COVID-19 voluntary social isolation and its effects in sociofamily and children’s behavior

Cynthia Torres González, Gilberto Galindo-Aldana, Ibza America García León, Luis Alfredo Padilla-López, Daniel Nikolaus Alvarez Núñez, Yojana Irlanda Espinoza Gutiérrez



Introduction. The main prevention strategy for reducing the dispersion of the SARS-CoV-2 has been social distancing. Several investigations began to explore its psychological impact since it began, but there are no data about its effect on social and family behavior.

Objectives. Were: First, to analyze the reliability of an ad-hoc designed questionnaire to measure sociofamily behavior changes in a sample of parents of children from one to twelve years old. Second, to characterize effects of voluntary social isolation by COVID-19 over sociofamily behavior at a personal level and over children’s activities at home. Third, to determine vulnerability predictors for a negative experience by isolation itself.

Method. An online Questionnaire for Perceptions of Changes in Sociofamily Behavior was applied to 365 Mexican participants.

Results. Factor analysis showed a reliability of the ad-hoc designed questionnaire for this study. Correlations were found between voluntary social isolation and self-perceived experiences, such as sleep quality, irritability, emotional control, hope about the future, motivation, attention span, and problem solving.

Discussion and conclusion. The results of this study suggest that family well-being during voluntary social isolation is a complex and multifactorial phenomenon, which addresses specific effects in different domains, especially in sociofamily behavior.


Quarantine; family; child development

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Alliance for Child Protection in Humanitarian Action. (2019). Technical Note: Protection of Children during the Cornonavirus Pandemic, Version 1.

Arranz Freijo. E., Oliva Delgado, A., Parra Jiménez, Á., Azpiroz Merino, A., Bellido Ituño, A., Malla Mora., R., … Olabarrieta Artetxe., F. (2004). Familia y desarrollo psicológico. España: Prentice Hall/Pearson.

Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet, 395(10227), 912-920. doi: 10.1016/S0140-6736(20)30460-8

Cakmak, S., Hebbern, C., Cakmak, J. D., & Vanos, J. (2016). The modifying effect of socioeconomic status on the relationship between traffic, air pollution and respiratory health in elementary schoolchildren. Journal of Environmental Management, 177, 1-8. doi: 10.1016/j.jenvman.2016.03.051

Chen, R., Kessler, R. C., Sadikova, E., NeMoyer, A., Sampson, N. A., Alvarez, K., … Williams, D. R. (2019). Racial and ethnic differences in individual-level and area-based socioeconomic status and 12-month DSM-IV mental disorders. Journal of Psychiatric Research, 119, 48-59. doi: 10.1016/j.jpsychires.2019.09.006

Cohen, E., & Gadassi, R. (2018). The function of play for coping and therapy with children exposed to disasters and political violence. Current Psychiatry Reports, 20(5), 31. doi: 10.1007/s11920-018-0895-x

Fegert, J. M., Vitiello, B., Plener, P. L., & Clemens, V. (2020). Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: A narrative review to highlight clinical and research needs in the acute phase and the long return to normality. Child and Adolescent Psychiatry and Mental Health, 14(1), 20. doi: 10.1186/s13034-020-00329-3

Ferrando, P. J., & Lorenzo-Seva, U. (2016). A note on improving EAP trait estimation in oblique factor-analytic and item response theory models. Psicológica, 37(2), 235-247.

Flouri, E., Narayanan, M. K., & Nærde, A. (2018). Stressful life events and depressive symptoms in mothers and fathers of young children. Journal of Affective Disorders, 230, 22-27. doi: 10.1016/j.jad.2017.12.098

Ghaffari-Rafi, A., Ghaffari-Rafi, S., & Leon-Rojas, J. (2020). Socioeconomic and demographic disparities of moyamoya disease in the United States. Clinical Neurology and Neurosurgery, 192, 105719. doi: 10.1016/j.clineuro.2020.105719

Gopalan, S. S., & Das, A. (2009). Household economic impact of an emerging disease in terms of catastrophic out-of-pocket health care expenditure and loss of productivity: investigation of an outbreak of chikungunya in Orissa, India. Journal of Vector Borne Diseases, 46(1), 57-64.

Lee, S. M., Kang, W. S., Cho, A.-R., Kim, T., & Park, J. K. (2018). Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Comprehensive Psychiatry, 87, 123-127. doi: 10.1016/j.comppsych.2018.10.003

Li, W., Yang, Y., Liu, Z.-H., Zhao, Y.-J., Zhang, Q., Zhang, L., … Xiang, Y.-T. (2020). Progression of Mental Health Services during the COVID-19 Outbreak in China. International Journal of Biological Sciences, 16(10), 1732-1738. doi: 10.7150/ijbs.45120

Luby, J., Belden, A., Botteron, K., Marrus, N., Harms, M. P., Babb, C., ... Barch, D. (2013). The effects of poverty on childhood brain development: the mediating effect of caregiving and stressful life events. JAMA Pediatrics, 167(12), 1135-1142. doi: 10.1001/jamapediatrics.2013.3139

Luo, W., Xiong, Z., Tang, H., & Zhou, H. (2020). A family outbreak of coronavirus disease 2019. Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical Sciences, 45(3), 275-279. doi: 10.11817/j.issn.1672-7347.2020.200099

