Internalising and Externalising Symptoms Before and During the Initial COVID-19 Lockdown in the UK and Turkey: A Cross-cultural Examination
Abstract Background: The COVID-19 pandemic has had a profound effect on the mental health and wellbeing of children and young people. Culture can influence emotional and behavioural responses to the pandemic and its consequences, but research is primarily focused on single country experiences. The study examined differences in caregiver worry of infection and experience with the confinement during the initial lockdown and their impact on children’s internalising and externalising symptoms across two culturally different countries which were severely affected by the pandemic: UK and Turkey.Method: Participants were 1849 caregivers with children between 5 and 12 years old in the UK (n= 995) and Turkey (n = 854) who completed a 20 -min electronic survey on child and family wellbeing distributed via social networks during the initial phase of the COVID-19 lockdown (July and August 2020).Findings: Worry of infection was higher amongst caregivers in the Turkish sample and it independently predicted change in children’s internalising symptoms in the Turkish sample only. Caregivers in the Turkish sample reported more difficulty with family coexistence during the lockdown, but regressions analysis showed that difficulty with coexistence independently predicted change in children’s externalising and internalising symptoms before and during the lockdown in both samples. The study revealed cross-cultural differences in the predictors of change in children’s internalising and externalising symptoms before and during the initial national COVID-19 lockdown.