Despite known connections of COVID-19 pandemic impacts with child mental health, family functioning (FF), and peer functioning (PF), the specific mediation effects of FF and PF on the relationship between COVID-19 impact and symptoms of anxiety, depression, and emotion dysregulation have yet to be examined in an integrated model. We examined connections between COVID-19 pandemic impacts, mental health symptomatology, FF, and PF of children, as well as mediation effects of FF and PF on the associations between pandemic impacts and childhood mental health symptomatology. Parents of a large clinical sample of 159 youths (Mage = 11.96, SDage = 3.36) rated measures of pandemic impacts, child psychosocial functioning, and child mental health over the first several months of the pandemic. Results indicated correlations of pandemic impacts with child symptoms of depression and emotion dysregulation, and a trend towards correlation with anxiety. The combined FF and PF effects mediated the association between pandemic impacts and child mental health symptomatology, including emotion dysregulation, and to a lesser degree depressive symptoms and anxiety symptoms. Moreover, emotion dysregulation remarkably associated with total effects of pandemic impacts connection with both FF and PF, providing empirical support for the strong relationships between emotional dysregulation of children and their social, family, and stress contexts. These findings create a foundation for further work on examining longitudinal connections of context and child mental health as well as treatments targeting bolstering social and family connectedness concurrently as a method to impact the relationships of stress with childhood mental health.

尽管已知 COVID-19 大流行影响与儿童心理健康、家庭功能 (FF) 和同伴功能 (PF) 之间存在联系，但 FF 和 PF 对 COVID-19 影响与焦虑、抑郁、抑郁等症状之间关系的具体中介作用和情绪失调尚未在综合模型中得到检验。我们研究了 COVID-19 大流行影响、儿童心理健康症状、FF 和 PF 之间的联系，以及 FF 和 PF 对大流行影响与儿童心理健康症状之间关联的中介作用。由 159 名青少年组成的大型临床样本（Mage = 11.96，SDage = 3.36）的家长对大流行病影响、儿童心理社会功能和大流行病最初几个月的儿童心理健康指标进行了评估。结果表明，大流行的影响与儿童抑郁和情绪失调症状相关，并且有与焦虑相关的趋势。FF 和 PF 的综合效应介导了大流行影响与儿童心理健康症状之间的关联，包括情绪失调，以及较小程度的抑郁症状和焦虑症状。此外，情绪失调与大流行影响与 FF 和 PF 的总体影响显着相关，这为儿童情绪失调与其社会、家庭和压力环境之间的密切关系提供了实证支持。这些发现为进一步研究环境与儿童心理健康的纵向联系以及同时加强社会和家庭联系的治疗方法奠定了基础，作为影响压力与儿童心理健康关系的方法。