotional regulation, communication, and coping mechanisms were identified as important for fostering resilience and psychological growth.
The study concluded that 'multi-level strategies addressing emotional regulation, communication, and coping mechanisms may foster resilience and psychological growth in educational communities.'
The findings underscore 'the complexity of mental health outcomes among school-aged children and the influence of caregiver well-being.'
The study highlighted the importance of supporting both students and caregivers through targeted interventions.
Andrades M, García F, Kilmer R, Concha-Ponce P, Lucero C. (2026). Mental Health in Educational Communities in Chile After a Public Health Emergency: An Assessment of Schoolchildren and Their Caregivers.. Medicina (Kaunas, Lithuania). https://doi.org/10.3390/medicina62020279