Masten, A. S., & Osofsky, J. D. (2010). Disasters and their impact on child development: introduction to the special section. Child Development, 81(4), 1029-1039. doi: 10.1111/j.1467-8624.2010.01452.x

Maunder, R. G., Leszcz, M., Savage, D., Adam, M. A., Peladeau, N., Romano, D., … Schulman, B. (2008). Applying the lessons of SARS to pandemic influenza: an evidence-based approach to mitigating the stress experienced by healthcare workers. Canadian Journal of Public Health, 99(6), 486-488. doi: 10.1007/BF03403782

McKelvey, L., Whiteside-Mansell, L., Faldowski, R., Shears, J., Ayoub, C., & Hart, A. (2009). Validity of the Short Form of the Parenting Stress Index for Fathers of Toddlers. Journal of Child and Family Studies, 18(1), 102-111. doi: 10.1007/s10826-008-9211-4

Perrin, P. C., McCabe, O. L., Everly, G. S. Jr., & Links, J. M. (2009). Preparing for an influenza pandemic: mental health considerations. Prehospital and Disaster Medicine, 24(3), 223-230. doi: 10.1017/S1049023X00006853

Reyes, L. M., Aguilar, J. L., Villamor, P., De La Torre, C., Álvarez, A., Mantilla, E., & Álvarez-Neri, H. (2018). Clinical and sociodemographic characteristics associated with disease severity in juvenile recurrent respiratory papillomatosis: A study of 104 patients in a tertiary care pediatric hospital. International Journal of Pediatric Otorhinolaryngology, 108, 63-66. doi: 10.1016/j.ijporl.2018.02.025

Sprang, G., & Silman, M. (2013). Posttraumatic stress disorder in parents and youth after health-related disasters. Disaster Medicine and Public Health Preparedness, 7(1), 105-110. doi: 10.1017/dmp.2013.22

Stenman, K., Christofferson, J., Alderfer, M. A., Pierce, J., Kelly, C., Schifano, E., … Kazak, A. E. (2019). Integrating play in trauma-informed care: Multidisciplinary pediatric healthcare provider perspectives. Psychological Services, 16(1), 7-15. doi: 10.1037/ser0000294

Svedin, C. G. (2008). Childhood maltreatment. Advances in psychotherapy – evidence-based practice. Edited by Wekerle C., Miller A. L., Wolfe D. A. and Spindel C. B. Acta Paediatrica, 97(6), 830-830. doi: 10.1111/j.1651-2227.2008.00695.x

Tan, W., Hao, F., McIntyre, R. S., Jiang, L., Jiang, X., Zhang, L., … Tam, W. (2020). Is returning to work during the COVID-19 pandemic stressful? A study on immediate mental health status and psychoneuroimmunity prevention measures of Chinese workforce. Brain, Behavior, and Immunity, 87, 84-92. doi: 10.1016/j.bbi.2020.04.055

Valencia, E., & Gómez, E. (2010). Una escala de Evaluación Familiar Eco-Sistémica para programas sociales: Confiabilidad y validez de la NCFAS en población de alto riesgo psicosocial. Psykhe (Santiago), 19(1), 89-103. doi: 10.4067/S0718-22282010000100007

Vieira, P. R., Garcia, L. P., & Maciel, E. L. N. (2020). The increase in domestic violence during the social isolation: what does it reveals? Revista Brasileira de Epidemiologia, 23, e200033. doi: 10.1590/1980-549720200033

Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020b). Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. International Journal of Environmental Research and Public Health, 17(5), 1729. doi: 10.3390/ijerph17051729

Wang, G., Zhang, Y., Zhao, J., Zhang, J., & Jiang, F. (2020a). Mitigate the effects of home confinement on children during the COVID-19 outbreak. The Lancet, 395(10228), 945-947. doi: 10.1016/S0140-6736(20)30547-X

Wolmer, L., Hamiel, D., Pardo-Aviv, L., & Laor, N. (2017). Addressing the needs of preschool children in the context of disasters and terrorism: assessment, prevention, and intervention. Current Psychiatry Reports, 19(7), 40. doi: 10.1007/s11920-017-0792-8

Wong, T. Y., Koh, G. C., Cheong, S. K., Lee, H. Y., Fong, Y. T., Sundram, M., … Koh, D. (2008). Concerns, perceived impact and preparedness in an avian influenza pandemic--a comparative study between healthcare workers in primary and tertiary care. Annals of the Academy of Medicine, Singapore, 37(2), 96-102.

World Health Organization [WHO]. (2020). Guiding principles for immunization activities during the COVID-19 pandemic: interim guidance, 26 March 2020. Geneva: WHO. Retrieved from

Yang, H., & Ma, J. (2020). How an Epidemic Outbreak Impacts Happiness: Factors that Worsen (vs. Protect) Emotional Well-being during the Coronavirus Pandemic. Psychiatry Research, 289, 113045. doi: 10.1016/j.psychres.2020.113045

Zelman, J. J., & Ferro, M. A. (2018). The parental stress scale: psychometric properties in families of children with chronic health conditions. Family Relations, 67(2), 240-252. doi: 10.1111/fare.12306