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How do families cope with major societal stressors: a qualitative study of family coping during the pandemic?

Bali, E.; Petr-Romao, P.; Dyas, R.; English, O.; MacLean, J.; O'Neil, I.; Minnis, H.

2025-05-09 public and global health
10.1101/2025.05.08.25327227 medRxiv
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BackgroundMajor societal stressors such as wars, natural disasters and pandemics severely disrupt family life. However, not all families are impacted equally. During the COVID-19 pandemic, surveys highlighted how most of UK society coped, but tended to exclude high-risk families. We sought to redress this. MethodsForty-three participants (25 parents from high-risk families; 18 family-support professionals) were interviewed about family their experiences during the first three months of lockdown. Interviews were conducted in two phases: around the start of the pandemic in April 2020, and during the first easing of restrictions in July 2020. Interviews were analysed using Thematic Analysis. ResultsSix major themes were identified: health & wellbeing, family dynamics, work & employment, education, home environment and adherence to government restrictions. Families faced challenges in creating a balance between parents work and childcare. A wide range of risk and protective factors, and the influence of pre-existing experiences, contributed to whether a family entered a Virtuous (supportive) or a Vicious (maladaptive) cycle of family coping. Negative pre-existing experiences worsened some families adaptation but helped other families to have resilience. ConclusionThis study extends the Family Stress Model by illustrating the potential for resilience among high-risk families, highlighting potential mechanisms that might enable some families to transform adversity into strength. These findings may be useful for professionals supporting high-risk families coping with societal stressors and for the development of recommendations for future pandemic preparedness.

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