Fighting the waves; Covid-19 family life interference in a neurodevelopmental disorder-caregiver population

Introduction: The current COVID‑19 pandemic interferes with family lives across the world, particularly families of children with neurodevelopmental disorders (NDDs) are at a greater risk for being negatively impacted by the pandemic. Together with representatives from this caregiver population the aim was to explore the interference associated with normal family life caused by the COVID‑19 pandemic. Method: This is a descriptive study using a cross‑sectional design. Following a strategic network sampling strategy, a user‑developed national survey was completed by a larger sample (N = 1,186) of parents and informal caregivers of children with NDDs. The survey utilized a combination of both closed and open‑ended questions, and a logistic regression analysis was carried out to assess the association between family characteristics, characteristics of the child, and COVID‑19 related family life interference. Before carrying out the regression an inductive content analysis of the open‑ended question on `How has the isolation affected the family ́ was carried out to construct the outcome variable. Results: The initial analysis indicated that the COVID‑19 pandemic induced a shift in everyday family life and a lack of guidance and support related to managing the challenges they were facing. Caregivers who reported that COVID‑19 had significantly interfered with their family life, were more likely to report having anxious children, and to have experienced an increased number of conflicts at home. The logistic regression showed that both anxious children and increased conflicts considerably increased the risk for reporting family life interference compared to those that reported no increased conflicts or anxious children. Discussion: Considering how the COVID‑19 related increased conflicts at home and anxious children threaten the family life of the NDD caregiver population, as an external source of family stress, which might lead to negative impact on their mental and physical well‑being, the need for further research in collaboration with user representatives is apparent. Our study suggests that more information should be provided to healthcare providers, social professionals, peers, people with NDDs, and caregivers of people with NDDs about the potential threats that a stressful life event such as the current pandemic can pose to their mental and physical health and their family lif