Positive life changes during the COVID-19 pandemic moderate the association between mothers’ COVID-related stressors and psychopathology

Background: Ample research has documented the potential of both negative and positive impacts secondary to the COVID-19 pandemic on global mental health in adults and families, but less work has focused on mothers who experience economic marginalization. This longitudinal study aims to assess the impact of positive changes from the pandemic on the association between COVID-related stressors and psychopathology before and after the start of the pandemic. Methods: Seventy-five mothers from low income, economically marginalized backgrounds (mean age=30 years, 80 % Black) completed a pre-pandemic visit (T1;2015-2019) and an online survey (T2;2020-2021) mid-pandemic. The study assessed mother's depressive and posttraumatic stress symptoms and lifetime adversity, COVID-19 related stressors, and positive changes associated with the pandemic. Results: Controlling for pre-pandemic psychopathology symptoms, lifetime adversity and educational attainment, there was a significant, positive association between exposure to COVID-19 related stressors and risk for T2 psychopathology. Positive life changes buffered this association, however, such that exposure to COVID-19 related stressors and psychopathology were unrelated for mothers who reported a moderate to high level of positive changes associated with the pandemic. Limitations: The sample was small and generalizability of results is limited. Conclusions: The pandemic was associated with an increase in mental health problems and unique stressors, especially among caregivers who are low-income. These findings shine light on how both material and psychological access to positive experiences (e.g., more time with family) can buffer the impact of stressors on mental health symptoms.